Origin and scope of the “rapid onset gender dysphoria” (ROGD) pseudo-diagnosis of trans youth
Rapid-onset gender dysphoria (ROGD) is an alleged new social phenomenon of inauthentic gender dysphoria suddenly appearing among cisgender adolescents in growing numbers and in social clusters, unlike other currently known forms of gender dysphoria already seen among trans people. This claimed syndrome was first named by Dr. Lisa Littman of Brown University in an abstract (Littman, 2017) and later study (Littman, 2018) based on sampling readers of three prominent anti-trans communities which featured claims throughout 2016 of a growing trend of “sudden onset” of this false gender dysphoria in cis adolescents.
The proposed condition of ROGD thus suggests that, as apparent trans adolescents may actually be misdiagnosed cis youth, the effective gender-affirming treatment given as a standard of care for trans youth would be inappropriate or harmful for this group of youth, and so this gender-affirming treatment should be withheld from them.
Following Littman’s 2018 study, this claimed condition has been widely promoted in the public discourse by anti-trans advocacy groups, right-wing legal groups, conservative legislators, “intellectual dark web” commentators, and those of any stripe whose politics include the invalidation of trans youth. The spectre of this contagion of mistaken gender running rampant among youth has recently been the subject of alarm among Republican lawmakers, as always under the banner of “protecting children”, working to ban access to medical transition for trans adolescents – and in at least one state succeeding.
Littman’s study has a fundamental flaw in its methodology that broadly undermines its reported findings. According to Littman, a key feature distinguishing ROGD from classic gender dysphoria is that ROGD appears very quickly in a child who was heretofore apparently cisgender with no sign of gender incongruity. The observations of this rapidity consisted entirely of reports from anonymous parents on their own perception of their child’s gender identity and development, almost universally expressing surprise at the sudden nature of their child’s statement of a transgender identity. The youth themselves were not surveyed on their own experiences of gender incongruity throughout their childhood, how long they had experienced gender incongruity or considered themselves transgender, or how long they had waited to make their trans identity visible to these parents for the first time. Continue reading