22 Comments

I think some of the “sweet, autistic boys” are actually running from their sexuality (rather than expressing it.) Az Hakeem talks about some of the men he has worked with who are basically asexual but they can still orgasm in a sort of functional way. Imagine being socially awkward, and much more attracted to things than people, yet being physically saddled with the raging hormones of a teenage boy. On top of that, hearing or seeing that “boys your age” should be girl crazy. In a black and white thought process you’d then think “I’m not a boy because I’m not interested in girls—I’m more interested in computers.” That all seems a perfect recipe for thinking your trans in today’s climate.

Expand full comment

I can see this, for sure!

Expand full comment

Big congrats on your marriage!

Regarding the adopting of a trans identity — in my daughter’s case, I think she wants to opt out of being a heterosexual female to avoid the hurt of being rejected by the opposite sex; to feel like she’s broken free of social expectations; and to feel like she’s the wise one for a change, the one on the cutting edge who’s figured things out that her parents/elders don’t understand. It’s a way to finally be cool on some level and have friends. It connects her with people she can identify with. It’s a reframing of herself and her life in a way that avoids addressing painful deficits and difficult change.

Expand full comment

Thanks Jody. Yes, your assessment makes a lot of sense! Gender is a circuitous way of doing SO many things. Most grounded in avoidance, but wow the heavy lifting it does!

Expand full comment

Congratulations! The pictures are beautiful!

I'm so glad you made the AGP video and discussed how important it is that people don't get dogmatic or too attached to pet theories. I have been so concerned seeing the growing number of people who say they are concerned about the effects gender ideology and the medicalization of children take such absolutist, hardline approaches to the boys: "ALL adolescent boys who ID as trans are either gay or AGP, that's it. No exceptions." I've heard them say the parents don't really know their sons, the detransitioners who say it was not sexual are lying or in denial. Isn't this kind of dogmatic thinking, the insistence there's only one right answer, and the total dismissal of the insights of parents and detransitioners exactly how we got into this mess in the first place? Isn't that the kind of extreme talk we would expect from someone like Jack Turban or Rachel Levine? And this dogmatism if AGP is now coming for the girls. Malcolm Clark was on a recent Genspect video with Stella insisting all the ROGD teen girls had paraphilias. Certainly we can acknowledge that some teen boys may be experiencing some form of early AGP and respond appropriately and compassionately without losing all sense of nuance and the individual and adopting the rigid thinking of the people who got us into this current era of affirmation only.

Expand full comment

Oooooof I have not seen that clip of Malcolm Clark. That makes no sense to me. I definitely do not think these girls all have paraphilias. Not even the ones calling themselves furry or therian. What a strange comment for him to make. :(

Expand full comment

It's around the 48 minute mark of the apotemnophilia video with Stella and Mia Hughes. Aaron Terrell has a friend called Anne Anoymous (or something similar to that) recently published something on Substack in which Anne frequently references Aaron. Anne makes the same absolutist claims as Aaron about the boys and takes them even farther by claiming most autistic ROGD girls are driven by paraphilias and tries to back it up with research that does not even remotely say what they're claiming it says about autistic women and paraphilias. I tried engaging with Anne in the comments but I'm not sure how productive it was.

I'm not denying that some young people might be driven by AGP or some other paraphilia, which seems to be the response to anyone who pushes back on the "all ROGD boys are really AGP" people. The point I keep trying to make in my comments to Aaron and Anne is about their certainty there are ONLY two possibilities for boys, nothing else is possible, and their one personal theory explains everything. This is just a terrible way to approach psychology and the needs of adolescents. It completely erases the individual and the nuances and complexities in their inner lives, past experiences, and current environment. It doesn't consider all the ways personality or other mental health issues can be part of the picture. It even flattens out the complexities of autism and limits it to the narrow presentation dominating the online discourse about what autism in teens and adults looks like (see the most recent Blocked and Reported for a reasonably good discussion of the autism angle). It tells the therapists or doctors to have their minds made up about their patients before they even meet them. Of course AGP can be a factor for some adolescent males but it's not ALL males and we have no idea how many it may be. Just like the Cass report and every other systematic review shows we don't have any good research about gender dysphoric kids and what's happening with them and being done to them, we don't have any real research about the ROGD (or whatever you want to call them) boys. It's only anecdotal evidence collected in a way that does nothing to control for confirmation bias, and projection, selection bias. And then all those biases and projections seem to be fueled by tensions with gender critical and radical feminists (who also are engaging in too many "this one thing explains everything" narratives IMO).

I know I'm ranting and rambling here, but it disturbs me so much to see this kind of single very narrow narrative that you can fit every single case into show up more and more on this side of the debate.

Expand full comment

I completely agree. I think gender dysphoria is generally a symptom and not an isolated disorder of it’s own. Therefore, it’s root is as individual as the person experiencing it. For me, flipping the framing this way allowed everything to make much more sense. That, plus, understanding concept creep and culture bound syndromes. If you’re distressed and people say your distress means “X” you will claim “X” because that’s the only way to get your distress heard.

Expand full comment

Nuance is the key word here. Thanks for your comment

Expand full comment

Best wishes to you and your groom!

I think my young adult daughter was looking for a sense of community with her trans ID. It felt like she missed her launch opportunity because of starting college during lockdown. Although it would need to be modified - of course -- because my daughter is an adult, I do think I could suggest that to her as food for thought.

A question I'm struggling with lately is whether I should keep trying to plant seeds of doubt about trans ID now that my daughter has passed the point of no easy return to her actual sex due to a year and a half of testosterone. I'd love to get other's thoughts on that.

Expand full comment

Wish I could edit the above to say that she's passed the point of no easy return to being perceived as her actual sex. She is and always will be female.

Expand full comment

I think it's very important for young people to know that there is NEVER a point of no return. Giving people an exit strategy with no "I told you so's" or criticism is crucial. You might say something like "you know, at any point, if something in your life is no longer serving you, there's no shame at all in making a different choice" or "life is long and full of twists and turns: there is no decision which is un-doable" (though that's not exactly or literally true, it's an important message to convey; you can stop any time and make a new path forward). hope that helps!

Expand full comment

Oh, no -- I fully agree that it would be damaging to ever express to my daughter that there is a point of no return with relation to the trans identification. I would never do that. What I meant is that at this point, after two years of testosterone, she is universally perceived by strangers as a young man. She has a full beard, thick arm and leg hair and a deep and booming voice. It would be very difficult and expensive to change how she is perceived by others should she change her mind, and the sunk cost makes it more unlikely that she would change her mind. I know that there are detransitioners for whom this has been true and who have changed their minds anyway, and their resilience and strength is just phenomenal. I have the utmost respect for them. They are doing something so difficult -- admitting to the world that they made a mistake and being willing to talk about it publicly. If my daughter ever changed her mind about her trans identity, I would support her 100% in any way I could (and definitely without criticism or "I told you so"). As things are now, I'm supporting her in any way that she'll let me while not affirming, and I'm trying to plant little subtle seeds of doubt in hopes that they'll bear fruit later. I'm just wondering if I should stop planting the seeds since their fruition would leave her in a very tough spot now.

Expand full comment

I was in college in the early 90s when eating disorders were at a peak. Although this is mostly thought of as a female problem, I knew of several males who struggled and were treated for eating disorders (bulimia). With today’s social media influences at the fingertips of every youth, it only makes sense, to me anyway, that boys could be just as easily affected by this as girls.

Expand full comment

Congratulations!

Expand full comment

I have copied+pasted my comment from twitter, and added a few comments:

I found your newsletter to be very encouraging regarding public understanding of this issue. I found that autogynephilia described what I felt as a teenage boy in the 1990s, and I share the "ROGD boy" profile. I don't blame counsellors for believing that they had found something new, given that autogynephilia has become such a caricature (had I not had my experience with autogynephilia, I would probably have thought the same).

However all one needs to do is to look at the past, at people such as Lynn Conway, [1] to see that "shy boys" with gender dysphoria, who can also be incredibly gifted, are also represented under autogynephilia.

I can also understand the concern that parents must be feeling, with the prospect of autogynephilia being behind their teenage son's gender issues. Regarding this I agree with what you said at 20:20, that it need not be a massive issue. There are also other issues that can be solved, such as spending too much time online, which may turn what would have been a propensity in previous generations, into a disorder (defined as something that unduly affects everyday life). Naturally, I think there will be some cases of autogynephilia which are always going to be difficult, despite social influence.

I agree with other things that you say about nurture. Although I think the propensity for autogynephilia is innate, I think it can also be affected by social conditions, as we are quite strikingly seeing today, where males with the propensity for autogynephilic identity disorder are being told that they literally have the "gender identity" of a woman, which is causing chaos that would not have happened in previous generations.

I also agree with what you say about it being one thing to understand the mechanics behind the typology, but another to counsel clients. I do find it encouraging, however, that you do appear to understand the mechanics, especially regarding the unusual phenomenon of pseudobisexuality. As Blanchard has written, pseudobisexuality may "mislead the inexperienced clinician into a diagnosis of homosexuality". [2] I think if counsellors understand the mechanics, then they are less likely to go down false rabbit holes, such as trying to explain autogynephilia through psychodramas, such as that pseudobisexual autogynephilic boys have "internalised homophobia" and are really repressed gay men, or that it is all caused by some abstract "shame", which completely confuses cause and effect.

[1] https://en.wikipedia.org/wiki/Lynn_Conway

[2] http://individual.utoronto.ca/ray_blanchard/GID_Men.pdf

Expand full comment

What if she’s now 22 and been at this for 4 years, on T and her face is scarred from all the acne from taking T. What if she can’t control her temper and screams at you if you say anything she doesn’t like? I’m so terrified and depressed.

Expand full comment

Sila that's so difficult! I'm so sorry. This may or may not fit for you but it might be valuable to think about a gentle one-liner that allows you to share your observations without engaging in a battle. Something like "it seems that being on these medications hasn't necessarily improved your mood as much as you were hoping," then I'd avoid touching on things. I can only imagine how much dissonance she may be having.

Expand full comment

Congratulations Sasha! Stunning photos! ❤️

Expand full comment

Thanks for sharing some wedding photos! Absolutely gorgeous and such a glamorous dress! Congratulations!

Expand full comment

I think her identity is in alignment with being able to have an opinion/a voice on matters. If she was of the oppressed class, she can have a strong position on the war in Gaza and identify with them. It’s rejection of her privilege. If she was just a boring young woman who people assume is white and privileged, she wouldn’t be allowed to “speak” in her mind.

Expand full comment

Congratulations!!! That's awesome. :)

Expand full comment