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Lesson Plans In consultation with parents and teachers, we have created some suggested lesson plans for each Curriculum Level to provide guidance in how to approach teaching relationships and sexuality in a way that provides accurate and age-appropriate information for students. Our resources confirm that mammals have two sexes – male and female – but only humans have gender which is the particular way that males and females are expected to behave according to their culture and time. Although a person may change their gendered behaviour, their sex persists throughout life. We use body positivity principles. We support the rights of individuals to express themselves as they wish, to be treated with sympathy and care, and not to be taught that their personality or their body is wrong and in need of changing. We do not reinforce harmful stereotypes, for instance by affirming that children might be a different sex based on their hobbies or the clothes they prefer to wear. While boys and girls may dress, behave, and have interests as they wish, the sex they were born as remains the same. Download our lesson plans below RSE CL1 Lesson Plans RSE_CL1_Lesson_Plans final .pdf Download PDF • 232KB RSE CL2 Lesson Plans RSE_CL2_Lesson_Plans final .pdf Download PDF • 192KB RSE CL3 Lesson Plans RSE CL3 Lesson Plans .pdf Download PDF • 218KB RSE CL4 Lesson Plans RSE_CL4_Lesson_Plans final .pdf Download PDF • 230KB RSE CL5 Lesson Plans RSE_CL5_Lesson_Plans final .pdf Download PDF • 271KB Question Flowchart RSE Question Flowchart .pdf Download PDF • 221KB

In the last few years, schools and teachers have found themselves in a gender minefield without the training or quality guidance they need on how to navigate through the demands being placed upon them by some very confused ideas about sex and gender. Among other things they are being asked to: teach gender identity beliefs as if they are facts use the pronouns and names chosen by individual students allow students who claim to be the opposite sex to use the toilets of that sex irrespective of any discomfort the other students may feel keep a student’s social transition to another gender a secret from their parents. Why is this a problem for Boards of Trustees? The stewardship role of Boards of trustees involves planning for, and acting in, the interests of the school and its community. Student learning, wellbeing, achievement, and progress are the board's main concern. (Ref Pg 2, ERO School Trustees Booklet 2017). Issues which affect student well-being affect their learning. The sudden rise in the numbers of students expressing gender identity beliefs - the idea that they can change their sex or be non-binary or have no sex at all - has serious implications for schools. When students assert that their feelings about their sex or gender are more important than their physical sexed bodies, and when school policies and practices support those beliefs, the well-being of everyone in the school is affected. The desires of some students should not be met at the expense of other students. School policies and practices need to be respectful of the whole school community and facilities need to meet the needs of all students. In order to navigate the gender minefield, trustees and staff need to become fully informed about the concepts associated with gender identity theory and be aware that these concepts are heavily criticised by a wide range of international experts. This is a complex issue that has the potential for conflict in the community and even litigation against the school. In this video, Stella O'Malley , psychotherapist and Director of Genspect, provides an introduction to the issues for schools. Genspect advocates for a "cautious, gentle, compassionate and understanding approach." Relationship and sexuality education The Relationship and Sexuality Education Guide (RSE Guide) for NZ schools that was published in September 2020 not only accepts but actively promotes controversial gender identity beliefs as if they are fact. Schools are entrusted to educate children about controversial topics by providing students with both sides of a debate presented neutrally and objectively. This trust is being undermined by the MOE’s policies for teaching children that they can choose their sex and that embracing body dysmorphia as part of a trans identity is an easy, joyful, and authentic response to unhappiness. No alternative viewpoint is presented. Guidelines that recommend schools collude with students to keep their gender transition at school a secret from their parents are the ultimate betrayal of trust and are unprofessional in the extreme. Court cases have already been instigated overseas in relation to demands like those placed upon our teachers. Litigation has been brought by parents whose children have been socially transitioned at school without their consent; on behalf of girls who have been sexually assaulted in mixed-sex school facilities; and by teachers whose personal beliefs have been overridden by school policies that enforce gender ideology practices such as using preferred pronouns. The purpose of a school is not to provide a conduit for political or social ideologies. We recommend that Boards of Trustees remove gender politics from schools and focus on respecting the needs of all students and creating an environment of acceptance rather than one of exceptionalism. Concepts that everyone needs to fully understand: What is gender identity theory? Why do some people say it is fact when it is really a belief? What are the new definitions and language of gender theory and are they accurate? What is gender dysphoria and what are the differing explanations for it? Why are there suddenly so many students saying they are trans and what is the best evidence for how to support them? What is gender affirmation and what are the implications for schools when they automatically affirm students in an adopted gender identity? What is social transition and is it a harmful option for children with gender distress? What is the new evidence that puberty blockers are powerful drugs that are being used experimentally to disrupt puberty? Why are mental health outcomes better when children are allowed to mature naturally? What are the flow-on effects in a school when students claim they are the other sex or that they don’t have a sex? Why are transgender rights not an extension of gay rights? What are intersex conditions (DSD – differences in sex development) and what do they have to do with being transgender? For answers to these and other questions go to https://www.resistgendereducation.nz/faqs School Policies and practices School policies need to be based not on ideology but on facts, reality, and evidence. Safety and fairness fo r all students should be paramount and any political or ideological positions should be avoided. Social transition (the adoption of names, pronouns, and clothing of the opposite sex). Social transition is a process that schools do not have the knowledge or expertise to oversee. It can prematurely cement a life-altering decision and make it hard for a student to retract. Unambiguous policies are needed to enable schools to manage any student or parental requests to affirm a child in a chosen identity. Uniforms. It is appropriate for uniforms and hairstyles to be fluid. If students want to wear a different uniform, they should be able to without it being a major statement. Allowing students to express themselves as they choose does not make them the opposite sex. Names. While peers and teachers may choose to use nicknames, legal names should be used for all formal documents. Only when there has been a documented legal change of name should formal school records be altered. Pronouns. The use of ‘preferred pronouns’ is an unworkable concept in schools. Many neurodiverse and learning-disabled students, or those with speech and language difficulties, or with English as a second language, find the concept very confusing and difficult. It is also discriminatory to those who do not adhere to gender identity beliefs. It is not the responsibility of children or teachers to provide opposite sex affirmation to students in their classes. Toilets, changing rooms, and residential stays. Single-sex facilities at school and on residential stays are necessary for the safety and dignity of children of both sexes and should be protected. For the small number of children who find that challenging, separate single-occupancy facilities can be provided. No children should be asked to ignore their own need for privacy and dignity in order to validate another child’s self-perception. Sport. After puberty, for fairness and safety , all sports should be segregated by sex. Where it is safe, separate mixed-sex teams can be formed as optional extras. Birth Certificates. From June 2023 it will be possible for parents to change the sex marker on their child’s birth certificate. Very serious safe-guarding issues are raised if this change is not disclosed to the school. If the correct sex of a child is not known, the possibilities are open-ended for accusations of, or actual, sexual assaults. Keeping secrets provides a ripe environment for all sorts of bullying and emotional blackmail. If teachers do not know the actual sex of the children under their care, they cannot safely provide medical assistance, or plan for residential camps, or offer sex-specific advice. In order to implement the school's policies around gender that have been formed for the benefit of all, the biological sex of every student must be declared upon enrolment. Meaningful consultation By law, schools are required to provide full consultation for parents on sexuality education every two years and to be guided by community input. As parents may want to withdraw their children from particular RSE lessons, the consultation needs to be full and transparent. For parents to make fully-informed decisions, schools need to consult with them in good faith. There should be a consultation period of at least two months. All materials to be used with their children (including worksheets, videos, and graphics) should be readily available for parental assessment, without them having to go into the school. No materials should be withheld for copyright reasons. The school should confirm that all teaching of RSE content will be in dedicated lessons, and that RSE will not be embedded throughout the curriculum as recommended by the MOE . Embedding the content thwarts the parents’ right to withdraw their children from some or all lessons. Education about sex, gender, and sexuality should be age appropriate. Schools and parents should reach a consensus about what topics will be covered at each level at school and which questions will be referred to parents for answering. Examples of good consultation practices, a body positive policy, and a policy about teachers answering questions are on the RGE website. https://www.resistgendereducation.nz/information/get-involved Some points for Principals and Boards to consider: What is the school’s definition of sex and gender identity? Is the school’s definition in keeping with the views of its community? Is the school teaching scientific facts or ideological beliefs about human sexuality, or is it avoiding the subject altogether? How does the school show respect to those who don’t believe in gender theory? How will the school ensure that no-one is pressured to endorse a belief they do not hold? Does the school have robust policies around gender identity? What evidence has been used to support those policies? Is the school gender identity policy consistent with the way it treats other religious or political beliefs? What school policies might need to change, be added, or be removed so that children can be free to explore their identities in a neutral space that neither celebrates nor shames them? How will the school manage requests to ‘affirm’ a student in beliefs that are not supported by scientific evidence and not held by the majority of families or staff? How will the school meet the needs and safety of all students (and staff) in a way that ensures everyone’s values and beliefs are respected ? Schools are required to have an 'Inclusive Education' policy but there can be fishhooks in the nice-sounding words. Read our substack on the subject here . We recommend this policy from a US school: " We believe in parental choice and that we are here to serve families. As we strive to build upon connections with our families, we leave the job of parenting to our parents. They are responsible for imparting morals and values taught in their homes including practiced political, religious, and social viewpoints. We trust that they know what is best for their student as the student grows and develops into an adult.” Useful guidance for schools from Sex Matters, Transgender Trend, and Genspect: Sex and Gender Identity This February 2023 revised and updated guidance for UK schools was jointly produced by Sex Matters and Transgender Trend. Brief Guidance for Schools Produced by Genspect, this guidance advises schools to develop a sex and gender policy and to take a "cautious, least-invasive-first approach" to gender issues. Brief Guidance on Social Transition Also produced by Genspect, the guidance includes several cautions, including one against allowing students to dictate other people's use of pronouns, saying "it is not acceptable to act as though it is an act of hostility to use the biologically correct pronoun." Saying no to school transition . In this article, UK MP Miriam Cates explains why new Education Department policy should ban schools from socially transitioning a child, even with parental consent. “ Not only is a ban the right ethical solution, it is also the only way to protect head teachers from being forced to make high stakes decisions for which they are unqualified.” Conclusion T eachers normally keep their religious and political beliefs to themselves and the same should apply to any beliefs they have about gender identity. It is not possible for humans to change sex and children should not be confused by being taught anything else. We recommend Boards of Trustees remove gender politics from the classroom and ensure schools are not centres of gender activism and children are not being used as foot soldiers for an activist agenda. Gender identity activism is not a school’s purpose and teaching gender identity ideology by disguising it as fact is not education. Further recommended reading: The Transgender Children’s Crusade by Kay S Hymowitz Time to Think by Hannah Barnes (review) Gender dysphoria is rising - and so is professional disagreement (British Medical Journal) What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

Social Transitioning locks in gender dysphoria By the time your child tells you they’re transgender, they will have already been swamped by both information and misinformation on the internet. There is no shortage of online groups, containing both adults and peers, telling kids that if they’re feeling awkward about their lives and bodies or if they’re struggling to fit in socially, they may be transgender. In fact, the kids can get told that if they’re even just thinking about whether they may be transgender, they probably are. The first you as a parent may know about it, is when your child requests (or demands) to “socially transition”. This can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the chosen sex by everyone else and in all facets of life. This thorough article from Transgender Trend, A Childhood is not Reversible , explains why social transition is not the “kind and affirming” act it is purported to be. Saying no to school transition . In this article from the Critic, UK MP Miriam Cates explains why new Education Department policy should ban schools from socially transitioning a child, even with parental consent. “ The need for guidance is indisputable, but anything other than a total ban on schools socially transitioning children will exacerbate [these] tensions. Not only is a ban the right ethical solution, it is also the only way to protect head teachers from being forced to make high stakes decisions for which they are unqualified. ” Affirmation makes it harder to desist At first, social transitioning may seem to be a good idea, to help your child through a difficult patch in life. Parents can also be emotionally blackmailed by therapists, counsellors, and schools with incorrect dire warnings of the harm their child might do to themselves if absolute affirmation of their transgenderism is not forthcoming. However, if left with a way out, around 80% of kids desist with the ideation of transgenderism after going through puberty. Of course, it will be much more difficult for them to desist if they feel locked into being transgender by their own dramatic insistence, and if all the adults in their lives have fully affirmed the child or young person’s new identity and the entire family has been affected by it. Large amounts of time immersed on the internet can be a lightning rod for cultivating the belief for a child or young person that they’re transgender, when they showed no previous signs of it. Children who are non-conforming, lonely, have abnormally discordant and tumultuous lives, or particular discomfort with puberty, can be seduced by the feeling of belonging to a ‘tribe’. Although it is okay to not be stereotypically conformist, it can be hard to feel okay in the world about it. Transgender ideology offers a way for kids to conform to a stereotype and feel that they fit in somewhere where they are unquestioningly supported. Parents, on the other hand, can be slated as the enemy for their hesitancy to believe their child is really transgender. Parents may feel blindsided by their child’s announcement that they’re transgender. Often, they don’t see it coming, and the only information they can find when they go looking is to be instructed to defer to everything their child wants in their transitioning journey to live as the opposite sex. Tension with others’ rights On the surface, social transitioning sounds like a harmless thing to go along with but delve a bit deeper and there’s a lot attached to it. Using preferred pronouns, for example, is akin to immediately giving the child or young person permission to use the facilities for the opposite sex. Most girls who identify as boys probably won’t immediately use the boys’ facilities, but boys who identify as girls will often immediately start using the girls’ facilities, with the blessing of their school. Irrespective of what may appear to be a consensus amongst girls that this is okay, it is often a false consensus as girls can feel uncomfortable for various social reasons at not going along with what appears to be the ‘right’ belief. That means that there could be a boy, or boys, in with the girls when a girl most needs privacy. The boy is also left open to accusations of improper behaviour. With the advent of more mixed-sex facilities, especially in schools – promoted as being gender-neutral – there is likely to be a rise in tensions around this. Although language is always evolving it also helps us to navigate the material world, and changing structural language also changes everything it supports. More commentary on preferred pronoun use is here . Being trans is tough Changing gender is not the easy road to happiness it’s promoted to be by those invested in encouraging people to take that path, as the growing numbers of detransitioners will attest to. It is hard work to try to force one’s body to be the opposite sex to that which it was born, even with puberty blockers and cross-sex hormones, and it requires maturity to be able to deal with that. Chances are that the initial encounter with your child when they announced they were transgender may not have gone well. All is not lost, however, so don’t be afraid to ask to start again with them but request the respect of a two-way conversation. Keeping the lines of communication open is most important. Listen to their point of view calmly and ask them to do the same with your perspective. Ask for time to process this new information before any decisions are made. Go to Genspect and Transgender Trend for authoritative information about all facets of gender beliefs and guidance for parents so that you are fully informed when talking to your child. "It can be important that you don’t overwhelm your child with advice or information when your child is feeling vulnerable and trying to find themselves. It can sometimes be more helpful to ‘show’ you care rather than ‘tell’. "(Genspect) When the time is right, talk about applying sensible caution to all life-changing decisions and the importance of leaving the door open for changing one’s mind. Discuss the reality of transgender medicine (see our reading list here ) which is quite different from the relentlessly glamourised accounts they will have viewed online. The dating pool for transgender people shrinks, no matter how much others are admonished to accept trans people in their new gender, and long-term intimate relationships, although not impossible to achieve, will be more difficult to find. Ask them to watch some testimonials from detransitioners. "We recommend that you focus on your personal understanding of your child and find areas where you might agree." (Genspect) Try to negotiate a compromise – agree to use a gender-neutral nickname but ask that they delay making permanent decisions and public announcements until an adult. As they grow up and go through puberty, allow your kids to express themselves how they want and emphasise that being different does not automatically mean they are transgender. Exploration of our identity is normal and to be embraced, but identity should not be set in stone at a young age. What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

We all agree that young people need truthful and positive education about their bodies, sexuality, reproduction and contraception. But lately many parents have become concerned about the content of some of the health lessons being provided to their tamariki. Parents have noticed that beliefs and values they do not subscribe to are being taught to their children as facts. Some of the topics, although important for children to know as they mature, are being taught at a disturbingly young age. Also, some content coaches children to take part in actions for social change, without reference to the wide range of values in the community. It is important that young children are taught to be accepting of difference but there is no need to mention gender identities or transgenderism at an early age. Discussion of such ideas properly belongs with older students, near or during puberty, and then they should be presented in a balanced way, as with any subject that is contentious, with the beliefs and values of parents being equally respected. Young children do not need lengthy expositions about gender identity. This resource, adapted from the Ministry of Education’s Relationship and Sexuality Guidelines (2020), provides an outline of age-appropriate relationship and sexuality education that is respectful of the values of all individuals and whānau. Key learning at Curriculum Level 1 - Years 1 & 2 (5 - 7 years old) Our suggested Level 1 Lesson plans can be found here Key learning at Curriculum Level 2 - Years 3 & 4 (8 – 9 years old) Our suggested Level 2 Lesson plans can be found here Key learning at Curriculum Level 3 - Years 5 & 6 (10 - 11 years old) Our suggested Level 3 Lesson plans can be found here Key learning at Curriculum Level 4 - Years 7 & 8 (12 - 13 years old) Our suggested Level 4 Lesson plans can be found here Key learning at Curriculum Level 5 - Years 9 & 10 (14 - 15 years old) Our suggested Level 5 Lesson plans can be found here What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

The teaching of gender identity ideology is a new practice in Aotearoa and raises many questions for teachers who do not subscribe to the belief. Under the NZ Bill of Rights Act, people have the right both to hold and not to hold a belief. In the United Kingdom, The Maya Forstater case upheld the right for people to hold and express gender critical views. Are teachers’ views protected in the same way in Aotearoa? To find out, we asked the Ministry of Education and the Teaching Council a series of questions: What are the rights of teachers or schools to decline to teach gender identity ideology if they don't subscribe to that belief system, even though teaching it is recommended in the Ministry of Education Relationship and Sexuality Guide ? Would it be against the law for a school to teach that sex is binary and cannot be changed but that people can change their gendered behaviour? Do students or staff have the right to ask others to use their preferred opposite sex or neo pronouns (as that is their protected belief) AND is there a matching right for students and staff to decline to do so (as that is their protected belief)? What are the employment rights of staff who decline to participate in social transitioning of both children and adults, for example by not using opposite sex or neo pronouns? How can teachers manage the expectation of the school that they must, at the same time , both keep confidential an adult or child’s gender identity and also affirm it? Would teachers who provided information about the negative consequences of gender transitioning to students be considered to have broken the Conversion Therapy Practices Prohibition Act? How does the Privacy Act fit with the Care of Children Act and the rights of parents to be informed and make decisions about their child’s care and education? Do parents, staff, and students in schools have the right to single-sex toilets and changing rooms that opposite sex people, including those with transgender identities, cannot access? We received only the briefest of answers to these and our other important questions: The Teaching Council The Teaching Council advised: “We have considered your request under the Official Information Act 1982 (OIA) and I can advise as follows. As we have neither sought or received any legal advice in relation to any of these questions, we must refuse your request under section 18(e) of the OIA - as the information sought does not exist.” The Council continued, “I can, however, advise that the professional expectations we have of teachers to maintain their practising certificates is to meet Our Code, Our Standards. The code sets out principles that are relevant to your questions to help teachers make sound judgements in supporting both children and their whanau.” One of the “sound judgements” expected, according to the Code, is for teachers to use a students’ preferred pronouns. (Our Code: Examples in Practice p13) The Ministry of Education The Ministry also does not know the answers to our questions and is unconcerned by them: “The Ministry has not sought any legal advice in relation to the specific questions mentioned in your request therefore your request has been refused under Section 18(e) of the Act, as the document alleged to contain the information requested does not exist.” Its response continued: “It should be noted that The Education and Training Act 2020 requires a school’s board to provide a safe environment for students and to ensure that their school is inclusive of, and caters for, students with differing needs. This means that we expect school policies and practices to protect and promote the safety and inclusion of all students, including transgender and non-binary students. Schools can do this by: Supporting transgender students to use the facilities (e.g. bathrooms and changing rooms) they feel safe and comfortable using; (That’s a ‘no’ to our last question.) Ensuring transgender and non-binary students are supported to engage in sport and other physical activity in a way that is safe and inclusive; and (Safe and inclusive for the other students as well?) Upholding transgender, intersex and non-binary students’ privacy by confirming the student’s wishes around what name and gender identity they would like used at school and in communication with parents and whānau. (That’s a blanket endorsement of keeping secrets from parents.) The Ministry’s response then became patronising – assuming that our questions were prompted by our not understanding the curriculum or by being prudish about sexuality. We were advised to educate ourselves: The Ministry of Education provides guidance to teachers who may feel uncomfortable with topics in relationship and sexuality education. We suggest that it may be useful for teachers to support each other (or seek extra support from others) if needed to reflect upon teaching practice in relation to feeling uncomfortable or being in conflict with their values, attitudes and beliefs. This will help teachers to think critically about the questions and responses they are providing in class when these feelings arise.” The advice from the Teaching Council and the Ministry of Education is full of double-speak. Although the Council’s Code of Professional Responsibility requires teachers to “respect the diversity of the heritage, language, identity and culture of all learners”, the views and values of those who don’t believe in gender identity theory are officially repudiated. Although the Ministry says about RSE education, “It is good practice to communicate with whanau prior to let them know that the learning is coming up...” it also advises: “Schools do not need to seek permission from parents, caregivers or whanau for akonga to participate in RSE.” Teachers are in a dilemma. The Ministry of Education endorses the idea that being transgender is a positive and ‘authentic’ choice for children to make, even at a very young age. As a teacher, if your own school’s Board of Trustees and principal hold the same ideological view, what can you do if you disagree and don’t want to teach children that sex is on a spectrum and can be changed at will? The choices are stark: 1. Keep your head down and hope you can avoid the topic and that no trans or non-binary students appear in your classes. (This is becoming an increasingly unrealistic hope.) 2. Comply with school policy to the minimum required, trying not to compromise your own values at the same time. 3. Raise the issues you have with gender theory and try to change the school’s gender identity policies. (It is best to collaborate with parents on this.) 4. Resign before you are compelled to leave. (Some NZ teachers have already been forced into this position.) We hope that the fourth option does not become necessary for any more teachers. Instead, we want to support teachers to pursue option three. If you are interested in this option, please email resist@resistgendereducation.nz and ask for the school gender policy information pack that we are currently preparing. Here are some further useful links: Stella O'Malley, psychotherapist and Director of Genspect provides an introduction to the issues for schools here . Genspect advocates for a "cautious, gentle, compassionate and understanding approach." Saying no to school transition . In this article from the Critic, UK MP Miriam Cates, explains why new Education Department policy should ban schools from socially transitioning a child, even with parental consent. “ The need for guidance is indisputable, but anything other than a total ban on schools socially transitioning children will exacerbate [these] tensions. Not only is a ban the right ethical solution, it is also the only way to protect head teachers from being forced to make high stakes decisions for which they are unqualified. ” We recommend this policy from a US school: " We believe in parental choice and that we are here to serve families. As we strive to build upon connections with our families, we leave the job of parenting to our parents. They are responsible for imparting morals and values taught in their homes including practiced political, religious, and social viewpoints. We trust that they know what is best for their student as the student grows and develops into an adult.” The gender affirmative model and social transition in schools (April 2023) Transgender Trend responds to the Department for Education draft transgender guidance proposals for schools in the UK. " The DfE must decide if schools are to follow either an activist approach or an approach in line with normal standards of safeguarding. It can’t be a bit of both." A Teacher’s Guide to Sex and Gender This UK website from Teachers for Evidence-based Education provides guidance and resources to help educational professionals navigate the issue of sex and gender identity in schools. The group believes that “sex matters and that to deny the importance of material reality will lead to inequality and conflict between people with different protected characteristics.” Guidance on supporting trans children in schools This new (Feb 2023) guidance is provided by UK education unions and sector bodies and aims to help schools meet their legal duties while supporting all children. Sex and Gender Identity This February 2023 revised and updated guidance for UK schools was jointly produced by Sex Matters and Transgender Trend. Brief Guidance for Schools Produced by Genspect, this guidance advises schools to develop a sex and gender policy and to take a "cautious, least-invasive- first approach" to gender issues. Brief Guidance on Social Transition Also produced by Genspect, the guidance includes several cautions, including one against allowing students to dictate other people's use of pronouns, saying "it is not acceptable to act as though it is an act of hostility to use the biologically correct pronoun." I’m a teacher and I will not be complicit https://open.substack.com/pub/pitt/p/im-a-teacher-and-i-will-not-be-complicit?r=24091f&utm_campaign=post&utm_medium=web In this article a teacher from Chicago describes the insidious spread since 2015 of gender theory in schools, culminating now in its compulsory inclusion in lesson content. The teacher has resigned, saying: “ I am going to do my best to blow the whistle and restore sanity to my once honorable profession.” What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

The Relationship and Sexuality Education Guide (RSE Guide) for teachers, school leaders, and boards of trustees, produced by the New Zealand Ministry of Education and published in September 2020, not only accepts but actively promotes the ideas of gender identity and gender diversity and encourages schools to focus on being a safe place for lgbtqi+ students. The authors of the guide reveal themselves to be totally captured by gender ideology, and the guide promulgates this ideology at every point. In this regard, it is a highly politicised document that is pushing an agenda with which the majority of the population is unfamiliar and for which there is no evidential basis. There is no recognition in the guide that there is a strongly critical international movement which completely rejects gender ideology. This movement includes academics, psychotherapists, social workers, scientists, doctors, teachers, parents, people who identify as transgender, and detransitioners. They all reject the notion that it is possible to change sex the idea that gender identity is real the language that says biological sex is “assigned” at birth the idea that there is a male brain and a female brain state schools promoting a belief system as if it is fact state schools forcing staff and students to acknowledge and affirm people’s self-identification of gender the deception involved in assisting school age children to socially transition and to keep this secret from their families the “affirm only” approach which leaves no room to encourage a child to explore their gender expression and any confusion they may feel when their feelings and preferred behaviour do not fit with sex role stereotypes outdated sex role stereotypes being used to encourage children to believe that they may have been born into the wrong body giving primacy to a concept (gender) over a reality (biological sex) children being set on a path of surgical intervention and lifelong dependence on pharmaceuticals before they are legally old enough to understand the consequences the proposition that ‘social transition’ is harmless and in a child’s best interests that there is ever a case for suggesting that permanently changing and damaging a healthy body is an acceptable response to any form of mental and emotional distress that it is ever acceptable to lie to a child and pretend that they are something they are not. Teaching gender identity across the curriculum The RSE guide encourages the teaching of gender ideology as fact from Year 1. Five year olds are to be taught to “Understand the relationship between gender, identity and wellbeing” and the concept of ‘gender identity’ and that people can change their sex is reinforced every single year thereafter. (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 30) Level 2: Akonga can show that they: Are able to identify gender stereotypes, understand the difference between sex and gender, and know that there are diverse gender and sexual identities in society. (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 31) Level 3: Akonga can show that they: Understand how communities develop and use inclusive practices to support gender and sexual diversity. (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 32) Level 4: Akonga can show that they: Know about pubertal change (including hormonal changes, menstruation, body development, and the development of gender identities), and about how pubertal change relates to social norms around gender and sexuality; and can make plans to support their own wellbeing and that of others. (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 33) Level 5: Akonga can show that they: Know about a range of cultural approaches to issues of gender and sexuality and how these relate to holistic understandings of wellbeing, eg, in terms of: varying perspectives on contraception and reproduction for different people, such as teens, heterosexual couples, same-sex couples, and single parents or cultural, generational, and personal values related to gender and sexual identities. (Refer Relationships and Sexuality Education Guide: Years 9-13 Pg 36) Level 6 : Akonga can show that they: Are able to examine how gender and sexual identities can shift in different contexts and over time, and understand how these identities can be affected by relationships, family, media, popular culture, religion, spirituality, and youth cultures. (Refer Relationships and Sexuality Education Guide: Years 9-13 Pg 37) Level 7 : Akonga can show that they: Understand how sex, gender, and sexuality might change across the lifespan (Refer Relationships and Sexuality Education Guide: Years 9-13 Pg 38) Schools are prompted to adhere to gender beliefs in everyday practices: Programmes should acknowledge gender and sexual diversity and make sure that a range of identities is visible in resources. Ākonga should be addressed by their preferred name and pronouns. Teachers can reflect on and change exclusionary practices such as lining up in girls’ and boys’ lines, requiring students to place bags in girls’ or boys’ categories, or organising class groups according to gender binaries. (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 36) Further, the RSE Guide recommends embedding the concept of gender into all areas of the curriculum: While RSE concepts and content will be specifically taught in health education and supported in physical education, there are many opportunities for RSE across the New Zealand Curriculum. (Examples are given of how to do this in physical education, English, science, technology, social sciences, the arts, languages, and mathematics and statistics.) ( Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 28-29) The Guide does not draw attention to how the right of parents to withdraw their children from sexuality and relationship education classes will be impacted by this ‘embedding’ recommendation, and thus does not suggest how parents’ rights in this regard might be respected. Although the Guide correctly states that schools must consult parents about the content of relationship and sexuality lessons, there is no question that the practice of embedding the topics throughout the curriculum thwarts the ability of parents to opt their children out of specific lessons. [1] The Guide asserts that Many ākonga at primary and intermediate schools are thinking about their gender identities, and some are aware of their sexual orientation . (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 35) We would suggest that while awareness of sexual orientation is often (but not always) innate, children are only thinking about their gender identities because that is a concept that school introduces them to in their first year at school and continues to reinforce in all subsequent years. Teaching belief as fact The RSE Guide promotes as fact the idea that a person’s feeling of being masculine, feminine, or neither, is more important than their physical sexed body. The phrase “assigned sex at birth” is referred to multiple times and, along with the use of words such as “cisgender” and “gender fluid”, demonstrates how the Guide has completely adopted the language of gender Ideology, and uses words which are offensive to many people world-wide who do not share this ideological belief. The scientific evidence is very clear that there are two, and only two, distinct biological sexes. Sex is not an assumption and is not “assigned at birth” – it is observed and recorded. Teaching these falsehoods means children are learning to genuinely believe that it is possible to be born in the wrong body and that a person can actually – literally – change their sex. Schools should be promoting body positive messages, not the idea that non-conformity to gender stereotypes means that a child’s personality or body is wrong. Children should not be led to believe that they need to change their body, bind their breasts, or wear different clothes to match a regressive sex stereotype. Confusing and contradictory definitions The glossary for the RSE Guide for both Years 1-8 and Years 9-13 is confusing to say the least: (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 48-50) Sexual orientation: A person’s sexual identity in relation to the gender or genders to which they are attracted. Sexual orientation and gender identity are two different things. Sexual orientation can be fluid for some people. Lesbian: A woman who is emotionally and sexually attracted to other women. This is used as both a personal identity and a community identity. Gay: A person who is emotionally and sexually attracted to the same gender. This is more widely used by men than women and can be both a personal and community identity. Bisexual: A person who is emotionally and sexually attracted to more than one gender. According to this guide, sexual orientation is about which gender a person is sexually attracted to. Any adult and many children can see the contradiction in sexual orientation being described as attraction to a gender. We all know that sexual orientation refers to the sex one is attracted to. Gender is an irrelevant concept when talking about sexual orientation. There is no acknowledgement at all given to the clear and consistent opposition by lesbian and gay organisations to the idea of lesbians and gays being same gender attracted [2] . Nor is there any recognition that for young lesbians and gays the idea that they ought to be attracted to the males and females who identify as the opposite sex is distressing and confusing . Of course, in the gender identity world, gender is fluid and can change over one’s life as defined below: Gender: Gender is an individual identity related to a continuum of masculinities and femininities. A person’s gender is not fixed or immutable. Gender binary (male/female binary): The (incorrect) assumption that there are only two genders (girl/boy or man/woman) Gender fluid: Describes a person whose gender changes over time and can go back and forth. The frequency of these changes depends on the individual. Sex assigned at birth: All babies are assigned a sex at birth, usually determined by a visual observation of external genitalia. A person’s gender may or may not align with their sex assigned at birth. Transgender (trans): This term describes a wide variety of people whose gender is different from the sex they were assigned at birth. Transgender people may be binary or non-binary, and some opt for some form of medical intervention (such as hormone therapy or surgery). The writers of the glossary seem oblivious to the incoherence of saying that gender is not binary while at the same time believing trans people can change from one side of the binary to the other (multiple times) or can be non-binary. If there is no such thing as the gender binary, doesn’t that make everyone non-binary? Missing from the glossary are the definitions of words which reflect biology such as male and female. It is challenging to imagine how biology and reproduction will be taught in this brave new world! (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 48-49) & (Refer Relationships and Sexuality Education Guide: Years 9-13 Pg 53-54) Eroding parents’ rights The RSE guide encourages schools to socially transition children without necessarily seeking parental consent. Socially transitioning a child is not an isolated act without consequence – it is the first step in a very serious, complex and life-changing process about which parents ought to be fully informed. Gender ideology supporters also specifically encourage gender-questioning children to speak to Rainbow organisations, peers, or an ‘online family’ rather than their parents. In some schools, advice about using binders or starting on hormones is being provided to students by teachers who are not medically qualified. The RSE guide appears to endorse this approach, not once stating that schools should inform or seek parental permission before using a student’s preferred name or pronouns. Where students need access to ‘support services’ and these cannot be accessed onsite, the guide specifies that students should be supported in seeking access to professionals outside of the school with no mention made of seeking parental consent. (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 19; Pg 22) The question of pronouns A child changing pronouns is the beginning of social transition. Asking students and teachers to use ‘preferred pronouns’ may appear to be kind and inclusive, but in reality is forcing other people to adhere to a belief system they may not agree with. Preferred pronouns can cause tension and conflict through the fear, or in the event, of someone making a mistake. They cement the social transition of a child, making it harder for them to later change their mind. Some gender non-conforming children may feel forced to choose different pronouns to avoid scrutiny from bullies. Preferred pronouns reinforce the incorrect idea that people can change their sex. When the school encourages their use, they are promoting gender ideology as fact rather than belief. It is difficult to see this as anything other than ideological indoctrination. Safe-guarding Issues The RSE guide recommends, “Ideally, schools will have at least one gender-neutral toilet available for akonga, but trans, non-binary, and intersex akonga should not be required to use this rather than male or female toilets.” This is an extraordinary double standard and creates a significant safe-guarding issue. Trans, non-binary, and intersex children can choose which toilets and changing rooms they use but girls are forced to accept males (who say they are really girls) in their toilets and changing rooms. Teaching girls that a boy really can become a girl trains them to suppress their instinctual caution and override their embarrassment and natural discomfort with having boys in their single sex spaces. It says that what girls want or feel doesn’t matter, and that they have no right to set their own boundaries. Absolutely no consideration is given to the comfort or dignity of girls who do not want to share intimate spaces with male-bodied people and who have the right to set such boundaries. This statement clearly prioritises the needs of children who believe they are trans over those who don’t. Gender questioning children need privacy and dignity just the same as other students. To that end, the school should ensure there are some unisex facilities for these students to utilise, but they should continue to offer single sex facilities as well. Boys and girls alike deserve a single-sex shared space where they can get changed and be comfortable together. Students are entitled to sex-segregated changing rooms, especially when some children, in particular those who are beginning puberty, are experiencing significant bodily changes. (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 20- 22) Outside Providers The Guide is clear that it is not considered best practice to hand over the responsibility for RSE programmes to outside providers and there are a number of questions they suggest should be asked such as “ How is this provider funded and what is its purpose for existing? What is its agenda? ” And “ Schools should evaluate the programmes and services provided by outside agencies alongside their in-school learning programmes” . (Refer Relationships and Sexuality Education Guide: Years 1-8 Pg 34 & Refer Relationships and Sexuality Education Guide: Years 9-12 Pg 40) Despite these previous cautions, In April 2022 the Ministry of Education issued new resources designed to provide further support for teaching relationships and sexuality education in schools. As part of this update schools are urged to “use resources from trusted organisations like InsideOUT or RainbowYOUTH”. Many of the third party activist groups that are endorsed by the Ministry have links on their pages that lead children to ever more extreme versions of gender ideology. These rainbow lobby groups universally glamourise the concept of being trans and convince children it is possible and even easy and desirable to change sex. (Refer Relationships and Sexuality Education Guidelines: Years 7-10 Pg 21) Conclusion The RSE guide sets out many values with which most New Zealanders will agree, in terms of inclusiveness, safety and respect, and it deals with issues such as pornography and online abuse that are unfortunately highly relevant in today’s world. However, its heavy focus on gender theory is hazardous for children. Many schools are now constantly promoting, in every facet of school life, the disorder of body dissociation as an ideal, chosen identity. Gender ideology communicates to children that some identities are more or less fashionable or desirable. Children who adopt a gender identity are constantly praised, put on a pedestal and celebrated; whilst lesbian, gay or heterosexual children are painted as privileged, boring, or undesirable. Placing so much significance on gender identity creates a breeding ground for social contagion and a consequent sharp increase in students developing gender dysphoria. Affirmation of a trans identity is not kind. On the contrary it confirms to a child that they are the wrong sex and encourages their belief that their body needs to be changed. Medical intervention can only ever effect cosmetic change; the child’s sex remains the same. Other children should not be coerced into expressing a belief in ‘gender identity’ through the threat that not to do so is ‘unkind’ or ‘transphobic’. Schools should be teaching that no child is born in the wrong body and that children can reject gender stereotypes and be their authentic selves without discrimination, labelling, or medical intervention to ‘fix’ them. [1] https://parents.education.govt.nz/primary-school/learning-at-school/sexuality-education/ [2] https://lgballiance.org.uk/about/ https://www.lesbians-united.org/about.html https://lesbianalliance.org.uk/ What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

Are schools required to teach about relationships and sexuality? Yes , but HOW schools teach the subject is decided by each school. Do schools have to follow the Relationships and Sexuality Education Guidelines ? No. These are guidelines only - schools can choose to teach the topic in their own way. Here is the Minister of Education, Jan Tinetti , in Parliament on 15 August 2023, confirming that schools can develop their own RSE curriculum content. Do parents have any say in what is taught? Yes. By law, schools must consult with their community every two years to decide the content of their RSE. More information about what is a meaningful consultation is here . A case study of a successful primary school consultation is here . Can parents withdraw their children from RSE lessons? Yes. Put your request for withdrawal in writing. A template letter is here . An example of a successful approach to a principal is here . Can parents speak at a Board of Trustees meeting? Yes. Advice on how to go about that is here . Should the school have written policies about RSE and gender practices? Yes. A list of things BOTs should consider and questions to ask them is here . Are all teachers, principals and BOTs in favour of the MOE guidelines for RSE? No. There is a general lack of knowledge, amongst teachers as well as parents, about the detail in the RSE curriculum. While some teachers (and parents) do agree with gender identity beliefs, many are alarmed by the ideas being promoted but are fearful of losing their jobs if they speak against the RSE guidelines or question social transitioning at school. Principals and BOTs are sometimes waiting for parents to speak up so that they have evidence that this teaching is not wanted by their community. You will achieve more if you treat teachers, principals, and BOTs as allies rather than adversaries, and work together to create an RSE curriculum that everyone can support. Can schools transition my child behind my back? Unhappily, yes. This has happened to parents in New Zealand. (See our testimonials . ) The Ministry of Education endorses the practice of hiding changed pronouns in its guide Supporting LGBTQIA Students . RGE has received legal advice that it is entirely dependent on the principal's opinion whether or not parents will be informed. As you cannot be certain that you will be made aware of your child’s social transition at school , it is imperative that you become fully aware of what is being taught there regarding gender identity and which rainbow organisations or clubs the school hosts. Knowing what beliefs are being presented to your child as facts is the first step towards countering this damaging ideology. Can schools take my child to get a binder or puberty blockers without my permission? Possibly. (See previous answer above.) RGE has heard of schools discussing binders , puberty blockers, and cross sex hormones with secondary students but we have not had reports of these things being supplied via schools, possibly because they are easy to get elsewhere. Information about how to access these items is readily available from rainbow lobby groups like InsideOUT, Rainbow Youth, or Gender Minorities. What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

The Responsibilities of Boards of Trustees In the last few years, schools and teachers have found themselves in a gender minefield without the training or quality guidance they need on how to navigate through the demands being placed upon them by some very confused ideas about sex and gender. Among other things they are being asked to: teach gender identity beliefs as if they are facts use the pronouns and names chosen by individual students allow students who claim to be the opposite sex to use the toilets of that sex irrespective of any discomfort the other students may feel keep a student’s social transition to another gender a secret from their parents. Why is this a problem for Boards of Trustees? The stewardship role of Boards of trustees involves planning for, and acting in, the interests of the school and its community. Student learning, wellbeing, achievement, and progress are the board's main concern. (Ref Pg 2, ERO School Trustees Booklet 2017). Issues which affect student well-being affect their learning. The sudden rise in the numbers of students expressing gender identity beliefs - the idea that they can change their sex or be non-binary or have no sex at all - has serious implications for schools. When students assert that their feelings about their sex or gender are more important than their physical sexed bodies, and when school policies and practices support those beliefs, the well-being of everyone in the school is affected. The desires of some students should not be met at the expense of other students. School policies and practices need to be respectful of the whole school community and facilities need to meet the needs of all students. In order to navigate the gender minefield, trustees and staff need to become fully informed about the concepts associated with gender identity theory and be aware that these concepts are heavily criticised by a wide range of international experts. This is a complex issue that has the potential for conflict in the community and even litigation against the school. In this video, Stella O'Malley , psychotherapist and Director of Genspect, provides an introduction to the issues for schools. Genspect advocates for a "cautious, gentle, compassionate and understanding approach." Relationship and sexuality education The Relationship and Sexuality Education Guide (RSE Guide) for NZ schools that was published in September 2020 not only accepts but actively promotes controversial gender identity beliefs as if they are fact. Schools are entrusted to educate children about controversial topics by providing students with both sides of a debate presented neutrally and objectively. This trust is being undermined by the MOE’s policies for teaching children that they can choose their sex and that embracing body dysmorphia as part of a trans identity is an easy, joyful, and authentic response to unhappiness. No alternative viewpoint is presented. Guidelines that recommend schools collude with students to keep their gender transition at school a secret from their parents are the ultimate betrayal of trust and are unprofessional in the extreme. Court cases have already been instigated overseas in relation to demands like those placed upon our teachers. Litigation has been brought by parents whose children have been socially transitioned at school without their consent; on behalf of girls who have been sexually assaulted in mixed-sex school facilities; and by teachers whose personal beliefs have been overridden by school policies that enforce gender ideology practices such as using preferred pronouns. The purpose of a school is not to provide a conduit for political or social ideologies. We recommend that Boards of Trustees remove gender politics from schools and focus on respecting the needs of all students and creating an environment of acceptance rather than one of exceptionalism. Concepts that everyone needs to fully understand: What is gender identity theory? Why do some people say it is fact when it is really a belief? What are the new definitions and language of gender theory and are they accurate? What is gender dysphoria and what are the differing explanations for it? Why are there suddenly so many students saying they are trans and what is the best evidence for how to support them? What is gender affirmation and what are the implications for schools when they automatically affirm students in an adopted gender identity? What is social transition and is it a harmful option for children with gender distress? What is the new evidence that puberty blockers are powerful drugs that are being used experimentally to disrupt puberty? Why are mental health outcomes better when children are allowed to mature naturally? What are the flow-on effects in a school when students claim they are the other sex or that they don’t have a sex? Why are transgender rights not an extension of gay rights? What are intersex conditions (DSD – differences in sex development) and what do they have to do with being transgender? For answers to these and other questions go to https://www.resistgendereducation.nz/faqs School Policies and practices School policies need to be based not on ideology but on facts, reality, and evidence. Safety and fairness fo r all students should be paramount and any political or ideological positions should be avoided. Social transition (the adoption of names, pronouns, and clothing of the opposite sex). Social transition is a process that schools do not have the knowledge or expertise to oversee. It can prematurely cement a life-altering decision and make it hard for a student to retract. Unambiguous policies are needed to enable schools to manage any student or parental requests to affirm a child in a chosen identity. Uniforms. It is appropriate for uniforms and hairstyles to be fluid. If students want to wear a different uniform, they should be able to without it being a major statement. Allowing students to express themselves as they choose does not make them the opposite sex. Names. While peers and teachers may choose to use nicknames, legal names should be used for all formal documents. Only when there has been a documented legal change of name should formal school records be altered. Pronouns. The use of ‘preferred pronouns’ is an unworkable concept in schools. Many neurodiverse and learning-disabled students, or those with speech and language difficulties, or with English as a second language, find the concept very confusing and difficult. It is also discriminatory to those who do not adhere to gender identity beliefs. It is not the responsibility of children or teachers to provide opposite sex affirmation to students in their classes. Toilets, changing rooms, and residential stays. Single-sex facilities at school and on residential stays are necessary for the safety and dignity of children of both sexes and should be protected. For the small number of children who find that challenging, separate single-occupancy facilities can be provided. No children should be asked to ignore their own need for privacy and dignity in order to validate another child’s self-perception. Sport. After puberty, for fairness and safety , all sports should be segregated by sex. Where it is safe, separate mixed-sex teams can be formed as optional extras. Birth Certificates. From June 2023 it will be possible for parents to change the sex marker on their child’s birth certificate. Very serious safe-guarding issues are raised if this change is not disclosed to the school. If the correct sex of a child is not known, the possibilities are open-ended for accusations of, or actual, sexual assaults. Keeping secrets provides a ripe environment for all sorts of bullying and emotional blackmail. If teachers do not know the actual sex of the children under their care, they cannot safely provide medical assistance, or plan for residential camps, or offer sex-specific advice. In order to implement the school's policies around gender that have been formed for the benefit of all, the biological sex of every student must be declared upon enrolment. Meaningful consultation By law, schools are required to provide full consultation for parents on sexuality education every two years and to be guided by community input. As parents may want to withdraw their children from particular RSE lessons, the consultation needs to be full and transparent. For parents to make fully-informed decisions, schools need to consult with them in good faith. There should be a consultation period of at least two months. All materials to be used with their children (including worksheets, videos, and graphics) should be readily available for parental assessment, without them having to go into the school. No materials should be withheld for copyright reasons. The school should confirm that all teaching of RSE content will be in dedicated lessons, and that RSE will not be embedded throughout the curriculum as recommended by the MOE . Embedding the content thwarts the parents’ right to withdraw their children from some or all lessons. Education about sex, gender, and sexuality should be age appropriate. Schools and parents should reach a consensus about what topics will be covered at each level at school and which questions will be referred to parents for answering. Examples of good consultation practices, a body positive policy, and a policy about teachers answering questions are on the RGE website. https://www.resistgendereducation.nz/information/get-involved Some points for Principals and Boards to consider: What is the school’s definition of sex and gender identity? Is the school’s definition in keeping with the views of its community? Is the school teaching scientific facts or ideological beliefs about human sexuality, or is it avoiding the subject altogether? How does the school show respect to those who don’t believe in gender theory? How will the school ensure that no-one is pressured to endorse a belief they do not hold? Does the school have robust policies around gender identity? What evidence has been used to support those policies? Is the school gender identity policy consistent with the way it treats other religious or political beliefs? What school policies might need to change, be added, or be removed so that children can be free to explore their identities in a neutral space that neither celebrates nor shames them? How will the school manage requests to ‘affirm’ a student in beliefs that are not supported by scientific evidence and not held by the majority of families or staff? How will the school meet the needs and safety of all students (and staff) in a way that ensures everyone’s values and beliefs are respected ? Schools are required to have an 'Inclusive Education' policy but there can be fishhooks in the nice-sounding words. Read our substack on the subject here . We recommend this policy from a US school: " We believe in parental choice and that we are here to serve families. As we strive to build upon connections with our families, we leave the job of parenting to our parents. They are responsible for imparting morals and values taught in their homes including practiced political, religious, and social viewpoints. We trust that they know what is best for their student as the student grows and develops into an adult.” Useful guidance for schools from Sex Matters, Transgender Trend, and Genspect: Sex and Gender Identity This February 2023 revised and updated guidance for UK schools was jointly produced by Sex Matters and Transgender Trend. Brief Guidance for Schools Produced by Genspect, this guidance advises schools to develop a sex and gender policy and to take a "cautious, least-invasive-first approach" to gender issues. Brief Guidance on Social Transition Also produced by Genspect, the guidance includes several cautions, including one against allowing students to dictate other people's use of pronouns, saying "it is not acceptable to act as though it is an act of hostility to use the biologically correct pronoun." Saying no to school transition . In this article, UK MP Miriam Cates explains why new Education Department policy should ban schools from socially transitioning a child, even with parental consent. “ Not only is a ban the right ethical solution, it is also the only way to protect head teachers from being forced to make high stakes decisions for which they are unqualified.” Conclusion T eachers normally keep their religious and political beliefs to themselves and the same should apply to any beliefs they have about gender identity. It is not possible for humans to change sex and children should not be confused by being taught anything else. We recommend Boards of Trustees remove gender politics from the classroom and ensure schools are not centres of gender activism and children are not being used as foot soldiers for an activist agenda. Gender identity activism is not a school’s purpose and teaching gender identity ideology by disguising it as fact is not education. Further recommended reading: The Transgender Children’s Crusade by Kay S Hymowitz Time to Think by Hannah Barnes (review) Gender dysphoria is rising - and so is professional disagreement (British Medical Journal)

Press Release 8 May 2023 Press statement in response to Stuff article 7 May 2023 https://www.stuff.co.nz/national/education/300867924/awful-and-targeted-librarians-teachers-fear-bitter-culture-wars-reaching-nz Resist Gender Education (RGE) objects in the strongest terms to our group being named in the above Stuff report about harassment and threats against teachers, librarians, trans people and their allies, and the implication that we have participated in such behaviour. We do not advocate for, nor condone, threats or harassment towards anyone and certainly not towards the rainbow community, which many of our group are part of. Stuff’s coverage of this issue is, as usual, one dimensional, implying that anyone who might challenge schools on education policies regarding sexuality and gender must necessarily be against same-sex relationships. RGE is a non-partisan and non-religious group of parents and educators, including lesbians and gays, who are (obviously) supportive of same-sex relationships and the marriage equality laws in NZ. Our challenge to education policies is focused solely on the teaching of gender identity beliefs as if they are fact and on teaching these concepts to children who are too young to be able to grasp the complexities involved. RGE and an increasing number of parents are challenging the way children as young as five are being taught that they can choose their sex; that sex is determined by how well they fit into sex stereotypes; and that it’s easy, joyful, and authentic to embrace body dysmorphia as a way of coping with any unhappy feelings. We are also challenging the concept of so-called harmless social transition. Adults pretending that a child is really of the opposite sex has harmful consequences. They are being encouraged to live a lie and when reality hits at puberty, they are in despair - not because they are trans but because the adults in their world have lied to them for years. When most of these children go on to start medical intervention, they become lifelong patients and may subsequently lose both sexual function and fertility. We contend gender identity ideas are harmful to all children, but particularly harmful to those who may grow up to be lesbian or gay. Those children, instead of being accepted as themselves, are now being steamrolled into thinking that if they’re not a stereotypical girl or boy they must really be the opposite sex. Education policies, media reports, and lobby groups all fail to distinguish between sex (an immutable physical characteristic that determines our reproductive roles) and gender (the expected social behaviours for each sex that differ widely according to time and place). RGE is opposed to rigid gender roles and agrees that children should be able to express themselves freely. However, a boy in a long dress is still a boy; a girl with short hair is still a girl. Teaching children anything else is scientifically false and psychologically damaging. Bullying of children because they are different is completely unacceptable but there are better ways to counter that than teaching children magical thinking. Stuff’s article criticises parents for asking questions about what is being taught to their children. What sort of education system do we have if parents are not allowed to have a say? There is no scientific evidence whatsoever that everyone has a gender identity known only to themselves. As with any ideology, people are free to believe it, but it should not be part of the school curriculum and children should not be recruited to be the foot soldiers for political lobby groups. Our objection to Pride activities is because they are now mostly about teaching gender identity ideology, not about accepting others’ differences. Baking may sound benign, but if it is a rainbow cake with stripes to represent all sorts of genders, that is indoctrination into a belief that most people don’t hold. A survey of 1200 people carried out in Aotearoa in June last year found significant opposition to gender ideology being taught to primary school children. When asked – “Do you believe that primary age children should be taught that they can choose their ‘gender’ and that it can be changed through hormone treatment and surgery if they want it to be?” , only 15% said yes. More than 2 in 3 people (69%) opposed this type of teaching, and a further 16% were unsure. Bullying in schools is unacceptable but it is equally unacceptable that an 8-year-old would come home from school to announce that she is “pansexual”. It is unacceptable that a 10-year-old would be worried about reaching puberty because she has learned at school that puberty is when she will have to decide whether she wants to be a boy or a girl. It is unacceptable that teachers risk losing their jobs if they fail to follow the rituals of gender identity ideology such as using opposite sex pronouns. Finally, it is unacceptable that anyone who challenges the Relationships and Sexuality Education curriculum is painted by Stuff as a hate-filled and dangerous bigot. Resist Gender Education advocates for the right of children to reject gender stereotypes and be their authentic selves without discrimination, labelling, or medical intervention to ‘fix’ them. It is a fundamental human right that all children can go through puberty and reach adulthood with their fertility and sexual function intact. Originally published to our Substack

We have available business cards to give to interested aquaintances and a 10 page information booklet to take to principals or boards of trustees. Any donations to cover printing and postage costs will be gratefully received into the RGE account: ASB 12-3158-0186494-00. To order our resources , please send an email to info@resistgendereducation.nz with the resource you want in the subject line. Don’t forget to give us your name and address in the message box and how many of each resource you want. 'Sex cannot change" cards . These 21x10cm cards are useful for giving to friends or parents who are unaware of the reach of gender identity ideology in schools. The cards can be handed out at the school gate, in parents’ groups, given to teachers, left in cafes, and libraries etc, or posted to your local MP. To order 50, please deposit $10 for postage into the RGE account: ASB 12-3158-0186494-00 with your name in the reference field. Then email info@resistgendereducation.nz giving your name and address. If you want to leaflet letter boxes or cars, this black & white flyer is more suitable and is now available to download and print. RGE Flyer .pdf Download PDF • 1.07MB Speak up for Women has a coloured downloadable flyer on its website . What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

In this interview on the Platform on March 27, Sean Plunket interviews Sunita Torrance, the founder of Rainbw Storytime in libraries, who admits that drag queens parody women and act as the clown in their events. In this 22 minute presentation, Professor Sallie Baxendale , a UK Consultant Neuropsychologist, describes the effect of puberty on the brain and cites studies showing lower IQ scores for participants who have taken puberty blockers. RGE on The Platform . Our spokesperson, Fern Hickson, was interviewed by Sean Plunket on 23 January about why RGE supports the government's plan to replace the RSE Guide and the major changes that are needed. [Correction: Rose Hipkins works for NZCER not The Education Institute.] Child Psychiatrist, Dr Miriam Grossman (author of 'Lost in Transnation') has excellent advice for parents in this interview by Matt Walsh . In this outtake from an upcoming series "Uncomfortable Truths: The Reality of Gender Identity Ideology", Helen Joyce comments on the "dishonest and irresponsible" parents quoted in the book, "The Transgender Child". In a BBC Newsnight report , a re-analysis of a landmark study about the efficacy of puberty blockers shows the mental health of 34% of the children deteriorated after 12 months of puberty blockers and 27% stayed the same. Helen Joyce speaks with Sean Plunket on the Platform. De-transitioning documentary . (link to full version) In what is billed as “the most controversial Spotlight story this year”, which aired on 3 September, Australian channel 7 News spoke to parents, doctors, and detransitioners and asked the question: “Is a generation being brainwashed?” In these two 5-10 minute interviews from the documentary, Dr Jillian Spencer and Dr Dylan Wilson decry the ‘gender affirmation only’ model of care. In this interview with Peter Boghossian , Helen Joyce discusses how trans identification is a culture-bound syndrome— created by one culture and not present in another. She also explained why parents who have transed their kids will be the ones who must keep fighting until their dying breath to destroy the recognition of the two sexes as legal categories, otherwise they must admit thay have done something terrible to their own children. Richard Dawkins interviews Helen Joyce . They discuss the influence of gender ideology on society and its implications for scientific facts. Jordan Peterson interviews Helen Joyce . This is the second time Peterson has interviewed her and Helen commented that "The pleasure was in being asked different questions to those that arise during my own self-interrogation and rumination, and that nobody I know personally thinks to ask me either." The Bad Law Project in the UK is suing the Department for Education for negligence for promoting gender ideology in schools despite its forseeable harms. It is calling for more parents, teachers and detransitioners to join the first ten litigants. The case also seeks to have gender ideology properly defined in law to expose its political extremism. Listen here to Marg Curnow on the Pendulum Channel on Voice Media. Brandubh a secondary school student, speaks out on gender ideology teaching in Ireland and is damning of her school and her fellow students. “I was not an activist when I started at that school, but I definitely am now,” she says. RGE’s spokesperson , Marg Curnow, spoke on our behalf at a rally outside Parliament on 8 June and on Reality Check Radio on 31 May. Stella O'Malley , psychotherapist and Director of Genspect provides an introduction to the issues for schools here. Genspect advocates for a "cautious, gentle, compassionate and understanding approach." Scott Newgent , a woman who has medically and surgically transitioned to a transman, speaks to a US press conference to “put an end to the idea that medically transitioning children is about human rights. It is not. It is about money.” How was I supposed to know? “How was I supposed to know?” This is the sorrowful question from Chloe Cole, an 18 year old from California who has reclaimed her womanhood after identifying as a male for six years. Unfortunately, those six years have left an indelible mark on her body - her voice is permanently deepened by the testosterone she started taking at the age of 13, she had her breasts removed at 15, and, at 18, she suffers from the sexual dysfunction that is normally associated with menopause. As with so many other trans-identifying teenage girls, Chloe’s normal adolescent struggles were diagnosed as gender dysphoria without proper investigation of other potential causes for her unhappiness, and hormones were prescribed immediately. In this informative interview with Chloe, Jordan Peterson says: Well consent has to be documented but it also has to be informed and informed means you have to understand what you are consenting to. You needed to be walked through in great detail all of the issues that were relevant to you on the psychological and medical front, all of the options that were available to you, and the pros and cons of all those options. I can’t see in any possible way that that could have been done with any degree of thoroughness in something under six months of weekly therapy and I would say that’s an absolute minimum to walk anyone through something as complicated as what you laid out. Detransition: The Wounds That Won't Heal | Chloe Cole | EP 319 This is a two hour video in which Peterson discusses Chloe’s case in depth. For shorter viewing, click on the link under the image for 25 key moments from the interview. What’s causing the trans explosion? In this hour long interview on Triggernometry, Helen Joyce explains why “Gender dysphoria is something that society creates” and what led her to write her book Trans: When ideology meets reality. RGE Presentation to CATA conference View the presentation made to the CATA conference in August 2022 on behalf of Resist Gender Education. Read the transcript. Sex education gets extreme This 25 minute Family First video analyses the MOE relationships and sexuality education guidelines, and takes a close look at Family Planning’s “Navigating the Journey” programme that is used in many NZ schools. The Trans Train and Transgender Regret Documentaries - Bayswater Support Investigative journalists in Sweden have now produced three reports looking at the treatment given to those who seek gender transition, and who later regret their decision. All three parts are in Swedish with English subtitles. Mission: Investigate: Trans Children In this 2021 Swedish documentary with English subtitles the investigative journalist finds “case after case of irreversible treatment of young people gone wrong”, including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. “Those with the ultimate responsibility blame each other.” Trans Kids: It’s Time to Talk In this acclaimed Channel 4 (UK) documentary, Stella O'Malley describes the reality of the trans craze that is afflicting a generation of teens who are simply uncomfortable in their bodies. Dysphoric: A Four-part Documentary Series - Bayswater Support This four-part documentary looks at the effect of gender identity ideology on women and girls. It includes interview with illustrative highlights from worldwide media coverage. What is particularly interesting, and discussed virtually nowhere else, is the rise of trans-identification in developing countries. Controversy brewing over transgender children’s access to puberty blockers A 2021 NZ documentary from TV3. Gender: A Wider Lens Podcast – Stella O’Malley and Sasha Ayed O’Malley and Ayed are two practising therapists who explore the concept of gender in a series of episodes with clinicians, academics, transgender people, parents and detransitioners. Calmversations on Apple Podcasts - with Benjamin A. Boyce What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.

This video for teens tells the plain truth about sex and sexual orientation. What do gender identity supporters believe? Gender identity activism is based on a belief that everyone has an innate sense of being masculine, feminine, or neither, and that this feeling does not always correlate with their sexed bodies. They believe that a person’s gender identity should take precedence over their observable sex and that everyone else must accept their self-identification. There is a range of views within gender identity activism, with some acknowledging that sex is an objective classification and others contending that sex is on a spectrum and that binary classifications are scientifically false. The more extreme activists say that there are hundreds or thousands of distinct and legitimate gender identities, all of which should be recognised by others. Extreme trans activists demand that the subjective concept of gender identity should replace the objective reality of sex in all government policy and law. For example, NZ law now allows anyone (including children) to have their birth certificate changed (multiple times) to the sex they self-declare. The fact that the birth certificate has been changed is permanently hidden from public view. Arty Morty's December 2023 substack, The War to Annihilate Sex clearly explains both sides of the debate and what is at stake. How do gender identity beliefs affect NZ schools? The Ministry of Education published the updated Relationship and Sexuality Education Guidelines (RSE) in September 2020 which is heavily supportive of gender identity thinking. Our critique of the Guidelines is here. The Guidelines are based on Gender Identity Theory that argues that everyone has an inner feeling of masculinity, femininity, or neither that is known only to themselves and should be automatically affirmed by others, including at school. The alternative explanation for gender distress, the Developmental Model Theory, is not mentioned at all. This theory recognises that there is a very long history of people developing behaviours to manage distress and becoming fixated on them - such as obsessive compulsive disorder, anorexia, cutting and now gender dysphoria. Given the right support, there is also a very long history of people recovering from these conditions, however the MOE Guidelines do not suggest this alternative approach to schools. Schools are required to consult their community on the contents of sexuality education and parents retain the right to withdraw their children from these lessons. However, parents are often unaware of the incidental discussion of trans beliefs in everyday classroom conversations. Advice on how to communicate with your school on this issue is here. In the name of being inclusive and kind, schools and other students feel they must use new names and pronouns (see below) for transgender children and must provide special facilities for them. The RSE guidelines direct schools to allow students to use the facilities “of the gender identity they are most comfortable with” and students are often not consulted or are pressured into agreeing with that policy. The RSE guide encourages schools to support a child’s social transition (see below) without mentioning the need to consult parents. Under the Education Act, principals are expected to inform parents of any matters that in the principal’s opinion “are preventing or slowing the student’s progress... (or) harming the student’s relationships with teachers or other students.” This expectation is entirely dependent on the principal’s opinion and there is no case law to clarify the extent or limits of the principal’s decision. If the principal is fully supportive of organisations like InsideOUT and follows its advice, parents will not be informed. Some parents of trans children are not informing the school of their child’s transition and the Human Rights Commission recommends that, if known, schools keep the transition a secret from other parents. This removes the right of other parents to know who their child shares space with in school changing rooms and on school camps. Rainbow organisations with good funding have been able to influence LGBTQ education in schools in many Western countries, including NZ. Under the guise of anti-bullying programmes, many schools contract out to activist groups to provide sex education that confuses children about biological reality and can persuade them to claim a gender identity. Support groups for lesbians and gays in schools are disappearing in favour of transgender support. It has become ‘uncool’ to be lesbian and the attention and compassion for the rainbow community is now mostly reserved for those with a trans identity. In the past, children who were gay or lesbian were often bullied. Now it is becoming common for children to be bullied for not being ‘queer’. Some children have discovered that adopting a non-binary persona is a necessary safeguard. What is the problem with preferred pronouns and inclusive language? Contrary to trans activists’ claims, requiring people to use ‘preferred pronouns’ is not inclusive, nor is it kind. It forces everyone to take sides in an ideological belief and can lead to bullying of those who choose the ‘wrong’ pronouns for themselves, or accidentally use the ‘wrong’ pronoun for others. Using preferred pronouns has become a linguistic game that “cultivates fragility, entitlement ... and brainwashes children into hating their bodies.” Pronouns have become weaponised, leading to accusations of ‘misgendering’ that are used to excessively punish small perceived errors in speech with charges of bigotry and violence. ‘Preferred pronouns’ are touted as a mark of respect but they are more often a mark of submission. Many people object to being compelled to use chosen pronouns, for example in cases where female victims of violence have been required to address their male abusers as ‘she’. Trans activists, representing about 1% of the population, are demanding radical changes to the language for the other 99%. ‘Women’ has been given a circular and nonsensical new meaning: a woman is now any person who feels like a woman. Medical terms for women’s anatomy and bodily functions are being discarded in favour of words that are disconnected from women altogether: vagina becomes ‘front hole’; breast-feeding becomes ‘chest feeding’; mother becomes ‘birthing parent’. Pride in being a girl, woman or a mother is taken away. These new terms, designed for the comfort of a very few, will result in disadvantaged women and girls being even further distanced from the health care they need. Is social transition harmless? Social transition can mean anything from choosing a gender-neutral nickname and wearing androgynous clothing, right through to adopting an opposite sex name, pronouns, and clothes and wanting to be recognised as the opposite sex by everyone else in all facets of life. Far from being “kind and affirming” as claimed, it fixes the new identity and makes it harder for children to later change their minds. When everyone else is expected to go along with the fiction, children are learning that affirming another’s belief is what matters and questioning is wrong. What is ROGD? Dr Lisa Littman, Public Health Assistant Professor at Brown University, coined the term Rapid Onset Gender Dysphoria (ROGD) after studying the phenomenon of the sudden onset of gender dysphoria amongst girls belonging to a peer group where multiple friends have become transgender-identified during the same timeframe, often accompanied by lengthy periods spent on social media and the internet. Some of the results from Littman’s study are: 41% of the participants had expressed a non-heterosexual sexual orientation before identifying as transgender; 62.5% had been diagnosed with at least one mental health disorder or neurodevelopmental disability prior to the onset of gender dysphoria; in 36.8% of the friendship groups, the majority of the friends became trans-identified; and 49.4% tried to isolate from their families. Boys and young men also experience ROGD. Some of their stories have been collected in a four part Quillette series. There has been a twenty fold rise in the number of people seeking transition, with teenagers hugely-overrepresented. Between 2007 and 2017, the number of transgender youth clinics in the US went from 1 to 41 and the number continues to increase. A survey in the UK has found a 15 fold increase in children being referred for gender treatment since 2010, and also a marked regional difference with referrals in Blackpool three times the national rate. In this 5 minute video, Abigail Shrier explains the phenomenon of Rapid Onset Gender Dysphoria (ROGD) and its tragic effects on a generation of (mostly) girls. Shrier is the author of Irreversible Damage: the transgender craze seducing our daughters. What is the problem with puberty blockers? Puberty blockers are an experimental treatment that is too readily prescribed to young people who cannot fully understand the consequences. Puberty blockers are drugs that were developed for the treatment of prostate cancer and they have never been certified as safe and effective for treating gender dysphoria. Multiple reviews of the use of puberty blockers have all found a lack of evidence for their safety or efficacy. These reviews include: Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18. Sweden 2022 Following a comprehensive review, the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. France 2022 The French National Academie of Medicine recommended caution in the use of puberty blockers: “...the greatest reserve is required in their use, given the side effects such as impact on growth, bone fragility, risk of sterility, emotional and intellectual consequences and, for girls, symptoms reminiscent of menopause”. Florida 2022 The Florida Department of Health issued new guidelines on treating gender dysphoria for children and adolescents which recommends that minors should not be prescribed puberty blockers or hormone therapy. United Kingdom 2022 An independent review, led by Dr Hilary Cass, highlighted a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. New Zealand 2022 In September 2022, the NZ Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and replaced it with “Blockers are sometimes used from early puberty through to later adolescence to allow time to fully explore gender health options.” Unlawful. In this article, Bernard Lane describes how the NZ Ministry of Health was warned by Medsafe in September 2022 it could be breaking the law by publicising the off-label use of puberty blockers for children. Questions mount around the use of puberty blockers in children. by Jan Rivers. "New Zealand rates of puberty blocker use are much higher than the UK, where the Tavistock Clinic’s Gender Service (GIDS) was closed due to unsafe practices. In New Zealand, Dr Sue Bagshaw reports that 65 per cent of her clinic’s 100 patients receive them. The Tavistock GIDS clinic prescribed blockers to about 6 per cent." Flaws in Dutch Puberty Blocker Study 2023 A peer-reviewed open access publication has exposed deep flaws in the Dutch studies that formed the foundation for youth gender transition and concluded that these studies should never have been used to launch the practice of youth gender transition into mainstream medicine. Puberty blockers are wrongly claimed to be fully reversible. Short term studies have shown changes to height, lower bone density, and potential interference with brain function, while long term effects are unknown. Treating gender dysphoria with puberty blockers is a medical experiment which may leave young people in a state of ‘developmental limbo’ without the beneficial effects of puberty on maturation and the development of secondary sex characteristics. A 2021 Swedish documentary described finding “case after case of irreversible treatment of young people gone wrong", including a 15 year old who has constant pain from severely reduced bone density after being on puberty blockers for four years. Nearly all young people who start puberty blockers go on to life-long use of cross sex hormones and their irreversible effects. In a study carried out by the Gender Identity Development Service in the UK, of 44 children who were referred for puberty blockers between the ages of 12 and 15, all except one – 98% of the cohort – progressed to cross-sex hormones. Studies have shown that a large majority (around 80%) of trans identified youth grow up to change their minds and accept their biological sex. The current rush to affirm a trans identity by some counsellors, clinicians and parents means large numbers of children are being medicalised when a ‘watchful waiting’ approach would have been most appropriate. March 2024. The WPATH Files were published, revealing that 'gender-affirming care" is leading to widespread medical malpractice on children and vulnerable adults. The “WPATH files” are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). The leaked files reveal that treatments may do more harm than good, and suggest that some clinicians who are members of WPATH know this. (Sex Matters) In this Quillette article, Bernard Lane gives an overview of the use of puberty blockers as a routine treatment for gender distress and the resulting medical scandal. In a new study (2024), the Mayo Clinic has found mild to severe atrophy in the testes of boys on puberty blockers, leading the authors to express doubt in the claims that these drugs are 'safe and reversible'. Which countries have restricted the use of puberty blockers and other medical treatments of gender distress in minors? France 2024 French senators have published a report that expresses alarm at the excesses of child gender transition and have proposed a bill to put an end to it. England 2024: The NHS will no longer routinely prescribe puberty blockers at gender identity clinics in England and Wales. (Scotland NHS is a separate body.) The Netherlands 2024: The Dutch government has passed a motion to conduct research into the physical and mental health outcomes of children given puberty blockers. Denmark 2023 In a marked shift in the country's approach to caring for youth with gender dysphoria, most youth who are referred to the centralised gender clinic now receive therapeutic counselling and support, rather than a prescription for puberty blockers. Norway 2023 After a review, the Norwegian Healthcare Investigation Board stated it has serious concerns about the treatment of gender dysphoria in children and that the current ‘gender affirming’ guidelines are not evidence-based and must be revised. Sweden 2021 The Karolinska Hospital ceased the use of puberty blockers for those aged under 18 . Finland 2020 revised its treatment guidelines, prioritising psychological interventions and support over medical interventions. USA 2023-24: A total of 22 states have so far passed laws protecting children from routine medicalisation of gender distress. The laws vary in what they proscribe and in the penalties imposed and some of them are subject to ongoing legal challenges. This interactive map provides state by state details. New Zealand 2022: In September of that year the Ministry of Health website quietly removed its description of puberty blockers as being “safe and fully reversible” and initiated a review into their safety and efficacy. We are still awaiting that report. What has happened in Sweden? As with other Western nations, in the mid 2000s, Sweden enthusiastically started treating children who had gender dysphoria with hormones, followed by genital surgery. However, in late 2019, there was a sharp 65% decline in the number of referrals to gender clinics in Sweden, as shown in the graph below. This sharp decline corresponds with experts calling on the government to review treatment protocols and with the airing of a television documentary – Trans Train – that revealed to the population that medical transition of minors is not based on scientific evidence. In April 2021, Sweden announced a new policy for the treatment of gender dysphoric minors. Those under 18 will no longer be prescribed puberty blockers or cross sex hormones and doctors are required to give better explanations of the risks and uncertainties of transition. Following a comprehensive review, in February 2022 the Swedish National Board of Health and Welfare concluded that the evidence base for hormonal interventions for gender dysphoric youth is of low quality and that hormonal treatments may carry risks. As a result of this determination, the eligibility for pediatric gender transition with puberty blockers and cross-sex hormones in Sweden will be sharply curtailed. For most youth, psychiatric care and gender-exploratory psychotherapy will be offered instead. Exceptions will be made on a case-by-case basis, and the number of clinics providing paediatric gender transition will be reduced to a few highly specialised centralised care centres. What has happened in the United Kingdom? The exponential rise in teenage girls seeking medical gender transition began to raise alarm bells and the Keira Bell case confirmed that there are serious questions about the efficacy and long term impact of puberty blockers and cross-sex hormones. In April 2021 a report by the National Institute of Health and Care Excellence (NICE) found the evidence for using puberty blocking drugs to treat young people struggling with their gender identity is “very low”. A further independent review, led by Dr Hilary Cass, released an interim report in March 2022 that highlights a profound lack of evidence and medical consensus about the best approach to treating gender dysphoria in children. This is Dr Cass's latest update (Dec 2022) about the proposed changes to the UK's transgender medicine services. Following the interim Cass Report, in April 2022, the UK Health Secretary,Sajid Javid, announced an urgent review into gender treatment services for children in England, saying that services in this area were too affirmative and narrow, and “bordering on the ideological”. In December 2022 the Scottish parliament passed a bill allowing sex-self-ID. In January 2023, the UK Prime Minister, Rishi Sunak announced his government would block the legislation. Days later, Nicola Sturgeon, the then Scottish First Minister was embroiled in a controversy about a rapist who had self-identified into a women's prison. Time to Think by Hannah Barnes was published in January 2023. This Guardian review of the Gender Identity development service describes, "As referrals to Gids grew rapidly – in 2009, it had 97; by 2020, this figure was 2,500 – so did pressure on the service. Barnes found that the clinic – which employed an unusually high number of junior staff, to whom it offered no real training – no longer had much time for the psychological work (the talking therapies) of old. But something else was happening, too. Trans charities such as Mermaids were closely – too closely – involved with Gids. Such organisations vociferously encouraged the swift prescription of drugs. This now began to happen, on occasion, after only two consultations. Once a child was on blockers, they were rarely offered follow-up appointments. Gids did not keep in touch with its patients in the long term, or keep reliable data on outcomes." In March 2024 the NHS (National Health Service) announced that puberty blockers would no longer be routinely prescribed in England and Wales. (Scotland's NHS is a separate body.) What are the effects of cross sex hormones? For females, taking testosterone irreversibly deepens the voice, promotes the growth of facial and body hair, and enlarges the clitoris. It also can thicken the blood, increasing the risk of stroke or heart attack. Body fat is redistributed and sweat and body odour are affected. Vaginal atrophy (the thinning and drying of the vaginal wall) is usual and menstruation is reduced or ceases. Initially there is often a ‘high’ produced by the increased testosterone, with anxiety and emotional responses markedly reduced, but this may not last long term. For males, taking oestrogen causes the development of breasts, a reduction in muscle mass and body hair, reduced testicular size and sperm count, the redistribution of fat, a change in sweat and body odour and changes in emotions. For both sexes there is a loss of sexual function – vaginal atrophy in females (drier vaginal walls can cause pain during sex), and reduced erectile function in males. Both sexes can experience a change in sexual interest, arousal, and orgasm. There is also possible infertility in both sexes caused by the reduced ovulation and sperm production. Children who move directly from puberty blockers to artificial sex hormones will never go through the puberty for their sex and boys’ penises will remain permanently immature, at the size of a child’s. Gender-affirming surgery that includes hysterectomy and oophorectomy in transmen (females) or orchiectomy in transwomen (males) results in permanent sterility. What is the reality of a sex change operation? A lot of the hype around gender identity ideology says that sex re-assignment surgery is simple and that it will make the patient indistinguishable from someone born as the desired sex. The euphemisms used of ‘top surgery’ or ‘bottom surgery’ blatantly hide the truth. All sex-reassignment surgery is potentially dangerous, often disfiguring, and it never provides the full appearance and function of natural genitalia. Young people are being misled. Sex re-assignment surgery also permanently sterilises the patient through castration of males and the removal of the ovaries and uterus of females. Here are two accounts from people who have undergone the surgery, one from Scott Newgent and one from Melissa Vulgaris, describing what it was like for them. In this interview, detransitioner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. What is a detransitioner? A detransitioner is a person who has undergone medical and/or surgical transition to the opposite gender but has later come to regret this choice and has reverted to their biological sex. Here is a personal account of detransitioning from Ellie and Nele and another from Sinead Watson. After ceasing the taking of cross sex hormones some of the changes wrought may be diminished but many of them, especially of course any surgeries, are irreversible. Reports that the percentage of people with regret is very low usually do not take into account the enormous and rapid increase in those identifying as transgender in the past ten years and websites to support detransitioners have attracted followers in the tens of thousands. A recent study by Dr Lisa Littman suggests that detransition is under-reported and needs to be comprehensively studied to develop alternative, non-invasive approaches to treating gender dysphoria for young people. In this interview, detransitoner Ritchie Herron describes the catastrophic effects of his gender surgery which he says was "the biggest mistake of my life." On GB News, detransitioners Keira Bell and Ritchie Herron describe the lack of information they were given about the side effects of surgery and the pressure they felt under to agree to the recommendations of their doctors and therapists. Are trans rights an extension of gay rights? Are trans rights human rights? Everyone, including transgender people, has human rights as stated by the United Nations Declaration. Trans rights activists seek to claim extra rights that others don’t have, for example, to be able to keep secret a previous identity, or to be able to prescribe how language is used. Gay rights concern the right for consenting adults to have same-sex relationships and to have the same rights as heterosexual people. Trans rights, on the other hand, seek the extra right to self-identify into a protected group and be eligible for that group’s special discretions. Gay rights accept that there are two sexes, the distinct reproductive capacity of each, and do not denmand medical or surgical treatments. Trans rights reject the science of sex and claim that what a person thinks and feels is of most importance and that those thoughts and feelings can literally transform a body into the opposite sex. Trans rights dictate that everyone adheres to the trans way of interpreting and describing gender and sex. Trans rights demand medical and surgical treatment as a right and put transgender people, often young people influenced by social media, onto a conveyor belt of lifelong medicalisation. Gay rights do not require others to forfeit anything or demand fundamental changes to everyday language. Trans rights insist on the forfeiture of single sex spaces, sports, scholarships, representation, and even language. Trans rights push to censor the words used to describe women and women’s bodies – foundational words like ‘mother’ or ‘woman’ – and replace them with dehumanising words like ‘birthing parent’, ‘bodies with vaginas’ and ‘people who menstruate’. Transgender activists are undermining gay rights by claiming same-sex attraction is really same-gender attraction and by denying biological reality. Without biological sex, there is no homosexuality. Arty Morty's December 2023 substack "The War to Annihilate Sex" looks at the gender debate from his perspective as a gay man. What is the definition of a woman? Until very recently, everyone would have answered this question with the perfectly clear dictionary definition: “adult human female.” However, in the past few years many people have become so caught up in gender ideology, or so afraid of being labelled transphobic, that they find the question impossible to answer. Despite a large number of politicians, journalists, a US Supreme Court Judge nominee, and various celebrities being unable to define the term and tying themselves in knots in the effort, every woman remains, and always will be, an “adult human female”. A female is born with the reproductive anatomy to produce eggs and bear young. Even if a female’s reproductive anatomy is incomplete or inactive, or she has had a hysterectomy, every adult human female is still a woman. Does the existence of intersex people prove sex is on a spectrum? How common are intersex conditions? Intersex should more correctly be called DSD - differences in sex development. It is a medical condition not a gender identity and therefore has nothing in common with the trans rights socio-political campaign. Intersex conditions have been co-opted by trans activists in an attempt to try to prove that sex is on a spectrum. Whether a person is male or female is the result of a complex interaction of chromosomes, genes, and hormones, and this intricate process does not always go fully to plan. In other words, some humans are born with differences in sex development (DSD). This in no way counters the fact that in the vast majority of cases – 99% – the complex process does work and humans can be reliably classified as male or female in the first trimester of pregnancy. Sex is not on a spectrum. The only time sex is “assigned” at birth is in the very rare cases where the baby’s physical genitalia are not immediately classifiable as male or female. In all other births, sex is observed and recorded at birth. A small number of people are born with ambiguous genitalia or internal organs that don’t match their chromosomes. Claims that 1.7% of people are intersex (the same as the incidence of red hair) have been inflated by including in the count those with conditions such as Klinefelter or Turner syndromes. People with these syndromes are always male (Klinefelter) or female (Turner) who have chromosomal abnormalities; they are not intersex. To retain its proper meaning, the DSD label (intersex) should be restricted to those conditions where chromosomes and genitalia are inconsistent and not classifiable as male or female. Using that criteria, the prevalence of DSD is about 0.018%. Read more here: https://resistgendereducation.substack.com/p/the-intersex-red-herring How many transgender people are there in New Zealand? A recent Statistics NZ Household Economic Survey of more than 31,000 people found that 4.2% identified as LGBT+ of which 0.8 % were transgender or non-binary. Rainbow community leaders expressed surprise that the number wasn’t higher and thought some people were unwilling to disclose their identities. The same questions will be asked in the 2023 census. Having the correct statistics for transgender people is important so we know how many people are affected by transgender issues and also how much resource should equitably be allocated to their specific needs. Do all transgender people have a diagnosis of gender dysphoria? Not any more. Gender dysphoria is a well-documented psychological condition that used to mainly affect men. Hormone and surgical treatments were devised to assist adult men and a ‘watchful waiting’ approach was taken for young people with gender dysphoria because approximately 80% come to accept their biological sex as adults. In the past twelve years two major changes have happened: Firstly, there has been an exponential rise in the number of children and teenagers attending gender transition clinics around the Western world. In the UK, over the ten years from 2009 to 2019, the increase was more than 1,400% for boys and more than 5,000% for girls, meaning girls are now far more likely to identify as transgender than are boys. Very high rates of autism, psychiatric disorders and a history of trauma had often been diagnosed in these patients before they announced they wanted to change gender. Secondly, many transgender people are claiming a new gender identity without a diagnosis of dysphoria and sometimes even without intending to have any hormonal or surgical treatment. Because of these changes, “transgender” is now an umbrella term that does include some people with diagnosed gender dysphoria, but also many people who are simply non-conforming to gender stereotypes or who like cross-dressing. Do transgender people have worse mental health problems and higher suicide rates than the general population? Counting Ourselves, a frequently quoted NZ survey of 1,100 trans and non-binary people, reported that 71% of the respondents disclosed psychological distress and 56% had thought about attempting suicide in the past 12 months, with 37% having attempted suicide at some time, but there are serious flaws in the report’s methodology and questions. These statistics are repeatedly given as irrefutable fact but Counting Ourselves, and other similar surveys, are not a random sample of a population and cannot be verified against a control group. Further, asking respondents to self-report attempted suicide is known to overestimate the rate. The report itself says “our use of nonprobability sampling means that the generalizability of our results to the wider transgender population in Aotearoa/New Zealand and beyond should be interpreted with caution”. Suicide rarely has one cause and it is difficult for studies to extricate gender dysphoria from other factors. Although trans-identified people do suffer worse mental health than the general population, they also have higher rates of anxiety, depression, trauma, and neurological conditions that usually predate the trans identity. Most surveys do not take into account pre-existing conditions or co-morbidities and simply attribute the poor mental health to being transgender. Exaggerated suicide statistics are being used as a form of emotional blackmail (“Better a live daughter than a dead son”) to push parents, clinicians, and others into acquiescing to irreversible treatments for minors. The UK Gender Identity Development Service states on its website: “The majority of the children and young people we see do not self harm, nor do they make attempts to end their own life. Although there is a higher rate of self-harm in the young people who are seen at GIDS compared to all teenagers, it is a similar rate to that seen in local Child and Adolescent Mental Health Services (CAMHS).” There is little evidence that medical transition decreases suicidality or that puberty blockers are necessary to prevent suicide. A long-term Swedish study found that post-operative transgender people have “considerably higher risks for suicidal behaviour”. A study published in the British Medical Journal in February 2024 found that suicide among young people seeking gender services in Finland is an unusual event (0.3%, or 0.51 per 1,000 person-years). The study found no convincing evidence that gender-referred youth have statistically significantly higher suicide rates as compared to the general population, after controlling for psychiatric needs. The authors concluded that "it is of utmost importance to identify and appropriately treat mental disorders in adolescents experiencing GD [gender dysphoria] to prevent suicide, while also noting that "the risk of suicide-related to transgender identity and/or GD per se may have been overestimated." What is the problem with banning conversion therapy? The Conversion Therapy Practices Prohibition Act will come into force in 2023 and is intended to protect all LGBTQIA+ people from conversion therapy, which is defined as any practice that tries to change a person’s sexual orientation or gender identity. However, including gender identity in this Act may prevent young people from receiving the most appropriate care for their gender dysphoria. Although health practitioners are permitted to take an action if they consider “in their reasonable professional judgement it is appropriate” it is not clear whether parents and counsellors will have the same protection. Under threat of possible prosecution, some may feel forced to affirm a transgender identity instead of investigating other possible causes of gender dysphoria or delaying treatment while waiting for the patient to mature. The UK government has delayed a similar bill after the Equalities and Human Rights Commission urged careful and detailed consideration of its significant and wide-ranging implications. After announcing in January 2023 that a bill banning conversion therapy was imminent, by May 2023, the UK government has not yet introduced it.