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Benjamin Ryan Profile picture
Mar 19 7 tweets 2 min read Read on X
One of the things that makes it so hard for the public and journalists alike to wrap their heads around the subject of pediatric gender-transition treatment is that understanding it demands a ton of reading. I started reading intensively about it ~16 mos ago. These are my files. Image
When I first started reading the literature about pediatric gender-transition treatment, I was constantly confounded, because highly learned people, I found, were publishing papers in which they’d say the exact opposite things from one another with equally forceful conviction.
This is a very tricky space to inhabit as a reporter, because you have to figure out who is not saying what and why. You have to know when someone makes reference to a study what the merits of that paper are.
And you have to notice when someone does not make reference to other papers in their own published work and understand the likely reason for the omission.
You have to hear each “side” accuse the other of heinous offenses and make sense of their reasons. You have to know when you quote someone what people will say to discredit that source and decide whether those claims have merit and whether it is worth facing them.
I forgot to put these two books on my stack: The @APA's new textbook on gender-affirming care; and Abigail Shrier's Irreversible Damage. Two books that are so diametrically opposed to one another, they, I don't know, cancel each other out maybe? Image
@APA Also, for those who are taking very literally the tweet above about the APA and Shrier books, if you couldn’t tell, I was being rather facetious. Putting aside the qualifications and intent of the authors, it remains remarkable how these books say the exact opposite things.

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More from @benryanwriter

Mar 21
No Charges in Death of Nex Benedict, Prosecutor Says

The Tulsa County district attorney said a fight involving the nonbinary student in an Oklahoma high school bathroom was “mutual combat.” The death has been ruled a suicide Image
Nex Benedict did leave some brief notes that appeared related to the suicide. They did not mention the school altercation. Image
Read 5 tweets
Mar 21
This AP article about the NHS ending routine puberty blocker prescriptions says, “leading health organizations in the United States and Europe continue to decisively endorse gender-affirming care for both transgender youths and adults,” before noting that the leading health authorities in England, Finland, Norway, Sweden and France have all moved to restrict pediatric gender-transition treatment. They all have done so not through political channels, but as a matter of health policy, in response to the systematic literature reviews to which U.S. medical groups and WPATH (which is essentially a U.S. medical group) turn a blind eye.

The article also cites WPATH misleadingly saying that puberty blockers have been safely used for 40 years. They have only been used for gender dysphoria outside of the Netherlands for 17 years, and only very sparsely until the mid-2010s, when gender dysphoria diagnoses started rising exponentially across the Western world. Also, people who start them for gender dysphoria almost always continue to cross-sex hormones. So they are more accurately thought of as the first step toward using hormones.Image
Also, this is an American’s hazy view of what the NHS is and how it is the overwhelming source of healthcare for Britons.

And the clinical trial or trials in question need to obtain ethical clearance first and even then wouldn’t start until the end of 2024 at the soonest. Image
Read 16 tweets
Mar 14
I'm glad that Alejandra Caraballo agrees that posting someone's phone number counts as doxxing.

Because a year ago she posted my phone number in a tweet that got 2 million views and I was inundated with harassing phone calls and texts.
This is the person who was grilled in a congressional hearing for tweeting calls for six Supreme Court justices to be routinely accosted in public and to "never know peace again."

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Ironically, Caraballo is ostensibly an expert in cyber law. Image
Read 4 tweets
Mar 13
I’ve lost track of the gay male academics who’ve recently tweeted at me sweeping and false accusations that I am guilty of egregious bias and hate toward a vulnerable group of people. Not one of these men has pointed to a specific fault in my reporting. They just call me names.
Am I wrong to expect more from the public discourse of academics at universities? If they are men of Letters and Science, let them put pen to the page and point out how my own letters about science are faulty. If all they are capable of is derision and innuendo, I can’t pay heed.
I want to make very clear to these men that their illiberal attempts to scare me away from doing my job will fail. I will report on science, whatever it finds.
Read 6 tweets
Mar 12
BREAKING: Children will not be prescribed puberty blockers at gender identity clinics in England, the Nation's National Health Service Says
The government said it welcomed the “landmark decision”, adding it would help ensure care is based on evidence and is in the “best interests of the child”.
itv.com/news/2024-03-1…Image
The NHS has said children attending these clinics will be supported by clinical experts in neurodiversity, paediatrics and mental health, “resulting in a holistic approach to care”.

These gender distressed kids will not receive puberty blockers after the research backing such treatment was found wanting and inconclusive. A recent Finnish study found that it was not “life saving” as many claim.Image
Meanwhile, in the U.S., @WPATH has doubled down on backing puberty blockers and cross sex hormones for gender distressed youth. Courts will likely decide the fate of such a treatment model for adolescent gender distress.
Read 4 tweets
Mar 11
Study finds that the attempted-suicide rate among transgender women who received a vaginoplasty in California was twice as high during the period after the surgery compared with the period before the surgery.

The investigaotrs analyzed data on all 868 people who received a vaginoplasty and 357 people who received a phalloplasty in California from 2012-2018. There were an average of 2 years of data before and after surgery.

A total of 22% of the vaginoplasty group and 21% of the phalloplasty group had at least one ER or in-patient psych encounter during the study period, whether before or after surgery.

If there was a psych encounter prior to surgery, 34% of the vaginoplasty group and 27% of the phalloplasty group had a psych encounter after surgery.

Among those receiving a vaginoplasty, the rate of suicide attempts was twice as high after the surgery, at 3.3%, compared with before, at 1.5%.

The phalloplasty suicide-attempt rate was similar to the general population, while the vaginoplasty group's rate was more than twice as high as the general population.

"Patients undergoing [gender-affirming surgery] with a history of prior psychiatric emergences or feminizing transition are at higher risk and should be counseled appropriately," the study authors concluded. auajournals.org/doi/10.1097/JU…Image
RATES OF PSYCHIATRIC EMERGENCIES BEFORE AND AFTER GENDER AFFIRMING SURGERY
auajournals.org/doi/epdf/10.10…


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Read 7 tweets

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