s06e20 | Fixing "Youth Gender Medicine" with Eliza Mondegreen and Jamie Reed
Oct 25, 2023
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Eliza Mondegreen, a researcher into gender related internet phenomena, and Jamie Reed, a medical whistleblower, critique our systems of medicine and culture of trans-humanism. They discuss the failures of the medical community in providing evidence-based care, the need for reform in gender medicine, and supporting detransitioners and trauma-informed care. They explore the controversy surrounding transitioning, improving healthcare for gender non-conforming individuals, and the responsibility of 'grownups' in youth gender medicine.
The American Academy of Pediatrics (AAP) conference focused more on sociological data than scientific evidence, hindering progress towards evidence-based care in gender medicine.
Meaningful reform in gender medicine requires thoughtful engagement and dialogue with AAP to address the limitations of current guidelines and policies.
The presence of detransitioners at the AAP conference highlights the need for comprehensive care and trauma-informed protocols in addressing their unique experiences.
Deep dives
AAP Conference and the Lack of Evidence-Based Approach
At the American Academy of Pediatrics (AAP) conference, it was observed that the presentations and discussions mainly focused on gender woo rather than evidence-based approaches. The speakers relied on sociological data about changing gender identities rather than scientific evidence. This lack of objective and data-driven mindset reflects the reluctance to confront the harms and negative outcomes related to gender-affirming care. Moreover, it was noted that the AAP primarily addressed gender, rather than sexual orientation, and did not present any evidence-based research that differentiated between the two. The absence of a comprehensive approach to gender medicine and the reliance on ideological factors hinder progress towards evidence-based care.
Challenges in Reforming Gender Medicine
The podcast episode highlights the challenges faced in reforming gender medicine, specifically with respect to the AAP. The AAP is seen as one of the core pillars influencing gender-affirming care practices. While there was some positive acknowledgment that the AAP plans to conduct a systematic review of evidence, the overall approach remains questionable. The discussion emphasizes that meaningful reform requires thoughtful engagement and dialogue with the AAP, addressing the limitations of current guidelines and policies. Raising awareness about the need for improved care based on scientific evidence is crucial for promoting genuine reform in the field of gender medicine.
The Importance of Detransitioners and Need for Comprehensive Care
The presence of detransitioners at the AAP conference highlighted the significance of their experiences and the urgent need for comprehensive care. The narrators discussed the lack of support and guidelines for detransitioners and emphasized the necessity for trauma-informed protocols. They acknowledged that detransitioners often face challenges in finding appropriate care and navigating the healthcare system. Furthermore, there was a call to recognize the long-term implications of gender-affirming interventions and provide holistic care that considers the physical, mental, and emotional well-being of individuals. The podcast episode stressed the importance of addressing detransition and its related consequences within the field of gender medicine.
Importance of Financial Support for Activists
It is important to ensure that activists, especially those who are experts in their field, are financially compensated for their work. Many activists face financial challenges and should not have to worry about funding their work or traveling on their own time. However, there is a dilemma when it comes to providing financial support as they risk being accused of receiving dark right-wing money. Ensuring activists are financially supported can help them focus on their important work and prevent further harm.
Challenges Faced by Detransitioners in the Medical System
Detransitioners often face challenges within the medical system. There is a lack of proper coding and recognition for their unique experiences. Existing medical codes are generally focused on identifying as transgender and transitioning, leaving detransitioners overlooked and underrepresented. This lack of recognition makes it difficult to capture accurate data and provide appropriate care. Furthermore, the provision of care for gender non-conforming individuals, including transgender individuals, is often inadequate, with poor monitoring, insufficient follow-up, and dismissive attitudes. It is crucial to improve the medical care and support available for detransitioners to ensure their long-term health and well-being.
Jamie Reed is a pivotal medical whistleblower sounding the alarm over what occurs at supposed "youth gender clinics"—Eliza Mondegreen is a researcher into gender related internet phenomena. Together, we critique our systems of medicine and culture of trans-humanism.