
"We're giving these girls mastectomies. You have to be curious about what's going on."
Three writers who witnessed the European Professional Association of Transgender Health conference discuss the event
A small group of writers attended two conferences on gender held concurrently in Killarney, Ireland in April. One was the annual meeting of the European affiliate of the World Professional Association of Transgender Health, known as EPATH. The other was the first gathering of an upstart organization called Genspect, which declared itself a rival to WPATH by scheduling a conference right down the road. Genspect urges an open-ended and exploratory approach to gender distress that contrasts with the immediate affirmation and push to medicalize that characterizes the WPATH model.
Eliza Mondegreen wrote two reports on those conferences. Lisa Selin Davis did the same. Corinna Cohn, who began a course of estrogen at 18 and underwent sex reassignment surgery at 19, is the author of a Washington Post op-ed describing transition regret and has been active in seeking a carefully gatekept diagnostic protocol for gender dysphoric patients. Cohn testified before the Texas State Senate in support of a ban on pediatric gender medicine, telling Texas lawmakers “My heart breaks for the young people who are being lied to by well-meaning enablers, as they will need to learn the same painful lesson that I learned.” The lawmakers that Cohn addressed voted to approve passage of the ban on medically transitioning minors that Cohn had urged them to support.
Readers of both Davis’ and Mondegreen’s post on the EPATH conference know they arrived at very different assessments of the event, with Davis finding grounds to be encouraged and hopeful, while Mondegreen came away with a bleaker prospect. I will also be weighing in on what I thought and felt while witnessing the inauguration of a new chapter in the unfolding story of the Twilight Zone-like unreality that has enveloped the Western world. In this chapter, the forces of reason and reality begin to challenge the enormous agglomeration of wealth, power, and influence that has been deployed on behalf of the obscurantism and error that currently masquerades as the vanguard of humanity.
Prior to the composition of those pieces, Davis, Mondegreen, Cohn, and I met on the last night of the Genspect conference to debrief and share our impressions. There is a spontaneity and immediacy to these exchanges worth experiencing even for those who have already read Mondegreen’s and Davis’ posts. Audio is free to listen to; paid subscribers have access to a transcript. I’ll also be releasing an abridged version of the exchange on YouTube and Twitter.
"We're giving these girls mastectomies. You have to be curious about what's going on."
The lack of imagination and curiosity is a marker of incompletely-hatched adult selves in these clinicians. They are well-meaning but (somatically, psychologically) the blind leading the blind.
Maybe they CAN'T meta cognate on the self evident logical fallacies, extreme attendant harms, & the incredible recency of this phenomenon against "support the child" in it's Hallmark form... They cling to stereotypes and rules; tessence of 'identity' is completely misunderstood... so they invert Maslow, and prize mediocre cosmetic passing & fake genitals over orgasms & physical health/ embodiment// fertility/ self acceptance/ lower costs/ no risk.
Are they all body-dissociated and fundamentally misinformed from growing up on porn? Are they narcissistically injured from revolving door carers? Are these clinicians re-enacting their own lacked parenting/wise counsel?
You let the physicians off much too lightly. As a retired physician I cringe at what my profession is doing to children. The physicians involved have relied on remarkably poorly done research, they have demonstrably lacked intellectual curiosity and rigor, they have denied the breadth and depth of both short and long term complications of medical and surgical transgender affirmation . These are not hallmarks of true caring. In short, they have abdicated their oath to "do no harm" in favor of self interest.
The American Medical Association, the American Psychiatric Association and the American Academy of Pediatrics have , driven by woke leadership rather than science, all jumped aboard this train. Physician members of each association are now pushing back. As much of Europe has reversed course on gender affirmation for minors, states like California in the US have doubled down on this ideologic folly. The fast moving trans train is going to run into a sea of lawsuits and there will be no shortage of medical experts from around the world to show that the "Emperor of Trans" has no clothes.
I hope the lesson to these practitioners and institutions is very expensive.