Time to Think: The Inside Story of the Collapse of the Tavistock's Gender Service for Children

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Time to Think: The Inside Story of the Collapse of the Tavistock's Gender Service for Children

Time to Think: The Inside Story of the Collapse of the Tavistock's Gender Service for Children

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Feminists who protect the sex-based rights of girls and women have long challenged the social and medical interventions done on children who express unhappiness with their body or strongly resist their ‘expected’ social role. Women ask: why are doctors physically intervening in children’s natural development with powerful drugs, for no defined medical pathology? How can clinicians justify this practice despite such poor scientific evidence? How does the rise in teenage girls going to gender clinics around the world relate to issues like misogyny, lesbophobia, porn-culture and the objectification of women and girls? Why are women being called ‘transphobic’ for questioning whether young girls who might otherwise grow up to be lesbians are being inappropriately medicalised for life? How is a mother trying to safeguard her child from possible medical harms acting in a ‘hateful’ way?

Hannah Barnes review - The Guardian Time to Think by Hannah Barnes review - The Guardian

about 70 per cent of the sample had more than five ‘associated features’ – a long list that includes those already mentioned as well as physical abuse, anxiety, school attendance issues and many more” So I'm not a health specialist journalist. I'm a generalist and I tend to do long form journalism, in depth journalism. I'm not sure which other stories I'd compare it to to make a direct comparison. You know, I'm not sure how to answer that. The trans rights group Mermaids is described as having put some pressure on GIDS and at times to have had a say in hiring decisions. It is stressed repeatedly throughout the book that many senior clinicians who desperately tried to raise concerns with management and executive members were not only being repeatedly ignored or silenced, but were also very often - if subtly - being told their view was wrong and if they couldn’t get on board with what GIDS was doing, perhaps they should look for another job.Instead, what Time to Think offers is almost like a time capsule of what happened inside GIDS. It is a forensic piece of work that captures what clinicians, patients and staff were thinking. Barnes writes with restraint. She avoids direct commentary, highlighting instead the reflections of those she spoke with: And I wondered a little bit about, do you think that there's something about, like you were saying, we're not really sure if it's a disease, we're not really sure if it's a condition or if it's just a state of identity, but is there something that is almost inherently troublesome with the condition or the question of gender dysphoria and paediatrics itself? That is causing perhaps, less of a focus on child safeguarding? As in, is this a problem with the idea itself? Or is this an issue of different practices locally that seem to be going beyond the scope of what is considered to be reasonable medical practice? Given that these sorts of issues are cropping up in lots of different places? But this isn’t to say that ideology wasn’t also in the air. Another of Barnes’s interviewees is Dr Kirsty Entwistle, an experienced clinical psychologist. When she got a job at Gids’ Leeds outpost, she told her new colleagues she didn’t have a gender identity. “I’m just female,” she said. This, she was informed, was transphobic. Barnes is rightly reluctant to ascribe the Gids culture primarily to ideology, but nevertheless, many of the clinicians she interviewed used the same word to describe it: mad. FiLiA: I wondered a bit about how it compares to other stories that you've covered in your career, because you've been working in journalism for a while. And this is something you're very experienced in, researching and telling stories so that people can understand them and it's accessible. How does it compare to perhaps other clinical stories that you've covered or aspects in other areas of society? And was there anything that was particularly surprising that you found about researching and writing this book?

Hannah Barnes “Time to Think: The Inside Story of the Hannah Barnes “Time to Think: The Inside Story of the

Transgender Organisations and Activists Transgender and LGBT organisations, charities and activists Time to Think goes behind the headlines to reveal the truth about the NHS’s flagship gender service for children. Some had been sexually abused, she says, some were struggling with their sexuality, and some had suffered early traumas in their lives. Others were autistic or were being bullied in school.” Hannah Milton of BJGP Life explains that Barnes' approach to writing the book was "very rigorous" and that Barnes "comes across as a compassionate writer" who was objective, "fair and balanced". However, reading the "fastidiously documented" book was "heavy going at times" and ultimately "doesn’t give any answers about how a gender service should be run". [12] Suzanne Moore from The Daily Telegraph called it "well-researched" and notes that "Barnes is not coming at this from an ideological viewpoint." [13] Janice Turner of The Times said it was a "sober, rhetoric-free and meticulously researched" account. [14] Awards [ edit ] Award The testimonies in the book are raw, honest and moving. More than that they are a vital piece of evidence that shows – without prejudice – where things went right, where things went wrong and, remarkably, the thousands of cases of young people where we still don’t know’ Emily Maitlis

So, as Dr Hilary Cass, who is undertaking a very thorough review of this whole area of healthcare for young people, has said: GIDS, the Gender Identity Development Service, has not been subjected to the level of oversight that one might expect of a service using innovative treatments on children. And the experience of some clinicians was that general concerns were not treated in the spirit that they were intended. GIDS began seeing Irish children in 2012 under the Treatment Abroad Scheme. Three years later, as demand increased, staff started holding monthly clinics in Crumlin hospital. Between 2011 and 2021, 238 young people in Ireland were referred to GIDS. As in the UK, the Irish referrals were overwhelmingly female and had multiple other “difficulties”. If a child has some of the minor gender non-conforming attributes that gay children can sometimes (but not always) possess, they would be happier to transition them than to accept their child's sexual orientation and let the child know that they are loved in all their gayness - a phenomenon that we know occurs in nature across all mammals. Many of them were same-sex attracted – the same was true for the boys attending GIDS – and many were autistic. Their lives were complicated too,” Barnes writes. In the late 2000s and 2010s there was a dramatic rise in the number of children who had gender dysphoria. In 2009-10 GIDS saw 97 children, by 2015-16 this had increased to 1419 children. The rise in female at birth patients went from 32 to in 2009/10 to 1981 in 2019/20.

Time to Think review: the book that tells the full story of

Katy Hayes of the Irish Independent called the book "meticulously academic, thoroughly footnoted and referenced", though it is "a dense, clotted read". Hayes notes that interviews were "almost exclusively" with former GIDS employees who "dissented" from the direction the leadership took. Therefore, while "Barnes has her well-argued position, and the questions she raises are legitimate", "the result makes the book feel very one-sided. All the clinicians talk about how they harmed children. There is very little mention of how any clinician might have ever helped anyone." Hayes complains that the "book occasionally slides into innuendo" (such as about funding), which Hayes says is "a pity, because they make Barnes sound biased", and that "the overall tone of the book is so hostile that it is likely to become another weapon in the unfortunately loud and bitter war over this subject." [10] To begin with, the extent of the GIDS’ involvement with the pressure groups Mermaids, GIRES and Gendered Intelligence right from the start is staggering. These are political campaign groups, two of which are run by parents, with very set ideas and beliefs based on the unscientific concept of innate gender identity. They are not politically impartial. As Mermaids became more politicised and extreme in their belief in gender identity ideology, so did the GIDS.

Cultural Influences and Debate Wider cultural influences, indoctrination in “gender identity” and debate/argument

Hannah Barnes and Time to Think — FiLiA Hannah Barnes and Time to Think — FiLiA

This book contains so much more than is outlined here. It should be read carefully by everyone involved in the care and safeguarding of children, including schools and government ministers. What other institutions are in thrall to transgender activists, leaving the most thoughtful professionals afraid to speak out? Where else do we see the same failure of safeguarding demonstrated at the GIDS? Why are the same ideological groups that influenced the GIDS allowed to influence policy in schools? Medical harm may be the most extreme result, but what other harms are being caused to children in schools, social care and child agencies by the failure to put facts and evidence ahead of ideology?In 1994 GIDS became part of The “Tavi” and by 2009 had a new director, Dr Polly Carmichael. Yet by July 2022, following Dr Hilary Cass’s report, GIDS was deemed neither a safe nor viable option for young people with gender-related stress and it was closed down. Cooke, Rachel (19 Feb 2023). "Time to Think by Hannah Barnes review – what went wrong at Gids?". The Guardian. Archived from the original on Feb 19, 2023. To make this clear, we are not referring to anyone who is in the least bit “transphobic.” Rather, these clinicians feel the insane increase in referral numbers of trans children over the years needs to be examined more closely as to , rather than simply ignoring the problem. It’s unbelievable to me that the most vulnerable members of our population, children (sometimes as young as 3 or 4!) are being put onto a pathway which clearly isn’t right for them and at times when they clearly aren’t struggling with gender identity itself, but rather homosexuality, and often puberty and the awkwardness that EVERY child goes through at its onset. Barnes, Hannah (14 Feb 2023). "Gender Identity, Children and the NHS". The News Agents (Interview). Interviewed by Emily Maitlis and Lewis Goodall. So I don't use that phrase, for the very reason I don't think we know yet. I think we know that some people say they've been helped by GIDS, and some of those stories are in the book. And we also know that some people have been harmed by GIDS, and some of those stories are in the book as well. And I think what we don't know yet is the numbers on either side, because we don't have that data. GIDS haven't been collecting data on outcomes. Ever. They've been running since 1989. So we don't know. And hopefully, Dr Cass and her team can start to answer some of those questions. So I personally don't describe it in those terms. But I think it's very striking that a number of the clinicians who were there and were trying to help these young people fear that it may end up being a serious medical scandal because of their experiences. But I think at the moment, everybody would like some certainty, but I don't think we have it.



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