Gender: A Wider Lens

Marcus and Sue Evans both worked as clinicians in the Tavistock Centre in London for many years. Noticing red flags since the early 2000s, Sue was the first whistle-blower in the Tavistock Centre and Marcus resigned as its governor because the concerns raised by therapists, parents, and managers were systematically dismissed. Marcus and Sue have recently released their book Gender Dysphoria: A The...

Sasha and Stella continue their series which peers behind the curtain of depth work with gender-questioning clients. Today, they weave in philosophy and psychology to discuss the importance of authenticity, happiness, and connectedness. They also explore the value of art in the slow evolving process of an emergent Self. Links: The Catcher in the Rye: https://www.goodreads.com/book/show/5107.The_Ca...

After the therapist has laid the foundations of therapy and established a trusting relationship, the process moves into the middle stage. This is the meat of the therapy! In this episode, Sasha and Stella explore the dynamics that can elicit change in the individual. They consider the curious vs. fixed client, self-esteem issues, broadening the client’s focus, and how to speak meaningfully about g...

This is the first episode in a short series which takes listeners behind the scenes of a gender exploratory therapy process. Although there has been plenty written about Gender Affirmative Therapy, very little has been written about a concept often described as Gender Exploratory Therapy. Sasha and Stella discuss the specifics of establishing a therapeutic alliance when a person is questioning the...

In today’s episode, we begin to answer some of the many questions sent to us by listeners. Can we be born in the wrong body? Do parental role models influence children to reject or seek transition? What is the impact of a trans partner on a teenagers’ sexuality? How do siblings of trans people experience these changes in the family? Listen in to see if your question was answered and how Sasha and...

“Lauren” is a 32-year-old lesbian who has moved with ease across the gender spectrum over the course of her lifetime. Lauren offers a positive story about how being gender non-normative and having a complicated gender experience can be a pleasant and interesting experience. Cautioning against the heavy and urgent discussions about medicalizing gender expression, Lauren wonders if we can become mor...

Continuing the discussion about the new type of boy who is seeking to transition, we speak to Angus Fox, author of a series in Quillette. Angus explains why he thought it so important to earn the trust of parents who participate in clandestine meetings about their gender dysphoric sons. We discuss the role of systematic thinking in ROGD boys and the encouragement of their female friends to transit...

Many presume that ROGD only impacts girls, but there is a significant number of boys who appear to show the hallmark traits of Rapid-Onset Gender Dysphoria. Not quite fitting in with Ray Blanchard’s classification of homosexual transsexualism or autogynephilia, these boys tend to be softly spoken Mommy’s boys, highly intelligent and hyper-ruminative. Many prefer to remain safe at home in their bed...

Hyper-active, inattentive, immature, and impulsivity are just some of the common traits associated with ADHD. These may not have an obvious link to Gender Dysphoria and yet gender variance is found to be 6.64 times more likely among individuals with ADHD. We discuss how ADHD manifests in girls and boys, how society responds to ADHD traits, and how this interaction can lead to gender-related issues...

This last year of lockdown has been a strange and unsettling time for many. We have heard reports of gender issues escalating rapidly and we have also heard accounts of people leaving all thoughts of gender identity far behind. The impact of our restricted lifestyle on our mental health is explored and some strategies that might help in these difficult times are suggested. Stella and Sasha give li...

The startling links between ASD and Gender Dysphoria are raising plenty of questions as clinicians wonder why children on the spectrum tend to struggle with gender. Also, which comes first: ASD or gender nonconformity? In this episode, we explore how autistic traits may cause youth to question their gender and become attached to identity labels. And we wonder if this has implications for the trans...

Loneliness, isolation and confusion often characterises the experience of parents of the gender dysphoric child. A parallel process emerges where the children are obsessed with transition and the parents become obsessed with ROGD. Trying to set loving boundaries is often misinterpreted by others as the parent being the last standing bigot. In this episode we try to empathise with parents who feel...

Carol is a 40-year-old detransitioned butch lesbian. She transitioned at 34 and is part of an often ignored group: adult lesbians turned trans men. Carol tells us about the initial highs of transition and how things took a turn for the worse… Links: Velvet Chronicle Interview Detrans Voices Carol’s Twitter Detrans Voices Interviews “Where Have all the Lesbians Gone?” “Butch identity development: T...

The misinformed presumption that gender dysphoria can only be managed through medication and/or surgery is blown out of the water in this episode. Sasha and Stella emphasize that dysphoria is a type of human distress, like any other. They discuss many different ways to understand, manage, and reduce gender dysphoria. Links: “The Detransitioners” by Laura Dodsworth, The Sunday Times Alternatives to...

Gifted and exceptional children seem more inclined to gender nonconformity and they represent a significant proportion of the ROGD teens discussed in Dr. Littman’s research. Sasha and Stella explore why there may be a link between brilliance and transgender identity. Links: “Overexcitability and the Gifted”, by Sharon Lind “Where Overexcitability and Gender Dysphoria Meet,” by Jessie Mannisto “Gen...

The psychologist Erik Erickson’s theory of psychosocial development makes some essential observations about the period of adolescence and identifies the questions at this phase of life as “Who Am I?” and “What can I Be?”. Sasha and Stella examine this developmental period and ask how the concept of gender identity lays atop the teenage struggle for belonging, individuation, sexual development, and...

Therapist Timothy Courtois pursued graduate education to deepen his knowledge of the role sexuality and intimacy play in our lives. He quickly came to feel that this program was using some of the same tactics of moralizing and indoctrination that he’d left behind after leaving a controlling religious community. We discuss the program's mixed-up understanding of sexuality, consent, and power dynami...

Few people are aware of how much the political discussion around gender and sexuality has been touched by queer theory. This philosophy questions how we know what we know and turns hierarchies on their heads. Sasha and Stella explore the “smashing of binaries” in their therapeutic work and personal lives and discuss the positive and negative outcomes of taking queer theory thinking to its limits....

How and when did gender become such a heightened political issue? And what are the psychological implications for individuals and the collective? The origins of feminism, the LBG liberation movement, and the emerging transgender movement are explored within a psychological and cultural framework Links: Books   Beauvoir, Simone de (2009) [1949].  The Second Sex . Trans. Constance Borde and Sheila M...

Buck Angel transitioned in 1994 and now lives happily as a 58-year-old transsexual man. Buck describes his rollercoaster with gender dysphoria and explains why he was willing to become a medical guinea pig when he first transitioned. Buck talks about the importance of owning his sexuality within a transsexual body and he also provides a critique of the modern flavor of the transgender movement. Li...

In therapy, collusion happens when the therapist (consciously or unconsciously) participates in a client’s bid to avoid an important issue instead of helping the client to gain a deeper understanding or take a more helpful perspective. In the collective, society has colluded with the fantasy of gender identity, much to the detriment of dysphoric and transgender people themselves. Sasha and Stella...

Quick Notes   A whistle-stop tour through the history of psychological and medical approaches to sex and gender in the 20th century. This episode gives background and context to the formation of WPATH (World Professional Association for Transgender Health) and today’s “affirmative model of care” for gender issues.  Extended Notes A little bit of history about gender transitions over the decades. T...

Quick Notes Endocrinologist Will Malone joins Sasha and Stella to discuss the pivotal position that endocrinologists have in the new practice of childhood transition. In this conversation, Will describes attending a conference in 2017 run by the Endocrine Society where suddenly everything related to trans healthcare appeared to shift, without any discussion or analysis. Extended Notes ●    A quick...

Quick Notes: Why do people seek to ​change genders​? What drives a person to ​curate​ a brand new identity? In this episode, Sasha and Stella look beyond a literal understanding of​​ transitioning and explore the​ psychological power and vulnerability of attempting transformation​​. Links: Hacsi Horvath on Erin Brewer Queer in the Crib Gender Dysphoria is not One Thing Extended Notes: Why do peopl...

Quick Notes: Arty Morty* found it very difficult to grow up as a feminine boy amongst his peers. In this episode he explains how difficulties in his social and family life shaped his identity development. Ultimately, he came to accept himself as a gay man and he touches upon the new concept of gender identity and how it might have impacted his identity had he been a teen today. *Arty Morty is a ps...