Orlando Woolf Profile picture
Jun 22 24 tweets 8 min read Read on X
The fake "mismatched" "gender identity" narrative has caused a mental health social contagion amongst adolescent girls, which is now resulting in thousands of double mastectomies; an atrocity. The medical profession need to tell the truth about autogynephilia. 🧵/24 Image
The narrative targeted at the public and children is that there are a class of "trans" people, even children, who have some internal "essence" or "gender identity" that has "mismatched". This is also the premise that the medical profession is using to prescribe treatments. 2/24
This isn't the truth about what the DSM says about "gender dysphoria", where the concept is first defined. Women and girls never used to be greatly represented as having "gender identity" disorder. Boys outnumbered girls 5:1. Men 2 or 3 times to 1. 3/24 Image
"Gender dysphoria" in the DSM is related to atypical sexual orientation/sexuality. "Early-onset gender dysphoria" mostly desists at puberty and is related to nascent homosexuality, "late-onset gender dysphoria" begins at puberty and in males is related to "autogynephilia". 4/24 Image
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The two types of gender dysphoria in the DSM-5 correspond to Dr. Blanchard's research that male "gender dysphoria" was connected to atypical sexual orientation, being either homosexuality, or autogynephilia. Blanchard served on the DSM-4 for "gender identity disorders". 5/24 Image
Autogynephilia is an inexplicable male paraphilia, which is defined as a male's "propensity to be sexually aroused by the thought of himself as a female". Autogynephilia clusters with specific other paraphiia, as Blanchard observed: 6/24
"Some paraphilias definitely cluster: autogynephilia and masochism, for example, and autogynephilia, masochism and what we might call “stuff fetishism”: fetishism for particular materials, like leather, silk, rubber… it’s not completely at random…" 7/24
This makes autogynephilia easy to recognise. An apparent example of this "clustering" would be Abigail in the article "I came out as trans and made headlines", as Abigail has a preference for wearing rubber, which he does so on his YouTube channel. 8/24 bbc.co.uk/news/av/uk-566…Image
Another example of "stuff fetishism" is the often reported fascination with hosiery, "I had developed an intense fascination with like stockings and hosiery and ...due to the the texture…", "... wearing a tight black jumper and black tights… Adrenaline overwhelmed me”. 9/24
This is also reported in the following article: "At secondary school, she would wear tights under her school trousers, enjoying how they felt against her skin." 10/25theguardian.com/games/2021/apr…
In the same article, the Guardian naively report "stuff fetishism" as "gender euphoria", "She took out a silky nightgown and shrugged it on, feeling the instant, giddy rush of something she would later learn to call "gender euphoria"". 11/24
Dr. Upton shares the same preference for wearing hosiery and also appears to follow the DSM-5 pathway of "late-onset gender dysphoria" with autogynephilia; he is married, and is otherwise heterosexual. 12/24 dailymail.co.uk/news/article-1…Image
Blanchard noted that while "late-onset gender dysphoria" has its root in a paraphilia, is was not solely a sexual phenomenon; autogynephilia evidently has a great impact on personal identity development: 13/24
"... the concept of autogynephilia does not imply that autogynephilic males are always sexually aroused by the thought of themselves as women, or by dressing in women’s clothes..." 14/24
"...any more than a man in love always obtains an erection at the sight of his sweetheart, or pair-bonded geese copulate continuously." 15/24
Another feature that makes autogynephilia easy to recognise is "pseudo" bisexuality. This is not "true bisexuality", in the sense of being attracted to both men and women, but rather a male with autogynephilia may use men as a "prop" for the conceit of "being a woman". 16/24
As Blanchard writes: "In their fantasies of sexual interaction with men, bisexual gender dysphorics are primarily aroused by what is, for them, the symbolic meaning of such acts, namely, the thought that they themselves are women". 17/24
This is again apparently observable in the media: "Alice began dressing as a girl routinely, spoke openly about her bisexuality, and included her parents in the decision-making process to change her name after 17 years of living with a boy’s name". 18/24thetimes.com/uk/society/art…
The Cass Review should have covered autogynephilia in 2024, and should have recommended stopping the "mismatched" "gender identity" narrative being targeted at children, as it is obviously not the truth about this issue, and is causing a mental health social contagion. 19/24
A Freedom of Information request shows that the Cass Review received "lived experiences" about autogynephilia, marked "strictly confidentially", "where relevant anonymously", "not to be shared". It appears that autogynephilia was covered up. 20/24whatdotheyknow.com/request/inform…
This was done, perhaps, so that all the children still taking puberty blockers can be shifted from being clinical negligence claimants, to being "clinical trial candidates". The "trial" is open to all attending a "gender service", with an unprecedented no limit to places. 21/24 Image
This would appear to be an unforgivable cover-up, as the NHS is still performing thousands of double mastectomies on women who have no supposed underlying medical indication of "gender dysphoria". 22/24dailymail.co.uk/news/article-1…
Surgeries that started with men with autogynephilia e.g. most likely Lili Elbe (1882-1931), are being performed on young women in great number. What the NHS is doing to young women, and many young men, is an atrocity. 23/24 Image
I've raised this issue many, many, times with them privately. You need to stop these surgeries and the medical profession needs to tell the truth about autogynephilia. @wesstreeting @DHSCgovuk @NHSEngland Read more:
24/24 transpolicy.substack.com/p/objection-to…Image

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More from @orlando_woolf2

Jun 15
The Cass Review should have ended the "gender identity" scandal in 2024, but the medical profession did the same as with contaminated blood: it "[hid] the truth" by telling "half truths", "deliberate concealment" and not "telling people what they had a right to know". 1/37 Image
The Cass Review uses the term "gender dysphoria" from the DSM-5 but doesn't explain fully what it is; it told a half truth. 2/37
The DSM-5 divides "gender dysphoria" into two types: "early-onset" and "late-onset", and shows "gender dysphoria" is connected to atypical sexual orientation. "Early-onset gender dysphoria" usually desists at the onset of puberty and is related to nascent homosexuality. 3/37 Image
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Read 37 tweets
Jun 10
Young Minds (£7,6million, 2024) removes content targeted at children, saying "[puberty blockers] give you more time to explore your gender identity". This new content was published even after the Cass Review and UK government ban. 1/26 Image
In April 2024, the Cass Review found that the "rationale for early puberty suppression remains unclear, with weak evidence regarding the impact on gender dysphoria... The effect on cognitive and psychosexual development remains unknown." 2/26
Despite this, Stonewall and GIRES have not updated their content promoting puberty blockers. GIRES and Young Minds have even issued new content, that is unsubstantiated by evidence. The Charity Commission sit back, despite complaints. 3/26
Read 26 tweets
Jun 8
In 2024, I contacted the mental health charity Mind, (£62,67 million, 2024) asking them to investigate the dramatic rise in adolescent girls and young women being referred to "gender clinics". 1/28 Image
I sent a message and a memo to Mind and its CEO, Dr. Sarah Hughes, asking her to reconsider signing the "Stand with trans" pledge, as this drastic increase in referrals meant the “trans” issue was more complex than first appeared. 2/28
The memo suggested that teaching children, especially adolescent girls, that they could have a "gender" or a "gender identity" that might "mismatch" was causing a mental health social contagion, as has happened many times in history in this cohort. 3/28
Read 27 tweets
Jun 7
How is it still possible that men who apparently have "late-onset gender dysphoria" are still able to publicly promote puberty blockers for children with "early-onset gender dysphoria"? This mad conflict of interest cannot keep going unchallenged. 1/21 Image
In the DSM-5 "gender dysphoria" is split into two types. "Early-onset" and "late-onset". "Early-onset" is characterised by "perva­sive cross-gender behaviors and the expressed desire to be the other gender". The DSM-4 notes this was usually a boy thing, at a ratio of 5:1. 2/21
The DSM-5 says that most cases of "early-onset gender dysphoria" will desist at the onset of puberty, whereupon "almost all are sexually attracted to individuals of their natal sex", (p. 456) i.e. are homosexual. 3/21
Read 21 tweets
Jun 6
The chair of the "Gender Services" clinical commissioning programme, Prof. James Palmer, doesn't appear to know what is happening in the clinical commissioning of "gender services". The NHS is not in control of what is happening in "gender services" at the very highest level. 1/8
After the Cass Review found that puberty blockers had been prescribed with unclear rationale and weak evidence to children, I made a complaint to the NHS regarding its involvement with GIRES, who been training the NHS to prescribe puberty blockers to tomboys: 2/8
In August 2024, Palmer said "The NHS England website does not sign post people to GIRES". This was obviously untrue: the NHS signposts parents and children to GIRES's "transwiki" here:  3/8nhs.uk/live-well/thin…
Read 8 tweets
Jun 5
The Charity Commission doesn't enforce charity law that requires education charities produce "accurate, evidence-based, and balanced" content, and doesn't enforce its regulatory guidance consistently. Its inaction has helped create the "gender identity" scandal. 1/26. Image
Link to my letter to David Holdsworth, CEO, and PDF of my 3 years of complaints to the Commission:

Read further for how the Charity Commission still allows charities to make misleading claims regarding puberty blockers, despite the Cass Review. 2/26transpolicy.substack.com/p/david-holdsw…
The Charity Commission says that, by law, information provided on an education basis must be "accurate, evidence-based and balanced". 3/26
Read 26 tweets

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