A Deep Dive into Detransitioners, with Experts, Doctors, and Those Who Have Been Through It | Ep. 367
Episode Stats
Length
1 hour and 35 minutes
Words per Minute
164.04411
Summary
Walt and Grace Ledinsky-Smith share their personal stories of transitioning and de-transitioning, and the trauma that led them to the decision to leave the male-female binary. They discuss the impact of childhood trauma and how it shaped their decision to transition.
Transcript
00:00:18.860
We like to walk that fine line between techno-thriller
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Your home for open, honest, and provocative conversations.
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Today, a deep dive into the world of transitioning
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You will hear directly from those who went through
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the treatments and procedures, hormones, surgeries,
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but eventually went on to regret their decision.
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as there's breaking news on the American Academy of Pediatrics
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and what it's doing to really prevent any debate on this issue.
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But first, I want to bring you the stories of Walt Heyer
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Walt says his childhood greatly impacted his decision to transition,
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but that transition did not come until he was in his 40s
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And Grace dealt with gender identity issues in her 20s
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and then later realizing she had made a severe mistake.
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They both speak openly now about their experiences
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We like to walk that fine line between techno-thriller
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Walt and Grace, thank you so much for being here.
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It's absolute nonsense that you should experience
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It seems like you kind of did have some pushers.
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Because I know there are a couple of central traumas
00:50:17.640
five years but by that point a lot of damage has
00:50:21.400
been done you know you're on cross gender hormones
00:50:25.640
time that's why Abigail named the book irreversible
00:50:33.040
girl yourself who dealt with a lot of these issues
00:50:35.440
the spike the enormous spike amongst young girls going
00:50:39.160
through this yeah I think that it is I consider it to be
00:50:45.460
probably somewhat similar to like the spikes and like
00:50:48.720
bulimia and anorexia that happened a little while back I
00:50:52.000
think that many young girls are dealing with real distress
00:50:56.800
around their bodies real you know real pain real issues I
00:51:00.840
don't think this is like you know frivolous or something that
00:51:04.780
can just be waved away but I think that they're finding this
00:51:08.460
this framework of being trans that offers what seems to be you
00:51:13.620
know a solution to these problems of like body discomfort and
00:51:17.360
social discomfort and I think that I mean speaking as someone
00:51:22.720
who sort of went for it I think that it is very seductive
00:51:27.040
solution to think that actually your body is wrong and you need
00:51:31.740
to change it in order to be happy and it could be that easy
00:51:34.460
so I do worry a lot about the spike because I think that like I
00:51:39.520
said it's it's a very appealing idea that would appeal to a lot
00:51:44.140
of like classic you know like time old female sort of anguishes
00:51:50.220
around the body image and you know figuring out who you are
00:51:53.600
yeah I mean when they ask you if you feel comfortable in your
00:51:56.280
body what teenager says yes to that none no one does I mean that
00:52:00.180
that can't be the standard and yet it it is you know while the
00:52:05.260
Biden administration is going a different way they're not going
00:52:08.680
like Finland and Sweden and the UK are pumping the brakes on
00:52:12.840
these treatments for underage people who claim that they're
00:52:17.300
trans saying that the first line of defense should be
00:52:21.000
psychotherapy should be examining what psychological issues are
00:52:25.140
causing you to feel this way and not puberty blockers cross gender
00:52:29.060
hormones or surgery we're going exactly the opposite way in the
00:52:34.300
United States we're making it easier than ever some of the more
00:52:38.220
red states are trying to push back but the Biden administration
00:52:41.040
just came out with an executive order saying we want to enhance
00:52:45.060
protections for transgender children that means make it easier
00:52:48.180
for them to transition we want to increase access to gender
00:52:52.040
affirming care we want to find ways to counter state efforts that
00:52:55.980
are aimed at limiting such treatments and Joe Biden says the following oh
00:53:02.060
and by the way they want to come up with a sample school policy to
00:53:04.780
achieve quote full inclusion of these students and Joe Biden says the
00:53:09.900
following my message to all the young people just be you you are loved you
00:53:14.440
are heard you are understood you do belong which really is just a
00:53:19.640
bunch of nothing because what we're trying to figure out is why are you
00:53:23.780
having these feelings it's not like your proposed solution must necessarily be
00:53:32.240
yeah yeah everybody seems to know but Joe Biden
00:53:38.540
that these underlying comorbid disorders the ACEs adverse childhood experiences
00:53:45.940
are the underlying cause for people going through this whether it's even
00:53:50.580
being affirmed and cross-dressed over a period of time by teachers and and
00:53:56.280
therapists telling them they can transition I believe is adverse childhood
00:53:59.660
experience because they're telling them they can do something that's impossible
00:54:07.400
Illenfeld in 1979 that I spoke to said I'm going to become a psychiatric doctor
00:54:12.200
why because hormones and surgery don't work to help people and so we've known this
00:54:17.420
for a long time you know the United States hasn't caught up apparently and you
00:54:23.020
know even Biden put somebody at HHS who is obviously a man identifying as a woman
00:54:29.280
and he he himself has said he wants to transition kids at age eight and so I think
00:54:36.700
we're in kind of deep trouble here and that's why I've said repeatedly we're ruining an
00:54:42.780
entire generation of children with this ideology they don't need hormones they don't need to
00:54:48.480
transition we need to find out what's causing them to have the feelings and focus on that
00:54:53.880
treatment and that's what what I refer to as adverse childhood experiences or trauma
00:54:58.020
is that is that Rachel Levine who you're referring to yeah Rachel okay so let me ask you about this
00:55:03.800
because we were talking about this yesterday the Demi Lovato the singer just came out yesterday
00:55:07.520
after saying that she wanted to be referred to as they them for a year now she announced yesterday
00:55:13.620
yeah I'm gonna go by she her and um I was talking about it with some other journalists yesterday on
00:55:20.380
some hits I did saying yeah I feel so uncomfortable about the whole thing it kind of just puts the
00:55:25.520
the lie to the whole gender transition story right like yeah do I have to change every year if she
00:55:34.100
decides to go to he him next year do I have to go and am I a bigot if I won't do it and it's like
00:55:39.020
but I wrestle with it guys because I I've always gone by the pronouns of choice I I have not been
00:55:45.180
somebody who has said you were born male and if you transition to female I'm not going to call you she
00:55:50.140
her I haven't been one of those people but things like the Demi Lovato announcement are making me
00:55:55.680
reconsider whether I've made the right choice I notice you refer to Rachel Levine as he so what do you
00:56:00.640
make of that Walt and why do you use the male pronoun for somebody who says she well you know
00:56:05.000
I listen I I believe that they are who they are and I don't believe you can change who you are
00:56:12.320
and I remember when I was Laura talking to a friend I'd known for 40 years Bill and I said hey Bill I'm
00:56:18.920
now Laura and you're gonna have to use the right pronouns and you're gonna have to do all this
00:56:22.760
and Bill helped me understand this that day when I told him that and he kind of rubbed his chin a
00:56:29.020
little bit and he looked at me like Bill will do and he says okay he said I got your pronoun
00:56:33.200
I said oh good he said it's called wacko and it actually didn't offend me I started laughing my head
00:56:40.880
off and what I realized is that we who go through this are really trying to dictate what people say
00:56:49.220
and do and we're not really telling the truth about who we are and so I appreciated Bill and still do to
00:56:56.740
this day telling me I was wacko and and so whether it's Rachel Levine or whoever it is
00:57:03.600
um I found that I can carry on a conversation with you or anybody and never ever use a pronoun and
00:57:11.400
that's what I do I you know but if I'm talking about somebody that's not in the room with me then
00:57:16.400
I will refer to uh who I believe they are how about you Grace where do you fall on that
00:57:22.100
um I've always uh use people's preferred pronouns um I think that you know it's something that's
00:57:32.180
personally meaningful to them and I try to be polite about it and what's happened now in your life now
00:57:38.540
that you've gone back to living your life as the woman that you are what's happened with your family
00:57:43.820
with your friends and what's happened for you physically um well the detransition um luckily I
00:57:52.380
wasn't on hormones for very long so I'm able to pass well I'm able to be recognized as female I don't
00:57:58.580
get mistaken for male um I still have no breasts and that obviously will not change um it's been hard
00:58:06.800
for me to get reconstructive surgery uh because um insurance only pays for one direction of gender
00:58:15.580
transition so far at least that's what I've been told so oh wow um yeah so that's been difficult um
00:58:22.180
I've just um tried to move on with my life and also write about my experiences I really wanted to
00:58:29.100
sort of extend a hand to other people who might be going through the same thing because I know it's
00:58:34.380
enormously isolating um I write about that on my blog yeah and you've formed a group to try to help
00:58:42.020
people struggling with detransition or just the blowback of detransition and what is that group
00:58:47.820
uh the gender care consumers advocacy network um is a group that I have um with some of my colleagues
00:58:54.760
where we just try to bring together information about uh transition and detransition and uh you know
00:59:02.560
have it be a resource for people who are struggling with the kinds of issues that can come up uh when
00:59:07.360
you're navigating the medical terrain and what what do you want grace what do you want parents
00:59:12.360
who are being told by their minor children I'm trans I'm trans what do you want them to know
00:59:16.280
um I think I want them to know that you know of course like lead with love like your child is still
00:59:24.900
your child um but I would be I would try to look for like therapists who are exploratory and not going
00:59:34.840
to just have you know affirmation only like foregone conclusion that medical transition is the right
00:59:41.280
thing because I think especially when we're young people our identities are pretty malleable and there's
00:59:46.660
just no need to foreclose on uh an identity with like irreversible and like harmful medical procedures
00:59:54.100
um without you know giving people time to explore what it really means to them and the underlying causes
01:00:00.740
yeah because if you just pick a random psychologist or psychiatrist they're being told by their
01:00:06.780
organizations affirm affirm affirm affirm and not to affirm immediately is quote conversion therapy
01:00:12.880
so you do have to be very careful in selecting the therapist otherwise you're you're setting your kid
01:00:20.260
down a path that you may not want and he or she may not need well same closing question for you what
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what do you want people to know like parents who are thinking about this or or kids who are wrestling
01:00:31.880
with it as a result of society shoving it down their throat yeah I want the parents to really consider
01:00:39.280
strongly uh taking their child if they're struggling with this to a uh a trauma therapist who deals with
01:00:47.960
adverse childhood experiences and have them do a complete study to evaluate the amount of trauma they may
01:00:54.180
have experienced and see if there's underlying comorbid issues like body dysmorphia dissociative disorder
01:01:01.000
schizophrenia or whatever it may be and treat those disorders and not opt for the idea of hormones and
01:01:08.200
surgery and in that way the person will not be re replacing the knee and actually dealing with the
01:01:15.640
real issues and I think that's so important today to prevent those children who would be better
01:01:23.680
off served by adverse childhood experience and trauma therapy than going through hormones and surgery that
01:01:30.780
are absolutely devastating and will last a lifetime wow I could spend three hours with you guys
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thank you both so much for being here for telling your stories and I hope I hope we can do it again
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because there's something new on this issue virtually every week I'm I'm really proud to know you I
01:01:48.760
appreciate you being here it's our pleasure thank you so much thank you all the best up next we're
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getting it into the issues of puberty blockers cross-gender hormones uh and what the medical community has done
01:02:01.640
the absolute abdication of its responsibilities uh with two doctors uh one of whom is trans and you'll hear
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joining me now two doctors pediatrician dr julia mason and clinical psychologist dr erica anderson dr anderson
01:02:23.560
is a transgender woman as well thank you both so much for being here there's a lot to to go through and just
01:02:30.120
preparing for the segment what i found very eye-opening was uh puberty blockers i mean they talk about
01:02:36.980
putting kids on puberty blockers today like they're not sure if they're a girl or a boy you can put them
01:02:41.640
on the puberty blockers delay the decision you know as if it's nothing and reading up on this in depth for
01:02:49.560
the first time it is not nothing puberty blockers do have real risks julia um can you outline what some of
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them are sure puberty blockers are um medicines that uh shut down the production of all the sex steroids
01:03:09.580
so estrogen progestin testosterone all of them and the sex steroids are important in uh adolescent
01:03:19.840
development this will start as young as age eight or nine in girls and nine or ten in boys um the use of
01:03:29.740
puberty blockers has been associated with significant bone density problems even in kids who use were
01:03:39.460
were administered puberty blockers for the treatment of precocious puberty and i want to mention that
01:03:46.280
precocious puberty is treated with puberty blockers for example a girl at age five or six might get a
01:03:55.840
lupron implant but if a girl seems to be starting puberty at age seven the current recommendation is
01:04:02.600
not to use puberty blockers because the side effects are too uh significant wow um
01:04:08.920
but there have been um case reports of bone problems bone density okay so you can wind up with
01:04:15.880
i'm i was reading in your um your back talk with our with interview with our producer report of spinal
01:04:23.480
fractures subsequent chronic pain in a young patient given puberty blockers in sweden i mean these are
01:04:29.820
things that are just not that well known and there's a question about whether they can inhibit brain
01:04:35.420
brain development and um and also potentially affect sexual attraction is that true julia yeah so the the
01:04:46.920
development of desire is mediated by the sex steroid hormones and if you've blocked them then you've
01:04:56.060
also blocked that development in the child and this is significant because over the past
01:05:05.420
40 years as you've already said the majority of gender dysphoric small children were male
01:05:12.280
and a lot of them had their gender dysphoria dissipate with the onset of puberty as they slowly
01:05:20.520
came to realize that they were gay this wasn't 100 but this was the most common outcome and if you
01:05:28.820
block the puberty you block that development wow and then and so you you just leave them sort of
01:05:38.340
confused and not understanding why they're confused but just chalking it up to the gender dysphoria
01:05:44.680
whereas if they had just been allowed to go through normal puberty they would have realized oh i do have
01:05:49.640
an attraction it's you know more than likely to to guys i'm just gay i'm not trans yeah um and there have
01:05:59.680
been multiple case reports of a loss of iq points and you know kids being held back a grade because they
01:06:09.460
had such sort of brain fog brought on by the puberty blockers wow if you give them to a girl who's already
01:06:18.900
started her periods you're going to put her into an immediate sort of violent menopause um it's a lot
01:06:26.660
worse than when you undergo menopause naturally through your you know 50s it's all at once
01:06:33.860
and i've heard from young people who had to get the puberty blocker removed after six months because
01:06:43.200
they they just couldn't think they were having constant hot flashes which sounds bad yeah it
01:06:50.040
sounds bad at our age never mind a young age um what about um what about the question of orgasm i've
01:06:58.800
seen people raise an issue about whether it puberty blocker somehow will inhibit a child's later ability
01:07:06.040
to achieve orgasm right just like um sex hormones are responsible for the development of sexual desire
01:07:13.260
and thus allow children to sort of figure out if they're straight or gay sex hormones also uh lead
01:07:20.260
to the development of masturbation and the discovery of orgasm and if i mean we have marcy bowers
01:07:31.040
um saying to other doctors in a conference that of all her patients um you know natal males who were
01:07:40.640
blocked at the very beginning of puberty before they had had an orgasm none of them have achieved
01:07:47.960
orgasm wow that she was featured in uh matt walsh's documentary what is a woman dr mercy bowers if memory
01:07:55.100
serves i mean these what's disturbing to me is that these risks just don't get disclosed it's so easy
01:08:00.500
if you want to get puberty blockers in today's day and age it's certainly in the in the blue states
01:08:05.360
you know i mean the red states are trying to crack down on this a bit more they'll just give them to
01:08:09.540
you like they'll just say great it's like a you know it gives you a little postponement of having to
01:08:13.840
make this decision and i don't think a lot of parents understand these risks lower iq possibly no
01:08:19.580
more orgasms for your young child in his or her life um and you know just a lot of confusion and
01:08:26.100
risks that you didn't know you were taking bone density and that's really important to stay well
01:08:29.420
for the rest of your life um erica how do you see it because obviously you have a a personal
01:08:34.600
connection to this issue in a way um and i know that this is not i know it's not considered correct
01:08:40.680
to say you were born a biological male so i'm not trying to offend you i'm just trying to keep
01:08:45.160
things straight you were you were born and labeled uh a male at birth you transitioned to female
01:08:51.480
so how do you see it because the thing the issue with children is particularly dicey right well thanks
01:08:58.320
for having me and these are complicated subjects as we can all agree uh i uh i have a fairly uh nuanced
01:09:07.760
perspective about this and sometimes i'm uh accused and found guilty of being in the middle
01:09:13.640
uh on some of the worst thing you can possibly be on anything today yeah exactly exactly so i i see
01:09:21.540
the problems but i also as you point out earlier megan uh i there are there are transgender people
01:09:29.300
and there always have been and so my sincere obligation is to help all transgender people but
01:09:36.940
as we're agreeing the picture is so complicated now by possibly the promotion of trans identities
01:09:44.700
uh in various ways social media uh you know in circles of of young people and i've been speaking
01:09:52.940
about it for several years and during the pandemic a number of things happened it was kind of like a
01:09:59.020
perfect storm uh with kids deprived of being with each other at school they uh ended up at home doing
01:10:07.080
zoom school and uh have found themselves online uh in larger and larger numbers per day uh than ever
01:10:15.640
before and the consumption of all this social media that is um speaking to them uh i think has really
01:10:23.980
been unhealthy so i've been uh writing and speaking about the potential that we may have a new group of
01:10:31.180
of particularly teenagers who don't fit the model that we've we've uh seen in the outcomes research
01:10:38.700
that's been published in the uh journals and uh is based in europe particularly of the netherlands and
01:10:46.140
sweden and even the united states and so if we have a new group of uh adolescents who didn't exhibit any
01:10:53.740
gender questioning when they were young unlike the the more traditional group that we've seen in
01:10:59.820
gender clinics what do we know and uh and i think that's the problem is there's there are a lot of
01:11:06.860
questions so i've been urging caution the standard of practice actually uh is urging uh individualized
01:11:14.220
evaluation of every child rather than expedited uh treatment with hormones and uh and i've uh been
01:11:22.460
been a bit of a contrarian because there certainly are a lot of people in my work and in the trans
01:11:31.900
community who just think everybody who says they're trans is trans and you should take them at their word
01:11:37.740
and and uh that just flies in the face of everything i know is 40 years a psychologist about self-report which is
01:11:45.420
really not reliable uh and about the challenges of kids who are exploring their identity in all ways
01:11:53.020
that we know yeah and i mean of course transitioning is not easy it's not easy physically emotionally
01:12:02.940
even intellectually i'm sure it poses new challenges and so it's like why wouldn't we pump the brakes and
01:12:08.540
say let's be absolutely sure before we help this child go through something extremely traumatic um
01:12:17.660
even today uh barry weiss over at common sense had a piece a couple days ago about how um we may be
01:12:24.140
getting a little bit more reluctant to push people into transitioning and she talked about the um she
01:12:31.180
wrote about the the closing down of is it the tavistock clinic over in the uk yeah yeah and uh they just
01:12:37.820
said that this has caused too much damage to young people and we're not proceeding appropriately or
01:12:42.700
with enough caution um but here in the united states and the piece was critical of the american academy of
01:12:47.980
pediatrics here which is all about gender affirming gender affirming julia and just today as we were
01:12:53.100
coming on the air the daily mail dropped a piece american academy of pediatrics holding its leadership
01:12:57.980
conference in chicago this week and they are blocking efforts to review according to the daily mail
01:13:03.740
their policy on gender affirming care for teens who say they identify as transgender they're not
01:13:10.380
interested in reviewing their current policies which are definitely on the side of affirming what do you
01:13:17.500
make of it and it stands in sharp contrast as you pointed out earlier to the actions taken by the health
01:13:24.060
authorities in uh the uk uh the national health service and the health authorities in sweden finland
01:13:31.260
and and france who have undertaken serious study about all the phenomenon we're talking about is like
01:13:37.900
are there why is it that there are so many kids who are questioning their gender and showing up at gender
01:13:43.340
clinics in numbers we've never seen before what do we make of that what about the the shift in the
01:13:49.660
population from predominantly male uh kids who are presenting at gender clinics to more than two-thirds
01:13:58.140
female and this is a finding that's been true in the united states all the gender clinics that i'm
01:14:03.820
familiar with i worked in one of the one of the best known uh and and the clinics in in sweden so in sweden
01:14:11.900
they have uh they have pushed the pause button and said we need to study this uh and i have called them brave
01:14:19.100
uh for when they when they came out with their uh decision because they they're known as a very progressive
01:14:26.540
society who has been very uh welcoming of trans identities for many many years and they're the first
01:14:34.300
country in the in the world that recognized harm done to trans people uh and actually uh created reparations
01:14:41.180
for people who were involuntarily sterilized so sweden has taken the lead um as they have in other
01:14:48.460
things and uh i i i'm i'm happy i'm a little disturbed that our colleagues in the united states and i think dr
01:14:57.340
mason uh probably feels the same way that they've ignored what's been going on in europe they've ignored
01:15:03.740
the the new caution the new um judgments uh that have been made and and seem to be going about the
01:15:11.420
the business of of uh doing what they've been doing for a few years um but the the voices of those of us
01:15:18.060
who have uh expressed caution concern are being heard now more than ever uh and and so i i'm hopeful
01:15:26.620
that we're we're about to see the tide turn julia this this reminds me of what happened with the
01:15:33.340
covet dosing where europe said definitely we want vaccines are good and we and we want to make them
01:15:40.220
available for kids but here's what we think is safe based on our studies less they don't need the 30 i
01:15:45.740
can't remember the unit micrograms whatever it is we can go with 10 for the littles and only one shot is
01:15:51.180
really required we don't need to whatever they've just been sort of open-minded to data that would
01:15:56.540
allow them to reassess earlier assumptions and then they go with data and evidence whereas our
01:16:02.460
pediatrics officials seem agenda driven like this i don't understand given what happened at
01:16:08.700
tavistock and given the sweden and the finland and the uk studies why we wouldn't be saying over
01:16:13.820
here for the good of these children let's reassess let's slow down let's change our approach it's not
01:16:20.620
that we're going to be condemning or or cruel or converting we're going to be open-minded to
01:16:28.060
as our earlier guest was saying other childhood traumas that may be confusing one particular child
01:16:34.780
or another yeah the the american academy of pediatrics is in a pickle because i believe that five years ago
01:16:45.340
they were approached by uh young activists who said you know trans is the new gay it's the new
01:16:53.820
civil rights movement and you need to get on the right side of history and you need to do the right
01:16:58.380
thing and they just wrote up that 2018 statement and as far as i can tell there were no adults looking at
01:17:09.980
no experienced clinicians looking at that statement it it as soon as it came out james canter who is a
01:17:17.100
sexologist you know took a look and said wait a second these references don't say what you're implying
01:17:23.820
they say um you know the the 2018 statement said that there's three possibilities for dealing with a
01:17:32.220
child who declares a cross-sex identity you can attempt conversion therapy you can do watchful
01:17:40.140
waiting or you can do affirmative care and the only ethical and proper thing to do is affirmative care
01:17:47.500
but when they talked about conversion therapy they were referencing studies about conversion therapy for
01:17:54.060
homosexuality in adults right right totally different therapy for kids gender identity is not a thing
01:18:01.500
no um and yet we have i was just saying to the earlier yes that we we have a biden administration
01:18:07.420
executive order saying we need to ban conversion therapy in all states in the context of trans kids
01:18:12.300
like what is he talking about like i yeah i don't know it's not a thing they're talking about it's yeah
01:18:17.980
it's it's not a thing um and watchful waiting didn't mean that you just put them in a box watchful
01:18:25.100
meeting meant support the dutch okay so most of this is based on some studies by dutch researchers they
01:18:31.100
were the first ones to have this idea of giving puberty blockers to kids and when they were doing theirs they
01:18:38.140
were trying very hard to isolate the children whose cross-sex identity persisted into puberty and
01:18:47.740
they told the parents don't change the name don't change the pronouns don't tell them oh you really
01:18:54.060
are a girl you know uh you have you know if if a mother referred to their kid as their daughter
01:18:59.660
they'd say no you have a son and possibly when they're older we'll do some cosmetic procedures to
01:19:04.780
help them you know live their life more comfortably but they really didn't want to do early social
01:19:11.020
transition and yet people have taken that research and turned it into this idea that a child's gender
01:19:18.940
identity is internal eternal and immutable and if they tell you that's what they are then that's what
01:19:26.460
they are and i've been a pediatrician for over 25 years and kids identify as lots of things when they're
01:19:35.980
kids i thought i was a magical witch named taffian i had a patient who insisted he was a cat for two
01:19:42.860
years um he was very insistent about the cat thing um yeah and generally i think that if a boy wants to
01:19:55.180
wear the sparkly you know the sparkly nail polish and the dresses we should let him wear the sparkly nail
01:20:00.540
polish on the dresses it's awesome yeah that doesn't mean he's a girl i mean
01:20:05.100
let him have some time if i might i think one of the issues in addition to the ones uh dr mason's
01:20:10.620
talking about which is uh reliance on research on a different population to support earlier intervention
01:20:17.020
with with teenagers which i don't think can be justified uh on that basis that we have some
01:20:24.060
interesting developments in terms of culture we've gotten away from the binary construction of
01:20:29.500
gender a lot of people accept sort of a spectrum of genders but but in this arena there's been almost
01:20:36.780
a renewed policing of gender that the girls who we would have referred to as tom boys are are encouraged
01:20:44.860
to think maybe they're in the wrong gender maybe they're uh trans boys and the effeminate boys are uh
01:20:51.820
are suggested that perhaps their gender is really female so you know among my colleagues who i talk to a
01:20:59.500
lot are are are gay gay uh professionals who say are we actually uh policing out of existence gay identities
01:21:08.300
uh proto-gay identities that was a big subject for the initial screening from the gender clinics in
01:21:14.860
europe as dr mason is pointing out and and i'm concerned that that rather than be more accepting of
01:21:22.140
gender expression and gender exploration we're less less so and i agree with dr mason that you know we
01:21:29.660
should we should be tolerating all kinds of differences and not presuming that it has to do
01:21:34.940
with gender a lot of our teenagers are getting some really uh inappropriate advice saying that if your
01:21:41.740
preferences line up with uh stereotypically the other gender maybe that's true for you as opposed to just
01:21:49.420
saying you're you're atypical or you're non-conforming i i i picked up on the the use of the the word
01:21:56.140
non-conforming uh earlier megan and one of the things that's interesting to me is that's been policed
01:22:02.780
out of our dialogue we we don't use that word gender non-conforming anymore in any of the professional
01:22:09.340
literature we should use it i mean what why wouldn't we call somebody who is unique or idiosyncratic
01:22:17.580
unique and idiosyncratic doesn't mean that we change their gender and we know we know it's not
01:22:24.460
saying there's only one way to look and be female or look or be when we say like those people are
01:22:29.420
conforming it's not like oh yes this is what it's just a way of identifying what we've traditionally
01:22:34.380
understood to look and be female and male one of the things that jumped out at me in reading uh your
01:22:41.020
thoughts on this prior to air julia was you were saying there are some boys concerned about toxic
01:22:47.980
masculinity who are now struggling with gender i mean that's incredible to me i i we always sort of
01:22:53.900
joke about that term because it's like i don't know it's not that we really love toxicity but i mean a
01:22:59.740
lot of us love masculinity in our men and we don't want effeminate men if we're straight women i mean a lot
01:23:05.340
of us feel that way i feel that right but i never thought that it was it was a problem that would
01:23:10.140
affect somebody's gender identity to me to me and i want you to expand on this but to me that's sort of
01:23:15.740
the flop of the flip of girls you know being told you're gonna get me too'd you're gonna get you know
01:23:22.940
sex discriminated against you're gonna be treated as the weaker sex and they're like well screw this
01:23:26.860
i'm crossing over like what are my other options right it's sort of the same but on the boy side
01:23:32.060
yeah yeah i was it's it's kind of hard to wrap your mind about but there are sort of
01:23:40.860
gentle sweet boys who sometimes growing up in an environment without any um positive male figures
01:23:51.740
like their mother had an abusive partner and they you know and they live in a very female-centered world
01:24:00.380
and all they hear about is toxic masculinity and that men are aggressive and that men um cause
01:24:11.420
pain and harm and they're just sort of horrified by that and they're like i don't want to be that i
01:24:17.420
don't want to do that they don't identify as you know as a violent abusive male and they don't see a way
01:24:26.780
forward as a you know as they're growing into being a man i agree and i i think uh that the the conflation
01:24:37.900
of sort of social justice wokeness with advice about gender makes it confusing for a lot of certainly a lot
01:24:45.820
of young males uh uh in that you know they don't want to be associated with toxic masculinity they don't
01:24:52.380
want to be associated with white male privilege that has served to oppress all all minorities uh
01:24:58.620
and colonize uh you know the indigent indigenous populations so it it is a between a rock and a hard
01:25:06.860
place i'm in the bay area and there are a lot of schools that are very progressive and some do it very
01:25:13.420
well to bring up some some of these issues and some create such an environment that i literally have
01:25:19.580
had parents call me and say our boys came home from school today crying that they learned that
01:25:26.620
they were the problem with humanity and uh and i think that's a terrible message to convey to uh to
01:25:35.420
boys in particular my gosh it's so disturbing so what i mean i want to get to what what you should do
01:25:43.260
but let me ask you this question for example we talked about uh puberty blockers julia but we didn't
01:25:47.420
talk about cross-sex hormones and that's i don't is that seems to be a much bigger deal than the
01:25:53.180
puberty blockers so like the the cross-sex hormones as i understand if you go if you're a young girl who
01:25:59.180
says i think i'm actually a boy and i want to start looking like and acting like a boy and you go on
01:26:04.380
puberty blockers into cross-sex hormones you're infertile you that cannot be undone so i mean it's it's 10 out of
01:26:14.780
10 severe in terms of your life decisions yeah um if uh if a child is put on puberty blockers at tanner
01:26:25.820
two which is literally um like the first pubic hair you know like they still look like a child
01:26:32.220
tanner sorry yeah the tanner staging um kids are tanner one until they start puberty and then tanner
01:26:40.940
two is the most subtle of changes and it goes to five you know it's a it's a scale that we use
01:26:48.220
and the current protocol is to put kids on puberty blocker at tanner two and thus stop puberty
01:26:54.540
altogether um then the gonads don't develop and we actually have so little information about what happens
01:27:05.900
if a kid is put on puberty blockers for gender dysphoria and then stops them i mean it's we're
01:27:13.020
told that it's a harmless pause and everything will resume and we're basing that on our experience
01:27:17.820
with much younger children who are given this for uh precocious puberty but i have been unable to find
01:27:24.860
any any good data it's you know one of the problems with the tavistock is they seem to be deliberately
01:27:30.300
not collecting any information um so i lost my train of thought anyway so the just whether you
01:27:39.100
could really whether infertility is likely yeah sterility is likely because the gonads don't develop
01:27:45.900
um the testosterone is this this may be a dumb question but yeah yeah i know we both have gametes and
01:27:54.780
women have gametes that produce eggs and that's what makes us female and men have them that produce
01:27:59.420
sperm and that's what makes them male but like when i was i was asking for example about girls
01:28:03.820
like biological girls and you use the term gonads so do we have you know do we have some sort of
01:28:08.700
gonad internally but i don't know a gonad gonads are ovaries and testicles okay okay got it so
01:28:16.380
actually yeah i'm sorry i'm using too much data gonads produce gametes so ovaries produce eggs and testicles
01:28:22.460
produce sperm okay and uh preview debauchlers block the development of both the ovaries and the
01:28:29.740
testicles depending on who you are okay um then the testosterone um you know starts a cascade of
01:28:37.500
physical effects that are prime that are almost entirely irreversible so if a natal female takes
01:28:47.500
testosterone long enough to develop a beard even if she stops the testosterone she's going to have
01:28:52.860
that beard for the rest of her life if the testosterone leads to her vocal cords thickening
01:29:00.380
she's either going to have a deep voice or she's going to have a really tight froggy voice and i'm i'm
01:29:07.100
curious as to how we know which one's going to happen um but that will also persist for the rest of her
01:29:13.980
life um if a female is using testosterone for more than a few years they typically develop vaginal
01:29:24.540
atrophy um i have a patient who developed stress incontinence so whenever he coughed or laughed pee would
01:29:33.820
leak out um and that was just because the tissues of the urethra were getting kind of thin and frail like
01:29:41.660
a postmenopausal woman um and there's it's generally recommended that if a person takes testosterone for
01:29:49.740
more than five years that they should get a hysterectomy because there's an increased risk of
01:29:55.900
infection and cancer and painful orgasms oh my goodness that's like that's the worst nightmare
01:30:05.420
to another issue if i might um sure we're talking a lot about medical things but one of the the
01:30:11.500
concerns i've expressed as a psychologist is that too many health professionals in the usa are going
01:30:17.660
right to the medical interventions and not pausing sufficiently at the evaluation uh of what's going
01:30:24.620
on with the kids and i think walt or in your earlier segment was was stressing that as was grace for
01:30:30.060
that matter that um we've abdicated in some circles the proper evaluation individualized evaluation and
01:30:39.580
we can't do that uh the the standard of practice is to to to do that kind of evaluation and and we will
01:30:46.460
never really know what all is might be what all might be conflated with gender unless we do that kind
01:30:52.460
of evaluation so there are too many providers in the usa who want to just expedite medicalization i've
01:30:58.860
been decrying this for actually three or four years i've seen it happen i get calls from parents
01:31:04.860
all the time who say they went to a gender clinic and in 15 20 minutes they were told well here's how
01:31:10.300
we go on hormones uh no mental health evaluation uh i think it's just deplorable so i've got a lot
01:31:17.340
of flack from colleagues uh for calling others out uh on this on this issue but it's really really important
01:31:24.140
so eric if you were advising president biden you know let's let's throw out that executive order
01:31:29.900
and start anew what would you tell him like what should we be doing differently well there are trans
01:31:36.700
people uh there are persistent uh trans identities and they're found among young people as well um and
01:31:43.900
the challenge for us is differentiating those who are gender questioning from those who are persistently
01:31:49.740
transgender i think that's a psychological differentiation not a medical one we as yet
01:31:54.940
don't have any laboratory tests to differentiate who will ultimately go on to persist and we do have
01:32:02.540
a new group i'm afraid of teenagers who have looked to medicalization to taking hormones as a solution
01:32:11.260
gender transition is a solution to their other problems there are other very real problems as walt pointed
01:32:17.740
out and i've been you know watching this for all of my lifetime in the last 50 years it was presumed
01:32:24.460
50 years ago that anyone who had a trans identity had a deep-seated psychiatric disorder no longer but
01:32:31.900
the group of teenagers that we're seeing in huge numbers now that we didn't see before are those who've
01:32:38.140
been coached to think that changing your gender is the solution to all your problems i can assure you
01:32:44.140
it is not and so we have lots of kids who are potentially susceptible to this and might end up
01:32:51.980
as grace did believing that you know gender transition will make them happy and unfortunately
01:33:00.220
it's not going to happen i'll give you the last word julia same question you know what needs to change
01:33:07.180
what would you advise well i guess i would i would say the same thing that i had in my resolution i
01:33:12.540
submitted to the american academy pediatrics which is that we need to undertake a systematic review
01:33:19.260
of the scientific evidence um for these treatments this is what they did in finland and sweden and
01:33:27.660
england and this is what led to them pumping the brakes on pediatric medical transition a systematic
01:33:34.700
review is a particular thing and it just it means that you look at all the data not just the data that
01:33:42.380
you like the results of that that's been put in front of you by activists who have an agenda but
01:33:51.260
that may may not be linked to facts you guys thank you both so much julia erica i really appreciate both
01:33:57.820
of you being here again dr julia mason dr erica anderson uh very thoughtful and very heartfelt and i am
01:34:05.980
very grateful all the best having us thank you wow what a show i loved all four of our guests today
01:34:14.860
i hope you feel the same what a thoughtful discussion oh it's such a tricky wicket and the mainstream is
01:34:23.260
going against the side of reason the side of reason what what they're doing to these kids it's not
01:34:29.340
loving it's not supportive it's not fostering wellness to the contrary and you know the rest
01:34:35.420
of us are going to have to get big and bold and brave about pushing back or we're complicit
01:34:40.700
i'm very grateful i mean i i really respect our guests and look at erica i'm sure erica does get
01:34:46.540
a lot of pushback um but comes out publicly and talks about this in the most thoughtful way very
01:34:52.780
grateful anyway give me your thoughts uh go to the apple podcast reviews i read them all you can email
01:34:57.900
me at questions at double make care media.com and i have very exciting news about tomorrow
01:35:05.020
dr laura is back cannot wait to talk to her i have so many issues as you know but i want to get your
01:35:13.020
issues in front of her too so be prepared to tune in live and if you miss it live and listen to us via
01:35:18.940
a podcast or on youtube.com slash megan kelly later thank you as always for listening