https://www.city-journal.org/article/gender-medicine-trans-identifying-minors-wpath
Gender medicine is riddled with contradictions. On the one hand, clinicians frame “gender dysphoria” as a clinical diagnosis that demands “medically necessary” treatments. On the other, they often adhere to the “gender incongruence” model, which holds that having a cross-sex identity is not a medical problem, but instead a normal expression of “human diversity.” Consequently, they argue, access to surgeries and hormones should not be conditioned on the experience of “sex distress.”
These contradictions have human costs. Newly released videos, featuring Johanna Olson-Kennedy and Rob Garofalo—prominent gender clinicians and members of the World Professional Association for Transgender Health (WPATH)—underscore the dangerously muddled logic of gender medicine and reveal how practitioners undermine their supposed “standards of care.”
In March, journalist Ben Ryan released videos of Olson-Kennedy, a gender clinician at Children’s Hospital Los Angeles, training mental-health providers on how to treat “sex-distressed” youth. In one slide, Olson-Kennedy notes that what separates the affirmative model—which emphasizes supporting and validating a person’s “gender identity”—from other historical ways of treating sex distress is that it “follows the child,” meaning treatment eligibility flows from the child’s identity claim, which is not subject to dispute.
“Follow the child” is predicated on two assumptions: that a child has accurate self-knowledge and that “gender identity” is immutable. Olson-Kennedy claims that everyone has a gender identity, which is not subject to social influence and is stable by age four. Later, however, she contradicts herself. “Not everybody who has this experience in childhood is going to continue to identify as a different gender,” she says.