affirmative transgender medicine

Dr. Shermer comments on current events surrounding trans matters and reads his in-depth essay on the subject, originally published as one of his regularly Skeptic columns on Substack.

What is gender identity? Why do some people feel an inconsistency between their natal sex and the gender they consider themselves to be, and when and why does that “dysphoria” begin? A few very young children, mostly boys, prefer the clothes, names, and activities of girls before they even have a concept of “boy” and “girl.” But do the reasons for their gender incongruence apply to the adolescents, mostly girls, who show no interest in transitioning until puberty or later? How shall we determine which procedures are safest and most effective for treating children and young teenagers with gender dysphoria, without assuming they all are the same as the countless others who are nonbinary, “questioning,” and experimenting?

Biological sex is no longer accepted as a basic fact of life. Shermer and Joyce discuss: What is a woman? What is a man? • conflicting rights: trans vs. women • sex vs. gender • gender dysphoria • social contagions • gender affirming care • puberty blockers, testosterone, hormone treatment • detransitioning • top surgery, phalloplasty, vaginoplasty • preferred pronouns: compelled speech ≠ free speech • trans sports • exclusive spaces, and more…
In this important analysis of the medical issues involving trans people, Dr. Harriet Hall reviews what medical science knows about puberty blockers, vaginoplasty, phalloplasty, rapid onset gender dysphoria, detransitioners, and why “watchful waiting” is probably the best strategy at the moment given the considerable uncertainties.
Announcing Skeptic 27.1: Transgender Matters — an overview of the debate, research, and policies; supporting kids who identify as transgender or who are experiencing gender dysphoria (marked distress at an incongruence between gender identity and biological sex).
Social psychologist Carol Tavris thoughtfully explores and questions “affirmative trans medicine,” the latest dangerous medical practices bubble. Few question the mystifying explosion of cases of gender dysphoria among adolescents and the proliferation of clinics to treat them. Vulnerable teens and baffled parents resort to internet misinformation and succumb to biased media influence, while experts spurn exploratory therapies and promote untested treatments that have long-term effects. Dissenters are vilified and silenced as being transphobic.
Social psychologist Carol Tavris thoughtfully explores and questions “affirmative trans medicine,” the latest dangerous medical practices bubble. Few question the mystifying explosion of cases of gender dysphoria among adolescents and the proliferation of clinics to treat them. Vulnerable teens and baffled parents resort to internet misinformation and succumb to biased media influence, while experts spurn exploratory therapies and promote untested treatments that have long-term effects. Dissenters are vilified and silenced as being transphobic. PLUS: Michael Shermer Speaks with Johnjoe McFadden about his book Life is Simple: How Occam’s Razor Set Science Free and Shapes the Universe.