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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 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 Truth About Transgender Medicine 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'. Banning the Blockers . 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. March 2024. A major medical scandal in the UK and US has had almost no media coverage in NZ. The WPATH files are documents leaked from the internal chatboard of the World Professional Association for Transgender Health (WPATH). They shine a light on how so-called “gender-affirming care” or “transgender medicine” is leading to widespread medical malpractice on children and vulnerable adults. WPATH is extremely influential in shaping UK treatment protocols in the NHS. Thousands of children and vulnerable adults are being treated under these protocols. 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 Free Post article, Finnish specialist, Dr Riittakerttu Kaltiala explains that “My country, and others, found there is no solid evidence supporting the medical transitioning of young people.” "A Terrible Trap" , an article by Charlotte Paul about the dangers of puberty blockers, was published in the December 2023 issue of "North and South". You can access it on the Libby app by using your library card. In the article Paul says, "We have taught these girls to think they are really boys and thus to be disturbed by the changes of puberty... The only solution looks to be the suppressing of puberty. We adults have encouraged children to think like this ." Genspect NZ was launched at a webinar on 10 November 2023 and its new Gender Care Framework was introduced. Genspect's vision is to move beyond a medical understanding of gender identity and gender distress that typically leads to invasive medical interventions and toward a deeper understanding of gender and identity. The UK Council for Psychotherapy has issued new "guidance regarding gender critical views" that "accepts that the treatment of gender dysphoria is a complex matter, that psychotherapists and psychotherapeutic counsellors may hold differing views on what approach is in the best interests of their clients, and that these views and practices, and their associated professional diversities, should also be respected." 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. Is NZ's transgender medicine guideline an example of regulatory failure? Jan Rivers has published a 20 page report assessing the PATHA (Professional Association for Transgender Health Aotearoa) guideline for transgender care. “Like a lot of gender ideology research, the quality is very poor,” she says. 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." What America has got wrong about gender medicine . This article in the Economist calls transgender medicine a “tragedy of good intentions” and argues that “Too many doctors have suspended their professional judgement.” The British Medical Journal has published a balanced investigation into the care of young people with gender dysphoria that reached the conclusion: “ If we have the best interests of young people at heart, then surely our duty is to offer evidence informed care? And, if the evidence base is weak, we must provide the necessary support to young people as well as prioritising research to answer questions on issues that are causing a great deal of distress, much of which is amplified by social media. Taking this route is essential: an evidence void not only exposes people to overtreatment but can also be used to deny people the care that they seek, such as through the draconian laws now being introduced in some US states. A better appreciation of the evidence, as well as the limits of medicine, is also the basis of a more constructive dialogue.” How the Tavistock gender clinic ran out of control. An in depth look at the revelations in Time to Think , the just-published book by Hannah Barnes that gives the inside story of the collapse of the Tavistock’s Gender Identity Service for Children. 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. Keira Bell: My Story - Persuasion As a teen, Keira transitioned to male but came to regret it. Faced with the loss of her breasts, possible infertility, atrophied genitals and a permanently deeper voice and facial hair, Keira became a claimant in a judicial review against the gender health clinic that had treated her . The case was upheld, with the court noting that it was “very doubtful” that patients aged 14 and 15 could give fully informed consent. ROGD (Rapid Onset Gender Dysphoria) Dr Lisa Littman Here is the research underpinning Dr Littman’s coining of the phrase, “rapid-onset gender dysphoria” to describe the sudden increase in teens announcing a transgender identity. Children with gender identity issues are ill-served by adults who shut down the debate This Observer editorial comments on the interim Cass report into UK gender identity services for children and notes that “The long-term health consequences of puberty blockers are unknown, and there is clinical confusion about their purpose.” Top trans doctors blow the whistle on sloppy care - Abigail Shrier In this ground-breaking interview with two leading transgender doctors, they admit that some transgender healthcare has been “sloppy” and one states, “I’m worried that decisions will be made that will later be regretted by those making them.” Trans doctor who helps teens transition says it’s now ‘gone too far’ A transgender psychologist who has helped hundreds of teens transition has warned that it has “gone too far” — and fears many are making life-changing decisions because it’s “trendy” and pushed on social media. Another unfortunate experiment? New Zealand's Transgender Health Policy and it's Impact on Children by Jan Rivers and Jill Abigail In this NZ research paper, Rivers and Abigail analyse the dramatic rise in the presentation of gender dysphoria and gather abundant evidence that the use of puberty blockers is neither safe nor effective. Evidence for puberty blockers use very low, says NICE - BBC News A review by NICE – the National Institute of Health and Care Excellence (UK) – concluded that the quality of evidence for puberty blockers was “very low”. The Swedish do a u-turn on gender transitioning In May 2021, Sweden officially ended the practice of prescribing puberty blockers and cross-sex hormones for minors under the age of 18. What I wish I’d known when I was 19 and had sex reassignment surgery “I chose an irreversible change before I’d even begun to understand my sexuality...But if you explore the world by inhabiting your body as it is, perhaps you’ll find that you love it more than you thought possible.”

When kindness becomes cruelty. March 2024 substack from RGE explaining our policies against allowing social transition and preferred pronouns in schools. Press statement 8 May 2023. Resist Gender Education 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 unhappy feelings. 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." 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." Resist Gender Education supports the right of schools to teach according to their special character and we certainly support them in choosing not to teach belief systems as though they are fact. Read our statement here . Safe Schools Alliance UK Although this website refers to the legalities and education guidelines in the UK, it also contains helpful advice on how to talk to schools that is applicable to Aotearoa. I’m Local This is a NZ site with a downloadable “Queer & Trans 101” comic that shows how gender ideology is presented and taught to children. Gender Curriculum Rejected, Support For Opt-In Sex Ed – Poll - Family First NZ A NZ Poll regarding views on the recently updated “Relationships & Sexuality Education Guide”. {Link to our critique of the RSE Guide.} 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.

Kia ora [teacher] Regarding the health curriculum, we are happy for [child] to learn about puberty, gay, lesbian and bisexual sexualities, reproduction, menstruation, conception etc. We wish to opt [child] out of any discussion about gender identities. We consider gender theory (the idea that everyone has an inner feeling known as a gender identity and that this subjective feeling should be prioritised in law and policy over biological sex) unscientific, sexist and homophobic. For example the book " Jack (Not Jackie)" promotes the sexist idea that if you are a girl and you don't conform with sex stereotypes, then you must really be a boy. A better book (and one that was included in the Navigating the Journey materials and is probably in our school's collection) is " My Princess Boy" . This story is about a boy who doesn't conform with sex stereotypes (he likes pink and wearing dresses). His family accept his non-conformity and there is no suggestion that his gender non-conformity means he is any less a boy or that he has magically changed sex. We also think it is important for boys and young men to learn to respect females' boundaries, to understand that girls and women have the right to say no to males - however those males might identify - who might wish to access spaces reserved for females. Young girls should also be taught that they are allowed to set boundaries. It would also be healthy for boys to be taught to be more accommodating and accepting of males who don't conform with sex stereotypes. We also have concerns about the affirmation approach that underpins the school curriculum (affirming the cross-sex identity of children experiencing gender dysphoria by for example requiring others to use preferred pronouns). NZ's Ministry of Health is currrently conducting a review of evidence for treatment of gender dysphoria in children and it would be prudent for schools to be cautious about promoting any particular approach in the absence of a good evidence base. I mention this as your synopsis includes the discussion topic "Community actions to make everyone safe, comfortable, and included", and in my experience this has meant promoting use of opposite sex pronouns (or neo pronouns) or using opposite sex bathrooms/changing rooms. We teach our kids that everybody is equally deserving of kindness, regardless of how they identify. However, treating other people well does not require that we share in their subjective beliefs about themselves. For example we are atheists but we respect the right of other people to hold their religious or spiritual beliefs. Ngā mihi etc 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.

Banning the Blockers . 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. It's wrong to lie to children . Stephanie Davies-Arai (founder and director of Transgender Trend) criticises further delay from the UK Department of Education in producing transgender guidelines for schools. " The social transition of children is a key activist aim. It is an ideological approach that supports and compels a belief in “gender identity”, or at least the pretence of a belief, by forcing every other child (and teacher) in the school to pretend that a boy is a girl or a girl is a boy. It is a deception that turns reality on its head and undermines trust in the teacher-child relationship. It is nothing short of a social experiment on a generation of children. Is this what U.K. law really dictates?" Is NZ's transgender medicine guideline an example of regulatory failure? Jan Rivers has published a 20 page report assessing the PATHA (Professional Association for Transgender Health Aotearoa) guideline for transgender care. “Like a lot of gender ideology research, the quality is very poor,” she says. Transition Alley by Andrew Anthony. The Listener May 13 2023. The use of puberty blockers is “a dispute about science, best practice and the protection of young and vulnerable people.” The Transgender Children's Crusade by Kay S Hymowitz. "Gender identity, with its vision of autonomous children in touch with their innermost authentic desires, negates all we know about adolescence, just as it does early childhood… Whether they realize it or not, supporters are showing a wilful ignorance about child nature and endorsing views completely at odds with child psychology and legal and cultural traditions…" Empowering Parents - Young People and Gender Identity . This downloadable PDF provides vital, accurate, information for parents and teachers to help them understand the complex issues affecting their children. Produced by "The Countess", a voluntary, non-partisan human rights group based in Ireland. NHS England Ends the "Gender-Affirmative Care Model" for Youth The NHS has ended “ gender-affirming care ” in England for minors, according to the newly-released draft guidance. Psychotherapy will be the first and - usually - only line of treatment. Puberty blockers will be confined to research settings, and social transition will be discouraged for most. SEGM’s analysis is here . Gender Wars and Sexuality Education in 2021: History and Politics by Sue Middleton published in the New Zealand Journal of educational Studies. The Ministry requires schools to engage in ‘consultation with communities’ on their approach to the ‘sexuality and relationships’ curriculum. Schools have to decide whether to teach, what to teach, when to teach, how to (and how not to teach) sexuality and relationships. Understanding the historical, intellectual, professional and political battles in the ‘gender wars’ should help in these deliberations. Questioning the Gender Bender Agenda by Sue Middleton published in Ipu; Kereru; a blog of the New Zealand Association for Research in Education. Explosion of transgenderism into a social movement - Observations of a Clinical Psychologist by Ellen Kaschak “Transgenderism has become a social movement and no longer only a personal preference or psychological issue… It is destined to affect you personally if it has not already.” No One Is Born in ‘The Wrong Body’ – by W Malone, C Wright & J Robertson This article looks at the normal distribution curve of ‘maleness’ and ‘femaleness’ and concludes that “…telling a child that he or she was born in the wrong body pathologizes ‘gender non-conforming’ behavior and makes gender dysphoria less likely to resolve.” 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.

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/information/get-involved 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 War to Annihilate Sex by Arty Morty, a Canadian gender critical activist and gay man. Arty presents both sides of the gender debate and leaves no doubt that "This is an urgent medical and scientific issue." Resist Gender Education This is where you will find our monthly newsletters and other writing. The links are also available under News. Arguments with Friends by Laura Lopez (NZ). Laura has a Graduate degree in Psychology and writes “about science, psychology, politics and everything else we love to argue about with our friends”. Her work has been published in Quillette, Reality’s Last Stand, and The Platform as well as on the RGE website. Laura raises questions on some issues she thinks NZ schools should be considering in her article Preventing foreseeable harm: The UK Attorney General lays out a safer pathway for New Zealand schools to follow' . What Schools are teaching our kids about Gender . "It's not about acceptance, it's about compliance." What Hutt Valley High School is teaching kids about sex . This New Zealand school hosts a club for sharing advice on breast binding and cross-sex hormones. Gender Clinic News by Bernard Lane. Lane is an Australian journalist, covering the international debate about gender clinics. He says the issues are “fundamental to a healthy society, yet most mainstream media has missed the story or worse, engaged in uncritical promotion of medicalised gender change.” The small study that lauched a big experiment in gender change. 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. Blowback . Here, Bernard Lane provides an excellent analysis of the battle over new laws regarding transgender issues in the US and how “The World Professional Association for Transgender Health (WPATH) and American medical societies have sacrificed child safety and standards of scientific evidence in pursuit of fashionable causes and financial self-interest.” Joyce Activated Issue 51 by Dr Helen Joyce. In this open to the public article, Helen describes the harms of gender ideology and how proposed hate speech laws will silence any opposition. “ It’s particularly harmful to children, because children believe what adults tell them. They’re suggestible, their identities are still in formation, and the idea that you can really be a member of the opposite sex is a seductive one for quite a lot of them. Disproportionately the ones who are going to grow up gay, the ones who have autistic-spectrum disorders, the anxious or self-harming or depressed ones, the ones who are being abused. ” Reality’s Last stand by Colin Wright. Colin is a biologist who writes about the sex binary and provides weekly news, articles, and recommended reading lists on the biology of sex , gender ideology, Critical Social Justice, free speech, and related topics. How to make a trans kid . Don’t take Pride in promoting Pseudoscience . “ The distinction between sex and gender must first be disentangled. The term “sex” signifies whether a person is male or female, a categorization rooted in objective reproductive biology. Conversely, “ gender ' is usually characterized by notions of masculinity and femininity or the social roles, behaviors, and expressions traditionally linked to sex. ” Also writing on Reality's Last Stand is Leor Sapir, a Fellow at the Manhattan Institute specialising in civil rights regulation and gender identity policies. On gender the AAP has chosen Ideology over Science. The Truth Fairy by Abigail Shrier (author of "Ireversible Damage" - see below) Should public schools be allowed to deceive parents? Top trans doctors blow the whistle on sloppy care How Activist Teachers Recruit Kids Gender Ideology impacting on Parental Rights & Custody PITT - Parents with Inconvenient Truths about Trans . Heartfelt testimonials from parents whose children have been caught up in the gender cult. 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.

Gender policies for schools When kindness becomes cruelty. March 2024 substack from RGE explaining our policies against allowing social transition and preferred pronouns in schools. Press statement 8 May 2023. Resist Gender Education 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 unhappy feelings. 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." 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." Resist Gender Education supports the right of schools to teach according to their special character and we certainly support them in choosing not to teach belief systems as though they are fact. Read our statement here . Safe Schools Alliance UK Although this website refers to the legalities and education guidelines in the UK, it also contains helpful advice on how to talk to schools that is applicable to Aotearoa. I’m Local This is a NZ site with a downloadable “Queer & Trans 101” comic that shows how gender ideology is presented and taught to children. Gender Curriculum Rejected, Support For Opt-In Sex Ed – Poll - Family First NZ A NZ Poll regarding views on the recently updated “Relationships & Sexuality Education Guide”. {Link to our critique of the RSE Guide.}

Resources 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 .

Some schools may not have teachers instructing students on relationships and sexuality at all, but may instead outsource this teaching to various Rainbow organisations or other groups under the guise of ‘anti-bullying’ or ‘diversity’ classes. Be aware of what these organisations are teaching your children: Click on the logos for more information Guide for gender-diverse students includes subterfuge This 9 page guide for Hutt Valley High School students who are gender-questioning includes advice on how to change their pronouns at school without alerting their parents (p4.) It supports mandatory use of preferred pronouns (p4) and refers students for further advice to a long list of Rainbow groups where students will receive unquestioning affirmation. (p9) Click here to view When a quarter of the class identifies as trans This testimonial is from a US school but Aotearoa is on the same trajectory. See our testimonials. 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.

Positive books for primary students A Dog Stays a Dog This is a very appealing new set of online books, designed to provide resilience for preschool to young primary-aged children. The books were written by Dr. Tal Croitoru, a BA in Education, and Phd in Social work and can be downloaded here: https://realitybasedpublishing.com/ Payment is by a method called ‘Danna’. You receive the book first and then choose to donate whatever amount you wish in return. 100% of the proceeds are for charity – the money is a donation for the legal fees and health and rehabilitation costs of a male detransitioner post SRS. My Princess Boy by Cheryl Kilodavis The story centres on a boy who likes "pretty things" and prefers to wear tiaras and "girly dresses." The story informs readers about supporting children regardless of their expression. Allie’s Basketball Dream by Barbara Barber (2013) Picture Book. Basketball is Allie's favourite sport. When her dad gives her a new basketball of her own, she hits the neighbourhood courts, full of confidence. Once there, her enthusiasm ebbs as her shots fall short of the basket - at least at first. (Recommended for ages 8 plus). Cycling to Grandma's House by Jac Torres-Gomez (2014) Picture book. Luna has just been assigned a challenging school project: to find the most incredible characteristic about being a girl and then present it to her class. A powerful new children’s book that breaks the taboo around menstruation. (Recommended for ages 9 - 12). Daddy and Dada by Ryan Brockington (2021) Picture book. A young girl describes how families come in all shapes and sizes, and hers has two dads. (Recommended for ages 3 plus). Enough Love? by Maggie Hutchings (2021) Willa’s parents split up and her dad meets Kevin. Girl Stuff (8-12 years old) by Katz Cooke (Revised and updated 2019/20) The essential younger girl's guide to puberty and the pre-teen years – body changes, dealing with friends & bullies, getting confident, first periods, pimples, hair (wherever it is), phones & being online. No mention of being transgender is apparent . Dara’s Clever Trap by Liz Flanagan and Martina Peluso (2014 ) Unlike many fairy tales that culminate in a marriage, this traditional tale from Cambodia begins with one. Princess Dara has a lot more to do than look for Prince Charming. When Dara goes on a trip to search for the white stones she needs to build a beautiful palace for her father, her husband falls victim to a scheme. The princess quickly puts her engineering skills to work to plan her own trap. (Recommended for ages 6 – 10) Jabari Jumps by Gaia Cornwall (2017) Picture book. When Jabari arrives at the pool, he announces to his Dad that he’s going to jump off the diving board for the first time. Jabari assures his Dad that he’s not scared at all, but his body language says otherwise. His father sensitively offers Jabari tools to overcome his fear, while also letting him know that it’s okay if he doesn’t want to jump. (Recommended for ages 3 – 7). *Johnny the Walrus by Matt Walsh (2021) Johnny is a little boy with a big imagination. One day he pretends to be a big scary dinosaur, the next day he’s a knight in shining armour or a playful puppy. But when the internet people find out Johnny likes to make-believe, he’s forced to make a decision between the little boy he is and the things he pretends to be — and he’s not allowed to change his mind. (Recommended for ages 8-12) The author is critical of transgender activism and sex reassignment surgery. Kate and the Beanstalk by Mary Pope Osborne and Giselle Potter (2000) When Kate climbs the magic beanstalk into the sky, she must overcome even more obstacles than Jack did. The author has the humorous touch of the giantess who is overworked by the giant because he keeps eating her servants. This funny re-telling is full of generosity and heart as Kate works to help others and not just herself. (Recommended for ages 6 – 10). *My Body is Me by Rachel Rooney (2020) An upbeat, rhyming picture book, aimed for 3-6 year olds, written by Rachel Rooney and illustrated by Jessica Ahlberg in consultation with TransgenderTrend. *Not All Princesses Dress in Pink by Jane Yolen and Heidi E.Y. Stemple (2010) While none of the active, smart princesses in Yolen’s book wear pink, each one of them does sport a sparkly crown. This playful book gets to one of the reasons so many girls are drawn to princesses: their power. A princess can be a baseball player who “plays in bright red socks that stink.” She can be someone who wears her jewels while she fixes things with power tools. (Recommended for ages 3 – 7). Pretty Salma: A Little Red Riding Hood Story from Africa by Niki Daly (2007) This feminist fairy tale is funny and incorporates lots of details from Ghanaian culture. Salma’s grandma tells her not to talk to strangers on her trip to the market, but crafty Mr. Dog is determined to trick her and granny by dressing up. Will granny survive Mr. Dog’s sneak attack? Luckily Salma and her grandpa know just what to do to scare Mr. Dog right out of the house. (Recommended for ages 4 – 8). *Tell Me a Tattoo Story by Alison McGhee and Eliza Wheeler (2016 ) Think tattoos are about being a tough guy? This tender conversation a father has with his young son will change your mind. With tattoos that remind Dad of his favourite childhood book, to the words “be kind” that his own father used to tell him, each tattoo has a meaningful story. While some of the tattoos are elaborate, it’s the simplest one that the little boy loves the most. (Recommended for ages 3 – 7). *The Book of No Worries: A survival Guide for growing up by Lizzie Cox and Tanja Stevanoic (2018) Tips on how to handle growing up, including managing self image how common it is for kids going through puberty to dislike their bodies/themselves etc. (Recommended for ages 10 and up) *The different dragon by Jennifer Bryan 2006 Noah has lesbian parents. He goes for an amazing journey with his cat where he meets a dragon who doesn’t want to be scary and fierce all the time . (Recommended for ages 3 – 7). Thelma the unicorn by Aaron Blabey (2017) Thelma is an ordinary pony who dreams of being a glamorous unicorn. Then in a rare pink and glitter-filled moment of fate, Thelma's wish comes true. She rises to instant international stardom, but after a while, Thelma realises that she was happier as her ordinary, sparkle-free self. So she ditches her horn, scrubs off her sparkles, and returns home, where her best friend is waiting for her with a hug. (recommended for ages 3 – 8.) Two Mums and a Menagerie by Carolyn Robertson (2015) Two lesbian mums, their children, and many animals. Plus two great websites: A Mighty Girl This is the world’s largest collection of books, toys, movies, and music for parents, teachers, and others dedicated to raising smart, confident, and courageous girls and, of course, for girls themselves! https://www.amightygirl.com/ Feminist fairy tales web site https://www.rebekahgienapp.com/feminist-fairy-tales/