Marcus Evans, one of the earliest Tavistock whistle-blowers, talks to Brendan O'Neill at Spiked:
I see gender dysphoria as being a problem similar to anorexia and self-harm. You wouldn’t affirm a child’s belief that, by starving themselves, they can create a perfect version of themselves. That they can live a life where they have no appetites or desires.
The kids who are desperate to transition have a very similar psychological makeup to this. They have a desire to control everything, including other people. The major difference between self-harm or anorexia and gender dysphoria, however, is that political interference has stopped us doing our jobs as mental-health practitioners. It has absolutely undermined ordinary clinical thinking and normal medical practice.
Well, ideological interference rather than poltical interference per se. The politics, unfortunately, followed the ideology. After Cass that's no longer the case.
Thanks to dodgy science, parents are afraid that not affirming their child’s identity will push them towards suicide. The reality is that children with gender dysphoria are no more likely to kill themselves compared with other mentally ill adolescents. There’s also the threat that kids will cut off contact with their families, encouraged by online groups and an overall culture that tells them their parents are bigots if they fail to unconditionally affirm their children. Parents are made to feel like they’re the problem if they have questions or concerns.
It also doesn’t help that children who identify as trans are very wary when you ask them questions about their identity and beliefs. They want to bring you into a narrow discussion about gender identity. They have this certainty that gender-affirming care is the solution. That it will get rid of all their confusions and doubts about themselves. They feel very easily assaulted when you challenge that certainty, even in an empathetic way. A good therapist will skillfully try to move through this discomfort and encourage the child to understand that their certainty is not necessarily a helpful, healthy thing. This is already a challenge on an individual, clinical level. But the politicised culture around the trans issue makes everything worse.
For the longest time, not embracing gender-affirming care had you instantly dismissed as a bigot. This just isn’t true. Those of us who don’t instantly affirm a child’s identity are the ones actually interested in opening up discussion. We’re interested in exploring the variety of rich and complex ways that a person becomes who they are. We are not interested in pushing children into narrow gender stereotypes, which state that boys are always logical and play football, or that girls inevitably want to dance and wear pink. These beliefs, on which gender-affirming care relies on, are deeply regressive. That’s why exposing them to external scrutiny, as the Cass Review did, has been so important.