38 Comments
User's avatar
Lisa Anllo PhD's avatar

I watched the Gender A Wider Lens live broadcast and was struck by the analogy drawn by the one MD on the panel, Dr. Carrie Mendoza of FAIR, that she is seeing "end stage" symptoms in these WPATH files analogous to stages in other medical scandals like the opiod over-prescription scandal and I don't know if she intended it, but I commented that she might be saying this is like a disease process that has to run its course and we are at a critical stage of the disease with all the hallmarks of that. She also said what I have been thinking, that this ends when everyone knows someone personally who has been harmed, just like when we all knew someone who had lost a family member or child to overdose after starting with prescription medicine and then moving on to street drugs including fentanyl.

I also recall having a client who at the time the opiod over-prescribing scandal was coming to light who was suffering with chronic pain associated with a host of medical problems and was losing access to his prescription for fentanyl, and that many pain patients were scared they would also lose access due to the scandal--I think this will happen here too, and I've said many times to colleagues who are worried about the latest round of legislative actions banning access to gender care that they are only setting this up to be a problem by not reigning in access to people who shouldn't have access.

Expand full comment
Lisa Anllo PhD's avatar

Just wanted to add that I watched a Netflix doc series about the OxyContin pill mills called “The Pharmacist” in which a Dr who was running one of these in New Orleans and was investigated by the DEA was interviewed in the final episode, and even after she had surrendered her medical license to avoid prosecution and jail time she continued to insist that she had done no harm—point being there will always be the true believers who will say they are only helping people in need

Expand full comment
DahliaChi's avatar

Always a few 'true believers' enabled by a lot of 'head in the sanders'

Expand full comment
Ullr's avatar

I just watched that series! I’m so glad they paced the story over 4 episodes. Interviews with both patients and addicts and sales reps and the original pediatrician and likely addict that they were following. All with a super engaging caring father’s story of his lost son and how it affected his wife and daughter. Felt really pertinent to the current miracle drugs.

Expand full comment
Lisa Anllo PhD's avatar

I think this works better than the lobotomy analogy because no one remembers that except some very elderly people and it seems pretty far out as a treatment at this point in medical history but we all remember the opioid RX

scandal and how normalized it had become to get narcotics even without asking for them sometimes

I remember the pain scale charts in every dr’s exam room, “how are you feeling?” encouraging people to tell their dr/nurse about their pain level

Expand full comment
Susan Scheid's avatar

Thanks so much for this. Lots of great insights, here.

Expand full comment
Dee's avatar

I’m also skeptical that true believers in the trans cult will have their views changed by this. It may help to influence some who were on the fence. To me, it all boils down to whether you believe every person has an unmeasurable , unobservable, inborn characteristic called “gender identity” that might be incongruent with their physical body. If you believe this, everything the activists say and do makes sense. Of course you would want to identify people with this condition as young as possible and give them medical treatment to relieve their distress. Of course someone having depression or other mental health issues is likely a result of this condition and shouldn’t preclude them from treatment. Of course treatment should be covered by insurance.

But I, and likely everyone reading a comment on this Substack, question that premise. And there is lots of evidence that it’s nonsense. Unlike other “internal” characteristics such as handedness or sexual orientation, you can’t test for, or even coherently define, gender identity. Other internal characteristics don’t require medical treatment - they are simply characteristics of a person that only impact that person’s behaviors. Inborn characteristics don’t change their rate of occurrence or demographics dramatically over a short period of time - so where are the thousands of women of my generation, and every previous generation, who are “actually men” and just never knew it? Could I be one? Did they all commit suicide? If so, why are suicide rates so much higher now that being transgender is so much more accepted? Why are suicide rates higher in post-transition transgender people than the general population? Why have the demographics of people seeking gender transition shifted from almost exclusively born male to heavily weighted to born females? Could I have internal versions of other physical traits that don’t match my body? Could I be a tall person in a short person’s body? A black person in a white body? Do I have a predefined internal number of tattoos that I must get to avoid the distress of “tattoo dysphoria”?

To me, this is the root of the argument that we must attack if we are to make any headway with the general public. As long as activists can convince people that gender identity is an inborn characteristic, it will be easy to make the argument that we are just bigots. But if we can get people to question that premise, the whole house of cards comes down.

Expand full comment
MsGabriel's avatar

The policy of No Debate is designed specifically to deal with all your "bigoted" and "transphobic" questions. The genius of the dogma of the Gendered Soul is that it exists in any way its owner -- or the priesthood of the Church of Gender -- chooses to imagine it: present at birth, demonstrated by clothing choices, or discovered by exposure to social media. And, as definition and treatment are child-led, any dissent is not just disrespectful of but "genocidal" to this super-vulnerable group, and therefore not allowed.

Expand full comment
James Linehan's avatar

As long as you think you’re saving these kids gendered souls you’re going to think these physicians are the heroes. People have done the craziest things for faith.

Expand full comment
Susan Scheid's avatar

I appreciate all the good attention and writing given to the WPath files--and also look forward to Andrew Doyle's Sunday program on this, which will feature quite a line-up. Like others here, though, I'm not optimistic this will break through into the mainstream media that all friends and acquaintances of mine read (eg the Times and WaPo, PBS, and MSNBC).

Meanwhile, the level of knowledge about this situation, and gender ideology generally, on my side (D) of the aisle remains appallingly low to nonexistent. As one small example, we had a conversation recently with a D candidate for State Assembly, with every single notable pol endorsing him, that, in a crude paraphrase, went something like this:

Him: "Hi, [introduces himself, identifies who's endorsing him], we're here collecting signatures so I can get on the ballot."

Us: "We need to know where you stand on women's rights vis-a-vis men who identify themselves as women."

Him: "Well, I haven't really decided on that. It's complicated."

Us: "It's actually not complicated, and we're really concerned about the way our party is throwing women and girls under the bus."

Him: "Well, I coach my kids' little league. Do you think a girl should be able to play on the boy's team, and a boy on the girl's team"

Us: [after establishing that the scenarios relate to post-puberty teams]: "They present different situations: for the girl, yes; but for the boy, no, as it would be unfair to the other girls."

Him: "So, see, it's complicated."

Us: "No, actually not. The issue here is male puberty, which gives boys an insurmountable advantage and takes opportunities away from girls."

Him: Nods, in slightly possible recognition that this might be true.

US: "I think the way to approach this, rather than starting with "it's complicated," is to start with the issue of biological sex. This doesn't matter for everything, but when it does, it's what matters."

This is the level of comprehension we're dealing with. We left on an amicable handshake, but we didn't sign his petition. We have a long way to go to get out of this mess.

Expand full comment
Grow Some Labia's avatar

Well I did my part by sending the WPATH Files to the Globe & Mail today…that’s Toronto’s middle of the road newspaper. The National Post, the conservative one, was already opining about it (big surprise), and the Toronto Star, which is so woke they won’t even speak to that flaming right-winger Michael Moore, of course is silent about it. Going to reach out to my elected officials back in my home state of Connecticut next…for once, I’ll find Republicans more useful than Democrats! What a crazy world we live in ;/

Expand full comment
MarkS's avatar

I cannot agree that girls should be allowed on boys teams. Boys have the right to free association (single-sex spaces, places, events, competitions) just as much as girls.

Expand full comment
Susan Scheid's avatar

Fair point. It was hard to be quick-witted enough to respond in the moment, and that’s one aspect I would handle differently if given the chance. While girls will not displace boys athletically, there are other considerations, as you note. Everyone deserves privacy, as one example.

Expand full comment
MarkS's avatar

Responding in the moment is definitely hard, I did not mean to criticize you for that. I do think the privacy argument is strong. To anyone advocating for any sort of cross-sex participation, I respond with "why do we have sex segregation at all then? Why not just one big changing room (or whatever) for everybody?" This usually brings people up short, because they don't really want THAT. If you're going to segregate AT ALL, the only sensible thing is to do it by physical sex, not interior mental state.

Expand full comment
for the kids's avatar

Thank you!!!

It's not my idea but I would love to see it as well--a letter one could send to MD's etc about this. Or maybe to "major medical societies" who thought their colleagues in this field were also doing medicine using the same standards as elsewhere---but were wrong.

Expand full comment
dollarsandsense's avatar

You might have identified the problem here, which is what sounds horrifying to us might sound reasonable to others. The power of belief can be so strong.

Expand full comment
AlexEsq's avatar

The Economist and Newsweek are mainstream media, so that's great, but where is WaPo & New York Times? Where is The Guardian? Le Monde? and numerous other venues?

Every Democratic Politician should have to read this. Every doctor and every mental health practitioner should have to read it.

Maybe everyone can email it to their politicians. Also: send it to editorial board of the newspaper or other media that you read.

Expand full comment
MsGabriel's avatar

It's too hot to handle for papers like The Guardian, despite a series of longterm journalists resigning from their jobs once they can't stand its partisan silence and paranoid atmosphere any longer.

Expand full comment
Tom Sherry's avatar

I am struck by the quote, “If you have already closed your mind to the idea that there’s something wrong with the science, it’ll be hard for you to open it to the science’s misapplication.” Many of us have been bracing ourselves what the tsunami of regret and detransition on the horizon. It makes sense to feel outrage at what parents, schools, and medical professionals are doing with this vulnerable population. When I read Marci Bower’s response to the publication of these documents, I actually felt empathy. How are these parents and professionals going to cope with the fact that they unnecessarily took away the future sexual function of children? With as much outrage as I currently feel about all of this nonsense, those misguided individuals are going to need help too.

Expand full comment
ThinkPieceOfPie's avatar

“Men, it has been well said, think in herds; it will be seen that they go mad in herds, while they only recover their senses slowly, one by one.”

― Charles MacKay, Extraordinary Popular Delusions and the Madness of Crowds

There's not much here that hasn't been out there already. It's been a year since Jamie Reed's whistleblowing article dropped. I've given up hope on bombshells. But, eventually, this woo shall pass.

Expand full comment
GenderRealistMom's avatar

I sent a respectful email to NPR , asking them to investigate the WPATH files story , with a link to the files. I think we should flood NPR, Washington Post, NY Times with letters asking to investigate. It may be particularly valuable if the requests come from the left (not that it should matter). Also, what about the journalist who did a story for NY Times about child transition recently?

Expand full comment
MarkS's avatar

That was Pamela Paul, she is an Opinion columnist at the NYT, and her investigative reporting was published as an Opinion piece, because the NYT is still too captured to publish it as reporting. I'm sure she is aware of the WPATH files. My guess is that she will write about them eventually, if she is able to keep her job at the NYT.

Expand full comment
Deeply_Concerned's avatar

Yes, we shoudl all write letters to mainstream media. I sent the following to the NYT: "

Dear Editor, Is the NYT going to cover the unfolding medical malpractice revealed by the WPATH files, or are you just going to pretend it's not there??

From a life-long democrat who supports trans civil rights except when those encroach upon the hard won rights of natal women, and who supports the LGB community, but is horrified at the medicalization and surgicalization of young healthy bodies.

Expand full comment
Not so young anymore.'s avatar

One of the worst aspects of this pediatric transition scandal is the push against what they call gatekeeping and I call common sense.

Expand full comment
Ute Heggen's avatar

Many believe the files will benefit detransitioners in their malpractice lawsuits, and I agree. Most likely, a more practical, healthy alternative must be developed. Has anyone thought about the fact that Sweden, Finland, Norway and Denmark have stopped hormones/surgeries on minors---the significance is that we haven't heard of a tsunami of teen suicides causing their health systems to go back to the "Dutch Protocol." Speaking of which, we have to tell the full story about the flaws in the 2011 study by DeVries, Cohen-Kettenis and Steensma (the full write up of which appears to be edited at pubmed or the places its published) and by this I mean the very small cohort that completed the flawed exit studies, only 32 or 33. There was a suicide after surgery and a death by sepsis the day after a surgery. Perhaps we also have to get into the fine details of the female anatomy and the fact that no surgeon can create ersatz labia, clitoris and a tissue tube that has the multitude and concentration of nerves we females actually have. (if we didn't, would women have a second child?)

Here's my mini-lecture on the Ferring pharma-funded Dutch study:

https://www.youtube.com/watch?v=eHiPfDbaC1k&t=25s

Expand full comment
for the kids's avatar

I'm thinking there's a peer reviewed paper reference for the suicide in the dutch 55? was it one of those? :( I hadn't heard of this and am really interested in having the reference. thanks for any leads you can provide.

Expand full comment
Ute Heggen's avatar

It's hard to find now. The write up of the study from 2011, DeVries, Cohen-Kettenis, Steensma, in which they started with 70 subjects a few years earlier (I'm guessing about 6 years so the study must have started in about 2005) is altered in the science sites where it's been published. The suicide was a "male to female" post puberty blockers, estrogen and surgeries, and when this happened in a test study here, the study was ended. Same with the replication attempt by the Tavistock in Britain. The subject who killed himself probably realized what Dr. (Mark) Marci Bowers said: they cannot have orgasm for the rest of their lives. This affects romantic relationships. The entire enterprise of "creating a female body" for the purpose of attracting a straight male is a false premise. Straight men are not into this. The sex usually devolves into anal sex because the tissue tube inserted into the male cannot accommodate the normal erect penis in arousal state. These surgeries do not create female genital tissue with the deeply concentrated nerves. My commentary on Joseph Figliolia's essay, with links here:

https://wordpress.com/post/uteheggengrasswidow.wordpress.com/6638

Expand full comment
Realitycheck's avatar

Ute, do you mean the paper has been altered so as not to reflect the truth?

Expand full comment
Ute Heggen's avatar

Basically, yes. The dropouts from the study 15 out of 70, is no longer mentioned. As well the 1 death by suicide and the death post surgery from sepsis are not in the write up. This is the DeVries, Cohen-Kettenis, Steensma 2011 study with an end cohort of only 32 or 33 who completed the satisfaction survey. And the Swedish study of death records (Dhejne, et al, Karolinska Inst. 2011) hid the fact that post-surgery females who'd had the operations during the period 1973-2003 were found to have killed themselves 40 TIMES more often than age-matched control female Swedes who'd died from other causes. In the case of the Dutch study, it most likely has to do with the fact that they were funded by Ferring Pharma, a Dutch drug company that manufactures gonadatrophin agonists, known as puberty blockers.

Expand full comment
Ute Heggen's avatar

I misstated the Swedish study results. Some non-"trans" Swedes did commit suicide, but the suicide rate of females who'd had "sex reassignment" surgeries was 40 times higher.

Expand full comment
Muffin Mama's avatar

Good reminder of their talking points. I hope kind hearted pediatricians will pause with this new trove of information curated so nicely in the wpath files. So much harm has been done.

Congrats on the book launch! I just ordered my copy :)

Expand full comment
Sad_Mom's avatar

Hi Lisa,

Thank you for this bite-sized summary. I will be cribbing from your wording when I need quick talking points about the WPATH files.

Unfortunately it still seems to be crickets…

No coverage in any mainstream media outlets.

How much longer can they continue to hide from this?

Expand full comment
DahliaChi's avatar

This WPATH statement reads as the ‘nullification’ of truth. Also literally obsessed with genitals!

Expand full comment
Ullr's avatar

Mike Pesca cited an interesting but maybe old statistic about The NY Times and the NY Post being the most popular newspaper subscriptions (maybe in the NY area? The Post being a guilty pleasure that people don’t brag about out reading, (on the podcast episode with the interview with Rob Henderson on Luxury Beliefs)

Expand full comment