Welcome to Gender Analysis

Gender Analysis is a web series launched in 2014 exploring transgender science and life experiences in depth, and revealing the many insights to be found at their intersection. We take a closer look at fields such as sociology, public health, psychiatry, cognitive science, and more, weaving these diverse perspectives into a deeper understanding of gender-related phenomena. Gender Analysis goes beyond the 101s to educate both trans and cis viewers on some of the most fascinating dimensions of our lives – and the pressing issues we face in society.

Support Gender Analysis on Patreon

New episodes of Gender Analysis are published several times a month and are backed by our generous supporters on Patreon. Want to learn more? Check out our instant index for a quick introduction to the wide range of topics we cover:

Curious about…?

Gender dysphoria Self-discovery
How hormones work Bathroom bills
Finding a doctor Treatments for trans youth
Passing Sexuality
Transness and autism Paul McHugh
Regret and detransition Sex chromosomes
Posted in Gender Analysis | Leave a comment

Dr. Stephen Levine and the Plot to Police America’s Gender (part 2)

< Previously: Dr. Stephen Levine and the Plot to Police America’s Gender, part 1.

How Steensma et al. can’t support Levine’s claim that social transition causes persistence.

Zinnia JonesPersistent gender dysphoria into adolescence is not rare, including in Steensma et al.

Steensma et al. (2013) is the only source of any clinical evidence that is cited in support of Levine’s claim – that allowing social transition in childhood is an action that directly causes a greater likelihood of persistence of gender dysphoria in an individual than if they had not socially transitioned. Do the findings of Steensma et al. reflect Levine’s model of this supposed influence on child gender identity development? Largely, no. The authors report a limited model involving multiple factors that remain uncertain in their predictive value, let alone their causal influence or the possibility of actual intervention. It is the very opposite of the model of certain causation Levine describes in his testimony on these findings. Continue reading

Posted in Bathrooms and public accommodations, Outcomes of transition, Politics and law, Psychology and psychiatry, Statistics and demographics, Trans youth, Transphobia and prejudice | Tagged , , , , , , , | Leave a comment

Dr. Stephen Levine and the Plot to Police America’s Gender (part 1)

In case after case, an anti-trans expert witness promotes the same baseless theory: permitting social transition for trans youth will prevent them from later adopting a cisgender identity. But his own sources reveal how implausible that is.

Zinnia JonesPsychiatrist Dr. Stephen Levine, chair of WPATH’s standards of care committee from 1997-98, has long been a preferred expert witness for state corrections departments defending against lawsuits from trans inmates seeking medical transition care. His evaluations of incarcerated trans patients nearly always recommend against surgical care, frequently contradicting the findings of other clinicians and unduly sexualizing trans women by terming their gender an expression of sexual fetishes. In the past few years, he’s also begun offering testimony in a number of cases involving trans youth and laws regarding their participation in school sports, use of their name and pronouns in schools, access to gender-affirming medical care, and protection from anti-trans conversion therapy.

In these cases, Levine repeatedly advances a tenuous chain of reasoning for why adults recognizing a trans child’s social transition by correctly gendering them is an actual act of harm to them, likely to influence the course of their gender identity development away from the cisgender outcome he considers more desirable – a form of unnecessary medical treatment enacted by unqualified faculty and others. He argues that the personal choice of social transition, the non-medical element of transgender expression such as adopting a certain name and pronouns, haircut, and style of presentation, is an essentially medical decision first requiring informed consent to be obtained. And in his estimation, truly informed consent – for so much as social transition only – could be impossible to obtain even from a child’s parents, or from an adult trans person themselves. Continue reading

Posted in Bathrooms and public accommodations, Outcomes of transition, Politics and law, Psychology and psychiatry, Statistics and demographics, Trans youth, Transphobia and prejudice | Tagged , , , , , , , | Leave a comment

Florida Department of Health Guidance Against Transgender Youth Healthcare Contains False Statements and Misrepresentations and Should Not Be Used by Anyone (part 4)

FLDOH’s anti-trans guidance cites several sources which actually support access to gender-affirming care

Previously: The FLDOH guide to parenting: Ignore a child’s issues, and just hope it all goes away

The Florida Department of Health’s 2022 anti-trans guidance declares:

One review concludes that “hormonal treatments for transgender adolescents can achieve their intended physical effects, but evidence regarding their psychosocial and cognitive impact is generally lacking.” . . . Social gender transition should not be a treatment option for children or adolescents. Anyone under 18 should not be prescribed puberty blockers or hormone therapy.

This obnoxious formatting implies that the linked resources support these positions. That is false: most of these sources clearly contradict the FLDOH guidance and do not recommend against social transition, puberty blockers, or hormone therapy for those under 18. Continue reading

Posted in Gender dysphoria, Health care, News, Outcomes of transition, Politics and law, Replies, Trans youth, Transgender medicine, Transphobia and prejudice | Tagged , , , , , , , | Leave a comment

Florida Department of Health Guidance Against Transgender Youth Healthcare Contains False Statements and Misrepresentations and Should Not Be Used by Anyone (part 3)

The FLDOH guide to parenting: Ignore a child’s issues, and just hope it all goes away

Previously: FLDOH anti-trans guidance attacks “low-quality evidence” for gender-affirming care, citing low-quality evidence for conversion therapy

The Florida Department of Health states in their 2022 guidance:

Based on the currently available evidence, “encouraging mastectomy, ovariectomy, uterine extirpation, penile disablement, tracheal shave, the prescription of hormones which are out of line with the genetic make-up of the child, or puberty blockers, are all clinical practices which run an unacceptably high risk of doing harm.”

In this bullet point, FLDOH cites a brief article by psychoanalytic psychologist David Schwartz (2021) outlining his personal history in clinical practice and his opinions on gender-affirming care. Like Hruz (2019), this is not any kind of systematic review of evidence. Large swathes of Schwartz’s assessment of the “currently available evidence” are merely his own assertions without any supporting references, or the most cursory sprinkling of tangentially relevant sources, and none of it constitutes an adequate summary of that evidence. Continue reading

Posted in Gender dysphoria, Health care, News, Outcomes of transition, Politics and law, Replies, Trans youth, Transgender medicine, Transphobia and prejudice | Tagged , , , , , , , | Leave a comment

Florida Department of Health Guidance Against Transgender Youth Healthcare Contains False Statements and Misrepresentations and Should Not Be Used by Anyone (part 2)

FLDOH anti-trans guidance attacks “low-quality evidence” for gender-affirming care, citing low-quality evidence for conversion therapy

Previously: FLDOH guidance against social transition, puberty blockers, or HRT for minors is not supported by cited documents from CMS, Sweden, Finland, England, or France

In their 2022 document “Treatment of Gender Dysphoria for Children and Adolescents”, the Florida Department of Health writes:

Systematic reviews on hormonal treatment for young people show a trend of low-quality evidence, small sample sizes, and medium to high risk of bias.

Hruz (2019) is not a systematic review

The linked “systematic reviews” is actually one four-page article by Paul W. Hruz (2019) in the Catholic Medical Association’s journal The Linacre Quarterly, and it is not a systematic review. It broadly encompasses the spectrum of gender-affirming care across all ages and does not specifically focus on “hormonal treatment for young people”. The journal has published it as a “research article”, and it is an unorganized continuous wall of text:

It does not possess any of the expected features of a systematic review, such as a specific research question or discussion of search criteria for inclusion of studies (Robertson-Malt, 2014). The FLDOH has erred in labeling this a “systematic review”. Continue reading

Posted in Gender dysphoria, Health care, News, Outcomes of transition, Politics and law, Replies, Trans youth, Transgender medicine, Transphobia and prejudice | Tagged , , , , , , , | Leave a comment