@ShannonBDouglas - Shannon B - staying in trouble
The Cass Review out. It's time to e-mail & call provincial & federal ministers. There is no excuse anymore for endorsing pediatric gender medicine, or radical gender indoctrination of kids, anywhere in the world. You're on notice @Sflecce @fordnation @SylviaJonesMPP https://t.co/EaZi4IiYJF
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Hearings for BC Nurse Amy Hamm @preta_6 begin again at 1pm est/10am pacific today. #FreeSpeech Will @JamesCantorPhD (one of Canada's top researchers in atypical sexuality & paraphilias) be accepted as an expert witness for Hamm? find out w/ me. I'll be🧵ing
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
and we're back on the record... @bastow_karen opens. It seems that Cantor has been accepted as an expert witness & will be examined by Bastow then subject to cross examination. Next Witness will be Amy Hamm, and @LDBildy will be calling witnesses for Hamm next week.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Dr James Cantor is taking the virtual stand, swearing in. Bastow taking Cantor through his report prepared for the Amy Hamm hearings: Some repetition of the qualification process as Cantor testifies now to his qualifications. BARBARA FINDLAY objects to Cantor's statement of qualifications... Panel ruling was to limit testimony to gender dysphoria and gender identity Bastow qualifies her opening question: Cantor is entitled to testify to his overall experience but Bastow will limit to GD and Gender Identity expertise
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: Diagnostic criteria for intervention for GD has changed in the last twenty years. Quote: "Standards are not standards if they are open to interpretation" We moved away from gatekeeping model (attempts to mitigate harm was a long process of months or years living as desired self) to an informed consent model. There is no strong evidence for benefits for intervention in transition. This must be Informed consent model is a general model for physically evidenced disease. Is the person cognitively capable of making decisions?
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: does the informed consent model apply kids under 16 in Canada? Cantor: it's complicated. Generally requires the involvement of parents unless parents do not consent... Bastow: asking about US gatekeeping... moves on to Europe... FINDLAY (objection): asks that Dr. Cantor/panel to restrict testimony to Canada and the US models Bastow responds: Science is not limited by geography. Science is not confined by the legal jurisdictions. Decisions of other countries are relevant to the testimony. Panel stands down for five minutes.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Panel agrees that Bastow can pursue the question: "can you advise us on the position of various European countries over 16 and under 16 - and whether models have changed in this are since 1998." Europe has gone in opposite direction of Canada and US. Originally went in the same direction but quickly realized treatments were not having the desired organizations. Europe rejectected WPATH and activist positions and now explicitly reject treatments under informed consent. Is exact opposite direction of Canada and US. Europe has controlled for and removed people with conflict of interest... Cantor points out well-known conflict of interest are both financial and biased towards benefiting certain specialties
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor elucidating on conflict of interests - if practitioners and clinics are positioned to benefit from the medical interventions and they are the only ones creating the guidelines. Europe has figured this out and is having reviews independent of the specialties that benefit from financial and intellectual conflict of interest. Conflicted groups in the US are coming up with policies that benefit them. These specialties should not be in charge of developing guidelines. My words: this is like putting the fox in charge of the henhouse.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
WPATH uses sketchy language to describe development of policies and conflict of interest. Claims no-one is in a conflict of interest at WPATH. Bastow: Q re: conflict of interest Cantor: WHO and National Academy counts that being the recipient of a grant in a specialty, or providing services in this speciality puts the recipient in a conflict of interest for policy development. This means that WPATH development of guidelines is outside of internationally recognized rules of conflict of interest.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: Can you elaborate on change of demographic. Cantor: occurred in every country. the change exploded in 2012 (coincidentally?) was same year WPATH changed guidelines. Demographic changes Europe, US and Canada, explosive change was primarily in youth, was mostly male who would grow to young gay men. the change was mostly male for several decades, after social media it became a different cohort, biologically female, early adolescent and onset of puberty Different mental health profile. Can't assume the same protocols used for previous cohort should apply Also the male presenting adults, AGPs after 2012, no longer subject to gatekeeping either.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: why is gatekeeping important with AGP? Cantor: it is well established that biological men, adult onset GD have a sexual interest pattern that is more unusual than being gay or lesbian, men attracted to self as female. unlike gay kids effeminate, these are often married straight. AGP occurs with other sexual interests, clinical question: are men taking advantage of transgender identities in order to act out their other interests like exibitionism or sadist taking advantage of the situation in order to enact the other What are the motivations of of the client? When self-identification is the only criteria and there is no objective evaluation then people can take advantage of society's willingness to embrace sexual diversity
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: have service levels increased or decreased Cantor: amount of energy has not gone down but there is a question of this is sapping away from resources for general mental health for, let's say, teenagers.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: Drugs, can you speak to the types of drugs and use of drugs in the treatment of gender dysphoria. Cantor: Lupron is same drug as the drugs used euphemistically as chemical castration drugs Primary long-term side-effects are bone density loss and osteoporosis.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: you've had experience in research design, also as senior scientist at CAMH - can you expand on designing research into sexual behaviour. Cantor, you've just described a course I might teach. From full range of scientific methods, from hardcore math and physics and design of questionnaires... Can tell you strengths and weaknesses of research designs.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor confirms he has reviewed Hamm's comments as well as investigative reports of Hamm's comments. Bastow: moving into new area... taking a break: return at 11:30/2:30 est
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Back on the record. #iStandWithAmyHamm Fellow Xweeps: what is important to you about the outcome of these hearings? Do you think if Hamm is exonerated this will make a difference in Canada and alleviate some of the fear related to being witch-hunted?
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: can you state your summary of opinions excepting redactions from your report Cantor: Opinions are are unchanged & the facts available regarding the importance of speaking out against their own clinics. American Academy of Pediatrics is subject to a lawsuit, and is undertaking a systematic evidence review Hamm's comments include statements that people don't want to hear, science and society must contain examples of speaking out about the issue and about science itself. growing evidence and growing voices critical of the practices
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: people are relying on perceptions and subjective feelings. People are preying on others based on emotions and claims of victimization. Bastow turning to: "No consensus among clinicians on best methods of treatment the primary theories of what's going on. Agreed Upon: enormous and increasing need for MH services, & many people presenting with GD People accept at face value vs people relying on objective evidence. So much emotion, so few experts, so much conflict of interest, & people are making decisions based on optics and political posturing. Public discussion consists of half truths, omissions of relevant information, Objectivity has come to opposite conclusion of what is popular. International orgs have come up with same conclusion, but US & Canada are opposite. Making decisions based on optics rather than verifiable truths.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Pyramid of Evidence Cantor: how to distinguish between good science and bad science one set of studies vs another set of studies for non-scientific boards of decision-makers. The purpose of the pyramid or levels of evidence is to rank quality of evidence. transition on demand relies on low-level studies. Ignore higher level studies that outrank the lower level studies. ie surveys correlation does not imply causation
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor compares magic ritual over crystals causing the a lucky day the next days to the quality of poor/low level studies. Correlation is not causation. Best evidence is from Randomized Controlled Trials (RCT) Next a cohort study is taking a group and track them over time. We're seeing the same people over time so we get to watch for differences.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: No RCT studies have been conducted for treatment for GD. The best we have is the cohort study. The very highest level is the systematic reviews of evidence (meta study) Bastow: There is no evidence indicating any consensus. We can only tolerate strong risk when we have strong evidence. Bastow: could you comment on how gay men might be disadvantaged by current protocols. Cantor: unanimous studies show most effeminate boys grow out of dysphoria. Young gay men are put in danger by current policies. Bastow: how are women disempowered by current policies? Cantor: adult onset type (male attracted to women) are more ambiguous of what's motivating them interfering with women and their sense of safety. Bio males present more perceived risk. Locker rooms, adult males with atypical interest also exhibit more than one atypical sexual interterest. Impossible to know what the motivators are.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Bastow: how does ROGD relate to the disempowerment of women. Cantor: childhood onset strongly related to homosexuality; adult type strongly related to atypical sexualities. ROGD is a third group emerged with social media, at same time as spike in mental health issues in children in retrospect it seems obvious.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: people are generalizing treatments from other groups (childhood onset & adult onset) to the mostly female cohort of adolescent onset there is nothing to say that the treatments for one or both (very rare) classical types would work for the new very common presentation of teenage girls. Current policies are preventing young women from developing healthy identities that would be normal for young women.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
today is a hearing day for @preta_6 Amy Hamm's hearing Dr James Cantor testifying. Points out the definition of Experimental prevents insurers from paying for intervention. So Orgs like WPATH make assertions / opinions that these protocols are NOT experimental. Bastow: can you go through the terms of art about sex vs gender? Cantor: largely on Social Media, use sex and gender in ways not related to science Once can determine one's sex with a reliability better than almost any other trait difference. The definition of sex has been, many writers take the list of objective verifiable characteristics simply ad gender identity to the list of descriptors related to sex. "gender" has a long history of being defined in amorphous terms.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor now going into DSDs disorders of sexual development. Cantor goes into various presentations of DSDs. DSDs are exceptionally rare, less than 1/10th of 1% of we exclude hypospadia (a birth defect in males where the urethra does not open at the head of the penis)
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
We are back again with the hearings for @preta_6 with the BC College of Nurses & Midwives. There have been many developments in the issue in the public domain. One of them is the obvious correlation between gender activism & open anti-semitism of the radical woke cancel-cult left; another is the Angus Reid polling on the culture wars showing how small a population the cancelt cult left is. Back on the record:
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: Another correlation with the Adolescent Onset GD, they have other disorders, ASD, Personality Disorder and Histrionic Disorder. They have social functioning disorders developing healthy social functioning. not getting the same attention as the flashy, easy-to-retweet superficial interpretation of GD In science there is no such thing as inner sense. Science requires something be falsifiable. requires something basic to be scientifically verifiable. Even depression shows (vague) but verifiable patterns in brain scans, but self-reported gender identity cannot be verified. #IStandWithAmyHamm
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: Science has verified evidence of gay and lesbian brains, when we take groups and compare them, there is evidence of being shifted towards the opposite brain. Several studies have made mistakes when trying to verify a trans brain. "Confounding" problem examined mutli-variant subjects (gay and also trans) and confounded the differences. the conclusions in the studies could not be stated clearly because we couldn't verify gender identity in the brain. (I've been reading & studying on this subject for years and this is just the clearest articulation of this claims and science I've ever heard - partly why I'm taking these notes in detail)
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: integration of sexual orientation into society & integration gender identity into society are not the same. Orientation is one's private sexual behaviour life/private life. With integration into society, gender because it's a facet of social life, impacts the entire social group. Starts influencing interaction with others, requires public discourse and debate, very unlike sexaul orientation.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor on sports: Biological differences between men and women in sports. Endangers females in sports especially leaving out the idea of fairness and just speaking to physical issues. It's very much a recent issue. Dividing line is 2012 onset of social media, when adult transition mostly adult men transitioning, can't think of an individual prior to that of seeking participation in contact sports. If anything bio males would have preferred to avoid these kinds of activities the large-scale conversations FINDLAY objects. Says qualifications are insufficient for Cantor to comment on the participation of male-bodied people in sports. Bastow reads from ruling of the panel. FINDLAY: Has no qualification to comment on transwomen participating in sports. Bastow: Cantor is qualified to comment on hormonal differences and impacts and social impacts Panel is taking a moment to deliberate.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
why am I so interested in this topic asn speaking publicly? In 2008 my brother came out as trans in his 30s. Adult-Onset heterosexual male. no history of cross-sex identification. But history of other MH issues, including signs consistent with personality disorder and autism five 1/2 years ago I was alienated from my daughter by an affirming teacher and her mother (from whom I was divorced already for a number of years) My daughter has since medicalized, and recently changed from he/him pronouns to they/them.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
FINDLAY objects again about Cantor speaking on sports. Bastow moves Cantor on to regret from medicalized transitions and detransition Cantor: With adults, the changes that I've noticed with adults, the AGP pattern continues to be present. Things have become more ambiguous 18-20 years old not resembling adult features of transition the 18-20 are not representative of adult type and is a new phenomenon Brand new is Rapid Onset Type clustering of cases leading to the theory that a lot of adolescents cases fit the theory of social contagion... Outlines the susceptibility to social contagion... Socially Mediated Contagion online and occur in social clusters not in random isolated as in AGP and child onset
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: if we are to use medical interventions we must rule out that this is a social contagion. Causation vs Correlation Is GD in ROGD the result of other mental health issues, or the other way around people are using threats of sui--de and threats of threats. Suic--de ideation and sui--de are different. Death, sudden event by self, is mostly male, middle-age. Suicidality is a cry for help, significant and important, but is not an early stage of what will lead to death. exaggerated emotional blackmail. emotional manipulation in an unhealthy social interaction. Giving in is not in the interest of the person. begets still more demands and doesn't held deal with the distress. People are taking such threats at face value and referring to sex-changing kids and lifesaving. No redux of rates of suicice and sewercidality after transition, they stay elevated after transitions
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: best treatment is fulsome comprehensive mental health assessment and support PRIOR to any medical transition Note: Today FINDLAY is objecting on "leading questions" and unlike last week, she is being recognized by opposing counsel for fair objections. Bastow is rephrasing questions
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: sexual minority stress is theoretically an interpretation for an increase in suicidality though it is not the only or the best explanation of possibilities. no controlled studies to give the most simple and straightforward explanation.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: the kids who are most susceptible to this kind of social influence. Both GD and suic--lity are more likely caused by the same influences. ie social media Best course of action is psychotherapy
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: the ethically appropriate course is to start with the intervention that causes the least amount of physical impact, ie psychotherapy, and is the most ethical intervention. We have no idea what is medically necessary... FINDLAY: objects to discussion of social media and social media influence. it looked like a member of the panel face-palmed and shook her head. FINDLAY: pushes her objection... note this is quite the non-sequitur, but trying to limit testimony. says he offers no expertise to speak to social media impacts. Bastow: not sure we need an expert to tell us Social Media has had an impact on the world we live in. Panel recesses for afternoon break
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Amy Hamm hearings resume: Back on the record with testimony of @JamesCantorPhD For the record: #IStandWithAmyHamm Panel rules Cantor is permitted to speak to role of social media in this case. FINDLAY was overruled. Bastow asks for "Minority Stress" definition Cantor: set of additional stressors over that of mainstream society and causes poorer mental health issues. It is a legit hypothesis at an individual level but no evidence in science is present or available for Adolescent onset of GD. We are not seeing stresses resolving after medicalization - label is used as a panacea explanation is it being used as an emotional blackmail or manipulation
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: it is a violation of medical ethics when we cannot rule out the possibilities that MH improvements may be attributable to other causes besides treatment. We have a number of confounding factors (4) that may be giving indications that a hypothesis is is correct when it is not. Minority stress, once once starts controlling for other factors, don't have high quality studies to rule conclusions out. we can't make the conclusions that medical transition is the appropriate preventative for suicidal ideation due to minority stress. Bastow: very tolerant Sweden shows 19x higher suicide rates for post-transition people, lack of strong association between suicidality and transition. WPATH conceded that transition does not help to alleviate suicidality
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor on Borderline PD (personality disorder): has many different symptoms, based on a checklist #4 and #6 for diagnosis DSM #4 Repeated suicidal ideation and fantasies #6 unstable identity It's very easy for unstable identity to be confused with gender dysphoria. Very common for Suicidality in borderline PD. BPD is more common in females, teen onset, same sex ratio, same cohort, similar features to group that meets criteria that happens to match what people are seeing on social media wrt gender dysphoria.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
It's hard to imagine the panel might conclude that @preta_6 's public statements might be ruled inappropriate. @JamesCantorPhD raises so many evidenced-based inconsistencies in the facile narrative of the social media that the rainbow activists push so abusively that if the panel rules against Hamm, it really is evidence we're hopelessly corrupted by institutional capture.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: defining trauma in it's actual physical impact terms to the diluted or eroded meaning of the terms like "harms." Histrionic filters use the most evocative language possible to describe situations and circumstances. People with minor or imagined slights might use these things as claims to trauma and harm. People's explanations are being taken at face value. Fashionable to not ask questions and to accept people's explanations at face value.
@ShannonBDouglas - Shannon B - Weekly Canadian Gender Wars Co-Host
Cantor: trigger warnings might be doing more harms than helping. After a generation of experimenting with these things, it appears that it trigger warnings concretize one's sense of victims Bastow pivots to misgendering, nice move Cantor: there is a subset of people driven by attention-seeking... challenging it (misgendering) or using the opportunity to attract attention as a expert to which others must defer to give attention to the seeker Cantor: Trigger Warnings and Misgendering taboos make the people more sensitive, moving people away from pro-social integration & more sensitive to slights Recommendations: Learn the skills to rise above appearances.