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Julia Serano Profile picture
@JuliaSerano
May 16, 2023 • 13 tweets • 11 min read • Read on X
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brand new essay, many weeks in the making: "Gender-Affirming Care for Trans Youth Is Neither New nor Experimental: A Timeline and Compilation of Studies." no-paywall link, 15 min read + over 100 references – please share & give it "claps"!
juliaserano.medium.com/gender-affirmi… #trans #science
...FYI most media outlets wouldn't have allowed me to publish this piece as is. so if you appreciate that I make essays like this freely available online, pls consider supporting me on Patreon for as little as $1/month!
patreon.com/juliaserano #trans #transgender #LGBTQ #science
🧵my essay 1) provides a brief history of how gender-affirming care came to be, 2) debunks the most common anti-trans & just-asking-questions talking points & tactics, 3) provides a list of over 100 studies & reviews showing how established this field is:
juliaserano.medium.com/gender-affirmi…
...here are a few passages debunking anti-#trans talking points/tactics. 1st up is the Gish gallop, which many ppl are familiar with but fail to see when trans-skeptical ppl do it. tune out the Gish gallop and focus on the large body of evidence I present!
juliaserano.medium.com/gender-affirmi… screenshot from linked-to a...
...the biggest sign that "just asking questions about gender-affirming care" stories are pushing an anti-#trans agenda is when they (purposely) omit the large body of evidence showing gender-*disaffirming* approaches cause well-documented harm...
juliaserano.medium.com/gender-affirmi… #science screenshot from linked-to a...
...another red flag that these stories are pushing anti-trans agendas is when concerns about "irreversibility" only go in one direction (i.e., fearmongering over cis ppl accidentally transitioning, but not caring about how #trans youth will be impacted)...
juliaserano.medium.com/gender-affirmi… screenshot from linked-to a...
...I wanted to stress this b/c "just asking questions about gender-affirming care" stories never seriously grapple with how trans youth will be harmed by restrictions/bans. I compare it to that line from the TV show Succession: "No Real Person Involved"...
juliaserano.medium.com/gender-affirmi… screenshot from linked-to a...screenshot from linked-to a...
...next, I debunk the notion that GAC is "experimental" (which intentionally evokes "Frankenstein's monster"). as I show in my timeline & reference list, there's nothing new or experimental about any of these treatments!
juliaserano.medium.com/gender-affirmi… #trans #transgender #LGBTQ #science screenshot from linked-to a...
...relatedly, #trans-skeptical practitioners & pundits often say there aren’t any “high quality studies” to support gender-affirming care for trans youth. this is a sleight of hand trick that means something different than how audiences interpret it...
juliaserano.medium.com/gender-affirmi… screenshot from linked-to a...
...finally, if any trans-skeptical "questions" or talking points about gender-affirming care were true, then they would show up in the most recent studies. but they don't. pay attention to the #science & not the Gish galloping!
juliaserano.medium.com/gender-affirmi… #trans #LGBTQ #psychology screenshot from linked-to a...
..."The fact that [these highly conservative organizations] all support gender-affirmative care and condemn gender-disaffirming practices nowadays is a testament to how much scientific evidence has been amassed over the last three decades.
juliaserano.medium.com/gender-affirmi… #trans #science screenshot from linked-to a...
..."no research study is perfect. But scientific fields are not built upon any singular study. Rather, they arise as a result of multiple independent groups carrying out similar research and all coming to the same general conclusions"...
juliaserano.medium.com/gender-affirmi… #trans #science
...thanks for reading! btw I make very little $ on Medium (especially since I'm always sharing "friend links"). so if you appreciate that I make essays like this freely available online, please consider supporting me on Patreon for as little as $1/month!
patreon.com/juliaserano

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More from @JuliaSerano

Julia Serano Profile picture
Jul 29, 2024
been thinking about the whole "weird" discourse...🧵
...at first, I didn't see the appeal of this strategy. I thought "weird" undersold how scary MAGA proposals & rhetoric have gotten. plus I have long self-ID'd as "weird" (as many queer folks & artists of various sorts do). so I didn't get it, until I saw...
...how intensely MAGAs have (over)reacted to being called weird. even though "weird" is not anywhere near as pejorative as the "groomer"/"vermin"/"satanist" accusations they hurl at us.
but then it struck me how much their worldview centers on them being the supposed norm...
Read 8 tweets
Julia Serano Profile picture
Jun 14, 2024
I don't write a response to every trans person who says something I disagree with (or else that's all I'd ever do). But as someone who has researched and written about trans-related science and healthcare, Brianna Wu has no idea what she's talking about...
...gender-affirming care isn't some "extreme activist position" – it's the literal science-based medical consensus, as I explain in great detail (with over 100 sources) here:

there is no "middle of the road" solution – the *only* alternative to it...juliaserano.medium.com/gender-affirmi…
...is *disaffirming* children's genders, which causes *real harm* (as detailed in the aforementioned essay & research). Wu also brings up kids detransitioning in "the next 5 to 10 years" which is what anti-trans ppl have been saying forever, see here:
juliaserano.medium.com/the-cass-revie…
Read 5 tweets
Julia Serano Profile picture
Feb 2, 2024
1) yet again, the @nytimes has published a lengthy "raising concerns about trans" article based largely on anecdotal stories & evidence, while ignoring the big picture & actual statistics – a tactic that I dissect in this essay (w/100+ references)...
juliaserano.medium.com/gender-affirmi…
2) for today's "raising concerns about trans" article, @nytimes tapped Pamela Paul, who's basically become their in-house anti-trans activists – many of her past anti-trans articles are discussed & critiqued here: #trans #transgender #LGBTQfair.org/home/pamela-pa…
@nytimes 3) the article raises the specter of "ROGD/transgender social contagion" – as I discuss in this essay, there are currently NINE published research studies that contradict or refute this hypothesis. so why is @nytimes promoting pseudoscience?
juliaserano.medium.com/all-the-eviden…
Read 4 tweets
Julia Serano Profile picture
Sep 8, 2023
the easiest way to delegitimize a group of ppl is to equate them with "sex" or portray them as "excessively sexual" – it's happened w/many past & present stigmatized groups. in my book Sexed Up (), I examine the why this is so pervasive & effective... juliaserano.com/sexedup.html
...here is an excerpt from the last chapter of Sexed Up (free online: ) about this tendency to sexualize marginalized groups & why respectability politics reactions to it are ineffective (because its not about what we do, but rather how they see us)... juliaserano.medium.com/sexual-dystopi…
screenshot of highlighted passage from linked-to excerpt that reads: I have already provided countless examples of how certain subpopulations are “marked by sex” and viewed as “excessively sexual” in many people’s eyes. A man who walks down the street topless is not considered “sexual,” whereas a woman who does the same is. A heterosexual couple who engages in public hand-holding or kissing is not considered “sexual,” but a same-sex couple doing the same is. If a billboard ad featured a white, cisgender, thin, able-bodied woman wearing a sexy outfit, many passersby wouldn’t even notice it, ...
...I make the case over the course of the book that people in our culture unconsciously view both sex and stigma as deeply intertwined with contamination & corruption, which is why stigmatized groups are viewed as "excessively sexual" (Sexed Up, p.180, )... juliaserano.com/sexedup.html
screenshot of linked-to book passage that reads (in part): That said, I don’t think that this is a queer-specific phenomenon. Since many people unconsciously conceptualize sex itself in terms of imagined transfers of stigma from one person to another, it’s not that much of a stretch for perceivers to read sexual motives and meanings into nonsexual interactions with other stigmatized groups. This is especially the case for perceivers who are already apprehensive about sex and sexuality to begin with. Perhaps this is why white segregationists were so quick to connect the issue of school integ...
Read 5 tweets
Julia Serano Profile picture
Jun 27, 2023
this is good summary of the many complexities regarding the issue that has become a "gateway drug" to publicly expressing transphobic opinions...
...I can't tell you how many ppl since early 2022 (when GOP first started wielding this as a political issue) have asked me my thoughts on trans women competing in women's sports. I used to answer with all the (crucial) complexity that Evan shares in his piece...
...but nowadays I respond this way: 1) ask the person how many women's sporting events they follow or have attended in the last year. the answer is almost always none – I then point out their seemingly misplaced concern. [if they do support women's sports, I discuss complexities]
Read 6 tweets
Julia Serano Profile picture
Apr 27, 2023
I see lots of ppl on my TL asking for Bluesky invites. so I guess I will throw my hat into the ring to haha...
...I remember people were talking up Post when it first launched. I'm there now, but I find the platform to be rather boring, so not sure what to think of this latest Bluesky craze ¯\_(ツ)_/¯... post.news/@/juliaserano
...in any event, if you ever decide to leave the dying mall that is Twitter, here are all the other places I can be found: juliaserano.com/socialmedia.ht…
Read 4 tweets

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