Jeremy Shaw, MD Profile picture
“Between good and evil, there is no safe space to stand. There is no neutral void from which a physician can escape his ethical duties.” - AKF
Sep 23, 2023 8 tweets 4 min read
Turban et al. (2021) published a study that concluded that gender identity conversion efforts (GICE) are detrimental to mental health.

This study was thoroughly refuted by D’Angelo et al. (2021). They attempted to publish their Letter to the Editor in the same journal, JAMA Psychiatry, where the original study had been published. But their letter was rejected due to “space limitations”. (Quite convenient)

I’ll summarize some of the problems with Turban’s paper in this 🧵:
Image • BIASED SAMPLE

This study and several of Jack Turban’s other studies rely on data from the 2015 US Transgender Survey (USTS). This survey used mostly online convenience sampling. Participants were recruited through Trans advocacy groups (underrepresenting trans individuals not politically engaged and ideologically aligned), and restricted participation to those who currently identify as transgender (excluding detransitioners). The researchers also revealed that the goal of the study was to “highlight the injustices suffered by transgender people” which feeds into a demand bias.

This is the same survey in which 73% of participants claimed to have started puberty blockers at >18 years. This biased survey is clearly not a reliable or valid data source for policy recommendations.
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Aug 22, 2023 4 tweets 2 min read
In a paper published in the Journal of Med Ethics titled, “Gatekeeping HRT for transgender patients is dehumanising”, the author argues that requiring psychological assessments prior to the prescription of cross-sex hormones suppresses the diversity of trans embodiment.

See ‘Creative Transfiguration’.
Image “I have myself had to sanitise my narratives of trans embodiment to access care. I have seen many others in my community report similar experiences, and instances of lying to meet clinical expectations have also been reported in the academic literature.” Image
May 1, 2023 12 tweets 7 min read
Why Did So Many Doctors Become Nazis?

The Holocaust was a tragic event caused by a corruption of moral philosophy and the complicity of the medical establishment in implementing its horrors.

Contrary to popular belief, many of the doctors involved were not coerced. 🧵 Image These doctors subscribed to the Nazi ideology & actively operationalized its atrocities, from eugenics & pediatric euthanasia to the inhumane, ‘Mengelian’ experiments in Auschwitz.

They believed they were conducting "good science" & rationalized their actions accordingly. ImageImage
Apr 29, 2023 7 tweets 2 min read
“Preferred third-person pronouns”

This is one of the more insidious distortions of language that is usually downplayed as innocuous.

(The photo illustrates the relationship between language & thinking)

🧵 Image As you know language influences thought, which in turn influences reality.

Third-person pronouns are unique in that they allow for a more OBJECTIVE and detached manner of describing the world around us.
Apr 28, 2023 4 tweets 1 min read
I understand the reasoning behind not regulating the off-label use of drugs by medical doctors.

However, in light of the ongoing scandal involving the widespread prescription of "puberty blockers" for use unapproved by the FDA… to minors, it may be worth reconsidering. The conclusion of this study by Eguale et al:

“Off-label use of prescription drugs is associated with Adverse Drug Events (ADEs). Caution should be exercised in prescribing drugs for off-label uses that lack strong scientific evidence.” Image
Apr 28, 2023 7 tweets 2 min read
Doctors across the United States are regularly prescribing puberty blockers for off-label use to children. These drugs are NOT approved by the FDA for this purpose
They are currently approved for the treatment of prostate & breast cancer, severe endometriosis & precocious puberty Below is an excerpt from an FDA label spelling out the possible adverse effects of the use of Lupron (a so-called puberty blocker)

One of the complications spelled out is worsening of psychiatric symptoms. Do these doctors really care about decreasing the risk of suicides? Image
Apr 24, 2023 5 tweets 1 min read
This is utterly ridiculous. And I don’t mean that in a funny way. This is very in line w/ the values of the Democratic Party, even though it may not be readily apparent to some. A strategy of relying heavily on identity politics inevitably results in the creation of a "marginalized" group where none exists.
Apr 23, 2023 6 tweets 1 min read
There is a delicate balance between destigmatizing a psychiatric disorder & normalizing it. The increasing number of people “identifying” as transgender & the contribution of the DSM in normalizing this suggests that our psychiatric institutions have facilitated the latter. Now we are at a place in society where we are unable to call this out as “not normal”.

Who is hurt by the inability to clearly distinguish between what is normal and what isn’t?

Everyone… including kids who are told all sorts of lies to justify the claim that this is normal.
Apr 23, 2023 4 tweets 1 min read
The DSM and its success at social engineering:

DSM-II
Sexual Deviation, Transvestism (1968)

DSM-III-R
Gender Identity Disorder of Childhood
Transsexualism (1987)

DSM-IV
Gender Identity Disorder (1994)

DSM-V
Gender Dysphoria (2013) What’s next?

DSM VI (possibly):

“… Ultimately, as science and our movement advances, we fully expect both "Gender Dysphoria" and
"Transvestic Disorder" to be removed from the DSM-6 and will continue to work for that future.”

- National LGBTQ Taskforce Image
Apr 21, 2023 5 tweets 1 min read
Maintaining a lie often requires telling additional lies. Which was the original lie?

"Sex is a spectrum"
“Sex is ‘assigned’ at birth”
“We all have a gender identity”
“Nonbinary people exist”
"Children can be born in the wrong body"

1/n
“Puberty is an oppressive process that should not be forced on a child”

“Puberty blockers are safe & reversible”

“Children are at risk of suicide unless they receive hormonal treatments & surgeries which are lifesaving"

“Gender affirming care”

“Transwomen are women”

2/n
Feb 26, 2023 27 tweets 6 min read
Due to the ideological capture of our institutions, the search for studies based on sound methodology on topics related to Gender Affirming Care can be futile. Many of these flawed studies have also been challenged & discredited. I’ll link some resources in this 🧵. Pls save. jessesingal.substack.com/p/on-scientifi…