Whistle-Blower Speaks Out at the Washington University Transgender Center at St. Louis Children’s Hospital

In November, 2022, Jamie Reed quit her job at the The Washington University Transgender Center at St. Louis Children's Hospital because she came to the conclusion that the way the Center treated its young patients was "morally and medically appalling." Here are the opening paragraphs of her detailed story at The Free Press: "I Thought I Was Saving Trans Kids. Now I’m Blowing the Whistle."

I am a 42-year-old St. Louis native, a queer woman, and politically to the left of Bernie Sanders. My worldview has deeply shaped my career. I have spent my professional life providing counseling to vulnerable populations: children in foster care, sexual minorities, the poor.

For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt.

All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier.

The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility.

I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.”

Instead, we are permanently harming the vulnerable patients in our care. Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.

Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.

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Stanford University Attempts to Dismantle Harmful Language

Stanford University has launched an initiative to protect us from harmful language. This language is so incredibly harmful that after the link to the website started getting passed around, Stanford shut down public access. Now only Stanford students will get to know the language that purportedly harms all of us.

Heather Heying had been poking around at the Stanford website that was designed to protect her (and me and you and everyone else) from certain terrible words and phrases, but before she could finish reviewing the website, Stanford closed off public access. Here's some of the information that Heather can report at her website, Natural Selections:

Finally, I grabbed a single screenshot of one of the recommendations on the site before access was restricted4. Here it is:

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Camille Paglia Discusses Transgender Issues

I've followed Camille Paglia for many year, always finding her opinions deeply explored, courageous and clearly stated. An excerpt from CPYU:

Although I describe myself as transgender (I was donning flamboyant male costumes from early childhood on), I am highly skeptical about the current transgender wave, which I think has been produced by far more complicated psychological and sociological factors than current gender discourse allows. Furthermore, I condemn the escalating prescription of puberty blockers (whose long-term effects are unknown) for children. I regard this practice as a criminal violation of human rights.

It is certainly ironic how liberals who posture as defenders of science when it comes to global warming (a sentimental myth unsupported by evidence) flee all reference to biology when it comes to gender. Biology has been programmatically excluded from women’s studies and gender studies programs for almost 50 years now. Thus very few current gender studies professors and theorists, here and abroad, are intellectually or scientifically prepared to teach their subjects.

The cold biological truth is that sex changes are impossible. Every single cell of the human body remains coded with one’s birth gender for life. Intersex ambiguities can occur, but they are developmental anomalies that represent a tiny proportion of all human births.

In a democracy, everyone, no matter how nonconformist or eccentric, should be free from harassment and abuse. But at the same time, no one deserves special rights, protections, or privileges on the basis of their eccentricity. The categories “trans-man” and “trans-woman” are highly accurate and deserving of respect. But like Germaine Greer and Sheila Jeffreys, I reject state-sponsored coercion to call someone a “woman” or a “man” simply on the basis of his or her subjective feeling about it. We may well take the path of good will and defer to courtesy on such occasions, but it is our choice alone.

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Prevalence of Gender Ideology and the Placebo Effect

Is the nearly vertical upward spike in reported cases of gender transition due, in part, to the placebo effect? Leor Sapir Reports at City Journal,  "The Placebo Is the Point: A new paper highlights the fundamental bias in the world of “gender-affirming” research."

A paper published last month in the Archives of Sexual Behavior makes an important point about the environment in which “gender-affirming” drugs and surgeries are offered to minors. Positive outcomes from hormonal interventions, argues psychiatrist Alison Clayton, the article’s author, may be attributable to placebo effects generated by clinical encounters and the social context in which they take place, rather than to the underlying psychotropic effects of the drugs themselves.

Clayton’s basic intuition makes sense. If you take a teenager in emotional distress and tell her that drug X will solve her problems, while treatment Y will make them worse, and then bring her to a clinical setting where medical professionals repeat that message, it should come as no surprise that the teenager experiences emotional relief when you give her X, or distress when you give her Y—regardless of the psychotropic effects of X. The patient may regard the giving of X symbolically as adults listening to her and empathizing with her inner turmoil. “The ‘Hawthorne effect,’” writes Clayton, “describes the phenomenon where clinical trial patients’ improvements may occur because they are being observed and given special attention. A patient who is part of a study, receiving special attention, and with motivated clinicians, who are invested in the benefits of the treatment under study, is likely to have higher expectations of therapeutic benefits.”

It is indeed the case that promoters of “gender-affirming care” have created what Clayton calls “a perfect storm for the placebo effect.” In the left-of-center media, puberty-blockers, cross-sex hormones and (less frequently) surgeries are hailed as “medically necessary” and suicide-preventing measures for teens in distress, supposedly over having been wrongly “assigned” their sex at birth. Skeptics of these interventions are denounced as cruel deniers of life-saving medicine to youth at high risk of suicide. Meantime, alternatives to drugs and surgeries (e.g., psychotherapy) are denigrated as harmful “conversion therapy,” setting the stage for a nocebo (harmful) effect on those who receive psychotherapy but not drugs.

From the viewpoint of those who have become intensely interested in treating dysphoria medically (rather than the "watch and see" method), many have uttered the phrase "Munchausen syndrome by proxy," which is "a mental illness and a form of child abuse. The caretaker of a child, most often a mother, either makes up fake symptoms or causes real symptoms to make it look like the child is sick."

 Biologist Colin Wright has been observing various parent groups. His observations give credence to that concern.

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