Cass Report

A peer-reviewed critique has just been published

https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-025-02581-7

On a quick skim, it seems to focus on methodology to construct an argument that as it is not perfect it should not be relied upon.

However there are some interesting statements:
I need an academic-to-layperson translation. It seems like the basis of the critique is that the Cass report is highly biased... but it looks like it's coming to that conclusion because the underlying studies that Cass reviewed were biased? It seems to imply that Cass directed the studies, rather than just evaluated existing studies done by other people. I'm not sure I'm reading it right though.
 
I need an academic-to-layperson translation. It seems like the basis of the critique is that the Cass report is highly biased... but it looks like it's coming to that conclusion because the underlying studies that Cass reviewed were biased? It seems to imply that Cass directed the studies, rather than just evaluated existing studies done by other people. I'm not sure I'm reading it right though.
I think its more like "the Cass report didn't follow the gold standard for the type of review they were performing", while ignoring that there are reasons in the underlying studies that made it impossible to do that.

Its the repositioning from a mental health condition to one of bodily autonomy that is interesting, as I think this is an attempt to tie it into abortion rights arguments ie align you argument to a more popular position.
 
Its the repositioning from a mental health condition to one of bodily autonomy that is interesting, as I think this is an attempt to tie it into abortion rights arguments ie align you argument to a more popular position.
Children don't have full bodily autonomy, and I don't think they should - it would be insane to do so. Children aren't exactly known for good decision making, and someone somewhere will absolutely decide that they think skeletons are super cool, so they want to have their nose, their ears, and their lips removed so they look like a skull. Kids are frequently very dumb.

It's also a bad idea from a safeguarding perspective. "Bodily autonomy" has been a very common theme among a certain segment of child predators for a while now.
 
Children don't have full bodily autonomy, and I don't think they should - it would be insane to do so. Children aren't exactly known for good decision making, and someone somewhere will absolutely decide that they think skeletons are super cool, so they want to have their nose, their ears, and their lips removed so they look like a skull. Kids are frequently very dumb.

It's also a bad idea from a safeguarding perspective. "Bodily autonomy" has been a very common theme among a certain segment of child predators for a while now.
That's the thing isn't it. Even young adults are known for their bad decision making more than their good decisions. I do have a great deal of empathy for folks experiencing gender dysphoria but in what other context does anyone think children should be making permanent life altering decisions about anything.


It doesn't help that this puts me on the same side of the issues as genuine transphobes.
 

The real starting point of the critique is that, whatever methodology was used, the Cass Review and the York University team proceeded from a faulty perspective.

That is, they approached this by thinking about children and young people in distress, and investigated whether treatments provided to them did actually improve their mental health and wellbeing. This, according to the critique, is the wrong thing to do:

evaluating the efficacy of GAC based on psychosocial well-being alone is misguided
The authors believe this, because to them the purpose of allegedly “life-saving” interventions is not to improve mental wellbeing, but to fulfil cosmetic goals - and it is this fulfilment that will then consequentially improve mental health through realising one’s authentic self:

The primary goal of GAC is to prevent or induce the appearance of certain physical characteristics, and their physiological efficacy is undisputed. Mental health benefits are a logical consequence of living authentically
This is somewhat contradictory, in that mental health improvements are promoted as a “logical consequence” but attempting to evaluate whether this is actually true by checking to see if there are actually any mental health benefits is “misguided”.

But in any case the reasoning here is that what is important is how the child or young person is approached. Providing treatment to alleviate distress is wrong, pathologising and paternalistic and will harm mental wellbeing, while offering children unfettered access to cosmetic alterations to achieve their embodiment goals is right and guaranteed to improve wellbeing.

(More at the link.)
 
"Mental health benefits are a logical consequence of living authentically."

I would very much like whoever pronounced this nonsense to tell us how it works for paranoid schizophrenics, people with bipolar disorder, and people who suffer from factitious disorder by proxy.

I think that last item is particularly interesting. Does the victim realize mental health benefits from living their victimizer's authentic life?
 
That's the thing isn't it. Even young adults are known for their bad decision making more than their good decisions. I do have a great deal of empathy for folks experiencing gender dysphoria but in what other context does anyone think children should be making permanent life altering decisions about anything.


It doesn't help that this puts me on the same side of the issues as genuine transphobes.
Meh. Don't worry about it. All it means is that you're on the same side as people who recognize that the earth is not flat, even if some of those people happen to hold other views that you disagree with.
 

The real starting point of the critique is that, whatever methodology was used, the Cass Review and the York University team proceeded from a faulty perspective.

That is, they approached this by thinking about children and young people in distress, and investigated whether treatments provided to them did actually improve their mental health and wellbeing. This, according to the critique, is the wrong thing to do:


The authors believe this, because to them the purpose of allegedly “life-saving” interventions is not to improve mental wellbeing, but to fulfil cosmetic goals - and it is this fulfilment that will then consequentially improve mental health through realising one’s authentic self:


This is somewhat contradictory, in that mental health improvements are promoted as a “logical consequence” but attempting to evaluate whether this is actually true by checking to see if there are actually any mental health benefits is “misguided”.

But in any case the reasoning here is that what is important is how the child or young person is approached. Providing treatment to alleviate distress is wrong, pathologising and paternalistic and will harm mental wellbeing, while offering children unfettered access to cosmetic alterations to achieve their embodiment goals is right and guaranteed to improve wellbeing.

(More at the link.)
Thank you for the summary.

I can't adequately express how insane that premise seems to me.
 
Noted TERF Jesse Singal!
Joking, I think he's generally reliable and regularly listen to BARPod.
 

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