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	<title>Uncategorized Archives &#8212; Genspect</title>
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		<title>Recovery From Transition: Detransing Our Culture</title>
		<link>https://genspect.org/recovery-from-transition-detransing-our-culture/</link>
		
		<dc:creator><![CDATA[Mia Hughes]]></dc:creator>
		<pubDate>Sat, 25 Apr 2026 16:05:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=29207</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/013-Recovery-from-Transition-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/013-Recovery-from-Transition-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/013-Recovery-from-Transition-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" />Mia Hughes&#8217; speech at Detrans Awareness Day 2026 The Panic The subject of my talk today is recovery from transition. And I’m going to begin by taking you all back to an unlikely place: the city of Columbus, Ohio, one hundred and thirteen years ago. In its most famous telling, the story begins at around [&#8230;]</p>
<p>The post <a href="https://genspect.org/recovery-from-transition-detransing-our-culture/">Recovery From Transition: Detransing Our Culture</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
]]></description>
										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/013-Recovery-from-Transition-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/013-Recovery-from-Transition-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/013-Recovery-from-Transition-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" /><h2 class="wp-block-heading" id="mia-hughes-speech-at-detrans-awareness-day-2026">Mia Hughes&#8217; speech at Detrans Awareness Day 2026</h2>


<p></p>



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<p></p>


<h2 class="wp-block-heading" id="the-panic"><strong>The Panic</strong></h2>


<p>The subject of my talk today is recovery from transition. And I’m going to begin by taking you all back to an unlikely place: the city of Columbus, Ohio, one hundred and thirteen years ago.</p>



<p>In its <a target="_blank" rel="noreferrer noopener" href="https://hackneybooks.co.uk/books/554/979/DamBroke.html">most famous telling</a>, the story begins at around noon on March 12, 1913, with residents going about life as normal, the High Street abuzz with activity.</p>



<p>When, all of a sudden, a man started running. No one knows why. But his action triggered a panic. One by one, others started running too, and before long, everyone was in a state of frenzy, fleeing an imaginary danger.</p>



<p>They all believed the local dam had burst. “GO EAST!” everyone cried.</p>



<p>But of course, the dam had not burst. Instead, a false belief triggered an entire population to temporarily take leave of its senses.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!tGye!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F973bc406-0b30-4a23-bd7c-8cfeaa8dceb5_2046x1122.png" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!tGye!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F973bc406-0b30-4a23-bd7c-8cfeaa8dceb5_2046x1122.png" alt=""/></a></figure>



<p>And that is exactly what has happened in our era — in which entire nations have abandoned reason and stampeded in the wrong direction in the name of a false belief.</p>



<p>And many of the innocent people injured in that stampede are sitting right before me today in this room to mark <a target="_blank" rel="noreferrer noopener" href="https://genspect.substack.com/p/life-beyond-transition-and-the-largest">Detrans Awareness Day</a>.</p>


<h2 class="wp-block-heading" id="the-modern-stampede"><strong>The Modern Stampede</strong></h2>


<p>Until the 2010s, Western society too was going about its business as normal.</p>



<p>Everyone knew what a woman was. We all understood that adolescence is a time of identity development and great change. And it was a widely accepted fact that wanting healthy body parts amputated was a sign that a person needed serious psychological support.</p>



<p>Then suddenly, a new civil rights movement exploded onto the scene, and pandemonium broke out.</p>



<p>This movement was built upon <a target="_blank" rel="noreferrer noopener" href="https://wpath.org/wp-content/uploads/2024/11/de-psychopathologisation-5-26-10-on-letterhead.pdf">the idea</a> that being transgender is a healthy variation of human existence that somehow, paradoxically, requires drastic hormonal and surgical interventions.</p>



<p>There is obviously no truth to this claim. It is the product of <a target="_blank" rel="noreferrer noopener" href="https://genspect.org/repath-timeline/">decades of political advocacy</a> in which activists created a whole new reality — one where a complex psychiatric condition is reframed as an innate identity, and guardrails around drastic life-altering medical treatments are portrayed as discrimination.</p>



<p>Anyone who stops to think about that, even for a moment, should be able to see how dangerous it is.</p>



<p>The trouble is that when the idea first appeared, very few people stopped to think.</p>



<p>Instead, like the residents of Columbus, good decent people panicked and stampeded in the wrong direction — irrationally throwing their support behind doctors turning perfectly healthy people into lifelong medical patients.</p>



<p>“TRANS WOMEN ARE WOMEN,” they cried. “PROTECT TRANS KIDS.”</p>



<p>And so the belief that trans is a healthy innate trait took on a life of its own, leaping from mind to mind, becoming all-consuming in those most susceptible.</p>



<p>Psychiatry has a name for this phenomenon: <a target="_blank" rel="noreferrer noopener" href="https://youtu.be/a8uBdSoQCKQ?si=OID8pAXVlaHYVIbL">extreme overvalued beliefs</a> — convictions that grow stronger the more a culture reinforces them; that can come to dominate minds if no countervailing perspectives are present.</p>



<p>The trans overvalued belief propels some to pursue drastic medical interventions. Others to perform those interventions. And still others to apply the label “trans” to children long before they could possibly comprehend what that means.</p>


<h2 class="wp-block-heading" id="two-types-of-recovery"><strong>Two Types of Recovery</strong></h2>


<p>And this brings me to the central point of my talk today.</p>



<p>Because this madness is cultural, recovery from transition has two dimensions: Individual recovery and cultural recovery.</p>



<p>Because while detransition takes place in the life of the individual, the belief that led so many towards medical harm did not arise in the individual mind. It was absorbed from the surrounding culture — from institutions, from media, from schools, from doctors, from activists, and from the internet.</p>



<p>Meaning that if we truly want to support detransitioners, recovery must happen at both levels.</p>



<p><strong>First, individual recovery.</strong></p>



<p>Now as so many of you in this room already know, medical detransition is limited or impossible. Hormones change bodies. Surgeries cannot simply be undone. The physical consequences of these treatments are lifelong.</p>



<p>But <a target="_blank" rel="noreferrer noopener" href="https://genspect.substack.com/p/harmed-by-medical-transition">psychological detransition</a> is possible. And ideological detransition is possible.</p>



<p>What that means is letting go of the belief.</p>



<p>Letting go of the belief that medically altering the body is the path to authenticity and happiness.</p>



<p>For some, that means letting go of the ideology that told you you were born in the wrong body. For others, it means recognising that living as the opposite sex will never deliver the happiness that was promised.</p>



<p>Either way, it means letting go of the belief that you must spend the rest of your life fighting reality.</p>



<p>For some people, this realization comes suddenly. For others, it unfolds gradually.</p>



<p>Stella has a beautiful analogy about psychological detransition being like adding pebbles to a bucket. One by one, small pebbles are added — each representing doubts long pushed away, simple truths long ignored, alternative explanations that begin to make more sense than the trans identity ever could.</p>



<p>Slowly, the bucket fills. Until eventually the accumulated weight of those pebbles outweighs the hold the belief had for so long.</p>



<p>And when that belief finally loosens its grip, many of you in this room have told me something remarkable happens.</p>



<p>There is <a target="_blank" rel="noreferrer noopener" href="https://substack.com/home/post/p-176366413">immense relief</a>.</p>



<p>The exhausting effort of constantly trying to bend reality disappears. In its place there is acceptance, a deep understanding of the self, and reconciliation with the body you were born with — the only one you will ever have.</p>



<p>But letting go of the belief is not easy. Because it requires admitting to yourself that you made a terrible mistake. It requires confronting sunk costs, losing friendships, and being expelled from once-welcoming communities.</p>



<p>And crucially, it means doing all of that while the belief itself is still being celebrated all around you. It means letting go of this dangerous belief in a culture that condemns anyone who dares question it.</p>



<p>Which brings me to the second kind of recovery.</p>


<h2 class="wp-block-heading" id="cultural-recovery"><strong>Cultural Recovery</strong></h2>


<p>For ideas, behaviours, and emotions to spread rapidly through a population, conditions must be just right.</p>



<p>The dam-burst panic occurred during the time of the Great Flood. Residents of Ohio were already in a heightened state of anxiety. Rivers were rising. Rumours were spreading. Fear was already in the air.</p>



<p>So when one man started running, the entire population was primed to follow. It didn’t matter that there was no wall of water bearing down on the city. The behaviour was entirely irrational.</p>



<p>And the same was true when trans activism — and the idea that trans is a healthy innate trait requiring medicalization — first appeared. Cultural conditions were also just right.</p>



<p>Gay rights was drawing to a close, and it was clear which side held the moral high ground. People were primed to fear being seen as bigots.</p>



<p>So when the next rainbow-hued movement arrived — one that on the surface looked remarkably similar to its predecessor — people quickly jostled for their place on the right side of history.</p>



<p>It didn’t matter that the belief was incoherent.</p>



<p>It didn’t matter that it required discarding all existing knowledge about child and adolescent development.</p>



<p>It didn’t matter that it encouraged gender clinics to “trans away the gay.”</p>



<p>The fear of being called “transphobic” overruled logic and reason. And in the stampede that followed, innocent people were trampled.</p>


<h2 class="wp-block-heading" id="the-new-contagion"><strong>The New Contagion</strong></h2>


<p>But now a new idea is beginning to spread, and it is our responsibility to cultivate the perfect cultural conditions in which it can thrive.</p>



<p>Unlike those earlier contagions, this one is not driven by fear. It is driven by courage. It is the idea that there is life after transition. Life after letting go of the belief.</p>



<p>Every detransitioner who speaks publicly gives this idea strength. Your stories become templates that guide others towards letting the belief go.</p>



<p>In the same way that thousands of young people, including many in this room, once encountered someone just like them online, announcing, “I’m trans” — and soon adopted the label themselves. Now those same people are encountering detransitioners. People who have the courage to say: I once believed I was trans, but now I realise it was all a lie.</p>



<p>All of you in this room who were harmed by this medical scandal are on your own individual journeys of recovery. But by speaking publicly and telling your stories, you are also doing something much larger. You are helping spread the idea that recovery is possible.</p>



<p>You are the role models your younger selves so desperately needed — but that society failed to provide.</p>



<p>In a tragic symmetry, the same social mechanism that once drew people in is now working in reverse — leading people away from further medical harm and towards self-acceptance and truth.</p>


<h2 class="wp-block-heading" id="the-responsibility"><strong>The Responsibility</strong></h2>


<p>But the responsibility for fueling this cultural recovery does not fall on the shoulders of detransitioners alone. It falls on all of us. Because we cannot truly support detransitioners while continuing to uphold the very belief that led them into harm in the first place.</p>



<p>True support begins with <a target="_blank" rel="noreferrer noopener" href="https://genspect.org/re-psychopathologization-campaign/">society-wide ideological detransition</a>. Until then, the waves of detransitioners will just keep on coming.</p>



<p>We must stop pretending that a new type of human being has been discovered — that a serious psychiatric disorder is an innate healthy trait.</p>



<p>We must stop pretending that amputating healthy body parts is medicine, for anyone of any age.</p>



<p>And we must stop pretending that becoming a lifelong medical patient is a human right — something to be encouraged and celebrated.</p>


<h2 class="wp-block-heading" id="abandoning-the-belief"><strong>Abandoning the Belief</strong></h2>


<p>But as history shows us, it’s hard for people to let go of false beliefs.</p>



<p>At the end of the dam-burst panic, residents of Columbus were left in a state of bewilderment. Some were up trees. Others had climbed to high ground. They simply could not let go of the belief that the dam had burst. It took militiamen riding through the streets in lorries, shouting through megaphones that the dam had not broken!</p>



<p>That is now the responsibility of everyone today who knows the truth about this medical scandal. Because our culture exists in a similar state of befuddlement.</p>



<p>Nations are banning these treatments for minors, yet they remain available on demand for adults — as if something magical happens at the stroke of midnight when a young person turns eighteen.</p>



<p>There are constant calls for better quality evidence — yet producing that evidence requires subjecting even more healthy people to those same interventions that have already been shown to cause so much harm.</p>



<p>All this confusion stems from one simple problem: our culture refuses to let go of the belief itself.</p>



<p>So this is not the time to be timid.</p>



<p>This is the time to pull out the megaphones.</p>



<p>The time to say plainly that the entire field of gender medicine is built upon a lie — that people who fixate on these medical interventions as the road to happiness do not need scalpels and hormones. They need compassionate psychotherapeutic care that guides them towards a less destructive path.</p>


<h1 class="wp-block-heading" id="how-it-ends"><strong>How It Ends</strong></h1>


<p>In Columbus, when the panic had died down and people had returned sheepishly to their homes and offices, residents minimized the distances they had run or concocted various reasons for running.</p>



<p>Then, the next day, the city went about its business as if nothing had happened. But no one saw the funny side. It wasn’t until years later that anyone dared treat the breaking of the dam lightly.</p>



<p>When people finally understand that trans was never an innate identity but always a psychiatric disorder — that it was a false belief that led vulnerable people towards medical harm when what they really needed was support and time — something very similar will happen.</p>



<p>People will try to minimize what happened here. Some will say they always had doubts. Others will claim they never believed any of it.</p>



<p>But many of the people in this room cannot pretend it never happened. And so those who inflicted the harm should not be allowed to either.</p>



<p>Recovery is possible — both for individuals and for society. But this must never be treated lightly. And there will certainly never be any jokes.</p>



<p>Instead, we must remember what happened. Learn from it. And remain forever on guard against the devastation our capacity for collective madness can unleash.</p>



<p><strong>Mia Hughes is the author of The WPATH Files and the director of Genspect Canada.</strong></p>
<p>The post <a href="https://genspect.org/recovery-from-transition-detransing-our-culture/">Recovery From Transition: Detransing Our Culture</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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			</item>
		<item>
		<title>A New Era!</title>
		<link>https://genspect.org/a-new-era/</link>
		
		<dc:creator><![CDATA[Stella O&#039;Malley]]></dc:creator>
		<pubDate>Fri, 24 Apr 2026 16:41:16 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=29220</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/001-Opening-Plenary-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/001-Opening-Plenary-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/001-Opening-Plenary-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" />As we begin releasing presentations from Detrans Awareness Day, we invite you to join us in Washington DC for the next Genspect conference, March 10-12 2027 WPATH is over. Like Schrödinger’s cat, it may still appear to exist in multiple states, but anyone who understands this issue knows it is only a matter of time [&#8230;]</p>
<p>The post <a href="https://genspect.org/a-new-era/">A New Era!</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
]]></description>
										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/001-Opening-Plenary-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/001-Opening-Plenary-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/001-Opening-Plenary-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" /><h2 class="wp-block-heading" id="as-we-begin-releasing-presentations-from-detrans-awareness-day-we-invite-you-to-join-us-in-washington-dc-for-the-next-genspect-conference-march-1012-2027"><a href="https://substack.com/@stellaomalley"></a>As we begin releasing presentations from Detrans Awareness Day, we invite you to join us in Washington DC for the next Genspect conference, March 10-12 2027</h2>


<p>WPATH is over. Like Schrödinger’s cat, it may still appear to exist in multiple states, but anyone who understands this issue knows it is only a matter of time before the organisation collapses. WPATH’s work is so irretrievably shoddy that it will soon be wholly discredited. All we need to do is give it enough time.&nbsp;<a href="https://environmentalprogress.org/big-news/wpath-files">The WPATH Files</a>, released in March 2024, exposed the disgraceful conduct of leading clinicians; not only were they causing harm, they knew they were causing harm to vulnerable patients. Since then, a steady stream of&nbsp;<a href="https://www.thefp.com/p/were-all-just-winging-it-what-the?hide_intro_popup=true">scandals</a>&nbsp;and<a href="https://www.deseret.com/opinion/2025/12/19/florida-suit-transgender-standard-of-care-wpath/">&nbsp;legal challenges</a>&nbsp;has shown that no criticism is too strong for this well-funded outfit.</p>



<p>Of course, WPATH still has millions of dollars supporting it, so dismantling it will be slow. Their decision to hold their next conference<a href="https://wpath.org/wpath-29th-scientific-symposium/">&nbsp;in Mexico</a>&nbsp;has all the hallmarks of a well-funded junket. We have been in regular contact with concerned parents across Latin America, and it is clear that WPATH and their associates are already making inroads into that region. And why wouldn’t they? One of the next major battles will be trans tourism. As the western world slowly wakes up to the manifold harms of medical transition –&nbsp;<a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0016885">dreadful long-term mental health outcomes, increased suicidality, mortality and suicidality&nbsp;</a>– more mercenary actors are shifting operations to countries with looser regulations.</p>



<p>There are so many fires to put out that some days it feels like whack-a-mole. At Genspect, though, we keep our eyes on the solution. We could spend the next decade building a case against WPATH, its disastrous Standards of Care, and every clinician associated with it. But there is no time. We need solutions, and we need them quickly. Too many people are being harmed today from these radical interventions that are unsupported by a robust evidence base.</p>



<p>That is why we commissioned<a href="https://www.amazon.co.uk/Gender-Framework-Comprehensive-Evidence-Based-Professionals/dp/1634312848/ref=sr_1_1?crid=18HNK9LX10N78&amp;dib=eyJ2IjoiMSJ9.5lVGzWiPdShJnJdlZu4YRN2DP7bcNdQuWsnCPGV0ducd_Nqd-8RzxfHbbvLuwr0UiSgFRQ6AAu85ByS9eHWLWuH5WoAp3IVEfL68QGXjKhk9Eb7Pti2XikXKJ0JINaUk2wekBHv4eVYBIZFcn3h_34cbf0ML-iBZZngwgNOcmFs9QEYucYIapAjJxHQ1u6Q_QVOVPSXZfk057iAWwH26CfiT18f1-81tWi6UDpOqtEg.eHDl9Dl8NL8I7aGAzY0c61CS5mNTfQlILDd6I4WBer8&amp;dib_tag=se&amp;keywords=gender+framework&amp;qid=1777043481&amp;sprefix=ggender+framework%2Caps%2C245&amp;sr=8-1">&nbsp;the Gender Framework</a>. Leading experts in the field, such as Dr Stephen Levine, Dr Colin Wright, and Prof Holly Lawford-Smith, offer a clear distillation of the issue alongside practical approaches for professionals to work compassionately with gender dysphoric individuals. Abigail Shrier describes&nbsp;<em>The Gender Framework</em>&nbsp;as “An indispensable roadmap through the gender debate.” And we agree!</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!F2Yf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6aabd578-f5c7-4c5a-b6f6-139c3c22124b_1200x1600.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!F2Yf!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6aabd578-f5c7-4c5a-b6f6-139c3c22124b_1200x1600.jpeg" alt=""/></a></figure>



<p><a href="https://a.co/d/00bZTG7y">The Gender Framework</a>&nbsp;is grounded in the understanding that psychological support is more appropriate than the medicalization of identity. We have already received strong feedback from clinicians and other professionals in the field, and we encourage you to&nbsp;<a href="https://a.co/d/00bZTG7y">share it widely.</a>&nbsp;Please pass it to a teacher, a youth worker, a psychologist, a sports coach, anyone who would benefit from a clearer, more grounded perspective on this issue.</p>



<p>Most people do not understand this issue, and many do not try. Those who have not been directly affected often treat it as an irritating sideshow. Those of us who have know better. This is a colossal medical scandal, exposing failures across healthcare, education, academia, and journalism.</p>



<p>Still, we have to work with the reality in front of us, which is why we have made a strategic shift. Rather than chasing WPATH around the world, we are choosing to move on and turn our attention to where the power is.</p>


<div class="wp-block-image">
<figure class="aligncenter"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!dC9B!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb904c69d-c23f-4d63-a307-dd1253911436_300x300.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!dC9B!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb904c69d-c23f-4d63-a307-dd1253911436_300x300.jpeg" alt=""/></a><figcaption class="wp-element-caption"><strong>Detrans Awareness Day, 12 March Washington DC, 2026</strong></figcaption></figure>
</div>


<p>We are now building on the success of our Washington DC conference in March and expanding it into something much bigger.&nbsp;<strong><a href="https://genspect.org/detrans-awareness-day-2026/">From Wednesday 10 March to Friday 12 March 2027, we will host a new kind of Genspect conference in Washington DC.</a></strong>&nbsp;We are calling this series&nbsp;<em><strong>A New Era</strong></em>&nbsp;because that is exactly what this is. We will bring together leading voices from the legal, clinical, and professional worlds, alongside policymakers, parents, and detransitioners. The final day, Friday 12 March, will be given over to Detrans Awareness Day.</p>


<div class="wp-block-image">
<figure class="aligncenter"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!Bp_5!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2e559965-108b-4a37-a835-c48bd96cb11a_300x300.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!Bp_5!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2e559965-108b-4a37-a835-c48bd96cb11a_300x300.jpeg" alt=""/></a><figcaption class="wp-element-caption"><strong>Maia and Keira, Detrans Awareness Day, Washington DC</strong></figcaption></figure>
</div>


<p><a href="https://genspect.org/detrans-awareness-day-2026/">Detrans Awareness Day this year</a>&nbsp;was a tremendous success. My opening speech from the event is at the end of this article. I was more nervous speaking then than I have been in years. I was extremely apprehensive because I wanted the more than 70 detransitioners in the room to feel good about being there. I wanted them to sense that something had shifted, that the mood is changing and that the world is finally beginning to wake up.</p>


<div class="wp-block-image">
<figure class="aligncenter"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!0X8p!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b0482d4-4581-4f8d-8c27-73d780404db9_300x300.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!0X8p!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b0482d4-4581-4f8d-8c27-73d780404db9_300x300.jpeg" alt=""/></a><figcaption class="wp-element-caption"><strong>Aireal, Maia, Michelle, Forest, Laura, Ritchie and Sierra in Washington DC, 2026</strong></figcaption></figure>
</div>


<p>For years, anyone raising concerns about medical transition was dismissed as a bigot and a transphobe. That is no longer holding water. The zealots still throw slurs around with abandon, but it no longer really matters &#8211; their insults have been too many for too long and public awareness has shifted. Most people now sense that something has gone wrong. They may not know what is happening, but they often have a vague understanding that there are underlying problems.</p>



<p>This is why we are so keen to offer a clear way forward. Now is the time for clarity and leadership. The medicalized model has been tried and across objective long-term outcomes, it is a failure. Our forthcoming Detransitioners Primer will give professionals a practical and informed way to work with detransition.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!o1I_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf3c3376-380c-4be5-9d59-d0f17ed58dd3_1280x670.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!o1I_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf3c3376-380c-4be5-9d59-d0f17ed58dd3_1280x670.jpeg" alt=""/></a><figcaption class="wp-element-caption"><strong>Soren, Ritchie, Laura, Aireal and Sherrie, Detrans Awareness Day, 2026</strong></figcaption></figure>



<p>We now know that sending detransitioners to gender-affirmative clinicians, or even to “affirmative-lite” clinicians, is profoundly inappropriate. Clinicians in this context need to refrain from further medicalizing individuals. The pain a detransitioner experiences when, after many harrowing years, they finally work up the courage to attempt to reverse the process, only to encounter the very clinical mindset that set them on that path, is too much to endure. It is not appropriate, and they should not have to go through this.</p>



<p>Detransitioners do not want further treatment from clinicians who have mistreated them. They don’t even want to meet them and it is not fair to expect detransitioners to carry the burden of clinicians’ reckless errors.</p>


<div class="wp-block-image">
<figure class="aligncenter"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!KnYw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe9623b09-20ca-4b57-82c2-103dc8fe10eb_300x300.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!KnYw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe9623b09-20ca-4b57-82c2-103dc8fe10eb_300x300.jpeg" alt=""/></a><figcaption class="wp-element-caption">Simon and Admiral Christine</figcaption></figure>
</div>


<p>When I think back to the first Genspect conference, it feels like aeons ago. I could hardly believe it when I heard that WPATH was coming to Killarney, Co Kerry. My home turf! That was when we first conceived the idea of following them around the world, insistently offering an alternative alongside their events.</p>



<p>Our&nbsp;<a href="https://genspect.org/the-bigger-picture-conference/">Bigger Picture Series began there</a>, just after lockdowns, when everyone was eager to meet again. It feels like a different world then. Helen Joyce delivered the keynote. Professors Michael Biggs and Ken Zucker, along with other luminaries, spoke. Fifteen detransitioners attended that event.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!i_RN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7c55d41f-1ff5-4be7-9e0d-c9254ba6aed0_1280x720.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!i_RN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7c55d41f-1ff5-4be7-9e0d-c9254ba6aed0_1280x720.jpeg" alt=""/></a><figcaption class="wp-element-caption">Detransitioner panel at the Genspect conference in Killarney, Ireland</figcaption></figure>



<p>But this was before the Cass Review, when high-quality evidence was scarce and few people had even heard the term detransition. We offered free tickets to WPATH attendees and we were intrigued by how many clinicians crossed the town to participate in our conference.</p>



<p>WPATH did not like that. They sent legal letters and tried to shut us down. We carried on.</p>



<p>Before our&nbsp;<a href="https://genspect.org/the-bigger-picture-conference-denver/">next conference in Denver in November 2023</a>, WPATH requested to meet us and we had a series of conversations with senior figures. The meetings went nowhere. They wanted to assure us that they were nice people. But we were completely uninterested in their personalities – we remain, as always, focused on long-term outcomes and the best possible practice in this area.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!solX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53f1ddf3-e778-4325-87c2-6d07636e5fa2_1536x864.png" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!solX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53f1ddf3-e778-4325-87c2-6d07636e5fa2_1536x864.png" alt=""/></a><figcaption class="wp-element-caption">Denise, Stella, James, Jessie, Colin, Laura, Christina, Wilfred, Pamela, Denver 2024</figcaption></figure>



<p>More legal letters followed. We went to&nbsp;<a href="https://genspect.org/the-bigger-picture-lisbon/">Lisbon, Portugal in 2024.</a>&nbsp;There was a high level of interest from European WPATH clinicians who attended our conference, and many have since moved away from the WPATH model. We remain in touch with them, and they have added to the growing number of clinicians speaking out about this issue. Then,&nbsp;<a href="https://genspect.org/the-bigger-picture-albuquerque/">in September 2025, we went to Albuquerque</a>&nbsp;for another counter-conference to highlight the harms of the inappropriate medicalization of self-reported identities.</p>



<p>We think we have made our point.</p>



<p>We can return to our counter-conference strategy if needed, and we can once again follow WPATH across the world &#8211; we won’t take our eye off that particular ball anytime soon. But we believe now is the time to move the queen up the middle of the chessboard.</p>



<p>Those in positions of influence are engaging with us seriously and want to be well-informed about this issue, and we are happy to help in that endeavor. After years of being ignored, criticized, dismissed, and smeared, we are now in a position to work with those who can effect change.</p>



<p>So it is onward and upward.</p>



<p>We have new research underway and major initiatives in development. We remain mindful of the divisions in public life and are committed to engaging with people of all political hues. Anyone who is informed and willing to think carefully about this issue is welcome to engage with us.</p>



<p>On that note, potential speakers are often disappointed to have missed the opportunity to speak, so if you would like to speak at our next conference, please get in touch at&nbsp;<a href="mailto:beyond@genspect.org">beyond@genspect.org</a>.</p>



<p>And if you want to be part of what comes next,&nbsp;<a href="https://genspect1.telltix.com/events/genspect1/2180462">please join us in Washington DC in March 2027.</a></p>



<p>We will once again bring detransitioners together in significant numbers, and we expect many more than the 70 who joined us this year. It is a costly undertaking. If you would like to support a detransitioner to attend, we would be extremely grateful:&nbsp;<a href="https://gofund.me/a65d6e281">https://gofund.me/a65d6e281</a></p>



<p>Every Genspect conference we have held has sold out, and many people have been disappointed. If you would like to attend,&nbsp;<a href="https://genspect.org/detrans-awareness-day-2026/">we urge you join the waitlist now to receive priority access when registration opens.</a></p>



<p>We expect record numbers of detransitioners in 2027. If you have been harmed by medical transition, your presence matters. Please email&nbsp;<a href="mailto:beyond@genspect.org">beyond@genspect.org</a>&nbsp;to register your interest in attending.</p>



<p>For now, to whet your appetite, you can watch my rather nervy plenary speech from Detrans Awareness Day in March 2026. We will be releasing the presentations and panel discussions over the coming weeks, and all likes and shares are, as always, very much appreciated.</p>



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<p>The post <a href="https://genspect.org/a-new-era/">A New Era!</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>The US Supreme Court Upholds Therapists&#8217; Rights to Free Speech</title>
		<link>https://genspect.org/the-us-supreme-court-upholds-therapists-rights-to-free-speech/</link>
		
		<dc:creator><![CDATA[Peter Jenkins]]></dc:creator>
		<pubDate>Wed, 22 Apr 2026 12:05:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=29172</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/photo-1720108425560-8b661482e858-150x150.jpg" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/photo-1720108425560-8b661482e858-150x150.jpg 150w, https://genspect.org/wp-content/uploads/2026/04/photo-1720108425560-8b661482e858-70x70.jpg 70w" sizes="(max-width: 150px) 100vw, 150px" />The court agrees: banning so-called ‘conversion therapy’ undermines therapists’ exploratory work with children, by Peter Jenkins The US Supreme Court has issued another key decision in the legal struggle against gender identity affirming interventions for children. An overwhelming majority upheld the free speech rights of therapists working with minors, and returned the Colorado state ban [&#8230;]</p>
<p>The post <a href="https://genspect.org/the-us-supreme-court-upholds-therapists-rights-to-free-speech/">The US Supreme Court Upholds Therapists&#8217; Rights to Free Speech</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/photo-1720108425560-8b661482e858-150x150.jpg" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/photo-1720108425560-8b661482e858-150x150.jpg 150w, https://genspect.org/wp-content/uploads/2026/04/photo-1720108425560-8b661482e858-70x70.jpg 70w" sizes="(max-width: 150px) 100vw, 150px" /><h3 class="wp-block-heading" id="the-court-agrees-banning-socalled-conversion-therapy-undermines-therapists-exploratory-work-with-children-by-peter-jenkins">The court agrees: banning so-called ‘conversion therapy’ undermines therapists’ exploratory work with children, by Peter Jenkins</h3>


<p>The US Supreme Court has issued another key decision in the legal struggle against gender identity affirming interventions for children. An <a target="_blank" rel="noreferrer noopener" href="https://www.supremecourt.gov/opinions/25pdf/24-539_fd9g.pdf">overwhelming majority</a> upheld the free speech rights of therapists working with minors, and returned the Colorado state ban on alleged conversion therapy for closer scrutiny. The majority Supreme Court opinion was delivered by Justice Gorsuch, leading a classic defense of the right to free speech, as applied here to a therapist working with minors. Thus, “the First Amendment stands as a shield against any effort to enforce orthodoxy in thought or speech” (2026: 23), given that “the spoken word is perhaps the quintessential form of protected speech” (2026: 11). Justice Jackson offered the sole dissenting opinion, starting from the premise that “talk therapy is a medical treatment” (2026: 15). Hence “scientific evidence supports the conclusion that the anticipated harms from conversion therapy are twofold…[it]…stigmatizes the patient… giving them an unattainable goal” (2026: 5).</p>



<p>Discussion arising in <a target="_blank" rel="noreferrer noopener" href="https://www.supremecourt.gov/oral_arguments/argument_transcripts/2025/24-539_3f14.pdf">oral evidence</a> perhaps came closest to engaging with the core therapeutic issues at stake, hidden behind lofty appeals to free speech principles. For Ms. Stevenson, Colorado Counsel, ultimately this case was about banning a specific form of therapy, laying great emphasis in this respect on the supporting <a target="_blank" rel="noreferrer noopener" href="https://www.supremecourt.gov/DocketPDF/24/24-539/370817/20250826173111769_24-539%20Amicus%20Brief.pdf">amicus court brief</a> of Dr. Jack Turban. Hence, the state ban “prohibits licensed professionals from performing one specific treatment because that treatment does not work and carries great risk of harm” (2025: 55). Mr Campbell, Counsel for plaintiff Kaley Chiles, decisively rebutted this: “All of those studies relied on biased sampling, self-reporting. They conflated aversive techniques with voluntary counseling” (2025: 96).</p>


<h2 class="wp-block-heading" id="court-process-as-shadow-puppet-theatre"><strong>Court Process as Shadow Puppet Theatre</strong></h2>


<p>There is, however, a sense in which the back-and-forth of the legal arguments above seemed to almost adopt a form of shadow puppet theatre. This is not to say that the legal arguments and case law citations were unimportant in themselves. However, the real issues at stake were mostly off-stage and only occasionally managed to break through. The legal arguments were complex and abstruse (is the therapist engaged only in speech, or in speech and conduct? is therapy a form of medical treatment?) (The answer to the latter question might be, possibly in the US, but certainly not in the UK.)</p>



<p>Nevertheless, the conservative justices appeared to recognise that, beneath the case law and legal definitions, a bitter highly ideological battle was being waged. Hence, they brought out the parallels between banning conversion therapy and earlier bans on homosexuality, and psychiatry’s past fashionable use of lobotomies. And here lay the weakness of Colorado’s legalistic arguments. For Colorado’s counsel, conversion therapy was a definite thing, a definitive therapy modality, which needed to be banned as harmful. For Colorado Counsel, the ban was still needed, even if the days of classic electric-shock aversion therapy were reluctantly acknowledged to be long gone. In contrast, the conservative justices sensed a possible parallel between Chiles and the recent Skermetti case, in that there was some kind of unclear connection between so-called gender identity affirming medicine and the whole issue of banning conversion therapy.g conversion therapy.</p>



<p>Clearly, there is a strong, direct, and critical connection between gender identity surgery and protecting free speech for therapists. For a start, there really is no distinct therapy modality called ‘conversion therapy’. Conversion therapy is the ideologically convenient, if completely inaccurate, name for any therapy that does not immediately affirm the client’s internal sense of gender identity. Standard mainstream therapy uses exploratory methods as integral to its work. Affirmation immediately serves to block exploration, as trans ideologues fervently hope that it will. Exploratory methods are integral to the practice of standard mainstream therapy. Affirmation does what trans ideologues fervently hope it will do, which is to immediately block exploration. So, for the state of Colorado, relying on Turban-powered evidence of harm, conversion therapy is just like medicine, and thus needs to be regulated, just like medicine. Yet the judges kept circling back for yet another drive-by of the arguments and the evidence, like black-robed sharks, seemingly unconvinced that this was all a minor case of a state just wanting to keep its errant therapists in order.</p>


<h2 class="wp-block-heading" id="conversion-therapy-is-not-a-therapy-modality"><strong>Conversion Therapy is Not a Therapy Modality</strong></h2>


<p>The real truth here is that conversion therapy is not a single therapy modality. Aversive therapy belongs firmly in the past. Gender identity affirmative surgery depends critically on smooth referral pathways, operated by cowed, frightened, or heavily indoctrinated therapists. Standard exploratory therapy threatens to throw a massive spanner into the works within this process, or at the very least, to slow it down and make it almost unworkable. It therefore needs to be rebranded as conversion therapy and energetically banned by state licensure bodies. The Supreme Court justices worried away at this crucial point again and again, detail by detail, nuance by nuance. It was as if they could divine that silencing therapists in this process might well be the legal equivalent of stifling a generation of current and future potential whistleblowers in a slowly unfolding medical negligence scandal for the US (and also here in the UK) of absolutely catastrophic proportions.</p>



<p>And here we have it. Gender identity ideology is very much a fragile flower. It needs constant watering, constant affirmation just to survive in a hostile world. As a belief system, namely that changing sex is not only possible but essential, gender identity ideology simply cannot cope with the slightest form of disbelief. This, admittedly, presents a very real problem for therapy. Therapy, by its very nature, from psychoanalysis to cognitive behaviour therapy, from person-centred to integrative therapy, starts at the beginning. Exploration is key.</p>


<h2 class="wp-block-heading" id="affirming-clients-not-their-ideology"><strong>Affirming Clients, Not Their Ideology</strong></h2>


<p>Here, the language gets tricky and, too often, completely misleading. As therapists, we affirm the <em>client</em> in their possessing intrinsic value as another human being. We do not, however, take their world, their beliefs (‘assigned at birth!’) as true, but as true for them, maybe…for now. We explicitly do not affirm their <em>beliefs</em>, their whole <em>ideology</em>, without abandoning, without giving up, our own crucially independent role as therapists. Again, this is also the whole point. Affirming the client’s inner gender identity means abandoning our therapy for a cheap and easy form of advocacy. Which is why exploratory therapy, that is standard, mainstream therapy, is an absolute anathema for the ideologues. Thus, it desperately needs to be repackaged as conversion therapy and banned for good measure.</p>



<p>And, in case of any lingering doubt, just call up some convenient research, however questionable it may be: “Affirmation of gender identity is critical for the mental health and overall well-being of transgender and nonbinary (TNB) persons” (<a target="_blank" rel="noreferrer noopener" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11837913/">Mammadli et al, 2025: 157</a>). And, in case of further real doubt, just list the professional therapy associations, which all call for a ban on conversion therapy, captured every single one, down to the last man and woman. Or perhaps seemingly captured, because there can be no doubt at all expressed within the professions that might undermine gender identity ideology. Absolutely no debate about conversion therapy can be permitted within the ranks. And one very final thing – there must also be no debate about ‘no debate’, otherwise some people might get upset. Very upset.</p>


<h2 class="wp-block-heading" id="responses-to-the-supreme-court-decision"><strong>Responses to the Supreme Court Decision</strong></h2>


<p>The reactions to the court’s decision fall along predictably divided lines. The <a target="_blank" rel="noreferrer noopener" href="https://www.apa.org/news/press/releases/2026/03/chiles-salazar-therapy-free-speech">American Psychological Association</a> was ‘disappointed’. The <a target="_blank" rel="noreferrer noopener" href="https://www.thetrevorproject.org/blog/chiles-v-salazar/">Trevor Project</a> described the outcome as “a disappointing blow to hard-won protections for LGBTQ+ young people’s mental health”.</p>



<p><a target="_blank" rel="noreferrer noopener" href="https://karadansky.substack.com/p/is-there-a-1st-amendment-right-to">Kara Dansky</a>, a well-known US commentator on legal battles over gender identity issues, took a carefully nuanced position, while supporting the decision overall as a significant gain for free speech rights. Yet, for Dansky, this was clearly not in any way a straightforward win, apparently giving legal protection to therapists in now supporting clients to reject their sexual orientation, as distinct from questioning their sense of gender identity. She rightly highlights that, for many gender critical therapists, this is a key point of difference with the Supreme Court decision.</p>



<p>One small survey (n: 89) of exploratory therapists has confirmed that these same therapists actually make a fundamental distinction between sexual orientation change efforts (SOCE) and gender identity change efforts (GICE), being <a target="_blank" rel="noreferrer noopener" href="https://doi.org/10.1080/0092623x.2024.2329761">“overwhelmingly opposed to SOCE”</a>. Nevertheless, Dansky admits, “I still feel conflicted…some people (including me) don’t think therapists should be talking people out of sexual orientation…The right approach is not to prohibit speech regarding ideas or opinions”. So, by apparently enabling therapists to question clients about their developing sexual orientation, this is a mixed win for therapists. The latter option is unwanted, unnecessary and a distraction from our central concern about state pressure to affirm a client’s notional gender identity.</p>



<p><a target="_blank" rel="noreferrer noopener" href="https://spectator.com/article/the-conversion-therapy-we-should-really-ban/">Lionel Shriver</a> wrote a blistering piece in The Spectator on the sham politics of banning alleged conversion therapy while still permitting medicalised interventions for gender dysphoric youngsters. Shriver gets the point about the Supreme Court decision, particularly with regard to the otherwise dire implications for therapy: “When a 13-year-old girl announces that she’s really a boy, talk therapy should be the first line of defence.”</p>



<p>In the UK context, where a criminal law ban on alleged conversion therapy is now back on the cards again, her comments take on an added relevance and urgency. She was rightly acerbic about the ideologues’ reliance on the UK’s 2018 LGBT survey. This was presented as supposedly conclusive evidence in support of a criminal law ban, but, as Shriver acidly points out, “the survey didn’t define what constituted ‘conversion therapy’”.</p>


<h2 class="wp-block-heading" id="flawed-research-and-conversion-therapy-bans"><strong>Flawed Research and Conversion Therapy Bans</strong></h2>


<p>Yet I remember the <a target="_blank" rel="noreferrer noopener" href="http://www.gov.uk/government/consultations/national-lgbt-survey">2018 UK LGBT survey</a> slightly differently. The problem I perceived was that the very few questions asking about experiences of alleged conversion therapy didn’t match up with the criteria then used for discussing conversion therapy in the write-up of the survey’s findings. This meant that the whole data analysis was deceptive and completely unreliable. I set this out in a detailed discussion of LGBT research supposedly justifying legal conversion therapy bans, both here in the UK and also in a more draconian form in Victoria State, Australia. It seems to me that the more questionable the research—<a target="_blank" rel="noreferrer noopener" href="https://criticaltherapyantidote.org/wp-content/uploads/2021/09/1e7e7-lgbtconversiontherapyinaustraliav2.pdf">Victoria State</a> relied on a cherry-picked sample of just 15 alleged victims—the more extreme and sweeping the conversion ban to which it then opens the door.</p>



<p>However, <a target="_blank" rel="noreferrer noopener" href="https://criticaltherapyantidote.org/2021/09/26/lgbt-research-and-the-push-for-a-uk-ban-on-conversion-therapy/">my proposed article</a> for a house journal of the British Association for Counselling and Psychotherapy was rejected. This was on the grounds that it conflicted with BACP policy, which supported a legal ban on conversion therapy. My article might have given readers the wrong impression about the BACP’s stance. So, no debate about conversion therapy allowed there, then. And, for good measure, no debate permitted about the ‘no debate’ bit either.</p>


<h2 class="wp-block-heading" id="implications-of-the-us-supreme-court-decision"><strong>Implications of the US Supreme Court Decision</strong></h2>


<p>Kaley Chiles’s case as petitioner always seemed to be something of a long shot, probably unlikely to win through on the somewhat legal-technical grounds of free speech, but it certainly got there in the end. The immediate effect has been to bounce the law back for reconsideration at the state level, but Colorado shows no sign so far of shifting away from enforcing its current ban on conversion therapy. Still, overall, the Supreme Court is yet another nail in the coffin of so-called gender identity affirming care, another step in dismantling the whole medico-financial enterprise of child and adult gender identity medication and surgery.</p>



<p>The court decision does raise important questions for us about using the free speech argument as a winnable strategy against the current blanket bans on free debate within the therapy and medical professions. Defense of free speech seems to carry much greater political traction within the US, as evidenced by this Supreme Court decision. In the UK, free speech rights are not clearly stated in quite the same constitutional sense. The specific rights of gender critical therapists, namely to challenge conversion therapy bans and the related denial of free debate within their own professions, currently rest on crucial case law, such as the <a target="_blank" rel="noreferrer noopener" href="https://assets.publishing.service.gov.uk/media/60c1cce1d3bf7f4bd9814e39/Maya_Forstater_v_CGD_Europe_and_others_UKEAT0105_20_JOJ.pdf">Forstater</a> decision, and their status as legally protected beliefs under the Equality Act 2010. In practice, however, free speech in the UK on gender identity issues has often been denied, through the threat, or actual use, of oppressive ‘<a target="_blank" rel="noreferrer noopener" href="https://thecritic.co.uk/how-i-was-secretly-logged-as-a-criminal-by-police/">Non-crime hate incident</a>’ policing at a local level, and by a pervasive blackout and widespread failure of <a target="_blank" rel="noreferrer noopener" href="https://www.telegraph.co.uk/news/2025/11/05/bbc-trans-coverage-censored-own-reporters/">reporting in the legacy and social media</a> at a national level.</p>



<p>The ban on alleged conversion therapy provides the foundation for the familiar refrain of ‘No to scientific research, no debate!’ within captured professional medical and therapy associations and even within the therapy room itself. In the past year, two of the three main supposed supports for gender identity affirmative interventions have been withdrawn. The three emotive claims are: that gender identity is an inherent and immutable characteristic; that gender affirming care reduces suicide risk; and that gender affirmative interventions improve overall mental well-being. In the Skrmetti case, decided by the US Supreme Court last year, Chase Strangio, Lead Counsel, admitted, under pressure by Justice Alito, that gender identity was not an immutable characteristic, and that suicide was a rare phenomenon (<a target="_blank" rel="noreferrer noopener" href="https://www.supremecourt.gov/oral_arguments/argument_transcripts/2024/23-477_hgdj.pdf">2024: 88; 98</a>). Research from <a target="_blank" rel="noreferrer noopener" href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/apa.70533">Finland</a> now indicates that “Psychiatric needs do not subside after medical gender reassignment” (Ruuska et al, 2026: 1). So we are now witnessing the slow collapse of the underpinning rationale for gender identity affirmation.</p>



<p>The US Supreme Court’s decision thus represents a ringing endorsement of therapists’ rights to free speech. It provides us the space we need to challenge the current censoring both of professional debate and of our direct work with clients.</p>



<p><strong><em>Peter Jenkins </em></strong><em>is a counsellor, supervisor, trainer and researcher in the UK. He has published a number of books on legal aspects of therapy, including </em><a target="_blank" rel="noreferrer noopener" href="https://sk.sagepub.com/book/mono/professional-practice-in-counselling-and-psychotherapy/toc#_"><em>Professional Practice in Counselling and Psychotherapy: Ethics and the Law</em></a><em> (Sage, 2017).</em></p>



<p><em>Genspect publishes a variety of authors with different perspectives. Any opinions expressed in this article are the author’s and do not necessarily reflect Genspect’s official position. For more on Genspect, visit </em><a target="_blank" rel="noreferrer noopener" href="https://genspect.org/our-position-faqs/"><em>our FAQs</em></a><em>.</em></p>



<p></p>
<p>The post <a href="https://genspect.org/the-us-supreme-court-upholds-therapists-rights-to-free-speech/">The US Supreme Court Upholds Therapists&#8217; Rights to Free Speech</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>What is a Man?</title>
		<link>https://genspect.org/what-is-a-man/</link>
		
		<dc:creator><![CDATA[David Allison]]></dc:creator>
		<pubDate>Tue, 21 Apr 2026 16:00:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=29159</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/Jonni-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/Jonni-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/Jonni-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" />It should be easy to be a man. It&#8217;s much harder to be a hero. Jonni Skinner is both. By David Allison In February 2025, Matt Walsh, a man who, at best, has only a partial understanding of the transgender phenomenon, released a remarkable video entitled&#160;‘The Taliban gets this right‘. It’s a rant about beards. [&#8230;]</p>
<p>The post <a href="https://genspect.org/what-is-a-man/">What is a Man?</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
]]></description>
										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/Jonni-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/Jonni-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/Jonni-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" /><h3 class="wp-block-heading" id="it-should-be-easy-to-be-a-man-its-much-harder-to-be-a-hero-jonni-skinner-is-both-by-david-allison">It should be easy to be a man. It&#8217;s much harder to be a hero. Jonni Skinner is both. By David Allison</h3>


<p>In February 2025, Matt Walsh, a man who, at best, has only a partial understanding of the transgender phenomenon, released a remarkable video entitled&nbsp;<a href="https://www.youtube.com/watch?v=2ZPMOSHX95I">‘The Taliban gets this right</a>‘. It’s a rant about beards. According to Walsh, having a beard ‘gives you an air of authority and dignity — it makes you a serious, masculine person. It’s “the one thing that the Taliban gets right”. “Heed this,” he says: “To be a real man, grow a beard.”</p>



<p>A short time later, Walsh produced a second video attacking U.S. Secretary of Defense Pete Hegseth’s announcement that there should be&nbsp;<a href="https://www.youtube.com/watch?v=czAOUJtQP7o">‘no more beirdos</a>’ in the U.S. military. This really gets Walsh’s goatee, but he claims he is not going to get into a fight about it as he ‘would never hit a woman.’</p>



<p>So, here’s the deal: a hairy man is a real man; a smooth man is tantamount to a woman.</p>



<p>Is there really much difference between Walsh’s feeble conception of maleness and the queer concept of gender identity? The latter “includes&nbsp;<a href="https://pubmed.ncbi.nlm.nih.gov/33641157/">gradations of masculinity</a>&nbsp;to femininity and maleness to femaleness, as well as identification of some individuals as having nonbinary gender, which means being essentially neither male nor female, or a combination of both.”</p>



<p>Sex denialism comes in diverse shapes and sizes. There are real men on the margins, and all the others (probably clean-shaven), who don’t quite meet the mark.</p>



<p>It was not ever thus. The 1970s were a decade of&nbsp;<a href="https://genspect.substack.com/p/why-genspect-talks-to-everyone">violence and social unrest</a>. But that distant era, when I was a teenager, was also a period of playful androgyny in which, as Nina Power puts it, there was “a kind of knowing messing about with roles,&nbsp;<em><a href="https://thecritic.co.uk/for-the-fellas/">while not denying the reality of sexual difference</a></em>”. That freedom has since been lost “in the bid to give everything a fixed name and an identity.”</p>



<p>It was also in the 1970s that I was introduced to Shakespeare’s hero, Macduff, at school. He was the legendary hero who saved Scotland from Macbeth’s tyranny. Upon hearing of the murder of his family by his archenemy, he not only swears revenge, but with his&nbsp;<a href="https://www.shakespeare-online.com/plays/macbeth_4_3.html">‘I must also feel it as a man’</a>, insists that true manhood involves experiencing grief and emotional sensitivity, not just acting with aggression or petulant rage!</p>



<p>Jonni Skinner is that kind of hero. Video coverage of his testimony before the California Judiciary Committee&nbsp;<a href="https://x.com/wesyang/status/2041628256277799227">went viral</a>&nbsp;when he spoke out about the harms he has suffered from childhood medical transition and against a bill sponsored by Democratic Senator Scott Wiener, which would brand exploratory therapy as “conversion therapy”. Wiener visibly squirmed as Jonni&nbsp;<a href="https://x.com/wesyang/status/2041628256277799227">retold his experiences</a>&nbsp;and argued against a law that would make it all but impossible for vulnerable minors to get proper counseling.</p>



<p>The conceptions of maleness advocated by Walsh (right-wing, bearded) and queer theorists (left-wing, spectrum) have something undeniably fragile. Their cerebral brittleness can shatter at any moment. And the shards they produce harm people. They harmed Jonni Skinner. As he explains in this interview, he had been “essentially chemically castrated,” and his world came crashing down around him when he realized the lies he had been told. </p>



<p>Now that he is trying to live as the young gay man he is, he feels that the medical interventions he has been through have affected his ability to be integrated in the normal gay community: “breasts, wider hips. I will never look 100% unaltered – that would entail further (top) surgery.” But Jonni is confident: “Everyone’s appearance is different,” he says. He is standing up to the <a href="https://x.com/jonniskinner/status/2038993926602756261?s=46">backlash</a> from trans activists who are so fixated on appearance as to doubt whether he has had any medical interventions at all. </p>



<p>Like Matt Walsh, these trans activists not only betray their narrow conception of what men and women should look like, but also that the impetus for transitioning minors was never about ‘life-saving care’, but rather than passing and “<a href="https://lgbcouragecoalition.substack.com/p/the-cruelty-of-denial?r=8b012&amp;triedRedirect=true">being better able to deceive the world into thinking you are the opposite sex</a>.”</p>



<p>Listen to Soren Aldaco’s interview with Jonni Skinner and you will hear the story of a young man who, despite describing himself as having a petite physique, has a heroic stature. He talks about how he was misled into taking a pathway of hormone treatment and surgery, and how he is fighting back. And not only for himself. As a Genspect Ambassador, he is making it his mission to get his message out, in the hope that, when people hear his and other detransitioners’ stories, they will understand how harmful so-called “gender-affirming care” is. “I hope people will start to see that there is nothing wrong with them, with how they’re born, or how they move through the world. It’s a message of self-acceptance: you’re fine just how you are; you do not need surgery or medical interventions to give you a meaningful life, to build self-confidence and self-acceptance.”</p>



<p>Listen to this interview! Jonni is not fragile. He is a sensitive and tough young man, with a great deal to tell us about what it means to be a real man.</p>



<figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">
<iframe  id="_ytid_18187"  width="800" height="450"  data-origwidth="800" data-origheight="450" src="https://www.youtube.com/embed/aic5adFaZ6U?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=0&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;" class="__youtube_prefs__  epyt-is-override  no-lazyload" title="YouTube player"  allow="fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen data-no-lazy="1" data-skipgform_ajax_framebjll=""></iframe>
</div></figure>



<p><em>Genspect publishes a variety of authors with different perspectives. Any opinions expressed in this article are the author’s and do not necessarily reflect Genspect’s official position. For more on Genspect, visit&nbsp;<a href="https://genspect.org/our-position-faqs/">our FAQs</a>.</em><a href="https://substack.com/@genspectinternational"></a></p>
<p>The post <a href="https://genspect.org/what-is-a-man/">What is a Man?</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>The Desistance Series – Shelly&#8217;s Story</title>
		<link>https://genspect.org/the-desistance-series-shellys-story/</link>
		
		<dc:creator><![CDATA[Stella O&#039;Malley]]></dc:creator>
		<pubDate>Mon, 20 Apr 2026 19:30:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=28747</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/014-Shelly-thumnail-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/014-Shelly-thumnail-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/014-Shelly-thumnail-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" />A mother’s account of her adult son disappearing into the trans wilderness, and the long road back home Desistance is when a person identifies as trans but later desists from that identity without having medicalized, while detransition is when an individual medicalizes and then retreats from their trans identification. Shelly’s story, therefore, is one of [&#8230;]</p>
<p>The post <a href="https://genspect.org/the-desistance-series-shellys-story/">The Desistance Series – Shelly&#8217;s Story</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
]]></description>
										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/014-Shelly-thumnail-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/014-Shelly-thumnail-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/014-Shelly-thumnail-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" /><h3 class="wp-block-heading" id="a-mothers-account-of-her-adult-son-disappearing-into-the-trans-wilderness-and-the-long-road-back-home"><strong>A mother’s account of her adult son disappearing into the trans wilderness, and the long road back home</strong></h3>


<p><em>Desistance is when a person identifies as trans but later desists from that identity without having medicalized, while detransition is when an individual medicalizes and then retreats from their trans identification. Shelly’s story, therefore, is one of detransition.</em></p>



<p>It began back in 2015. Bruce Jenner had just come out as Caitlin, and trans issues were in the news. Shelly’s son, Sam, had already been experiencing difficulties, including problems with porn use and challenges at college. He was 20 years old when he first told his parents that he identified as trans. They were already worried about him – he had gotten into some trouble at school – but they did not expect any sort of identity issues.</p>



<p>Shelly believes that pornography use led him down this pathway. When he was online, he ended up viewing extreme content, though she had no idea at the time. In hindsight, she feels she should have asked more questions, but having been raised on a farm, she describes herself as a practical type, not inclined to dwell on such issues. At the time, parents were not aware of the extent of the risks online, nor did they imagine how much it could affect their children. The idea that algorithms might feed vulnerable people harmful types of content was far from Shelly’s mind.</p>



<p>Shelly knew that Sam was struggling in college, but because he was over 18, confidentiality issues meant the college shared very little. Sam was highly intelligent, but he did not thrive in college.</p>



<p>The memories of that time differ. Shelly recalls learning about Sam’s trans identification during a conversation in which a third person “outted him.” Sam remembers it differently, but no matter how it happened, there was a moment when he did tell his parents he was trans. Shelly was shocked, but because he was of age, she felt that there was little she could do. In retrospect, the shift into this identity had been gradual, just as his eventual detransition would be.</p>



<p>Sam became a social justice warrior, keen, for example, to join protests on behalf of Native Americans. He would often disappear and was sometimes homeless. Shelly found it very difficult to use his preferred name and pronouns, but it was the only way of locating him during these long absences. Even so, it was difficult. Over the five years of his trans identification, Sam changed his legal name seven times and many more times informally.</p>



<p>During those difficult years, he returned to the family home from time to time, and Shelly worried for him. He lost a significant amount of weight and was “dressing like a woman,” in skirts and ripped-out tights. But his idea of womanhood was highly sexualized and clashed with the reality of the women in his life —Shelly wore only jeans and T-shirts. Sam’s sister found his trans identity awkward, hurtful, and difficult to understand. Their relationship suffered as a result.</p>



<p>Shelly left her full-time job and began working part-time. She took up journaling as a way of coping. She lit candles and prayed, holding onto the hope that one day her son would return to her.</p>



<p>When she searched online for information about trans issues, everything insisted affirmation was the only option, and she began to worry she was losing her mind. It seemed as though everyone believed there was only one way to understand trans. Her friends and co-workers thought she was wrong and assumed they understood her son better than she did. She felt betrayed. Even her church affirmed her vulnerable son’s identity. It seemed to Shelly that strangers she met in passing understood the issue better than her liberal friends and colleagues, who all sang from the same hymn sheet. They assumed being trans was equivalent to being gay, and didn’t think much deeper than that.</p>



<p>During this time, the only detransitioner Shelly came across was&nbsp;<a href="https://amzn.eu/d/073PnG09">Walt Heyer</a>, but it never occurred to her to reach out to him, and she didn’t think Sam would particularly relate to Heyer’s story anyway. She walked on eggshells around him, always afraid of causing further distress. He was unstable and very fragile, coming and going, living off welfare, and sometimes homeless. And yet, through it all, she held onto the belief that he would eventually come back.</p>



<p>It was during the COVID-19 pandemic, five years after he first revealed his trans identity, that Sam medicalized. Shelly isn’t sure how he managed to get the medical appointments during the global lockdown, but he did. He had laser hair removal and procured breast implants. When he spoke about wanting an orchiectomy, Shelly tried to dissuade him, reminding him how he had always wanted children. He went ahead and had the procedure anyway.</p>



<p>Over time, Sam’s transidentification began to fade, but when he tried to undo his medicalization, he was only offered further interventions. For example, when he visited the gender clinic following his orchiectomy, he was offered vaginoplasty “to finish the job off”. Despite the fact that Sam had begun detransitioning, the gender clinics continued to invite him to go in deeper. Why not? After all, everything was paid for by the state.</p>



<p>Then one day in August of 2020, Sam had aged out of the place where he was staying, and he rang his mother. He said, “I think I may have Covid, and I think my housemates will throw me out.” Shelly had long stopped believing that anything would get better, but then it did.</p>



<p>Shelly’s husband had COPD, and she was worried about Sam having COVID, but after waiting for the return of her son for so long, she wasn’t about to turn him away. He was in quarantine at home, but at least everyone was together under one roof. She thought that he might disappear again in time, but then came a notable moment when Sam’s sister asked, “Well, what am I supposed to call him?” and Sam said, “You can call me Sam.”</p>



<p>The process of detransition was slow. Getting the name back was a first step. Painting his room was another moment. Sometimes, Shelly would come across Sam wailing in abject pain over what had happened.</p>



<p>It has been five years since Sam detransitioned, and it is painful for everyone to look back on those difficult times. Things are still not great between Sam and his sister, but they get along okay, better than they once did. The family is still coming to terms with what happened. For instance, Shelly had always dreamed of Sam having a son, but now it will never happen. Sam is often very sad about the “lost years,” when he missed out on what could have been enjoyable times, but he realizes there is still a lot of life left.</p>



<p>During those years out in the wilderness, Shelly told Sam, “You can always come back home.” And finally, one day, he did.</p>



<p>Watch here:</p>



<figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">
<iframe  id="_ytid_80963"  width="800" height="450"  data-origwidth="800" data-origheight="450" src="https://www.youtube.com/embed/bVJrkkWgEEo?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=0&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;" class="__youtube_prefs__  epyt-is-override  no-lazyload" title="YouTube player"  allow="fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen data-no-lazy="1" data-skipgform_ajax_framebjll=""></iframe>
</div></figure>



<p></p>
<p>The post <a href="https://genspect.org/the-desistance-series-shellys-story/">The Desistance Series – Shelly&#8217;s Story</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>Transition as Addiction. Why Not Move On?</title>
		<link>https://genspect.org/transition-as-addiction-why-not-move-on/</link>
		
		<dc:creator><![CDATA[Ginny Welsh]]></dc:creator>
		<pubDate>Wed, 15 Apr 2026 13:16:02 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=28966</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/7e309559-bd80-4989-a109-c3b101cbbd9a_400x341-150x150.jpg" class="attachment-thumbnail size-thumbnail wp-post-image" alt="Image: Inge Poelman" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/7e309559-bd80-4989-a109-c3b101cbbd9a_400x341-150x150.jpg 150w, https://genspect.org/wp-content/uploads/2026/04/7e309559-bd80-4989-a109-c3b101cbbd9a_400x341-70x70.jpg 70w" sizes="(max-width: 150px) 100vw, 150px" />If transitioning is like addiction, then we can’t expect detransitioners in recovery just to &#8220;move on&#8221; When I decided to detransition, I had to face the matter of my digital footprint. I had an active Facebook account where I had announced my transition milestones to just about everyone who tangentially knew me. A few months [&#8230;]</p>
<p>The post <a href="https://genspect.org/transition-as-addiction-why-not-move-on/">Transition as Addiction. Why Not Move On?</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/7e309559-bd80-4989-a109-c3b101cbbd9a_400x341-150x150.jpg" class="attachment-thumbnail size-thumbnail wp-post-image" alt="Image: Inge Poelman" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/7e309559-bd80-4989-a109-c3b101cbbd9a_400x341-150x150.jpg 150w, https://genspect.org/wp-content/uploads/2026/04/7e309559-bd80-4989-a109-c3b101cbbd9a_400x341-70x70.jpg 70w" sizes="(max-width: 150px) 100vw, 150px" /><h2 class="wp-block-heading" id="if-transitioning-is-like-addiction-then-we-cant-expect-detransitioners-in-recovery-just-to-move-on">If transitioning is like addiction, then we can’t expect detransitioners in recovery just to &#8220;move on&#8221;</h2>


<p>When I decided to detransition, I had to face the matter of my digital footprint. I had an active Facebook account where I had announced my transition milestones to just about everyone who tangentially knew me. A few months in, I decided to rip off the band-aid and share an informational post from posttrans.com, briefly explaining my detransition. I was fortunate that all the comments I received on my announcement were kind and supportive, but in face-to-face interactions, an overtone quickly made itself clear. You may be supported in your detransition, but only if you remain unshakably supportive of transition and admit yourself to be different from “true” trans people. The validity of transition relies on those who detransition recanting their claim to the experience.</p>



<p>The issue is, we are not different. Through my detransition, I came to understand that transition does not function like an identity journey. It functions like an addiction. Much like any addiction, it’s difficult to have an accurate perception of your circumstances while actively in its throes. In recovery, even things that seemed mundane at the time have their darkness revealed. Even when you have been clean for years, the addiction doesn’t disappear. It would be ludicrous to claim that an alcoholic who has been sober for a long time was never&nbsp;<em>really&nbsp;</em>an alcoholic. How is transition any different?</p>



<p>Using the Four C’s of addiction recognized in healthcare, we can see that the culture and process of transition closely mirror addictive patterns. In his paper “<a href="https://psycnet.apa.org/record/2004-15710-001">The Nature of Addiction</a>”, Dr. David E. Smith, an addiction specialist and psychiatrist, labeled these four C’s as Craving, Compulsion, Control, and Consequences. Though those in active transition may resent the comparison, detransitioners often recognize its accuracy precisely because experience and distance provide clarity.</p>


<h2 class="wp-block-heading" id="craving"><strong>Craving</strong></h2>


<p>Social and medical transition are pursued for a reason. The reasons are as varied as the experiences of the people themselves, but are most commonly rooted in trauma that leaves a person disconnected from their sex and the traits/experiences they attribute to it. In cases like mine, it may come from a deep awareness of the dangers of living as a woman and a history of childhood sexual assault. The longing for safety created a sense of identification with men and the perceived benefits they enjoy: a desire to become something new.</p>



<p>For others, the craving may come from a perceived benefit or from a connection to the opposite sex. For example, an effeminate gay boy who enjoys sewing and talking to his sisters may align himself more with the women in his life than men. He may have his interests belittled or questioned in a way that he would not experience if he were a woman with the same interests, and may see his attraction to men as a “feminine” trait. He may then believe that if he could live as a woman, he could be truly seen and valued, rather than critically scrutinized, for the traits he possesses.</p>



<p>These are only a couple of examples of the multitude of factors that may drive someone to crave gender transition. In the abstract, one may think changing your gender should help these feelings. Unfortunately, there is no magic wand. The science behind medical transition is, at best, under-researched and, at worst, influenced by profit motives at the expense of patients’ health and safety.</p>


<h2 class="wp-block-heading" id="compulsion"><strong>Compulsion</strong></h2>


<p>Transition culture fosters compulsion by presenting an escalating series of interventions, each framed as necessary for authenticity. You’ve socially transitioned? Consider a legal name change! You don’t really look like your name, though — have you considered hormones? You’ve been on hormones for a while. You should really consider surgery! That surgery was validating — why not do another?</p>



<p>Even in the best-case scenario, the goalpost constantly moves within the mind of the trans person. There is always something to be changed to better align them with the impossible image in their mind. Procedures exist to imitate the primary and secondary sex characteristics of the opposite sex, but it remains impossible to truly&nbsp;<em>become</em>&nbsp;the other sex. The very nature of being trans acknowledges that you are not the sex you aim to be seen as. This fact will continually fuel the compulsion to pursue further interventions to meet this impossible goal.</p>


<h2 class="wp-block-heading" id="control"><strong>Control</strong></h2>


<p>Transition often creates an illusion of empowerment while gradually limiting a person’s real control over their body, health, and social relationships. Sometimes, addictions grow when a person feels it is the only thing in their life they can control. Eventually, they lose control over either the behavior itself or its consequences.</p>



<p>Several aspects of transition remain inherently uncontrollable: the physical impact of hormones, a body’s reaction to anesthesia, the unfiltered reactions of others to one’s appearance, and the physical and psychological effects of extreme physical and hormonal changes. The negative cultural response towards those who detransition or desist also contributes to a lack of control in one’s transition. Someone may transition for years, develop severe medical complications, and feel they have no choice but to continue for fear of social and political repercussions associated with desisting. Even if that person later recognizes they transitioned out of self-hatred or internalized homophobia, they may be treated as though their entire experience is invalid and be accused of serving an anti-trans political agenda.</p>



<p>Many detransitioners report being ostracized, doxxed, harassed, and receiving violent death threats when they speak about their experiences. The existence of this punitive culture reduces the control a person has over their own transition and hinders their ability to leave it. Much like a heroin addict may identify themselves with their addiction and the people they use with, and accept the negative impact on their life for the sake of the highs, a transition addict will push down any doubts or hard realities to remain in the culture and avoid confronting the inherent harm that comes with transition. Many trans people are encouraged to cut off friends and family members who don’t unquestioningly accept everything they say and do. This leaves them isolated and overly dependent on their trans identity and community for basic safety and social needs.</p>


<h2 class="wp-block-heading" id="consequence"><strong>Consequence</strong></h2>


<p>The fourth C of addiction refers to continuing a behavior despite an awareness of the negative consequences it will bring. The popular trans slogan “Death before Detransition” is an excellent example of how ingrained this is in the culture, especially considering that the consequences of transition have led to death.</p>



<p>Cross-sex hormones can have devastating, disabling effects. In my case, I developed a unique gastrointestinal illness that led me to vomit multiple times a day for years, losing a quarter of my body weight and my ability to live a normal life. No doctor would investigate hormones as a potential cause until I put the pieces together myself and begged them to listen. The consequence of their lack of medical diligence (for fear of cultural crucifixion from the trans community) was the worsening of my condition and significantly prolonged suffering.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img can-restack" href="https://substackcdn.com/image/fetch/$s_!gh8V!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe88608c5-64cd-4c1e-9119-321a554b3be3_505x430.png" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!gh8V!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe88608c5-64cd-4c1e-9119-321a554b3be3_505x430.png" alt=""/></a><figcaption class="wp-element-caption">In recovery, even things that seemed mundane at the time have their darkness revealed. Even when you have been clean for years, the addiction doesn’t disappear.</figcaption></figure>



<p>Surgical interventions to remove sex organs can leave someone entirely dependent on hormone replacement therapy for the rest of their life, whether or not they detransition. Living without sex hormones can lead to osteoporosis, depression, chronic exhaustion, sexual dysfunction, metabolic health issues, and more. This creates lifelong patients who are physically incapable of remaining independently healthy without intervention. They are physically and financially bound to this decision to the point that losing access would directly lead to rapid health deterioration in what would have otherwise been a healthy body. The complication rate associated with vaginoplasty is reported to be between 20% and 70% — an astonishingly high risk. Like any other addiction, these procedures take a healthy body and make it dependent. And this is only scratching the surface of the damage that can come with transitioning.</p>



<p>One of the most significant lifelong consequences is the lack of medical care and support for those who detransition. They are expected to go from a highly supported medicalized lifestyle to uncharted territory with no established support structures. I know several detransitioners who were denied care, surgeries, and support because they are detransitioners. Many of the medical consequences of transition do not go away with detransition and can require lifelong medical care. Though there was ample support to get into this situation, there are scant resources to help someone get out of it.</p>



<p>The consequences of transition are far-reaching and life-altering, and I have yet to meet anyone who has transitioned without some level of complication. Those who detransition are not uniquely impacted by negative side effects — we simply acknowledge the harm that the trans community collectively hides. With this in mind, how can a detransitioner simply ignore the impact of the culture of transition? How can we be asked to ignore the truths we have seen, lived, and been actively harmed by?</p>



<p>If transition mirrors addiction, then detransitioners are not traitors or anomalies —they are people in recovery. Asking them to “move on” without speaking about what they experienced demands silence where reflection is necessary and contributes to the stigma surrounding detransition.</p>



<p><em>Ginny Welsh is an artist and writer who spent her teen and early adult years enthralled with the world of transition. Though her medical transition would be seen as &#8220;successful&#8221;, the process was one of medical neglect and destruction. Disillusioned by the culture of delusion, lies, and inevitable health issues associated with transition, she finally began her detransition in 2024. She now lives as a happily married lesbian, deconstructing the industry of transition through her work.</em></p>



<p><em>Genspect publishes a variety of authors with different perspectives. Any opinions expressed in this article are the author’s and do not necessarily reflect Genspect’s official position. For more on Genspect, visit <a href="https://genspect.org/our-position-faqs/">our FAQs</a>.</em></p>



<p><a href="https://substack.com/@admingenspect"></a></p>



<p></p>
<p>The post <a href="https://genspect.org/transition-as-addiction-why-not-move-on/">Transition as Addiction. Why Not Move On?</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>The Desistance Series – Sabrina&#8217;s Story</title>
		<link>https://genspect.org/the-desistance-series-sabrinas-story/</link>
		
		<dc:creator><![CDATA[Stella O&#039;Malley]]></dc:creator>
		<pubDate>Fri, 10 Apr 2026 20:00:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=28711</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/007-Sabrina-thumbnail-2-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/007-Sabrina-thumbnail-2-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/007-Sabrina-thumbnail-2-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" />&#8220;I did one thousand things to get her out&#8221; Sabrina’s daughter, Katie, was 14 when the world shut down. Lockdown landed on a family already under strain. Sabrina’s marriage was faltering. Then her husband died suddenly from cancer. The household was under water. Around this time, Katie began experimenting with clothes, hair, and her identity. [&#8230;]</p>
<p>The post <a href="https://genspect.org/the-desistance-series-sabrinas-story/">The Desistance Series – Sabrina&#8217;s Story</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/007-Sabrina-thumbnail-2-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/007-Sabrina-thumbnail-2-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/007-Sabrina-thumbnail-2-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" /><h2 class="wp-block-heading" id="i-did-one-thousand-things-to-get-her-out">&#8220;I did one thousand things to get her out&#8221;</h2>


<p>Sabrina’s daughter, Katie, was 14 when the world shut down. Lockdown landed on a family already under strain. Sabrina’s marriage was faltering. Then her husband died suddenly from cancer. The household was under water.</p>



<p>Around this time, Katie began experimenting with clothes, hair, and her identity. She said she was joining a film class. She then said she was “they/them” and that she was non-binary. Sabrina felt alarmed but held it in. For two weeks she tried to use her daughter’s preferred pronouns. She watched her daughter carefully and realsied that what had begun as experimentation was hardening into something more fixed and more confrontational.</p>



<p>There had been no earlier signs of gender nonconforming behavior. Sabrina was sure that Katie was simply a teenager in distress, immersed in an online world that had opened up during lockdown. Tumblr was a key influencing factor.</p>



<p>For two months, Sabrina describes herself as “a deer in the headlights.” But she set some boundaries, as she said, “I did not do the concierge parenting.” She did not inform extended family. She continued to use her daughter’s name and avoided pronouns where she could. At the same time, Sabrina began to educate herself.</p>



<p>It was 2021, and Sabrina was afraid her child would be taken away from her for not affirming. She knew the dogma. She was a leftie with libertarian tendencies.</p>



<p>Sabrina was told by many that she “had to” go along with the pronouns. Sabrina said no. The hair became more extreme, as did the outfits. Katie asked her mother if she could not call her a “daughter” in public. Sabrina answered very clearly and very assertively, “Don’t you ever tell me what to say and how to speak about the child that came out of my body.”</p>



<p>Every single day of my life, I received emails requesting referrals to psychotherapists. I have learned to be very careful in this endeavour. Too many times, I have spoken to therapists who seemed to get it, who seemed to understand that trans identification is a trauma response, a coping mechanism for people who are suffering, just like anorexia, bulimia, self-harm, and countless other psychological challenges. Any competent therapist should therefore be very well equipped to work with this cohort. But there has been an unacknowledged ingestion of “true trans” theory, whereby countless otherwise competent therapists believe that a “tiny number” of people must medically transition. The reasons why, when questioned on this, are usually garbled. Basically, the therapist tends to say, “we’ve got a unicorn here, this kid really <em>is</em> trans.”</p>



<p>This is exactly what happened to Sabrina. She spoke to a therapist who seemed to fully understand that Katie was responding to trauma from the death of her father and seemed to understand the situation. The therapist said that she had many girls in her practice with similar challenges and agreed that she would not affirm. For this reason, Sabrina entrusted her vulnerable child to this therapist.</p>



<p>Just a few weeks later, this therapist emailed Sabrina and sent her links to the Trevor Project so that she could better affirm her “trans child.” Sabrina fired the therapist on the spot.</p>



<p>Sabrina then explored a range of other options, such as a residential therapeutic project and Cognitive Behavioral Therapy. Sabrina was keenly aware of the impact of Katie’s peer group, such as a friend who was already on testosterone and had a mastectomy at 15 years old. The interventions didn’t work in the way that was hoped, and this child later attempted suicide. Sabrina told Katie that her friend group was not helpful. Sabrina helped Katie reintegrate with some old friends from before the pandemic who were healthier.</p>



<p>Sabrina explains that she did “one thousand things” to pull her child out of this. She put her in therapy, she took her out of therapy &#8211; she changed therapist many times. She sent her away to school, she pulled her out of that school. She told Katie she looked wonderful, no matter what she wore. She picked her battles and she would sometimes avoid her. But she also tried to keep connection with Katie by following the things Katie liked on YouTube. She introduced Katie to the finer things in life, such as lunch at the Four Seasons for the sheer pleasure of it. She brought her travelling to expand her brain. She bought Katie a vibrator so that she could learn to enjoy her body. She was “beyond permissive” when Katie had a boyfriend – again hoping that she would benefit from this experience.</p>



<p>This is often the case in recovery &#8211; it is vanishingly rare for one strategy to be the one factor &#8211; it is much more common for the person in recovery to say that in the end it was a combination of many, many strategies that helped them recover.</p>



<p>Katie was using he/him pronouns at her new school, a boarding school. Sabrina contacted the school to try to stop them. Then one day, Sabrina’s son came to her, when Katie was two years into trans identification, and told her that Katie was planning to get a mastectomy when she was 18. Sabrina felt ready to give up &#8211; she needed to look after her son who was getting lost in all this.</p>



<p>Some time later, Katie decided she would move to Canada and live with her boyfriend. Sabrina funded this idea in the belief that it would be good for her. By the following February, the boyfriend wanted to break up with her. In a surprising turn of events, Katie found Canada too leftie and too woke, even compared to California.</p>



<p>One evening Katie and Sabrina had a couple of drinks together, and Katie confided in her mother that the reason why she identified as trans was that when her dad died, she couldn’t stand living in her body. They cried together, and Katie promised her mother that she was “back.”</p>



<p>And yet the desistance didn’t come fully. Katie remained presenting as a boy. Slowly but surely, though, she started to revert towards her female body.</p>



<p>Erin discussed how this issue leads us into unusual directions. “I became a crazy person,” chuckled Erin, thinking about her signs such as “Stop transing the gay away.”</p>



<p>One evening, after a couple of drinks together, her daughter spoke. She said that when her father died, she could not bear to live in her body. Mother and daughter cried together. Her daughter said she was “back.”</p>



<p>Desistance did not arrive easily, nor was it all at once. Katie continued to present masculine for a time. But gradually, slowly, things began to change.</p>



<p>Sabrina remembers another big moment when she explained to her daughter that others viewed them as mentally ill. She warned her that if she continued in her trans identification, she would not financially support her &#8211; she would not be a participant in her destruction. Sabrina remembers that when she had a stepson, it was much clearer when she offered a similar strategy to her drug-addicted stepson. She would not financially support his drug addiction &#8211; she would not act as an enabler.</p>



<p>A rule of thumb is that enabling behaviour supports negative, self-destructive behaviour, while supportive behaviour supports positive behaviour.</p>



<p>Katie still does not believe that she dodged a bullet. Mother and daughter don’t speak about this issue. Katie still sees herself as a trans ally, but she doesn’t like labels anymore and she is no longer political.</p>



<p>In hindsight, Sabrina regrets going along with the pronouns &#8211; even though she only did this for a couple of weeks. She also regrets all the expensive therapy that didn’t help much. Had she not had her son, Sabrina would have left the country with Katie, but she couldn’t. Had she known how destructive the pandemic was, she would have removed Katie from high school and taken the computer out of the room. Sabrina believes that had she pushed Katie to go to college at 18, she would now be a “he/him Palestine protestor.”</p>



<p>Although Sabrina has some regrets, yet her family has come through a terrible tragedy and a frightening challenge. She is glad she wasn’t working during this period &#8211; it was a full-time job as she worked to get her child out of it.</p>



<p>This experience has made her politics much more complex and nuanced. She is bitterly disappointed with the Democrats. They had many off-ramps that they could have taken, but they chose not to take them. Instead, they doubled down and chose to support pediatric transition.</p>



<p>Towards the end of the conversation, Erin reflects on all the normal teenage stuff that ROGD kids miss out on. These quirky kids are always different, they tend to come into their own a little later in life, and they seem to need lots of guidance during their adolescence. Erin finishes the conversation speaking about how many unsung heroes are sitting behind black screens, working all the hours they have to try to keep their children healthy and to bring this issue to light.</p>



<p>Watch Erin and Sabrina’s conversation here:</p>



<figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">
<iframe  id="_ytid_24966"  width="800" height="450"  data-origwidth="800" data-origheight="450" src="https://www.youtube.com/embed/Ffe8SUnHtX4?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=0&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;" class="__youtube_prefs__  epyt-is-override  no-lazyload" title="YouTube player"  allow="fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen data-no-lazy="1" data-skipgform_ajax_framebjll=""></iframe>
</div></figure>
<p>The post <a href="https://genspect.org/the-desistance-series-sabrinas-story/">The Desistance Series – Sabrina&#8217;s Story</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>Be Kind – But to What Truth?</title>
		<link>https://genspect.org/be-kind-but-to-what-truth/</link>
		
		<dc:creator><![CDATA[Kelly Henriques]]></dc:creator>
		<pubDate>Wed, 08 Apr 2026 12:02:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=28735</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/891df7d4-68e2-433b-8181-993ecac7df22_500x210-150x150.webp" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/891df7d4-68e2-433b-8181-993ecac7df22_500x210-150x150.webp 150w, https://genspect.org/wp-content/uploads/2026/04/891df7d4-68e2-433b-8181-993ecac7df22_500x210-70x70.webp 70w" sizes="(max-width: 150px) 100vw, 150px" />Subjectivism, C.S.Lewis and the Truth about Bí Cineálta Bí Cineálta – the name means “be kind” in Irish. There are very few, if any, parents who would take issue with teaching children to be kind to each other and not exclude or bully others. So, the introduction of the new national anti-bullying procedures is likely [&#8230;]</p>
<p>The post <a href="https://genspect.org/be-kind-but-to-what-truth/">Be Kind – But to What Truth?</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
]]></description>
										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/891df7d4-68e2-433b-8181-993ecac7df22_500x210-150x150.webp" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/891df7d4-68e2-433b-8181-993ecac7df22_500x210-150x150.webp 150w, https://genspect.org/wp-content/uploads/2026/04/891df7d4-68e2-433b-8181-993ecac7df22_500x210-70x70.webp 70w" sizes="(max-width: 150px) 100vw, 150px" /><h2 class="wp-block-heading" id="subjectivism-cslewis-and-the-truth-about-bi-cinealta">Subjectivism, C.S.Lewis and the Truth about Bí Cineálta</h2>


<p>Bí Cineálta – the name means “be kind” in Irish. There are very few, if any, parents who would take issue with teaching children to be kind to each other and not exclude or bully others. So, the introduction of the new national anti-bullying procedures is likely to have been welcomed by most.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!D6S-!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F55892373-99b4-4b0c-ad7e-295c9734b213_1508x1014.png" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!D6S-!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F55892373-99b4-4b0c-ad7e-295c9734b213_1508x1014.png" alt=""/></a><figcaption class="wp-element-caption">Cheery Bí Cineálta slide from the Irish Dept. of Education.</figcaption></figure>



<p>But Bí Cineálta does not simply outline how schools should tackle bullying. It is not just a policy, but a tool for shaping our children’s moral understanding. And while doing so, it promotes a version of kindness and inclusion that most of us would not recognise. It also erodes other things that we care about just as deeply – truthfulness, freedom of conscience, and our role as parents in our children’s moral development.</p>



<p>The issue here is one that C.S. Lewis wrote about in his 1943 essay, <em>The Poison of Subjectivism</em>. He pointed out that for most of history, people understood that when we say things like “treat others as you would like to be treated” or “we should care for the vulnerable,” we are not just expressing personal feelings or preferences. We are appealing to a set of rights and wrongs that have held true across cultures, traditions, and time. Statements such as these are an acknowledgement of an objective moral order.</p>



<p>Lewis warned that when we stop believing in this – when we decide that moral principles have no objective meaning and can be remade or redefined at will &#8211; they lose any solid foundation. The question is no longer “What is good?” but “Who gets to decide what counts as good?” And those who give themselves the power to decide inevitably place themselves above morality. Without a fixed standard of right and wrong, we have no way of knowing if we are moving closer to or away from what is genuinely good, and nothing to appeal to when we need to say “No – this is not progress.”</p>



<figure class="wp-block-image"><a class="image-link image2" href="https://substackcdn.com/image/fetch/$s_!0cEi!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F891df7d4-68e2-433b-8181-993ecac7df22_500x210.webp" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!0cEi!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F891df7d4-68e2-433b-8181-993ecac7df22_500x210.webp" alt=""/></a><figcaption class="wp-element-caption">A skeptical C.S.Lewis</figcaption></figure>



<p>Bí Cineálta is precisely what Lewis described &#8211; an example of the poison of subjectivism. It is a policy that quietly redefines kindness and inclusion as whatever the Department of Education’s current “experts” have decided on, elevates them above all else, and asks us to call it progress. But is it progress to teach children that sex is a feeling rather than a fact, or to remove their ability to think and speak freely?</p>



<p>You, like me, may have spent years teaching your children that honesty matters, that they should stand up for what they believe in, and that people can disagree respectfully. Now imagine all of that being undone the moment your child walks through the school gate. Bí Cineálta tells your child that to “be kind,” they must lie. They must tell a boy in their class he’s a girl if he says so. If your child won’t, this is not treated as honest disagreement. It is treated as harm, and it can be punished. Inclusion does not extend to those children who disagree — they are labelled bullies. Hiding under the velvet glove of “being kind” lies an iron fist of forced compliance with gender ideology. And it will be the fear of this, not your voice, that shapes what your child comes to believe is right and wrong.</p>



<p>Of course, true kindness and inclusion matter, but they are not the only things that matter. Freedom of conscience, truthfulness, non-coercion, and the belief that every person has equal worth regardless of identity are also important. We cannot treat these as optional. They are all a part of the structure that holds our society together. To do so is to saw off the branch we sit on. Yet this is exactly what Bí Cineálta demands – that all of these must give way to “kindness” and “inclusion.”</p>



<p>If we truly believe that some things are always wrong, then we are already acknowledging the existence of the moral order that Lewis spoke of. We cannot then, with any integrity, accept a policy that recognises only part of that reality and treats moral principles as things to be redefined at will in service of a particular coalition or ideology. If we do, the message to our children will be clear: your deepest moral development is something designed for you by experts, mandated by the Department of Education, and justified only by the spirit of the age.</p>



<p>The Department’s role in education is not to invent values but to recognise and pass on what is genuinely good. Once it imagines itself free to develop our children in whatever way it decides is progressive, education stops being an initiation into truth and becomes nothing more than the manufacture of ideology and a very sophisticated form of conditioning.</p>



<p>If you ask me what matters most about Bí Cineálta, it is this: it is a policy that has, without so much as asking, taken from parents what was always ours – the right to raise our children according to our own morals and beliefs. And that should concern every parent in this country.</p>



<p><em>Kelly Henriques is a mother of four, with a BSc in Psychology and MSc in Health Psychology. Like many parents, it was her own children&#8217;s experience of school that drew her attention to the direction of curricular reform in Ireland and parental rights in education.</em></p>



<p><em>Genspect publishes a variety of authors with different perspectives. Any opinions expressed in this article are the author’s and do not necessarily reflect Genspect’s official position. For more on Genspect, visit </em><a href="https://genspect.org/our-position-faqs/" target="_blank" rel="noreferrer noopener"><em>our FAQs</em></a><em>.</em></p>



<p></p>
<p>The post <a href="https://genspect.org/be-kind-but-to-what-truth/">Be Kind – But to What Truth?</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>The Desistance Series – Sophia&#8217;s Story</title>
		<link>https://genspect.org/the-desistance-series-sophias-story/</link>
		
		<dc:creator><![CDATA[Stella O&#039;Malley]]></dc:creator>
		<pubDate>Tue, 07 Apr 2026 19:00:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=28675</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/010-Sophia-thumbnail-2-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/010-Sophia-thumbnail-2-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/010-Sophia-thumbnail-2-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" />Another study from the Desistance Series &#8211; a mother’s account of how her daughter was drawn into an identity spiral, and the drastic steps it took to pull her back out Sophia is the parent of a 16 year old girl who desisted about a year ago. Initially, she was home-schooled, but then in 2021, [&#8230;]</p>
<p>The post <a href="https://genspect.org/the-desistance-series-sophias-story/">The Desistance Series – Sophia&#8217;s Story</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
]]></description>
										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/010-Sophia-thumbnail-2-150x150.png" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/010-Sophia-thumbnail-2-150x150.png 150w, https://genspect.org/wp-content/uploads/2026/04/010-Sophia-thumbnail-2-70x70.png 70w" sizes="(max-width: 150px) 100vw, 150px" /><h2 class="wp-block-heading" id="another-study-from-the-desistance-series-a-mothers-account-of-how-her-daughter-was-drawn-into-an-identity-spiral-and-the-drastic-steps-it-took-to-pull-her-back-out">Another study from the Desistance Series &#8211; a mother’s account of how her daughter was drawn into an identity spiral, and the drastic steps it took to pull her back out</h2>


<p>Sophia is the parent of a 16 year old girl who desisted about a year ago. Initially, she was home-schooled, but then in 2021, when she was 11 years old, they sent her to a fee-paying school. They were living in Britain at the time and this was one of the most expensive day schools in Britain. They had home-schooled her during the pandemic and then chose to spend a lot of money sending her to obtain what they hoped would be a world-class education.</p>



<p>On her first day she came home from school and was bemused that they went around the classroom and everyone had to state their pronouns. She didn’t understand what was going on, but she noticed some of the friends that she had known prior to the pandemic were now identifying as trans. Everyone in the class was asked to state their pronouns. In hindsight, Sophia believes this school was a key influencing factor for her child as they actively encouraged these conversations and questions within the school.</p>



<p>Initially Sophia and her husband were bemused by these stories about identity but it never occurred to them that their “girly-girl” would get caught up in this. They knew the issue was in the national conversation but as a liberal Sophia presumed that of course these trans-identified children needed support and should be helped and obtain whatever resources they needed to thrive.</p>



<p>Even later, their child’s initial declarations of identity did not seem like a serious challenge. Sophia’s child’s friend identified as bisexual. Sophia’s 11 year old then also decided she too was bisexual and this was her girlfriend. Sophia and her husband thought this type of declaration of sexual orientation was premature but they didn’t worry too much.</p>



<p>Her daughter then had a sex education class and she decided that she was asexual. There was rampant social contagion within the school but the school did not say anything to the parents. She then said she was non-binary.</p>



<p>Sophia and her husband were never in the affirmation camp, but they still didn’t know they should be worried. They saw it as the natural curiosity of a developing girl. They didn’t encourage or discourage it.</p>



<p>It wasn’t until her daughter identified as trans and her mood plummeted that Sophia realised this was an insidious scene that required a lot more thought than mindless affirmation. Sophia began to realise that there was a complex situation unfolding that needed careful attention and total commitment.</p>



<p>Nothing super extreme happened immediately although her daughter started to pull away from the girly clothes that she had always loved and wanted to shop in the boy’s department. She wore a binder. She wanted a boy’s haircut and she did away with her girly stuff in her bedroom and replaced it with pride flags. Her interest in rock climbing and tennis fell away and everything became centred on identity.</p>



<p>Sophia allowed her to wear baggy clothes but didn’t let her shop in the boys department. The trouble really kicked off in the 7th grade. Although these books were in the news, Sophia presumed the school library would not be offering inappropriate books however Sophia was disturbed when she found <em>This Book Is Gay</em> in her child’s schoolbag. A teacher had handed this book to her child and told her that this book would be a good resource for her project – she was still 11 years old at the time.</p>



<p><em>This Book Is Gay</em> is a sexually explicit book written by trans-identified male Juno Dawson. The book opens by explaining that “There’s a long-running joke that, on ‘coming out’ a young lesbian, gay guy, bisexual, or trans person should receive a membership card and instruction manual. This is that instruction manual.” It explains how teenagers might have sex with strangers and goes into considerable graphic detail about sexual activities.</p>



<p>Sophia and her husband looked through their daughter’s phone and they found a whole trove of pornography on her phone. Sophia was amazed to discover that Spotify is full of porn and her child was listening to it. There was also a lot of written porn on anime sites. Sophia started to realise that why her daughter had decided to come out as “asexual”.</p>



<p>Sophia went into the school with the explicit material highlighted and sent it to everyone in authority at the school. The teachers were very prepared, all lawyered up as Sophia described it, and they handled Sophia’s complaints with what she believes was a pretence of care. The school pulled the books from the library and carried out what Sophia viewed as a sham investigation. On the last day of the school term the school sent out a communication that they had examined the books and they were happy to reinstate the book, except with a sticker on them now, which made it easier for the children to find. This school was kindergarten through 12th and so very young children would have access to these library books.</p>



<p>Sophia pointed out that although her child was not autistic, nor was she particularly vulnerable at this time, over these years it became clear that her daughter was plummeting. Sophia and her husband were reluctant to face the truth but when she started self-harming and wrote a suicide note they realised they needed to fully confront the issue.</p>



<p>During this time she was following the rapid-onset gender dysphoria (ROGD) script. She was rewriting her history, saying that she had never been a girly girl and had never enjoyed girly things, even though she had all through her childhood. She spoke as if she was in a cult, with scripted language that refused to deviate from the party line. Sophia had been very close to her daughter and was devastated when she pulled away into a script and was unreachable.</p>



<p>Between the summer of 7th and 8th grade Sophia and her husband really started to confront the issue. They put restrictions on the devices but her child got around them within a day, and the school internet was not restricted at all, so it became clear by the beginning of 8th grade that they needed to get her out.</p>



<p>Sophia felt that the UK seemed to be more captured than the USA. They came to the decision that they would have to move, but they were afraid she would run away, and Sophia knew there were a lot of rainbow families in their area. They planned it carefully and pulled her out before the end of school.</p>



<p>By the time Sophia pulled her out of the school, nine of the ten girls in her school friend group were identifying as not a girl.</p>



<p>They decided to take both their children out of school and move out of the UK to the US, where they sought a more conservative community as well as choosing to live among their extended family. Sophia also read <a target="_blank" rel="noreferrer noopener" href="https://drgabormate.com/book/hold-on-to-your-kids/">Gabor Maté and Gordon Neufeld’s book <em>Hold On to Your Kids</em></a> and started to lean in more deeply into her children’s lives. They decided to have a complete family detox from their devices. The whole family detoxed and they were surrounded by their extended family.</p>



<p>Sophia had to learn how to be much more authoritative. She had no interest in being authoritarian, but she realised that she did need to teach her children rules and set boundaries. This was difficult for Sophia as she had to develop a tolerance for being the bad guy and for having her daughter be angry with her.</p>



<p>The withdrawal period off her devices was very difficult. Both her children seemed to act like toddlers without their devices. Sophia’s daughter lashed out significantly. It turned out that she was secretly seeing a counsellor online. She had a binder but Sophia and her husband took the binder away.</p>



<p>They didn’t have much time to figure things out about what to do next. It took a month. They went round and round considering their options, but in the end they moved to a very conservative school in a very conservative area. They questioned the school and asked the administration. They had already ruled out home school co-ops as the buzzwords the home-school coordinators used such as “inclusivity” and “safe spaces” tipped them off. They realised that the majority of religious schools were also captured, just like the home schools.</p>



<p>Although Sophia had always been opposed to Catholic school, they eventually chose a conservative Catholic school which had more traditional values.</p>



<p>Once the internet and the school group fell away and her daughter entered the new school, she seemed to slowly pull away from the trans identity. Sophia told her that she would be thrown out of the school if she identified as trans and she would be forced to home-school, consequently she didn’t identify as trans in the new school.</p>



<p>Sophia pointed out that if the Catholic school followed the Newman Guide, a guide for Catholic schools on how to follow the doctrine of the Church, that the school would be more likely to be reliable and adhere to traditional Catholic values. Erin pointed out that not all the Catholic schools were reliable and that the Jesuits are all in on trans these days.</p>



<p>Sophia’s child is now in a traditional Catholic school and it turned out from the information that the Catholic school provided about grooming that their daughter was being groomed and was traumatised.</p>



<p>Sophia is glad that she never affirmed. She believes that if she had not pulled her out of the school, pulled her off the phone and off the internet, and moved out of the UK, then her child would still identify as trans. This desistance project has been a monumental task and exhausting for everyone, but it was worth it.</p>



<p>Sophia’s daughter does not seem to fully realise what she went through even though she is absolutely thriving now. She has fully desisted and is earning money with a part-time job. Sophia is trepidatious about her child, however, and she is trying to equip her for the college experience as she is concerned about this next phase. The shadow of trans has cast a long shadow and she doesn’t feel fully out of the woods yet.</p>



<p>Watch the interview here:</p>



<figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">
<iframe  id="_ytid_78621"  width="800" height="450"  data-origwidth="800" data-origheight="450" src="https://www.youtube.com/embed/ygxI1Ubj4NM?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=0&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;" class="__youtube_prefs__  epyt-is-override  no-lazyload" title="YouTube player"  allow="fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen data-no-lazy="1" data-skipgform_ajax_framebjll=""></iframe>
</div></figure>
<p>The post <a href="https://genspect.org/the-desistance-series-sophias-story/">The Desistance Series – Sophia&#8217;s Story</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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		<title>The Cass Paradox</title>
		<link>https://genspect.org/the-cass-paradox/</link>
		
		<dc:creator><![CDATA[Stella O&#039;Malley]]></dc:creator>
		<pubDate>Mon, 06 Apr 2026 20:52:38 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://genspect.org/?p=28739</guid>

					<description><![CDATA[<p><img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/1092febc-aa1a-4c40-aa16-5177ad2169c2_1772x887-150x150.webp" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/1092febc-aa1a-4c40-aa16-5177ad2169c2_1772x887-150x150.webp 150w, https://genspect.org/wp-content/uploads/2026/04/1092febc-aa1a-4c40-aa16-5177ad2169c2_1772x887-70x70.webp 70w" sizes="(max-width: 150px) 100vw, 150px" />In this essay I argue that medical transition lacks a reliable evidence base and that focusing solely on paediatric cases concedes the central argument I call it the Cass Paradox. After four years reviewing the evidence for the medicalisation of children’s identities, Dr Hilary Cass&#160;and her team found no reliable evidence of benefit for interventions [&#8230;]</p>
<p>The post <a href="https://genspect.org/the-cass-paradox/">The Cass Paradox</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
]]></description>
										<content:encoded><![CDATA[<img width="150" height="150" src="https://genspect.org/wp-content/uploads/2026/04/1092febc-aa1a-4c40-aa16-5177ad2169c2_1772x887-150x150.webp" class="attachment-thumbnail size-thumbnail wp-post-image" alt="" decoding="async" srcset="https://genspect.org/wp-content/uploads/2026/04/1092febc-aa1a-4c40-aa16-5177ad2169c2_1772x887-150x150.webp 150w, https://genspect.org/wp-content/uploads/2026/04/1092febc-aa1a-4c40-aa16-5177ad2169c2_1772x887-70x70.webp 70w" sizes="(max-width: 150px) 100vw, 150px" /><h2 class="wp-block-heading" id="in-this-essay-i-argue-that-medical-transition-lacks-a-reliable-evidence-base-and-that-focusing-solely-on-paediatric-cases-concedes-the-central-argument">In this essay I argue that medical transition lacks a reliable evidence base and that focusing solely on paediatric cases concedes the central argument</h2>


<p>I call it the Cass Paradox. After four years reviewing the evidence for the medicalisation of children’s identities<a href="https://webarchive.nationalarchives.gov.uk/ukgwa/20250310143633/https:/cass.independent-review.uk/">, Dr Hilary Cass</a>&nbsp;and her team found no reliable evidence of benefit for interventions that carry risks of infertility, sexual impairment, and significant physical harm. These are consequences children are inherently too immature to fully understand. Yet Dr Cass remains open to the idea that some children may benefit, and this openness has contributed to confusion about the wider issue. The Cass Paradox highlights a review that finds no reliable evidence of benefit yet still refuses to rule out the intervention.</p>



<p>This inability to close the door is striking. Across clinicians and researchers who describe themselves as “gender critical” but are better named “gender critical lite”, there remains a refusal to fully say no to medical transition. They tend to subscribe to an unevidenced theory &#8211; I have a name for this too &#8211; the “tiny numbers theory”; the belief that a vanishingly small group might benefit, despite the absence of evidence.</p>



<p>As a basis for healthcare, this is farcical. Treatments are not justified by the possibility that someone, somewhere, might benefit. The burden of proof rests with those making the claim, yet here it is inverted and sustained through self-report and speculation. The gender critical lite crowd cannot seem to move on from this thinking, insisting on focusing narrowly on the risks of paediatric medical transition while avoiding the larger and more important question of medical transition itself.</p>



<p>Most people, even those with little knowledge of this issue, recognise that paediatric medical transition is a reckless and inappropriate intervention. Dr Cass is internally inconsistent in this respect, and one cannot help but think she has been politically outmanoeuvred, as seen with the shenanigans over the puberty blocker trial. It came as no surprise when the&nbsp;<a href="https://x.com/nickwallis/status/2039523878624542747?s=20">data linkage study</a>&nbsp;shifted from being deemed impossible to carry out to suddenly being approved; there has clearly been significant institutional pressure in this space.</p>



<p>In the meantime, self-report is relied upon to keep the door ajar for medical transition for a “tiny number” of people. Even though this is not a basis for standard healthcare; self-report is inherently unreliable and does not justify medical intervention.</p>



<p>As Bertrand Russell illustrated, we cannot prove that a teapot, too small to be seen by telescopes, orbits the Sun somewhere between the Earth and Mars. But the fact that we cannot disprove the claim does not make it credible, nor does it justify action. Thankfully, the standards for ethical treatment are higher than that. It is not enough that a small section of people tell us that homeopathy is wonderful &#8211; it will not be accepted as appropriate treatment until it is supported by robust, replicable evidence demonstrating clear and reliable benefit.</p>



<p>By focusing solely on paediatric cases, researchers inadvertently legitimise adult medical transition. It is beyond time for this issue to be confronted with clarity and leadership. Obfuscation and an apologetic demeanour are creating confusion and chaos in wider society. Most people who are not in the field presume that there is a substantial and reliable evidence base for adult medical transition, just not for paediatric transition.</p>



<p>When exactly should we tell them there isn’t?</p>



<p>Presenting medical transition as a feasible healthcare treatment for adults causes harm &#8211; just ask Ritchie Herron or Sinéad Watson or any of the 600 detransitioners who have taken part in our&nbsp;<a href="https://beyondtrans.org/">Beyond Trans programme</a>. The truth is, as anyone who has studied this issue knows, if we are to be objective, the long-term outcomes of trans-medicalisation have repeatedly failed to demonstrate benefit.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img can-restack" href="https://substackcdn.com/image/fetch/$s_!tHVf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d749b3f-10eb-4416-b52a-df5a566e3a41_800x450.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!tHVf!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d749b3f-10eb-4416-b52a-df5a566e3a41_800x450.jpeg" alt=""/></a></figure>



<p>In&nbsp;<a href="https://pubmed.ncbi.nlm.nih.gov/6942832/">1979 Mayer and Reter</a>&nbsp;compared a group of individuals who sought sex reassignment surgery but did not receive it with a group who medically transitioned. They concluded that “sex reassignment surgery confers no objective advantage in terms of social rehabilitation”. Consequently, the Gender Identity Clinic at Johns Hopkins made the decision to no longer offer sex reassignment surgery, then the treatment of choice for this cohort.</p>



<p>Little has changed in the peer-reviewed outcomes since then. But today, in this era of hyper-medicalisation, over-diagnosis, and patient-led care, the rise of an individualistic, post-modern self means that a subjective sense of identity is now treated as sufficient grounds for medical intervention.</p>



<p>The difference between now and then is that Meyer and Reter relied on objective outcome measures rather than subjective, self-reported accounts of an unfalsifiable sense of inner wellbeing. They examined externally observable outcomes &#8211; employment status, relationships, social functioning, psychiatric treatment, hospitalisation, and general social adjustment.</p>



<p><a href="https://link.springer.com/article/10.1007/BF01542484">Kuiper and Cohen-Kettenis (1991)</a>&nbsp;also reported poor outcomes in their study of 141 Dutch transsexuals, including a 70% loss to follow-up and 12 deaths among 105 male participants. Then in 2011,&nbsp;<a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0016885">Dhejne et al.</a>&nbsp;conducted the longest follow-up study to date on the outcomes of “sex reassignment surgery”, covering 30 years (1973-2003) and involving 324 individuals in Sweden. Compared with matched controls based on birth year and sex, those who had undergone surgery had a significantly increased risk of death by suicide, with rates over 19 times higher than controls. They also showed elevated rates of suicide attempts and psychiatric inpatient care. The data further indicated higher rates of criminal involvement and significant substance misuse.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img can-restack" href="https://substackcdn.com/image/fetch/$s_!k2et!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F91b19e41-1ad0-46d6-8310-e64aeadeeae3_2463x1677.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!k2et!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F91b19e41-1ad0-46d6-8310-e64aeadeeae3_2463x1677.jpeg" alt="Beyond Trans community" title="Beyond Trans community"/></a></figure>



<p>Paediatric medical transition has undergone even less scrutiny than adult transition &#8211; largely because, until recently, it was considered a pretty insane idea. Only in the past twenty years has it been attempted and it is only now that the evidence is emerging.&nbsp;<a href="https://webarchive.nationalarchives.gov.uk/ukgwa/20250310143633/https:/cass.independent-review.uk/">The Cass Review</a>&nbsp;concluded that the evidence base for medical transition in children and adolescents is very weak and uncertain. There is insufficient high-quality evidence to support this experimental treatment, and clinical practice has moved ahead of the evidence despite known and potential risks.</p>



<p>Just yesterday, it came as no surprise to anyone in this field that&nbsp;<a href="https://onlinelibrary.wiley.com/doi/10.1111/apa.70533">a new Finnish study</a>&nbsp;reported that medical transition for those under 23 did not improve mental health. Psychiatric morbidity rose sharply, from around 10% to over 60% in male-to-female adolescents, and from around 22% to over 54% in female-to-male patients. As the study states, “Severe psychiatric morbidity is common among gender-referred adolescents… Psychiatric needs do not subside after medical gender reassignment.”</p>



<p>We know that this treatment approach is profoundly inappropriate for these vulnerable patients. Yet many still cannot state clearly and unapologetically that these interventions are wrong. The harms extend beyond the individual to families, workplaces, and wider society. Nonetheless, Dr Cass and many others continue to insist the door must remain slightly ajar.</p>



<p>It is this very reluctance to close the door that has created the current situation. Even in Ireland, where&nbsp;<a href="https://genspect.org/the-civil-war-over-gender-services-in-irish-public-healthcare/">the National Gender Services always rejected WPATH and the gender-affirmative model</a>, services have been overwhelmed by the new&nbsp;<a href="https://youtu.be/xe3iqul4BJs?si=KyvwrdF1rCc-nSQi">rapid-onset gender dysphoria (ROGD) cohort</a>.</p>



<p>Until the ROGD cohort began presenting in clinics in the early 2010s, the NGS operated a small service for the vanishingly few who sought medical transition, with a strong emphasis on safeguarding and preventing unnecessary interventions. Even so, it remained an inappropriate treatment pathway.</p>



<p>It is important to note that clinicians in the NGS, like Cass, do not subscribe to the concept of “true trans”. Instead, “tiny numbers theory” rests on the belief that a very small group may benefit from medicalisation, and that these individuals are identifiable by highly skilled clinicians. Their focus is not on identity claims but on outcomes. The problem is that objective measures are being steadily replaced by subjective, post-modern reliance on self-report, and the skills of these clinicians have been called into question by the growing number of people who regret their medical transition.</p>



<p>This approach has been studied since the 1960s, yet we still lack robust evidence to support it. Nobody has managed to prove that the teapot is circling the Sun. At what point do we accept that these interventions are too radical and too damaging to uphold?</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img can-restack" href="https://substackcdn.com/image/fetch/$s_!x5JN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F99ba0fd0-348d-45c0-bf4e-0bf6bbd2cbff_752x596.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!x5JN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F99ba0fd0-348d-45c0-bf4e-0bf6bbd2cbff_752x596.jpeg" alt=""/></a></figure>



<p>Isn’t it time that those of us who are fully informed state this clearly and without apology &#8211; that this is not an appropriate intervention, that it causes more harm than any discernible self-reported benefit, and that its effects extend beyond the individual into family distress and wider social disruption?</p>



<p>Families of trans-identified people are seldom studied. However, with over 5000 family members having engaged with our&nbsp;<a href="https://beyondtrans.org/">Beyond Trans network</a>, a clear pattern has emerged. The impact on families is comparable to living with anorexia or OCD; it is extremely difficult for everyone.</p>



<p>I often wonder what would have happened if children had not presented with ROGD. The trans industry could have expanded unchecked, and the evidence base might never have been tested. It was parents who exposed this pseudo-medical intervention for what it is &#8211; more flawed than homeopathy and even more extreme in concept.</p>



<p>It turns out that when medical interventions are performed on children, parents will go to the ends of the earth to understand what is being proposed. In this case, they did. These parents have gone through hell, only to discover that the clinicians and researchers were asleep at the wheel. The research base has been weakened by self-report, poor-quality studies, and a lack of replication. This field is littered with weak evidence. When the parents arrived in their droves, they examined the data and they are now saying “No” &#8211; loudly, clearly, and unapologetically.</p>



<p>The genie is out of the bottle. Just as anorexia, bulimia, and self-harm were once extremely rare, gender dysphoria is now becoming another pathway through which individuals attempt to manage psychological distress. Already, the NGS in Ireland has detransitioners who regret their medical treatment. Despite their assiduous checks and safeguards, they were not enough.</p>



<p>Indeed, how could it be? Imagine if national clinics were set up to determine which anorexics would benefit from weight-loss injections and liposuction. They would knock the doors down, desperate to prove they needed these interventions. And the people who would gain access to these interventions would likely be the most extreme &#8211; those willing to devote their entire lives to maintaining an identity built on being extremely thin and presenting as extremely well-adjusted in order to convince the doctor that they are a good candidate. The level of commitment required to secure these interventions requires a consuming obsession.</p>



<p>This is what has already happened with medical transition clinics such as the NGS in Ireland and NHS adult gender identity services in Britain. Johns Hopkins reopened its gender service in 2017, nearly four decades after closing it in 1979. What was once a rare and unusual condition has become widespread. We have established this as healthcare without any meaningful evidence base to support it.</p>



<p>For this reason, we need to raise public awareness that if people want to medicalise their identities, this should be understood as a form of extreme body modification. It should not be viewed as healthcare, nor performed in hospitals, but in extreme body modification clinics that make no claim to medical legitimacy. People with diagnosed DSDs should be supported to access whatever healthcare interventions are required to alleviate their condition, but everyone else should be told plainly that they are engaging in a practice that is not healthcare and carries significant and often harmful consequences in the long-term. Facial feminisation can be difficult to live with if it is regretted. Genital surgery can be devastating, to the point that even contemplating regret can lead to suicidality. The stakes are extremely high, and the responsibility on the doctor is immense. Increasingly, that responsibility is being avoided through the turn to informed consent.</p>



<p>A compassionate and reliable healthcare system must not allow the patient to lead the treatment pathway. Doctors must offer their expertise, and patients must be able to trust that their care is grounded in evidence-based knowledge as well as clinical judgement.</p>



<figure class="wp-block-image"><a class="image-link image2 is-viewable-img can-restack" href="https://substackcdn.com/image/fetch/$s_!frPq!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7151abc8-a1db-4de5-bec7-cf6ff49214ab_900x707.jpeg" target="_blank" rel="noreferrer noopener"><img decoding="async" src="https://substackcdn.com/image/fetch/$s_!frPq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7151abc8-a1db-4de5-bec7-cf6ff49214ab_900x707.jpeg" alt=""/></a></figure>



<p>We’ve been here before; medical history is littered with tragedy. The inventor of the lobotomy,&nbsp;<a href="https://www.nobelprize.org/prizes/medicine/1949/moniz/facts/">Egas Moniz, was awarded the Nobel Prize</a>&nbsp;for his work.&nbsp;<a href="https://www.econtalk.org/megan-mcardle-on-the-oedipus-trap/">Dr Walter Freeman</a>&nbsp;later popularised the transorbital lobotomy, inserting an ice pick through the eye socket to sever the frontal lobes. In his final years, knowing he was dying, he travelled across America seeking reassurance from those who had undergone this procedure. Self-report meant patients and families told him his interventions worked and when he died in 1972, he still believed that lobotomies were the best treatment for mental illness. Yet the long-term outcomes of lobotomy were found to be harmful, and the practice was largely abandoned in the 1970s.</p>



<p>Self-report is not evidence, and belief is not proof. Medicine must be guided by objective outcomes, and in the case of medical transition, the outcomes do not justify the intervention.<a href="https://substack.com/@stellaomalley"></a></p>
<p>The post <a href="https://genspect.org/the-cass-paradox/">The Cass Paradox</a> appeared first on <a href="https://genspect.org">Genspect</a>.</p>
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