The Weaker Sex

There’s an odd asymmetry in how Shermer and Shrier think about transgender athletes. They talk exclusively about transgender women entering women’s sport, but ignore the possibility of transgender men entering men’s sport. A sample:

[1:00:47] SHRIER: Sometimes people look at the numbers and they say there aren’t that many transgender kids, so there’s no reason for the moral panic. Who cares if the number one, two, and three spots go to biological boys? First of all, there’s obviously the incredible unfairness of fixing the race … telling girls “oh, you’ll never ever, no matter what you do, no matter how hard you train, you will never be number one. You will never make regionals.”… That’s a very different prospect for young women … [1:01:19]

So being assigned female doesn’t offer any advantages in any sport? At all? Let’s make a case for a female advantage. I’ll point out the logical and rhetorical flaws I’m deploying via tool-tips. [Read more…]

The Shermer-Shrier Interview

The original plan was simple: line up three book reviews against Michael Shermer’s interview of Abigail Shrier, and point out the obvious differences.

Pointing turned out to be more complex than I’d figured, for two reasons. I expected Shermer to be credulous and unquestioning, and on that score I was half right. The only time he pushed back on Shrier’s views was when he mentioned other people had questioned her evidence for the transition-as-social-contagion hypothesis. She gave a three-point rebuttal to her critics.

  1. The researcher behind the rapid onset gender dysphoria study said that transphobic parents who were regularly exposed to the social contagion hypothesis in transphobic spaces found it to be plausible;
  2. (28:43) “when I wrote the book there were 7,000 members … in the subreddit for detransitioners; today there are over 17,000.”
  3. (28:54) “if you just look at YouTube and you see the young women who have given their testimonials … it’s like every week there are more of these young women who come forward and say they regret [transitioning].”

That second point was too much for Shermer, and he questioned how the number of people subscribed to a Reddit thread on detransitioning could be reflective of the total number of people detransitioning. Shrier’s answer was able to satisfy Shermer’s concerns.

(29:55) “If you just look on the number of testimonials coming … every week to YouTube, it’s a lot. … you’re right that we can assume that there are some other people mixed in, but it’s fair to assume based on the posts and whatnot that a substantial portion of the members of that subreddit are detransitioners themselves, based on the questions they’re asking. And just look at YouTube week-to-week and how many new people are coming forward to say that they regretted their transition and and are now trying to go back.” (30:33)

Those are blatant examples of the hasty generalization fallacy, and Shrier only invokes them because the science on the subject doesn’t support her detransition-is-common hypothesis.[1] Because Shermer believes Shrier to be an authority, though, he suspends his skepticism and blindly accepts her rebuttal. That half, I got right.

The half I didn’t is that Shermer is more transphobic than Shrier. Let’s sample a few lowlights. [Read more…]

A Good Start

It certainly didn’t seem like that at first blush, though.

Further, we wish to make it clear that Dr. Hall still remains an editor of SBM in good standing. She has worked tirelessly to promote SBM and its principles, contributing over 700 articles to SBM since 2008, all without any compensation or possibility of reward beyond public service. However, at SBM quality matters first, and so we have to remain open to correction when necessary.

Hold on. Harriet Hall has repeatedly shared medical misinformation and lied about the scientific evidence, on a website that claims to promote “the highest standards and traditions of science in health care,” and it hasn’t impacted your view of her at all? Both Steven Novella and David Gorski are not concerned that her flagrant disregard of the science here might spill over to other topics she’s discussed? You’re fine with being used to launder medical misinformation, so long as the actors “remain open to correction?” Yeeesh, I just lost a lot of respect for Science-Based Medicine.

Their response to Hall’s article is also hyper-focused on the scientific literature, with only a few exceptions. That can be quite dangerous, as Allison points out.

Frankly, for a trans person, there’s something surreal and erasing in seeing cis people feuding with cis people over whether we exist. I mean, I am grateful that there are cis people being allies for us … But the fact that people have to come up with logical arguments and “evidence” that our transness is “real,” thus keeping the question alive of whether we do, in fact, exist, keeps giving me the creepy feeling that maybe I’m just a figment of my own imagination. […]

I was just reading HJ Hornbeck’s post about trans athletes, which has all kinds of “scientific,” “objective” evidence that gender dysphoria, gender identity, etc. are real. The problem with going down that path is not only that it concedes the possibility that it could be “disproven,” but also that trans people who don’t fit into the definitions and criteria in those “proofs” are then implicitly left out of the category “real trans.”

When writing about issues at the core of someone’s identity, you need to prioritize humanism over evidence. Hence why I went out of my way to point out the scientific literature is not the final word, that it is not prescriptive. If you doubt me, consider one of the after-effects of ACT UP:

The upshot of all this: “What they were able to revolutionize was really the very way that drugs are identified and tested,” says France. This included scrapping the prevailing practice of testing drugs on a small number of people over a long period of time in favor of testing a huge sample of people over a much shorter period — significantly speeding up the time it took to conduct drug trials.

Similarly, ACT UP insisted that the researchers and pharmaceutical companies that were searching for a cure for AIDS also research treatments for the opportunistic infections that were killing off AIDS patients while they waited for a cure. In the process, says France, “ACT UP created a model for patient advocacy within the research system that never existed before.”

Today it seems natural that people suffering from a disease — whether that’s breast cancer or diabetes — should have a voice in how it is researched and treated. But France says this was decidedly not the norm before ACT UP.

By just reciting the scientific record as if it is a holy book, you roll back the clock to a time when scientists acted as gatekeepers rather than helpers. Instead, start from a patient-centred care perspective where patient rights are placed first. The quality of the science will improve, if anything, and you won’t condescend or impose on the people effected. Novella/Gorski do make some attempts at this, to be fair, but I thought they were easy to miss.

At the same time I was filing away that objection away, though, Novella and Gorski’s follow-up article was really starting to grow on me. It calmly and patiently shoots down a number of arguments made by Shrier and Hall, and the meat of the article doesn’t hold back. They earn their conclusion:

Abigail Shrier’s narrative and, unfortunately, Dr. Hall’s review grossly misrepresent the science and the standard of care, muddying the waters for any meaningful discussion of a science-based approach to transgender care. They mainly rely on anecdotes, outliers, political discussions, and cherry-picked science to make their case, but that case is not valid. […]

At this point there is copious evidence supporting the conclusion that the benefits of gender affirming interventions outweigh the risks; more extensive, high-quality research admittedly is needed. For now, a risk-benefit analysis should be done on an individual basis, as there are many factors to consider. There is enough evidence currently to make a reasonable assessment, and the evidence is also clear that denying gender-affirming care is likely the riskiest option.

I could have used some more citations (shock surprise), but there’s enough there to establish that Novella/Gorski have done their homework. Also, did I mention this is only part one?

Part II of this series will include a far more detailed discussion of the key claims in Abigail Shrier’s book and where she goes wrong by an expert in the care of trans children and adolescents.

Giving a front-line expert a platform to share their insights will do wonders to counter the misinformation. Until that time, we still have a solid takedown of Shrier and Hall’s views on transgender people’s health. Despite my objections, it’s well worth a read.

I’ve Never Understood This

Consider this scenario, instead.

YOU: I’m in the mood for a soft drink. What do you have?
ME: Just Coke and Pepsi, at the moment.
YOU: I’ll take a Coke.
ME: Here’s a Pepsi.
YOU: I thought you said you had Coke?
ME: Oh I do, you just look more like a Pepsi person to me.

This time around, it’s pretty obvious I’ve done something unethical. Given the choice of providing you with what you wanted, I instead imposed something else on you. Both alternatives carried about the same cost to me.

[CONTENT WARNING: TERFs and transphobia] [Read more…]

Is The Gender Critical Movement a Cult?

Looking back on her time in the “gender critical” feminist movement, [Amy Dyess] is unequivocal: it’s a cult.

A cult that groomed her when she was vulnerable and sleeping in her car; a cult that sought to control her, keeping tabs on her movements and dictating what she could and couldn’t say; a cult that was emotionally and sexually abusive towards her.

As Amy began to notice more and more red flags about the GC movement – like how it defended abusive women, how it wouldn’t let lesbians speak out about sexual assault perpetrated by women, and how it was forming alliances with homophobic groups – she started asking questions.

I definitely stuck a pin in this article when it popped up in my feeds. And yes, it’s old news by now, but I’m surprised so few people have discussed the central conceit: is the Gender Critical movement a cult?

[CONTENT WARNING: TERFs, sexism]

[Read more…]

Graham Linehan, Cowardly Ass

Sorry all, I’ve been busy. But I thought this situation was worth carving some time out to write about: Graham Linehan is a cowardly ass.

See, EssenceOfThought just released a nice little video calling Linehan out for his support of conversion therapy. As they put it:

Now maybe you read that Tweet and didn’t think much of it. After all, it’s just a call for ‘gender critical therapists’. Why’s that a problem? Well gender critical is euphemism for transphobia in the exact same way that ‘race realist’ is for racism. It’s meant to make the bigotry sound more scientific and therefore more palatable.

The truth meanwhile is that every major medical establishment condemns the self-labelled ‘gender critical’ approach which is a form of reparative ‘therapy’, though as noted earlier it is in fact torture. Said methods are abusive and inflict severe harm on the victim in attempts to turn them cisgender and force them to adhere to strict and archaic gender roles.

I response, Linehan issued a threat:

Hi there I have already begun legal proceedings against Pink News for this defamatory accusation. Take this down immediately or I will take appropriate measures.

Presumably “appropriate measures” involves a defamation lawsuit, though when you’re associated with a transphobic mob there’s a wide universe of possible “measures.”

In all fairness, I should point out that Mumsnet is trying to clean up their act. Linehan, in contrast, was warned by the UK police for harassing a transgender person. He also does the same dance of respectability I called out last post. Observe:

Linehan outlines his view to The Irish Times: “I don’t think I’m saying anything controversial. My position is that anyone suffering from gender dysphoria needs to be helped and supported.” Linehan says he celebrates that trans people are at last finding acceptance: “That’s obviously wonderful.” […]

He characterises some extreme trans activists who have “glommed on to the movement” as “a mixture of grifters, fetishists, and misogynists”. … “All it takes is a few bad people in positions of power to groom an organisation, and in this case a movement. This is a society-wide grooming.”

I suspect Linehan would lump EssenceOfThought in with the “grifters, fetishists, and misogynists,” which is telling. If you’ve never watched an EssenceOfThought video before, do so, then look at the list of citations:

[4] UK Council for Psychotherapy (2015) “Memorandum Of Understanding On Conversion Therapy In The UK”, psychotherapy.org.uk Accessed 31st August 2016: https://www.psychotherapy.org.uk/wp-c…

[5] American Academy Of Pediatrics (2015) “Letterhead For Washington DC 2015”, American Academy Of Pediatrics Accessed 19th September 2018; https://www.aap.org/en-us/advocacy-an…

[6] American Medical Association (2018) “Health Care Needs of Lesbian, Gay, Bisexual, Transgender and Queer Populations H-160.991”, AMA-ASSN.org Accessed 21st September 2019; https://policysearch.ama-assn.org/pol…

[7] Substance Abuse And Mental Health Services Administration (2015) Ending Conversion – Supporting And Affirming LGBTQ Youth”, SAMHSA.gov Accessed 21st September 2019; https://store.samhsa.gov/system/files…

[8] The Trevor Project (2019) “Trevor National Survey On LGBTQ Youth Mental Health”, The Trevor Project Accessed 28th June 2019; https://www.thetrevorproject.org/wp-c…

[9] Turban, J. L., Beckwith, N., Reisner, S. L., & Keuroghlian, A. S. (2019) “Association Between Recalled Exposure To Gender Identity Conversion Efforts And Psychological Distress and Suicide Attempts Among Transgender Adults”, JAMA Psychiatry

[10] Kristina R. Olson, Lily Durwood, Madeleine DeMeules, Katie A. McLaughlin (2016) “Mental Health of Transgender Children Who Are Supported in Their Identities” http://pediatrics.aappublications.org…

[11] Kristina R. Olson, Lily Durwood, Katie A. McLaughlin (2017) “Mental Health And Self-Worth In Socially Transitioned Transgender Youth”, Child And Adolescent Psychiatry, Volume 56, Issue 2, pp.116–123 http://www.jaacap.com/article/S0890-8…

What I love about citation lists is that you can double-check they’re being accurately represented. One reason why I loathe Stephen Pinker, for instance, is because I started hopping down his citation list, and kept finding misrepresentation after misrepresentation. Let’s look at citation 9, as I see EoT didn’t link to the journal article.

Of 27 715 transgender survey respondents (mean [SD] age, 31.2 [13.5] years), 11 857 (42.8%) were assigned male sex at birth. Among the 19 741 (71.3%) who had ever spoken to a professional about their gender identity, 3869 (19.6%; 95% CI, 18.7%-20.5%) reported exposure to GICE in their lifetime. Recalled lifetime exposure was associated with severe psychological distress during the previous month (adjusted odds ratio [aOR], 1.56; 95% CI, 1.09-2.24; P < .001) compared with non-GICE therapy. Associations were found between recalled lifetime exposure and higher odds of lifetime suicide attempts (aOR, 2.27; 95% CI, 1.60-3.24; P < .001) and recalled exposure before the age of 10 years and increased odds of lifetime suicide attempts (aOR, 4.15; 95% CI, 2.44-7.69; P < .001). No significant differences were found when comparing exposure to GICE by secular professionals vs religious advisors.

Compare and contrast with how EssenceOfThought describe that study:

They also found no significant difference when comparing religious or secular conversion attempts. So it’s not a case of finding the right way to do it, there is no right way to do it. You’re simply torturing someone for the sake of inflicting pain. And that is fucking digusting.

And the thing is we know how to help young people who are questioning their gender. And that is to take the gender affirmative approach. That is an approach that allows a child and young teen to explore their identity with support. No mater what conclusion they arrive at.

Compare and contrast both with Linehan’s own view of gender affirmation in youth.

“There are lots of gender non-conforming children who may not be trans and may grow up to be gay adults, but who are being told by an extreme, misogynist ideology, that they were born in the wrong body, and anyone who disagrees with that diagnosis is a bigot.”

“It’s especially dangerous for teenage girls – the numbers referred to gender clinics have shot up – because society, in a million ways, is telling girls they are worthless. Of course they look for an escape hatch.”

“The normal experience of puberty is the first time we all experience gender dysphoria. It’s natural. But to tell confused kids who might every second be feeling uncomfortable in their own skin that they are trapped in the wrong body? It’s an obscenity. It’s like telling anorexic kids they need liposuction.”

So much for helping people with gender dysphoia. If Linehan had his way, the evidence suggests transgender people would commit suicide at a higher rate than they do now. EoT’s accusation that Linehan wishes to “eradicate trans children” is justified by the evidence.

Unable to argue against that truth, Linehan had no choice but to try silencing his critics via lawsuits. Rather than change his mind in the face of substantial evidence, Linehan is trying to sue away reality. It’s a cowardly approach to criticism, and I hope he’s Streisand-ed into obscurity for trying it.