1/ Time to call on out the 2S part of the every shifting 2SLGBTQIA+ tag. Woke white people who casually use the term two-spirit are engaging in a form of cultural appropriation far more damaging than hipsters in feather headdresses.
2/ The term two-spirit was first used in 1990 at a conference in Winnipeg to describe gay and gender non-conforming people. In some indigenous cultures, it has a very specific meaning and others don't recognize it at all. thecanadianencyclopedia.ca/en/article/two…
3/ Some indigenous communities, such as the Dakota, have an understanding of two-spirit that is quite different from contemporary theories of gender identity and does not include a 'third sex' or denial of sex differences. genderdysphoriaalliance.com/post/two-spiri…
4/ Indigenous cultures are diverse and complex. Much traditional knowledge has been lost or distorted in the process of colonization. In some cases the only evidence we have of LGBT indigenous peoples comes from the writing of explorers and missionaries. rewirenewsgroup.com/article/2016/1…
5/ In strongly patriarchal cultures the 2 spirit concept was used to accommodate gender non-conforming men. There were no 2 spirit women. On the other hand, the Iroquois Confederacy, where women had considerable power, did not have a 2 spirit concept. culturallyboundgender.wordpress.com/2013/03/09/tow…
6/ While cultures vary greatly I can say without fear of contradiction that in no indigenous culture were gender non-conforming children treated with hormones and surgeries. Yet indigenous youth are over represented in Canadian gender clinics.
7/ The term 2 spirit is being used as bait to draw indigenous children into medical gender transition which represents the ultimate expression of the "settler-colonialist" ideology of domination of nature through technology.
8/ To make matters worse, many kids in the gender clinics are in foster care. That means that in their early 20s, when regret and detransition often start, they will be without any family support. There is a scandal waiting to break.
1/ The NHS clinical trial of puberty blockers has now been approved and will start recruiting patients. The full trial protocol and a simplified study description are available here. kcl.ac.uk/research/pathw…
3/ Marcus Evans and Susan Evans, two of the original Tavistock clinic whistleblowers, have sent an open letter to health secretary Wes Streeting arguing that the study is poorly designed and risks causing serious harm to children. open.substack.com/pub/marcusevan…
1/ In his embarrassing interview with Stella O'Malley and Mia Hughes, Gordon Guyatt repeated the claim that the Health and Human Services report on gender medicine used the McMaster reviews to justify the denial of care to transgender people.
2/ This is a misrepresentation of the HHS report, which does not make any policy recommendations. It does present evidence which could be used to justify a ban on pediatric gender medicine but this evidence goes well beyond the systematic reviews. opa.hhs.gov/sites/default/…
3/ The HHS report conducted an umbrella review of all of the systematic reviews of pediatric gender medicine, and not just the McMaster reviews, to support the finding that the evidence of benefit is low certainty.
1/ One aspect of the controversy over @GuyattGH, @segm_ebm and the McMaster systematic reviews which has not been noted is the link with Egale Canada and ongoing litigation over the pediatric gender medicine ban in Alberta.
@GuyattGH @segm_ebm 2/ Egale Canada is the plaintiff in an action to block the Alberta legislation restricting medical transition of minors. A judge granted an interim injunction against the implementation of the law, and the government has appealed cbc.ca/news/canada/ca…
@GuyattGH @segm_ebm 3/ An analysis of the injunction decision by @GeoffSigalet argues that the judge was operating inside a liberal misinformation bubble. macdonaldlaurier.ca/a-misinformati…
A short but pointed thread by another leading figure in evidence based medicine on the extent to which the recent statement @GuyattGH and some of his colleagues on their systematic reviews of gender medicine betrays the core principles he helped to develop. /2
One of the principles of evidence based medicine is avoiding bias through management of conflicts of interest. The methodologists who lead systematic reviews and guideline development are supposed to be neutral on the clinical and policy implications of their work. /3
By expressing the opinions in the letter and donating to Egale Canada, which is a highly partisan advocacy group supporting medical transition of minors, Guyatt and his team are putting themselves in a position of intellectual conflict of interest on issues of gender medicine. /4
WPATH can't catch a break. Even though the ACLU agreed to dismiss Boe v Marshall, where it challenged the Alabama law banning medical transition of minors, a federal judge has just ordered that more of the documents WPATH disclosed be made public. /2
Many of the documents produced by WPATH were subject to a protective order and could not be published but the judge ruled that recordings or WPATH and USPATH conferences and panel discussions were not confidential and were not covered by the order. /3 reason.com/volokh/2025/06…
Although WPATH was not a party to the case, the judge ordered it to produce documents relating to its standards of care as they were the basis of the plaintiff's claim that gender affirming treatments were medically necessary. /4justdad7180.substack.com/p/boe-v-marsha…
1/ The report of the Quebec Comité de sages sur l'identité de genre is out. It is over 200 pages in French only so it will take me some time to review. The recommendations are modest and often vague but do represented some small progress. Link is in the next Tweet.
2/ The report consists of two volumes and a summary. This is a summary of the summary. The links are on this page:quebec.ca/gouvernement/m…
3/ The first chapter discusses the evolution of the phenomenon of gender identity. It is clear that sex is binary but it does get intersex wrong. Here are the recommendations with an English translation by Deepl.