Science Fictions Paid-only Episode 7: Youth gender medicine & the Cass Review
Apr 23, 2024
Exploration of the controversy surrounding the Cass Review on youth gender medicine, including the weak evidence for puberty blockers and cross-sex hormones. Discussion on the history and practices of gender dysphoria treatment for young individuals, including therapy and treatment options. Examination of the rise in referrals for gender dysphoria treatments, scrutinizing care quality and waiting lists.
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Leavened Intro With Dark Jokes
- The hosts open with joking banter about reading controversial books before revealing the serious topic.
- Stuart clarifies the jokes were purely for comic effect and not literal.
Evidence Is Remarkably Weak
- The Cass Review concluded evidence for youth gender medicine is "remarkably weak" and often misrepresented by both sides.
- Tom and Stuart highlight there is no good evidence for puberty blockers and cross-sex hormones in young people.
Distress Separates Incongruence From Disorder
- Gender dysphoria involves marked incongruence between experienced and assigned gender that causes distress and functional problems.
- Not all gender incongruence is dysphoria; distress and impairment distinguish clinical cases.