Libby Emmons and Barrett Wilson:
On Thurs Jan 23, University of Toronto professor of psychiatry Dr. Ken Zucker, a leading international expert on gender dysphoria, and editor-in-chief of Archives of Sexual Behaviour, spoke at McGill University. Dr. Zucker’s presentation was titled, “Children and Adolescents with Gender Dysphoria: Some contemporary research and clinical issues.”
Inviting Dr. Zucker to speak in an open forum was an act of courage, as he is Canada’s most controversial researcher/clinician in this domain. In a recent column for the National Post on the run-up to this event, I summarized the story of his persecution by hostile trans activists and linked to a more detailed account.
Dr. Zucker’s critics accuse him of practicing “conversion therapy,” by which they mean his objective is to prevent his patients from transitioning. But what Dr. Zucker actually practices, as he explained to me in an interview, is “Developmentally Informed Psychotherapy.”
In layman’s terms, Dr. Zucker looks at his patients holistically in order to determine if the distress that brought them to his attention is a function of gender dysphoria alone, or gender dysphoria as one of a number of factors, including issues arising out of family dynamics, autism spectrum disorder, depression, anxiety and so on. If in the course of treatment, it becomes clear that finding comfort in his or her natal sex is a reasonable goal for the client, Dr. Zucker offers guidance to that objective. If it becomes clear that only transition will answer to the patient’s need, Dr. Zucker endorses transition, and puberty blockers or hormone therapy as required.
But any form of traditional psychotherapy is considered to be a form of subversion by many trans activists because trans activists reject assumptions that gender dysphoria is a disorder or even a “distress” requiring psychotherapy. Their watchword is “affirmation,” the assumption that if a young child – even as young as three – says he or she wants to change genders, they know what they want and their wish must be respected, often without any further exploration at all before social transition is encouraged.
“Watchful waiting”—withholding immediate affirmation, giving the child’s parents and professional observers time to assess the depth and putative permanence of the expressed desire—is also anathema to a small, but vocal group of trans advocates. To these activists, Dr. Zucker’s perspective is superannuated, offensive and, in their discourse, “harmful.” It was a given that the announcement of the event would spark protest. It was just a matter of what kind, and how obstructive it would be.