The Bigger Picture: A Sneak Peek at the Conference Unpacking Medicine, Law, Culture—and the Trouble with Therapy
By Genspect
Last week, Inspecting Gender had the pleasure of publishing the first in a three-part series by Dwight Panozzo, a licensed clinical social worker and Beyond Trans therapist. In it, Panozzo shares his journey from well-intentioned but uninformed to critical and determined to reclaim the clinical and ethical standards of his profession. It’s a journey more Americans are beginning to take, thanks to the efforts of parents, professionals, detransitioners, and motivated public servants who have found themselves unable to look away.
That’s good news—but it’s also sobering. Because the chain of broken trust doesn’t end with medicine. We’re living in a cultural crisis that has fractured the relationships between adults and children, doctors and patients, educators and parents, citizens and government.
This is where The Bigger Picture Conference comes in.
One step forward, two steps back
At Genspect, we’ve long argued that defeating gender ideology means looking beyond policy to culture. The scandal unfolding in pediatric medicine didn’t appear out of nowhere—it grew in a climate where feelings trump facts, identity trumps biology, and compliance trumps conscience.
While some U.S. states have passed protective laws, others rush to counteract them with so-called “sanctuary” legislation. In the meantime, institutions stall real reform by demanding more studies—even when we already know the harms. The logic is backwards. The urgency is real.
Bigger questions and the Bigger Picture
How did we get to a place where immediate affirmation outweighs long-term health? Why do so many young people struggle with identity today? And how do we rebuild trust when entire professions have been captured by ideology?
These are the questions behind The Bigger Picture—a conference for those who are thinking beyond short-term wins and political headlines. This is for people seeking depth, clarity, and connection.
Here’s a first look at what you can expect.
Let’s talk about therapy
The weekend opens with Dr. Lisa Littman, who will present findings from her Adolescent and Young Adult Gender Dysphoria Outcomes study. Littman’s research introduced the term Rapid Onset Gender Dysphoria (ROGD), and helped frame gender distress as a social contagion. (see Dr. Littmans retrospective on her work here)
She’s followed by renowned psychiatrist Dr. Stephen Levine, who offers guidance to parents navigating the therapy landscape. Dr. JD Haltigan explores the fracturing of identity in the digital world—drawing from his recent writing on personality fragmentation. (see Dr. Haltigan recent appearance on Beyond Gender here)
Then Dr. Lisa Duval outlines the clinical blindspots that allow misdiagnosis to flourish in fear-driven environments. From there, Genspect founder Stella O’Malley makes the case for group therapy—a promising path for both trans-identified people and detransitioners to process identity shifts and shared trauma.
Next, Soren Aldaco, a detransitioned woman and sharp observer of internet influence, will share her insights into how digital culture shapes gender identity. .
The morning closes with a panel featuring Dr. Jared Ross, Dr. Lauren Schwartz, and Dr. Andrew Hartz, who discuss the growing pressure to conform in clinical and academic settings—and the high cost of speaking out. All three are affiliated with Do No Harm and the Open Therapy Institute.
Let’s talk about the law
Saturday afternoon shifts to the legal front. Glenna Goldis provides an overview of U.S. gender-related case law. Josh Payne, attorney for multiple detransitioners, shares how litigation is becoming a powerful lever for reform. And Erin Friday, a parent advocate and seasoned legal strategist, reveals how both sides are using the courts to win long-term cultural ground. (Watch Erin Friday’s recent presentation to the Federal Trade Commission here beginning at 6:21)
Let’s talk about medicine
Sunday opens with Dr. Patrick Lappert, a reconstructive surgeon with deep experience in the realities of transition procedures. He’ll be followed by Dr. Quentin Van Meter, a pediatric endocrinologist, who outlines the biological costs of puberty blockers and hormones—tools too often presented as harmless “pauses.”
James Linehan then takes us deeper, with a developmental view of how puberty suppression can freeze more than just the body. Watch his powerful appearance on Beyond Gender below:
Later, Colin Wright and Christina Buttons team up to unpack the scientific distortions that uphold gender ideology in the public imagination. You may recognize them from Reality’s Last Stand or Substack articles debunking gender pseudoscience.
Rounding out the medical section is Cori Cohn, whose philosophical critique of trans activism reveals a shift toward the metaphysical—where subjective truth becomes untouchable dogma. His piece “Authenticity Over Evidence” is worth your time.
Then comes journalist Abigail Shrier, whose groundbreaking work exposed how bad therapy helped engineer a youth medical scandal.
This preview covers only part of the weekend’s schedule. For the full program, including more speakers and panels, click here.
Find your people
The real strength of The Bigger Picture lies in its attendees. Clinicians silenced by their institutions. Parents looking for allies. Detransitioners seeking belonging. Citizens hungry for honesty. It’s a chance not just to listen—but to connect.
In a culture that punishes dissent, it’s easy to feel alone. This weekend is about breaking that isolation. Whether you’re ready to build, brainstorm, or simply feel heard, this is your place. And as the public climate begins to open up, knowing how to have better conversations—with empathy, clarity, and confidence—has never been more vital.
Why attend?
The Bigger Picture isn’t about outrage. It’s about reckoning. It’s for those who want to do the hard, human work of telling the truth and rebuilding trust—in medicine, in law, in culture.
Join us in New Mexico this September 27–28 for a weekend of clarity, community, and courage.
Group rates are available.
Book your tickets now—and help shape the conversation that’s finally becoming possible.