Was He Railroaded?

If you ask a trans person they would probably say no, but his supporters think otherwise. Whichever side you are on Dr. Zucker evokes a strong response. A New York Magazine article looks into the debate and probably stirs up the both sides of the debate.

How the Fight Over Transgender Kids Got a Leading Sex Researcher Fired
By Jesse Singal
February 7, 2016

On paper, Dr. Kenneth Zucker isn’t the sort of person who gets suddenly and unceremoniously fired. For decades, the 65-year-old psychologist had led the Child Youth and Family Gender Identity Clinic (GIC), in Toronto, one of the most well-known clinics in the world for children and adolescents with gender dysphoria — that is, the feeling that the body they were born with doesn’t fit their true gender identity. Zucker had built up quite a CV during his time leading the clinic: In addition to being one of the most frequently cited names in the research literature on gender dysphoria and gender-identity development, and the editor of the prestigious journal Archives of Sexual Behavior, he took a leading role helping devise diagnostic and treatment guidelines for gender dysphoric and transgender individuals. He headed the group which developed the DSM-5’s criteria for its “gender dysphoria” entry, for example, and also helped write the most recent “standards of care” guidelines for the World Professional Association for Transgender Health  —  one of the bibles for clinicians who treat transgender and gender-dysphoric patients.
[…]
The GIC, which operates out of CAMH, pronounced “Cam-H,” had been standing firm against a changing tide in the world of psychological treatment for children with gender dysphoria. The “gender-affirmative” approach, which focuses on identifying young transgender children and helping them socially transition — that is, express their gender to others through their everyday clothes, name changes, or other means — has been on the rise in recent years, and has become the favored protocol of many activists and clinicians. GIC clinicians, who saw clients between ages 3 and 18, had a much more cautious stance on social transitioning for their younger clients — they believed that in many cases, it was preferable to first “help children feel comfortable in their own bodies,” as they often put it, since in the GIC’s view gender is quite malleable at a young age and gender dysphoria will likely resolve itself with time.

Many activists see this approach as a rejection of young children’s transgender identities, and Zucker as its regressive standard-bearer. As a result, the GIC had been tarred for years as a “conversion” or “reparative” therapy clinic — terms which conjure images of outfits operated out of backwoods shacks in the Bible Belt. Responding to what felt like a surge in this line of criticism from activists, CAMH had agreed in February of 2015 to commission an External Review that would evaluate the clinic’s operations, and possibly, Zucker and his staffers knew, determine its future. CAMH had already taken actions suggesting that that future might be dim: In June of 2014, the hospital closed the GIC’s approximately 80-family waitlist (for being too long, administrators said), and about two months before Zucker’s vacation was interrupted, the clinic’s only other full-time staffer, the psychologist Dr. Hayley Wood, was laid off on her first day back from maternity leave. (Wood declined to comment for this article.)

And therein lies the heart of the debate; how to “help children feel comfortable in their own bodies.” Do you force a child to live in their birth gender or do you let them explore their gender identity?

For transgender activists in North America and around the world, the ouster of one of their biggest enemies in the field of mainstream sex research was a spectacular victory. Sweeter still, they found out later that day that CAMH would be “winding down” the GIC entirely, with an eye toward eventually retooling and reopening it with input from its critics. Years of activism, years of hearing and telling stories about what Zucker’s clinic did to vulnerable, gender-questioning young people, had finally paid off. The activists had won what seemed like a satisfying end to a simple, sad story. “Infamous Reparative Therapy Clinic For Transgender Youth Set To Close” trumpeted ThinkProgress. “Hooray! A Big, Bad Conversion Therapy Clinic For Trans Youth In Canada Is Shutting Down,” went the MTV headline. Good prevailed over evil, in other words. Those innocent children would never suffer again.

Zucker, his colleagues, and their many allies in the world of academic sex research see things differently. To them, the real scandal here is how CAMH responded to a sustained campaign of political pressure: by allowing a vital scientific question — vital not only to gender-dysphoric and transgender young people, but to anyone who is a parent or will one day become one — to be decided by activists on the basis of flimsy, anonymous allegations. They think the activists’ claims about the clinic are unfounded, and argue that the controversy has more to do with adult agendas than with genuine concern for gender-dysphoric children and youth. As Dr. Jack Drescher, a psychiatrist with a research focus on gender-identity issues, explained in an email, this fight resembles many other culture-war battles: “[C]hildren serve as proxies for the competing value systems of adults.” Indeed, some parents of GIC patients feel that as a result of the clinic’s closing, their children have been cut off from a place that was — despite rumors to the contrary — a safe, nurturing environment for young people to explore their emerging gender identities.

Was the internal review a “hatchet job?” Did the panel go into the review with a predefined agenda?

I believe several things needs to be done, the first is that we need more long term studies with proper controls. And another thing is we need better definitions as legislatures around the country ban reparative or conversion therapies we need to define what they are better.

So Zucker and his colleagues can’t even agree with their critics on basic terms and definitions — on what a “reparative therapy” accusation even means in the context of childhood gender identity. Had CAMH decided to investigate all this in an open-minded, careful, scientifically informed way, and had the hospital done so transparently, it would have benefited everyone.

I think we each have in our own mind what we think is “reparative therapy” and we can probably agree that it is forced on a child, but trying set the limits on what is forced is where the problem lies. For me I feel that the role of the therapist is to listen and help them explore their gender identity. Making a child only associate with birth gender friends or play with “typical” birth gender toys is wrong.

I think that many if not most trans people and many healthcare providers think the closing was justified, but Dr. Zucker’s supporters think he is a martyr.

What do you think?

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