All posts filed under: Mental Health

Keep Social-Justice Indoctrination Out of the Therapist’s Office

One of the earliest stains on the legacy of psychiatry, my medical specialty, dates to the American 1840 census, when the US government first began systematically collecting information on “idiocy” and “insanity.” According to the results, the purported rates of mental illness among free blacks in northern cities were deemed to exceed those among enslaved blacks in the south by an 11-to-one ratio. South Carolina Senator John C. Calhoun, a notoriously strident defender of slavery, seized upon the results as “proof” that “the African is incapable of self-care and sinks into lunacy under the burden of freedom. It is a mercy to him to give this guardianship and protection from mental death.” Five years later, the American Statistical Association published a new analysis of the census data, in which it illuminated what distinguished American psychiatrist Edward Jarvis called the “inconsistencies, contradictions, and falsehoods” of the original. Jarvis’s own review revealed recording errors and deliberate misuse of data. Yet many citizens in pro-slavery states continued to believe that enslaved blacks were less inclined toward insanity because …

Gaslighting the Concerned Parents of Trans Children—A Psychotherapist’s View

I first met Jo and Carol in Manchester two years ago, when I spoke as a clinician on a panel at what is believed to be the first conference dedicated to the issue of detransitioners (people who once presented themselves as transgender, but then decided to live in accordance with their biological sex). At this event, seven young women spoke publicly about why they transitioned, why it wasn’t successful, and how they came to the decision to detransition. All of these women had undergone mastectomies, and some had hysterectomies and even oophorectomies (the removal of both ovaries). They had all taken testosterone, which permanently deepened their voices, and gave rise to new forms of body and facial hair. Although they had experienced much in their lives, none was over the age of 25. As you might imagine, these testimonials were shocking and harrowing. Jo and Carol both have daughters embroiled in the trans-activist cause. (As at all points in this piece, I am using terms such as “girl,” “boy,” “son,” and “daughter” in reference to …

When Sons Become Daughters, Part IV: Parents of Transitioning Boys Speak Out on Their Own Suffering

What follows is the fourth instalment of When Sons Become Daughters, a multi-part Quillette series that explores how parents react when a son announces he wants to be a girl—and explains why so many of these mothers and fathers believe they can’t discuss their fears and concerns with their own children, therapists, doctors, friends, and relatives. To find out more about how the author collected and reported information, please refer to his introductory essay in this series.   The Man Who Wouldn’t Be Queen Menno is a gay man in his early 40s—Dutch by birth and a Londoner by choice. He’s “gender critical,” meaning that he rejects the fashionable belief that self-declared gender overrides the reality of biological sex. His YouTube channel features a satirical listing of newly conceived pronouns, set to the tune of The Sound of Music’s Do-Re-Mi; a song about pop star Sam Smith’s non-binary identity, modelled on Look at me, I’m Sandra Dee from the musical Grease; and a reworked version of Kylie Minogue’s Locomotion, in which a pharmaceutical pied piper …

The Search to Explain Our Anxiety and Depression: Will ‘Long COVID’ Become the Next Gender Ideology?

In December, I wrote a detailed report for Quillette about the race-based social panic that had recently erupted at Haverford College in Pennsylvania. One of the reasons why the meltdown seemed so surreal, I noted, is that this elite school appears to the outside world as picturesque and serene. The average annual cost of attendance is about US$76,000. And most of these students live extremely privileged lives, insulated (physically and otherwise) from what any normal person would regard as suffering. Nor is there much in the way of substantive political discord on campus. According to survey results released in late 2019, 79 percent of Haverford students self-identify as politically liberal, while only 3.5 percent self-identify as conservative. It’s as close to an ideological monoculture as you can find outside of a monastery or cult. On paper, it resembles one of those utopian micro-societies conceived by science-fiction writers or 19th-century social theorists. The survey results I’m alluding to originate with Haverford’s “Clearness Committee,” an excellent resource for anyone seeking to understand the attitudes of students at …

When Sons Become Daughters, Part III: Parents of Transitioning Boys Speak Out on Their Own Suffering

What follows is the third instalment of When Sons Become Daughters, a multi-part Quillette series that explores how parents react when a son announces he wants to be a girl—and explains why so many of these mothers and fathers believe they can’t discuss their fears and concerns with their own children, therapists, doctors, friends, and relatives. To find out more about how the author collected and reported information, please refer to his introductory essay in this series.   Coral’s story starts earlier than those of the other parents I’ve profiled, even if it contains familiar themes. While her prodigiously intelligent, literal-minded son wanted to talk about the science of black holes, his friends were still playing with Lego. Once he hit age 12, things got rough: All his friends left his school in one hit; the remaining kids took to bullying him; a close family member died. He was just beginning to realize how different he was, but not how he was different. He’d also just been given his first computer. The first declaration that …

When Sons Become Daughters, Part II: Parents of Transitioning Boys Speak Out on Their Own Suffering

What follows is the second instalment of When Sons Become Daughters, a multi-part Quillette series that explores how parents react when a son announces he wants to be a girl—and explains why so many of these mothers and fathers believe they can’t discuss their fears and concerns with their own children, therapists, doctors, friends, and relatives. To find out more about how the author collected and reported information, please refer to his introductory essay in this series.   Blindsided You don’t have to spend long with Christine to get an idea of the kind of woman she is. She’s modest—perhaps even diffident—at first, and when we get to talking, I realize I interrupt her too much. But then, you begin to understand: this woman is a serious success story. She loves her work, and it’s pretty exciting work, too. I’m envious. She wouldn’t volunteer the information, but I bet she has a few people she could fire, if she wanted to. I could be wrong, but I’ll never know, because she wouldn’t let on if …

When Sons Become Daughters: Parents of Transitioning Boys Speak Out on Their Own Suffering

What follows is the introductory instalment of When Sons Become Daughters, a multi-part Quillette series that explores how parents react when a son announces he wants to be a girl—and explains why so many of these mothers and fathers believe they can’t discuss their fears and concerns with their own children, therapists, doctors, friends, and relatives. A few months ago, I was allowed into an online group of American parents of young men who have decided that they are in fact young women. I am neither a parent, nor transgender, nor an American, and therefore a tourist: there was an understandable hesitation about letting me in. In a few cases, such parents have been harassed, as they’ve left comments online that dissent from the received wisdom on transgenderism; in all cases, they are deeply wary of rights activists. The parents are mainly, although not entirely, mothers. They and their spouses are nervous of losing their jobs, and below everything rumbles the threat that their sons might discover their communications. While most have expressed to their …

The Campaign of Lies Against Journalist Jesse Singal—And Why It Matters

One of the odd-seeming aspects of progressive cancel culture is that many of the figures targeted by mobs aren’t especially conservative in their views. Rather, the victims tend to be heterodox liberals who simply offer a dissenting opinion on one or more compartmentalized issues—since these liberal targets tend to operate in left-leaning professional and social milieus through which a mob can exercise leverage and demand concessions. There are numerous popular writers and broadcasters who promote deeply conservative themes without attracting any notice from cancel mobs—even as lifelong leftists within such niche genres as Young Adult fiction, LGBT theatre, and knitting-trade journalism are excommunicated on the basis of minor verbal infractions. In some notable mobbings chronicled by Quillette, in fact, the targeted dissenter wasn’t even offering an opinion per se, but merely highlighting facts we’re all expected to ignore. James Damore wasn’t fired by Google because he gratuitously insulted women, but because he pointed out real differences between the sexes. In Canadian literary circles, Margaret Atwood became reviled among a progressive fringe when she argued (correctly, …

Replacing One Kind of ‘Conversion Therapy’ With Another

This week, British MPs called for a legislated ban on “conversion therapy.” This is a phrase traditionally used to describe pseudo-therapeutic techniques aimed at convincing gay individuals that they are actually straight. Given that a person’s sexual orientation cannot be changed by therapeutic intervention, such a legislative initiative would appear to be justifiable (even if many such discredited therapies would already be illegal under existing laws). However, the term “conversion therapy” has taken on a broader meaning in recent years, and now is often taken to include efforts to scrutinize a person’s belief that he or she was “born in the wrong body.” The result is that the term can be used to conflate harmful attempts to suppress homosexuality with responsible therapeutic treatment of gender dysphoric children. Such conflation is unwarranted, as abundant evidence now shows that “desistance”—the reversion of trans-identified individuals to a gender identity consistent with their biological sex—is a common outcome of childhood trans identification. Indeed, Dutch research suggests it to be (by far) the most likely outcome. The example of Keira …

Suicide Prevention and the Social Science Cargo Cult

When white people began visiting the islands of the Pacific Ocean, the native peoples, fascinated by the abundance of good things coming to them, assiduously observed the visitors’ behaviour. They concluded that the great birds in the sky, filled with packing cases bearing the inscription “cargo,” were gifts from the gods. So, they began to imitate the newcomers, building runways in the middle of the jungle, lighting fires based on the pattern of airport landing lights, and constructing small control towers out of wood and bamboo. Then they awaited the benevolence of the gods, but the gods were not compliant. The planes did not land on their runways, despite the enormous effort they had put into building them and the meticulousness with which they copied the buildings and equipment of the white people. Even today, this cargo cult persists in some corners of Oceania. In a speech delivered at a degree ceremony at the California Institute of Technology, Richard Feynman, a noted physicist and Nobel Prize winner in 1974, compared the social sciences to the …