Ute’s Introduction: I’ve edited out the blather about “indigenous land” that Ben Ryan quotes from the WPATH zoom meetings. While these pontifications indicate the hypocrisy and nonsensical thinking, we’ve all heard the same rote virtue signal drivel too many times already. Odd, isn’t it, how encroachment of physical space is to be apologized for, but invasion of the category of female is of no concern.
As usual, I will write my comments in bold italic after the paragraph I wish to expound on.
The video linked here is further proof of the WPATH corruption. I transcribed the dialogue of Brianna Wu (male with cross sex ideation, post-op) and former WPATH president, Dr. Marci Bowers (male with cross-sex ideation, post-op) in which they both break down, fuss and can’t agree on how to actually diagnose a “transsexual.”
According to sociologist Musa al-Gharbi’s landmark 2024 book, We Have Never Been Woke: The Cultural Contradictions of a New Elite, the term woke, in its original, early-20th-century definition, referred to “an awareness of social injustices and a commitment to rectifying them.” Today, it is typically used pejoratively for anything Left-coded that might “seem ridiculous,” as al-Gharbi observed. And not always unjustly: at its peak, the philosophy amounted to a form of egalitarian signaling by cultural elites that purported to serve the needs of the marginalized — mostly by hewing to politically correct positions on gender, sexuality, race and identity issues — but in fact mostly served their own needs for status and legitimacy.
I observed all these tendencies at the WPATH conferences, which were held virtually during Covid times, and then in hotel conference rooms in Montreal and Denver, and featured the titans of transgender medical care. One could only expect such discourse given the cast of characters. There were LGBTQ identities (and allies). There were overly educated cultural elites. There were activists. And there were guilty white people — overwhelmingly and blindingly white people — who sought to compensate for their inadequate melanization through promises to diversify WPATH and promote equity across the land.
These defenders of the marginalized were fluent in the academic-elite lingua franca of critical theory, intersectionality, and social justice, hewing to conformity at the expense of content, common sense, or even their own supposed mission to help gender-distressed children and adolescents. They stayed ahead of what Steven Pinker coined the “euphemism treadmill,” rattling off all the latest identity-politics jargon — deftly observing the imperative to shift from “transgender,” to “gender diverse,” to “gender expansive”; and from “Latino,” to “Latinx,” to “Latine.” They doled out trigger warnings for bread-and-butter medical subjects — to audiences of doctors and psychologists.
(Ute’s note: they also completely ignored the factor of trauma experiences in the development of cross-sex ideation, and pretended that Piaget’s stages of childhood cognitive development did not exist, had not been validated for a century, &etc.)
In one session, which concerned the informed-consent model for providing gender surgeries, attendees were instructed to “please feel free to leave or take a break if need be. We want you to prioritize your own well-being above the content that we are sharing here.”
They succumbed to concept creep, with one presenter defining trauma as “an experience or series of experiences that negatively affect someone’s interactions and experiences of moving through the world” — a definition so diffuse it could apply to anything from the Holocaust to a hangnail. And they undermined their own authority, responsibility, and legitimacy as care providers endowed with doctorates, as they conveyed that their young patients’ narratives were more important than diagnostic and scientific precision and the core principles of medical ethics.
Were there pronoun declarations? But of course. In fact, a WPATH conference is the rare setting where this performance might be useful. However, the vast majority of presenters, sometimes to their own professed chagrin, were not transgender. Most were straight women and gay men; the latter rarely admitted such a jejune and déclassé sexual identity, opting instead for obliquely declaring themselves “a member of the LGBTQ+ community.”
The presenters didn’t stop with simply professing themselves a they/them. They routinely introduced themselves according to their sexual, racial, and class-based identities, making a point of self-flagellating should their oppression score prove subpar. One typical throat clearing was: “I’m a cisgender white woman who comes from a lot of privilege.” Another team declared: “We are white providers,” who, when caring for patients, took into consideration “the soup we all swim in, which is the dominant white Western ideas of what gender is, can be, should be.” Presenters displayed performative guilt and — with no sense of irony — apologized for their status as central players in a power structure that they were eagerly leveraging to promote the medicalization transgender identity in minors, even as they denounced that system as woefully damaged and damaging.
Overall, the conference sessions placed a disquieting emphasis on correct-signaling over evidence-based medicine. If the presenters genuinely hoped to win over the public and other medical skeptics and establish gender-transition treatments and surgeries as a settled practice in pediatrics, one might have expected them to observe exacting caution and engage in scientific testing sufficiently rigorous to defend the ethics of providing irreversible, life-changing body alterations to highly distressed and impressionable minors. Alas, no.
(Ute’s note: Good Lord! Is there an ex-wife who should contact me?)
There was also a session on experimental medical interventions for patients who identify as nonbinary. Dr. Walter Bouman, a British transgender-care specialist and WPATH leader, acknowledged working in the dark in this particular discipline. “We simply don’t have the evidence,” he admitted. And yet he and other care providers claimed it an imperative to provide mix-and-match sets of sex characteristics based on patients’ demands.
Such blind devotion to patients’ body-modification impulses extended even to minors and their “embodiment goals.” Dr. Johanna Olson-Kennedy, a top pediatric gender doctor practicing in California, confessed at the conference in 2023 that determining whether patients are “really trans” is “actually not the discussion I’m interested in participating in.” Instead, she wanted to talk about “giving the very best possible care to trans young people.” Nowhere in this astonishing confession was there room for determining whether a child’s gender confusion could prove only temporary— and thus there was no consideration of whether the youth might later regret the medical intervention.
(Ute’s note: I think this is called “confirmation bias,” meaning a patient comes in with vague complaints and the good doctor Olson-Kennedy finds this must be a girl who wants to be a boy.)
Such laments were paired with commitments to the equitable provision of medical interventions to nonwhite populations. White presenters ritually groveled over their racial or cispatriarchal supremacy. One, Dr. Carl Streed, a WPATH leader — a white gay man and primary-care physician at Boston Medical Center — heartily agreed to an observation that men of his persuasion controlled trans research and should voluntarily “step down” from leadership positions.
(Ute’s note: Yes—but they should all step down and start working towards actual reconstructive plastic surgery, such as for cleft palate and club foot. Or just go away and sail around the world solo.)
These scenes highlight the intrinsically unstable nature of the woke belief system, which has always displayed contradiction and paradox. For example: race is a mere arbitrary social construct best dismissed and yet should be a source of monomania given that it is the architecture upon which all of society is built. Or this: given the overwhelmingly white makeup of WPATH and the field’s population of minor patients, perhaps pediatric gender medicine itself is fundamentally white. Where is the respect for marginalized cultures, when one of the chief professed goals is to impose what amounts to a glaringly white undertaking onto black and brown children?
The only black trans woman I saw in all the WPATH videos I observed was Dr. Elle Lett, an activist-oriented statistician-epidemiologist (and insufferable gadfly on social media). Dr. Lett was still in training at the University of Pennsylvania when she (Ute’s note-[sic] this is a male human being, thus, he is the correct word.) gave a ramblingly woke plenary address to the 2021 conference. “Medicine,” she [sic, should be he] claimed, was “nested in the system of oppression,” and statistical methods “develop[ed] out of eugenics.” She called on attendees to “reject the notion of sample size and validity” in favor of messier science, provided it gave voice to the voiceless. The most mind-scrambling scenes came from sessions in which presenters preached the imperative to provide gender-transition treatment to Native Americans of all ages.
I have no doubt that the WPATH conference presenters genuinely approach their medical mission with compassion. They routinely and emphatically expressed concern for their pediatric patient population, with apparent sincerity. But the quasi-religious zealotry I observed provides a weak foundation for a medical movement that seeks to care for a population of psychically unwell teenagers by subjecting them to drastic and permanent physical alterations. And it’s hardly possible to dispassionately weigh the risk versus benefits of these medical interventions when an unfalsifiable mode of new-age spirituality is pressing its finger on the scale.
Ute’s conclusion: Bring it on! Get those therapists decertified! I could have told you all of this 30 years ago. Next year will be the third decade since Dr. Connie Christine Wheeler submitted her nonsensical, accusatory sworn affidavits to Kings County Supreme Court during the epic divorce. It has always been this way, notwithstanding Dr. Ray Blanchard’s claims about his infamous protocols of crossdressing for 2 years prior to getting surgeries. Why did he pretend that wrong sex hormones don’t have risks, and agree to the rush of patients into the endocrine netherworld?
Benjamin Ryan is a New York City-based reporter. His writing has appeared in The New York Times, The Washington Post, and The Atlantic, among other publication.
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