Thursday, August 18, 2022

When a scientist questions gender dysphoria, the scientist may be treated like a heretic

The hypothesis in question: rapid-onset gender dysphoria (ROGD). This is about how the pro LGBTQ community hounds heretics! 

None other than the MIT Technology Review is targeting a skeptical scientist!

In my personal opinion, there is indeed a rapid onset of gender dysphoria going on in mostly Western countries. The term gender dysphoria did not exist or was barely known until the medical term "gender identity disorder (GID)" was relabeled to gender dysphoria in 2013 with the diagnostic manual DSM-5 (Source). Once relabeled/destigmatized, a fairly rare disorder became suddenly widespread among teenagers in only almost exclusively Western countries. What a coincidence!
I have also little doubt that peer pressure, social media, activist medical professionals, and other influences drive the increase of such cases.
Gender dysphoria is reminiscent of human fads that come and go!
Let's not forget either that the new gender dysphoria and euphemistically called gender affirming treatment is big business!

The scientist: Lisa Littman. According to Google Scholar, an researcher on "gender dysphoria, detransition, public health, reproductive health". Her lifetime citation count is just 588, which is low and her number of publications 44.
She is also the President of the Institute for Comprehensive Gender Dysphoria Research.

The study in question: Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria (published 2018 in Plos One). Citation count 144 (which is very low). Why does this study with such a low citation count trigger so much opposition from the pro LGBTQ community? Why is the citation count so low? Is it a low quality and irrelevant study or was the study ostracized and other scientists do not dare cite it?

It is very rare that this happens! So why did it happen in this case?

The criticism of this study also affects and questions the parents of children, who experienced this in their parents opinion rapid onset of gender dysphoria.

"... Widely introduced four years ago in a PLOS One paper by Lisa Littman, a physician and researcher, the concept of ROGD hypothesizes a “potential new subcategory” of gender dysphoria—the feeling of distress that one’s gender and assigned sex do not match. Young people with ROGD, the theory claims, feel symptoms of gender dysphoria and identify as trans as a result of peer influence, especially online. They hide behind a false diagnosis of gender dysphoria, the thinking goes, instead of confronting whatever issues are truly challenging them.

Littman polled parents and reported that they “describe a process of immersion in social media … immediately preceding their child becoming gender dysphoric.” Once a teen identifies as trans, Littman argued, they can unduly—and perhaps unwittingly—influence peers to do the same. This can partially explain the rising numbers of trans youth, she said, adding that the dynamic particularly affects those assigned female at birth.
The paper, which was based on parent surveys recruited from explicitly anti-trans or trans-skeptical websites and forums, almost immediately drew criticism. Shortly after its publication in August 2018, PLOS One, a peer-reviewed open-­access journal covering science and medicine, issued a comment that questioned Littman’s methodology. Brown University, her then-employer, retracted its press release about the study. In early September, the World Professional Association for Transgender Health put out a statement saying ROGD “constitutes nothing more than an acronym” and urged restraint in using the term.
Six months after that, PLOS One reissued the study with a large correction emphasizing that Littman’s paper was simply a “descriptive, exploratory” one and had not been clinically validated. In 2021, the Journal of Pediatrics published a comprehensive study that found no evidence for ROGD’s existence. More than 60 psychology organizations, including the American Psychological Association, called for elimination of the term."

From the abstract of the Littman study:
"Purpose
In on-line forums, parents have reported that their children seemed to experience a sudden or rapid onset of gender dysphoria, appearing for the first time during puberty or even after its completion. Parents describe that the onset of gender dysphoria seemed to occur in the context of belonging to a peer group where one, multiple, or even all of the friends have become gender dysphoric and transgender-identified during the same timeframe. Parents also report that their children exhibited an increase in social media/internet use prior to disclosure of a transgender identity. Recently, clinicians have reported that post-puberty presentations of gender dysphoria in natal females that appear to be rapid in onset is a phenomenon that they are seeing more and more in their clinic. Academics have raised questions about the role of social media in the development of gender dysphoria. The purpose of this study was to collect data about parents’ observations, experiences, and perspectives about their adolescent and young adult (AYA) children showing signs of an apparent sudden or rapid onset of gender dysphoria that began during or after puberty, and develop hypotheses about factors that may contribute to the onset and/or expression of gender dysphoria among this demographic group.
Methods
For this descriptive, exploratory study, recruitment information with a link to a 90-question survey, consisting of multiple-choice, Likert-type and open-ended questions was placed on three websites where parents had reported sudden or rapid onsets of gender dysphoria occurring in their teen or young adult children. The study’s eligibility criteria included parental response that their child had a sudden or rapid onset of gender dysphoria and parental indication that their child’s gender dysphoria began during or after puberty. To maximize the chances of finding cases meeting eligibility criteria, the three websites (4thwavenow, transgender trend, and youthtranscriticalprofessionals) were selected for targeted recruitment. Website moderators and potential participants were encouraged to share the recruitment information and link to the survey with any individuals or communities that they thought might include eligible participants to expand the reach of the project through snowball sampling techniques. Data were collected anonymously via SurveyMonkey. Quantitative findings are presented as frequencies, percentages, ranges, means and/or medians. Open-ended responses from two questions were targeted for qualitative analysis of themes.
Results
There were 256 parent-completed surveys that met study criteria. The AYA children described were predominantly natal female (82.8%) with a mean age of 16.4 years at the time of survey completion and a mean age of 15.2 when they announced a transgender-identification. Per parent report, 41% of the AYAs had expressed a non-heterosexual sexual orientation before identifying as transgender. Many (62.5%) of the AYAs had reportedly been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of their gender dysphoria (range of the number of pre-existing diagnoses 0–7). In 36.8% of the friendship groups described, parent participants indicated that the majority of the members became transgender-identified. Parents reported subjective declines in their AYAs’ mental health (47.2%) and in parent-child relationships (57.3%) since the AYA “came out” and that AYAs expressed a range of behaviors that included: expressing distrust of non-transgender people (22.7%); stopping spending time with non-transgender friends (25.0%); trying to isolate themselves from their families (49.4%), and only trusting information about gender dysphoria from transgender sources (46.6%). Most (86.7%) of the parents reported that, along with the sudden or rapid onset of gender dysphoria, their child either had an increase in their social media/internet use, belonged to a friend group in which one or multiple friends became transgender-identified during a similar timeframe, or both Conclusion This descriptive, exploratory study of parent reports provides valuable detailed information that allows for the generation of hypotheses about factors that may contribute to the onset and/or expression of gender dysphoria among AYAs. Emerging hypotheses include the possibility of a potential new subcategory of gender dysphoria (referred to as rapid-onset gender dysphoria) that has not yet been clinically validated and the possibility of social influences and maladaptive coping mechanisms. Parent-child conflict may also explain some of the findings. More research that includes data collection from AYAs, parents, clinicians and third party informants is needed to further explore the roles of social influence, maladaptive coping mechanisms, parental approaches, and family dynamics in the development and duration of gender dysphoria in adolescents and young adults."

How a theory about transgender contagion went viral | MIT Technology Review



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