Polly Sexual

Comments for this and the Polly State Page, to pollystate@btinternet.com

Code Pink: Women for Peace (often stylized as CODEPINK) is an internationally active NGO that describes itself as a “grassroots peace and social justice movement working to end U.S.-funded wars and occupations, to challenge militarism globally and to redirect our resources into health care, education, green jobs and other life-affirming activities”. In addition to its focus on anti-war issues, it has taken action on issues such as drones, Guantanamo Bay prison, Palestinian statehood, the Iran nuclear deal, Saudi Arabia, and Women Cross DMZ.

Police apologise for leaflets which linked rape to alcohol …


2 days ago · Police in Northern Ireland have apologised after flyers – which suggested the more someone drank the more likely they were to be raped – were wrongly distributed in Belfast. A woman, who came …

Northern Ireland police remove rape warning tweet after …


16/03/2017 · Northern Ireland police remove rape warning tweet after accusations of ‘victim blaming’ Thousands brave the elements for Lisburn Half Marathon as bombing victims remembered. Lisburn Half Marathon 2019 [Photos] The 2019 Lisburn Half Marathon took place on June 19, 2019. Greenvale Hotel owner …



PSNI apology over rape warning leaflets – BelfastTelegraph …


The PSNI has apologised after discontinued flyers that made a link between rape and alcohol consumption were wrongly distributed in Belfast. The organisation said it was investigating how the old …

Northern Ireland police force sparks … – Evening Standard


Northern Ireland police force sparks Twitter backlash for ‘trivialising rape‘ with mistletoe warning. Northern Ireland’s police service was accused of “trivialising” serious sexual assault after it shared the festive-themed message on Twitter on Saturday. The tweet read: “If you bump into that special someone under the mistletoe tonight, remember that without consent it is rape #SeasonsGreetings”.

Do Some Transexuals Have More Power ? Is it all about class and looks ? Posted February 23rd 2020

Polly Sexual Exercising Her Powers Out and About.
Image Appledeme Photographics
  1. Walk The Wild Side Lous Reed Video Results
    • Lou Reed Walk On The Wild Sidebing.com
    • 4:53Lou Reed Walk On The Wild Sidedailymotion.com
    • 4:12Lou Reed Walk On The Wild Side – Rare Video-HDvidoevo.com
    • 4:47Lou Reed Walk On The Wild Sidedailymotion.com
    • 4:09Lou Reed Walk on the Wild Sidebing.com
    • 4:53Lou Reed Walk on the Wild Sidedailymotion.com
    • 4:17Lou Reed Walk on The Wild Sideyoutube.com
    • 4:12Lou Reed Walk On The Wild Side – Rare Videomy.mail.ru

What Is Feminism, And Why Do So Many Women And Men Hate It?

Kathy Caprino Senior Contributor Careers I cover career, executive and personal growth, leadership and women’s issues.

In exploring the latest data from around the world on gender equality, and if we read any news at all or engage in social media activity, the following is abundantly clear – there is tremendous dissent and vehement disagreement today among people around the world about the status and importance of equality.


I’ve seen this:

• There are millions of people who both inwardly and outwardly do not support the idea that there should be equal rights and equal opportunities for men and women

• There are thousands of people who feel we’ve already arrived at equality for men and women.

• There are also thousands of people who believe we’re not at all there yet, and support continuing efforts to pave the way for equal rights for men and women.

•  There are thousands who believe in equal rights but find “feminism” a word and a movement that doesn’t align with their personal beliefs or values

• It’s abundantly clear that our specific views on these issues are rooted deeply in our own personal and direct experiences, rather than on any data, research or science surrounding the issues. (In other words, if we’ve personally faced discrimination, we know beyond doubt that it exists. But if we haven’t faced it ourselves, we often doubt that it happens.)

• Finally, both conscious and unconscious gender bias is rampant within us, but most us aren’t aware of it

So, what would be helpful in this dialogue, or in this situation we find ourselves in today where there is a great divide among men and women, and among the people of our country who see things dramatically differently from each other?

First, let’s understand what feminism is meant to be.

If you look up the definition of “Feminism” in the dictionary, you’ll see these statements:

Feminism is:

1. The advocacy of women’s rights on the basis of the equality of the sexes

2. The theory of the political, economic, and social equality of the sexes

3. The belief that men and women should have equal rights and opportunities

4. The doctrine advocating social, political, and all other rights of women equal to those of men

Feminism at its core is about equality of men and women, not “sameness.” So many people offer up the argument that women are not the “same” as men so there can’t be equality. In other words, because their bodies are different (many say “weaker” and smaller), and because men and women have different physical capabilities, these physical differences mean equality is not possible.

It’s critical to understand that “same” does not mean “equal.” The issue here is about equal rights and equal access to opportunities.  Men and women don’t have to be the “same” in physicality to have the right to equality. I’d love to see that argument (that women and men aren’t the “same” so they can’t be equal) disappear forever. From my view, it’s a misguided one.

Here’s an example of why: If there were two young boys in a classroom, and one was physically weaker and smaller than the other, would we believe it’s right to keep the weaker, smaller boy from having the same access – to the teacher, to learning, to the computers, to the books and class resources, to other children in the class — because he didn’t have the same physical strength as the other boy?

So how can we gain a deeper understanding of where we personally stand on the issue of equality?

Asking yourself these questions and answering them candidly will get you closer to recognizing what you truly, honestly believe:

1. Do you believe that women and men deserve equal rights and equal opportunities? If not, why not, specifically?

2. Do you oppose the idea that every human being on the planet deserves equal rights and equal access to all opportunities? If you oppose it, what are you concerned will happen if equality is achieved? What are the downsides, in your way of thinking?

3. Do you believe that only certain groups of people should be allowed to have access to certain opportunities and rights? If so, which groups should be favored and granted this access, and who should decide that?

4. Do you believe that it would be inherently fair to grant women access to only partial rights while men have full array of other rights and opportunities?

5. Think back on what has shaped all your beliefs about these issues. Where did they come from specifically? Childhood, early adulthood? Your personal experiences with men and women, or what you read and watch in the media? Who in your “tribe,” family or peers influences your beliefs today?

6. What makes you mad and agitated to read in the media, about men, women and equality?

7. Do you believe that a world that prevents certain people from accessing full rights and opportunities would lead to a fair, healthy, prosperous world for all?

8. In the end, do your beliefs actually feel right for you? Do they feel aligned with who you really are — healthy, whole, integrity-filled, compassionate, and fair?

The vast majority of people I speak to do believe in equal rights for men and women, but the conflict is about how that equality should be achieved. Many resist calling themselves a “feminist” or supporting the feminist “movement.” In fact, just today, a woman commented on my YouTube channel that “feminism is a cancer.”

Why do so many hate the term feminism and the feminist movement?

I believe there are five critical reasons behind this:

1.  Feminism has been associated with strong, forceful and angry women, and our society continues to punishes forceful women.  (So much recent data and research has proved this.)

2. Many people fear that feminism will mean that men will eventually lose out – of power, influence, impact, authority, and control, and economic opportunities.

3. Many people believe that feminists want to control the world and put men down.

4. Many people fear that feminism will overturn time-honored traditions, religious beliefs and established gender roles, and that feels scary and wrong.

5. Many people fear that feminism will bring about negative shifts in relationships, marriage, society, culture, power and authority dynamics, and in business, job and economic opportunities if and when women are on an equal footing with men.

What about sexuality – what does that have to do with feminism?

In reading about the media uproar over Emma Watson’s baring a bit of her breasts in Vanity Fair this month, we see that women are fighting among themselves about what feminism is and how women should behave if they’re true feminists. Emma (and Gloria Steinem) make a powerful point – feminism at its core is about choice.  Feminists can wear whatever they want. If we cannot choose freely how to behave, speak, act and present ourselves, then we’re moving backwards.

Unconscious gender bias.

In my friend Kristen Pressner’s powerful TEDx talk “Are You Biased? I Am” she shares how her own unconscious bias against working women (in fact, against women who were just like her) was affecting her ability to treat men and women equally. Her brave revelation paves the way for all of us to think more deeply about our unconscious biases, and work tirelessly to bring these biases to light. Her suggested strategy of “flip it to test it” is an effective tool to help us do just that.

In the end, we all must honor the beliefs, values, and ideals that feel right and good to us. To help us do that, I’d ask you to think about these final questions:

• Do your beliefs and behaviors support equality for all, or just for some?

• Could there be hidden biases that color how you experience people of different genders, race, color, religion, etc? Could your personal experiences be tainting how you’re looking at the whole world?

• If you believe in equality for women, but not in feminism, can you articulate why?

• If you believe in equality for all, are you able to take a brave stand for it, in a way that feels right to you, in your own life and in your own sphere of influence?

For more from Kathy Caprino, visit her Personal Growth programs, her TEDx talk “Time to Brave Up,” and her new video What Is Feminism and Why So Many Men and Women Hate It.

Why do feminists fear and hate transexual women ? Posted February 22nd 2020

Anne T’Agonistic

Is there anything that hails the start of Pride more clearly than the roar of engines from the self-proclaimed Dykes on Bikes? There’s the low grumble of hot steel held between the powerful thighs of lesbians and their friends and lovers, who have long been the much-loved unofficial openers — and protectors — of pride marches across North America.

But not so here in London, England, where on Saturday, Pride in London found a very different group usurping its lead: anti-trans protesters.

Around 10 people held up Pride in London, London’s annual pride parade, by standing on the giant rainbow flag that’s traditionally carried at the beginning of the march — before organizers gave in and allowed them to lead the march themselves. Waving signs saying things like “Transactivists Erase Lesbians,” the protesters shouted slogans targeting trans women and highlighting the hashtag “#GetTheLOut of Pride” as they led the parade down its route to Trafalgar Square. One of the protesters shouted, “A man who says he’s a lesbian is a rapist,” according to Gay Star News. The group also distributed leaflets that accused trans activism of “coercing lesbians to have sex with men.” Pride in London staff and volunteers, as well as police officers, appeared to do nothing to intervene — though live video released by Pink News showed Pride in London staff working to prevent journalists from filming the protesters.


@PrideInLondon PS the red lined stuff on the leaflets #GetTheLOut were handing out is lies, and hateful. If accusing an entire minority demographic of being rapists & forcing transition on women isn't the living breathing definition of 'hate speech' WHAT IS. https://t.co/5ok6W3LuLs

Pride in London has come into criticism this year for strictly limiting the number of organizations and their members who could march in the parade, rejecting some 20,000 applicants, according to cofounder Peter Tatchell — which makes the sudden addition of an unregistered hate group and the lack of attempts to remove that group puzzling at best. (Other Prides around the world, including in New York and Los Angeles this year, have been similarly criticized for limiting numbers of participants.) Mayor of London Sadiq Khan had been intended to lead the London parade in celebration of 70 years of the NHS, Britain’s national health care service, but the protesters were moved ahead of him by Pride in London organizers.

Over the weekend, Pride in London released two public statements regarding the incident. The first cited “hot weather” and “safety” as reasons why organizers decided to let the anti-trans protesters lead the parade. Their most recent statement condemned the hate group’s actions as “shocking and disgusting,” but they continued to defend their decision not to remove the unregistered group from the parade. Pride in London’s cochairs have not responded to a request for comment on this story.


This latest stunt at London Pride comes as anti-trans bigotry in the UK has reached a fever pitch. Both left-wing and tabloid media have flooded the country with constant attacks on transgender youth. Earlier this year, BuzzFeed News reported that BBC staffers were sending each other anti-trans messages in private group chats. Other groups of anti-trans feminists have begun a project, called #ManFriday, which involves pretending to be trans in order to ridicule trans rights — seen in a recent incident in which they invaded a men’s pool and were escorted out by police. And yet another hate group, Transgender Trend, has been raising funds to distribute anti-trans propaganda to schools as a neutral-sounding “resource pack,” in a similar style to crisis pregnancy centers duping women seeking abortions. Meanwhile, Britain’s left-leaning Labour party has become embroiled in controversy surrounding their decision to allow trans women on all-women short lists, which are intended to increase the number of women MPs in the United Kingdom. Anti-trans feminists have been whipped up into a fury by proposed changes to trans rights legislation in Britain.

So why is the UK losing its mind over trans people? Anti-trans feminists, accusing trans women of invading women’s spaces, and anti-trans lesbians, angered at trans women being welcomed into the lesbian community, have been whipped up into a fury by proposed changes to trans rights legislation in Britain.

Last Tuesday, alongside releasing the results of a massive National LGBT Survey, the government opened consultations to reform the Gender Recognition Act of 2004 — the piece of legislation regulating how trans people can legally change our genders. The current legislation requires trans people to jump through numerous hoops to “prove” that we’re “trans enough.” These hoops include getting a diagnosis of gender dysphoria, living two years in our “acquired gender.” The legislation also allows for a “spousal veto,” which means that disgruntled or abusive spouses can hold up the process. The law also doesn’t allow for the recognition of nonbinary identities. And finally, all of this evidence must be submitted to a secretive panel of strangers we’re never allowed to meet. The GRA as it currently stands lags behind more progressive legislation in countries like Argentina and Ireland.

Trans-exclusionary radical feminists, known as TERFs (though they consider this term a slur), believe that reforming the GRA would allow trans women, whom they characterize as men in disguise, access to women’s bathrooms, women’s refuges (shelters), and other women’s spaces — beliefs explained in the literature handed out by anti-trans protesters at Pride on Saturday.

I hope these amazing women have inspired lesbians everywhere to take similar action at their local #pride to protest #lesbianerasure & the anti-lesbian bigotry being pushed by transactivists. 

#GetTheLOut https://t.co/QpREOqDlMD


But these rights are already protected under the Equality Act 2010, and the reform of the GRA would have no positive or negative effect on any other piece of existing legislation. Trans people in the UK already regularly use the bathrooms associated with our genders, and trans women already access women’s refuges and many women’s services without incident. What should have been a fairly innocuous update to an overly laborious legal gender-change process has instead, for some feminists, become the frontline for debate over what makes a woman, who gets to define that, and the evolving landscape of queer language and identity.

Let’s not get it twisted: This isn’t a battle between all cis feminists and trans women. It’s a battle between a small but vocal and politically connected group of anti-trans bigots and everyone else. A coalition of Welsh women’s organizations this week released a statement of solidarity and support for trans rights — making this Welsh-Canadian scream “Cymru Am Byth!” a little too loud in the office. Meanwhile, organizers of London’s Butch, Please lesbian dance party released a statement on Facebook and Instagram condemning the anti-trans protesters at Pride in London titled “Not in My Name.” Europe’s largest LGBT campaigning organization, Stonewall, has criticized Pride in London’s actions and statements, with CEO Ruth Hunt writing, “Pride in London had a duty to act and protect trans people … They didn’t. They had a duty to condemn the hatred directed at trans people. They didn’t.” Even the mayor of London, Sadiq Khan, released a strong statement condemning transphobia immediately following the event.

Polly Sexual, a creature of the night. It is safer after dark for her. Tu fais quoi ce soir ?  Desirez-vous un apéritif ? Je me suis fait dragué(e) par le videur ! Image Appledene Photographics

This small group of hateful bigots here in England finds their roots in early 1970s America. Radical lesbian activists at that time merged with the second-wave feminist movement, starting iconic organizations and events that centered the voices of lesbian feminists. But within these groups, divisions quickly broke out over a number of issues, none more controversial than the existence of lesbian trans women and their place in the women’s movement.

In 1973, trans woman Beth Elliott was subjected to both verbal and physical attacks at the West Coast Lesbian Conference in California after a group calling themselves the “Gutter Dykes” demanded that she be fired from her volunteer position editing lesbian group the Daughters of Bilitis’ newsletter Sisters. The entire editorial staff of Sisters walked out in solidarity with Elliott, but not before the Gutter Dykes rushed the stage during Elliott’s scheduled musical performance in an attempt to beat her (two cis lesbian comedians physically intervened to prevent Elliott from being assaulted, themselves sustaining injuries).


Similar controversies raged throughout the decade, leading to Sylvia Rivera’s iconic speech at the 1973 Christopher Street Liberation Day Parade, unearthed and digitized by trans filmmaker Reina Gossett. At the 1973 event, lesbian Jean O’Leary gave an anti-trans speech, causing Rivera to fight her way to the stage and deliver a now-legendary denunciation of anti-trans bigotry within the LGBT community. “I have been beaten, I have had my nose broken, I have been thrown in jail, I have lost my job, I have lost my apartment — for gay liberation! And you all treat me this way?” Rivera yelled at the crowd.

The feminist movement’s internal fight over trans women finally culminated in a 1978 campaign against lesbian record label Olivia Records (now Olivia Cruises) for employing trans woman sound engineer Sandy Stone, which led anti-trans author Janice G. Raymond to write a screed against trans people called The Transsexual Empire, which has served in the decades since as a founding text for feminist transphobia.
Pride should be a space to fight for the rights of all LGBT people, and to celebrate our survival and resilience in the face of sometimes overwhelming hate.

While anti-trans sentiment from within the lesbian and feminist communities has continued to be a problem in the United States — anti-trans protesters recently crashed Baltimore Pride — it’s reached particular heights in the United Kingdom. Anti-trans sentiment among feminists here in the UK has long been a problem, inflamed by the popularity of affluent white columnists like Julie Bindel and academics such as Germaine Greer, and taken to dizzying extremes by users of popular online parenting forum Mumsnet. While second-wave feminism has largely lost its luster in the United States, prominent second-wave academics like Greer maintain a strong hold over feminist thought and politics here in the UK. Plus, it seems that all sides of UK media are intent on taking a swipe at trans lives — with even progressive publications like the Guardian giving platform to anti-trans fearmongering. And this isn’t the first time anti-trans bigots have derailed a pride celebration in London, either — they previously attacked London’s Dyke March in 2014 for including a transgender speaker.

With the GRA consultation set to continue into the fall, the anti-trans protesters holding up Pride in London are surely only the beginning of a new wave of hostility sweeping across the nation toward vulnerable trans communities. In such a heated climate, one would assume that LGBT organizations like Pride in London would take a firm and unequivocal stance in solidarity with the trans community.

In spite of a total lack of leadership demonstrated by Pride in London, it’s time for the LGBT community to stand up against anti-trans hate, including from within our own communities. Trans people and their allies within the UK can counter these messages of hate by filling out the Gender Recognition Act consultation available on the UK government’s website. And those only just beginning to learn about trans lives can educate themselves with Stonewall UK’s helpful Truth About Trans FAQ.

Pride should be a space to fight for the rights of all LGBT people and to celebrate our survival and resilience in the face of sometimes overwhelming hate, the devastation of the ongoing AIDS crisis, and attempts to legislate us out of existence. It should be a place to feel the flutter of our hearts as Dykes on Bikes roar their engines at the start of the parade, while we commemorate the 1969 Stonewall riots sparked by trans street queens like Marsha P. Johnson and black butches like Stormé DeLarverie, working together against police brutality. There’s no pride in hate, and no room for hate at Pride. ●

Sexual offences in England and Wales: year ending March 2017 Office of National Statistics Posted January 31st 2020

Analyses on sexual offences from the year ending March 2017 Crime Survey for England and Wales and crimes recorded by police.

Sex Offences Crime Statistics Main points

This article includes information on sexual offences from two sources:

  • the self-completion modules of the Crime Survey for England and Wales (CSEW) on sexual assaults experienced by men and women aged 16 to 591 resident in households2 in England and Wales
  • sexual offences reported to and recorded by the police
  • The Crime Survey for England and Wales (CSEW) is the preferred measure of trends in the prevalence of sexual assault since this is unaffected by changes in police activity, recording practices and propensity of victims to report such crimes.
  • The CSEW estimated that 20% of women and 4% of men have experienced some type of sexual assault since the age of 16, equivalent to an estimated 3.4 million female victims and 631,000 male victims.
  • An estimated 3.1% of women (510,000) and 0.8% of men (138,000) aged 16 to 59 experienced sexual assault in the last year, according to the year ending March 2017 CSEW; no significant change from the previous year’s survey.
  • There has been no significant change in the prevalence of sexual assault measured by the CSEW between the year ending March 2005 (2.6%) and the year ending March 2017 (2.0%) surveys.
  • The CSEW showed that around 5 in 6 victims (83%) did not report their experiences to the police.
  • The increase in sexual offences recorded by the police is thought to be driven by improvements in recording practices and a greater willingness of victims to come forward to report such crimes, including non-recent victims.

The use of self-completion on tablet computers to collect such information allows respondents to feel more at ease when answering these sensitive questions, due to increased confidence in the privacy and confidentiality of the survey. While some questions are asked about sexual assaults in the face-to-face section of the interview, a very small number are willing to disclose such sensitive incidents to the interviewer. Therefore, these figures are too unreliable to report and these data are excluded from the headline CSEW estimates. The self-completion section of the survey provides the most reliable source of CSEW data on sexual assaults.

One of the strengths of the CSEW is that it covers many crimes that are not reported to the police. The under-reporting of crime to the police is known to be particularly acute for sexual offences, with many more offences committed than are reported to and recorded by the police. The CSEW provides reliable estimates of the prevalence of sexual assaults using a consistent methodology that is not affected by changes in recording practices and police activity or by changes in the propensity of victims to report to the police.

Sexual assaults experienced since the age of 16

The year ending March 2017 Crime Survey for England and Wales (CSEW) estimated that 12.1% of adults aged 16 to 59 have experienced sexual assault (including attempts) since the age of 16, equivalent to an estimated 4 million victims (Appendix Tables 1 and 2).

Indecent exposure or unwanted sexual touching (11.5% of adults aged 16 to 59, 3.8 million victims) was more common than rape or assault by penetration (including attempts) (3.4%, 1.1 million victims).

An estimated 3.6% of adults have experienced domestic sexual assault (including attempts), that is sexual assault perpetrated by a partner or family member. Around three times as many adults experienced sexual assault (including attempts) by a partner (3.1%) than by a family member (0.9%).

Is Justin Trudeau FEMINIZING The Male Species In Canada? Posted January 21st 2020

August 18, 2019Newshomosexuality, LGBT, Pride, trans for children, Transgender FascismBrad

Justin Trudeau is nothing if not the greatest curiousity in Canadian political history. Nearing the end of his four-year term as prime minister, Mr. Trudeau has fully dedicated himself to the feminization of the male species  in Canada.

According to Post Millennial News, not including the $30 million budget dedicated to protecting and advocating for foreign-born LGBTQ2+ individuals, the 2019 federal budget reveals that at least $20 million has been invested for the purposes of supporting capacity-building and community-level work of LGBTQ2+ organizations across the country and further growing such organizations. With that said, it isn’t unusual for government spending to exceed their initial budgets, so the costs may be much greater.

Frankly, this is merely the tip of the iceberg. To list off all the LGBT-promoting events Trudeau promoted would take the entire length of this article.

CAP tend to focus on aspects of social issues establishment media shun. Here is an example: Why does Justin Trudeau so vehemently push all aspects of LGBT agendas?

After all, one primary result is the “feminization” of the male species. How can anyone– straight or gay– deny such thing?  In CAP opinion, Trudeau has strong-armed our nation into trans-itioning to Gay Army Nation of the western world.

LGBT results in a depletion of masculinity in Canada. Trudeau & Co. push the concept of men dressing in women’s clothes. They promote the homosexual lifestyle, as well as transgenderism for males– of ANY age.

For Trudeau, masculinity is a no-no. Canada must be a nation of feather-weight, effeminate men prancing around in Manolo Blahnik pumps. It’s all so insane– including the ridiculous manner in which Justin’s media puppets go along for the ride.

READ MORE: Middle Eastern Man Sets Canadian Wife On Fire, No Hate Crime Charge

Ever research the side-effects and health risks of transgender surgery and sex change hormone therapy? No worries–you are not alone. Neither have 95% of Canadians. Pourquoi? Because the CBC, Globe & Mail, and the rest refuse to inform you of the truth regarding these government-sanctioned practices.

“In addition to these initiatives, the federal government has expressed a desire to fund, develop, and perpetuate cultural events across Canada, specifically Pride events. This desire has led to the federal government making multiple million-dollar pledges to various organizations involved with organizing Pride parades across the country.”

According to Mélanie Joly, Minister of Tourism, Official Languages and La Francophonie, these investments are part of a broader goal of expanding the tourism sector by reaffirming Canada’s support of LGBTQ2+ persons and events to attract LGBTQ2+ persons from all over the world.

Holy Cow–such fervent, relentless financial and ideological support for a policy no one voted for. How more obvious can it be that this Trudeau character is gunning to homosexual-ize our nation. Truth is, it could be much more obvious. It isn’t because Justin Trudeau now controls Canadian media(communism). As a result, what government do not want the public to comprehend, Canadians will not learn by way of establishment media.

Canadian men in dresses. Canadian boys in drag. Cross dressing championed, transgenderism promoted. Yet throughout the entire agenda, not a single word about the de-masculization of the male species.

How curious. Certainly the so-called baby-boomer generation would look upon this as a truly sad-state of affairs. For those born in the post- World War 2 years, we recall a time when masculinity was seen as virtue. In 2015, Justin Trudeau killed this concept.

Okay, so Humphrey Bogart and Cary Grant are not exactly household names these days. Yet, there was a time when, as the saying goes, “men were men and sheep were sheep.”

Under King Justin, not only are men not men, but government felt it important to alter legislation regarding bestiality in Canada. “How bizarre” stated Andrew Coyne of the Globe & Mail. “Insane” cried CBC’s Ian Hanomansing– not. 

More from government: “Canada is known increasingly as a top LGBTQ2 tourism destination. Through pride celebrations, queer and trans activists, artists and local organizations offer programming that draw in people from around the world,” said LGBT Minister and uber-trans pusher, Liberal MP Randy Boissonnault.

All gay–all the way. All 100% devoid of democracy–just like Trudeau’s ubiquitous dedication to the Nation of Islam. What an incredibly ODD situation. The Trudeau government maintain the same obsessive, protective approach to an ancient religious ideology that condemns homosexuality and transgenderism in no uncertain terms.

Justin Trudeau–odd ball of the century says Toronto Star. Yes– in a common-sense Canadian’s dreams.  Instead Torstar spend their time rationalizing Trudeau’s breach of the law regarding SNC-Lavalin.

Here’s the deal: Cultural Action Party of Canada believe in manhood. We also believe King Justin’s push to feminize Canadian males is a component of a larger, globalist agenda of destruction.

Think about it–for every male who transitions to female, they are also destroying their ability to reproduce. Now, why would the government of a nation with an aging population and workforce promote the degeneration of male reproduction? Can it be for the same reason  Canada’s King of Kings back no-term-limit abortion?

It’s a darn mystery. Perhaps asking a simple question no one will answer will help– what segment of the population most indulges in abortion, homosexuality and transgenderism.

Now, things get interesting. One thing we know with certainty is that government will NEVER expose this to the public. Therefore, we are forced to guess. Considering that CAP has been writing about and following issues of this nature for decades, perhaps our opinion has validity.

The reason is because the bulk of these people are Old Stock Canadians, and so are their children. Let’s get real for a minute here: are Canadians to believe that it is our Sikh, Chinese, Islamic, Korean, Philippino, Pakistani, and Iranian Canadians who most indulge in transgenderism and abortion? Not a chance.

Rather, it is Anglophone and Francophone Canadians who most indulge. Bingo–there is your answer. The 30,000 foot view of the matter is that the entire affair is one of population control.

For CAP, this is Justin Trudeau. It is also Immigration Minister, Somalian import MP Ahmed Hussen. From here, to communist Gerald Butts. From there, to billionaire international financier George Soros, his globalist banking cabal, as well as his Open Society Foundation’s program of border-erosion for western nations. Add to this the United Nations, they being the premier anti-democratic, western nation-destroying entity on earth.

Yes, folks, this is true post-modern Canada of which King Trudeau speaks. The entire affair is giant pig-circus, with Justin Trudeau playing the role of puppet-clown of the century.

Editorial Comment So what will happen to the ice road truckers then ? They already have two girls driving.

Origins of Toxic Maculinity Posted January 15th 2020

  1. The origins of Toxic Masculinity

The phrase can be traced back to a guy called, brilliantly, Shepherd Bliss, who was one of the leaders of the Mythopoetic Men’s Movement activist which sprang up in the 80s, and aimed to remythologise men: essentially remove the limited archetypes like “warrior and king” and end biological determinism and hierarchical thinking. Bliss wrote about a return to preindustrial cooperative masculinity, all raising barns and making fires, rather than competitive technological masculinity. He’s American with a white beard and looks a bit like a wise man the crew of the Enterprise would meet on a hippy planet in 60s Star Trek – yes, he’s a bit of hero. Originally he came up with the phrase to identify behaviours that were toxic to masculinity, bad for men in other words

Not surprised men want to be women then ! But who likes a transexual? Feminists don’t, but a certain type of man does. Why?

Work Horse Masculinity as art, Brewery Square Dorchester, Dorset. RJC

Transgender (trans) people face unique stressors, including the stress some trans people experience when their gender identity is not affirmed. Trans people also experience higher rates of discrimination and harassment than their cisgender counterparts and, as a result, experience poorer mental health outcomes. They are also at a greater risk for suicide as they are twice as likely to think about and attempt suicide than LGB people (Haas et al., 2011; McNeill et al., 2017; Irwin et al., 2014).

However, as with sexual orientation, gender identity is not recorded on death certificates, so the exact number of the trans people who die by suicide is hard to determine.

Consequently, there have been little data and research on gender identity, but this is starting to change (McNeill et al., 2017).


Transgender (trans) is an umbrella term that represents a wide range of gender identities and expressions. Trans people do not identify either fully or partially with the gender associated with their assigned sex at birth (Canadian Federation of Students, 2017).

Gender identity refers to a personal conception of one’s place on the gender spectrum; the gender that one identifies as may be the same or different from their birth assigned sex. READ MORE

Alternative terms to transgender include: non-binary, genderqueer and gender fluid (Veale et al., 2015).

Language is very important when discussing gender: it’s helpful to know how someone self-identifies in order to honour their self-expression and create a safe environment in which they can express themselves.

Things to know about language. Trans people may:

  • have a fluid gender identity, meaning that their gender expression may fluctuate along with the label with which they identify
  • use more than one identity label, for example, “trans woman” and “genderqueer” (McNeill et al., 2017, p.2)
  • choose non-binary labels such as “bi-gender,” “androgyne” and “polygender”
  • not define a gender at all (this is called “neutrois”) (Bailey et al., 2014).
Statistics •	Approximately 0.5% of the population is transgender (Bauer et al., 2015a). •	22-43% of transgender people have attempted suicide in their lifetime. •	Over 10% of transgender people report recently attempting suicide (within the previous year) (Bauer et al., 2015a). •	2/3 of trans youth report recent self-harm (within the previous year) (Veal et al., 2015).  •	Trans people are 2 times more likely to think about and attempt suicide than lesbian, gay or bisexual people (Irwin et al., 2014).

Are trans people more at-risk of suicide?

Trans people are more at risk of suicide than heterosexual people and lesbian, gay, and bisexual people. Studies and surveys have shown many transgender people have thought about and attempted suicide, and previous suicidal behaviours such as these are the most reliable indicators of future suicide risk (Suicide Prevention Resource Centre [SPRC], 2008).

Transgender people also experience mental illness at significantly higher rates than the general population. This heightened risk is primarily due to the fact that transgender people face unique stressors, including stress from being part of a minority group, as well as stress related to not identifying with one’s biological sex. If left untreated, these mental health disorders can also be indicators for suicide risk.

Risk Factors

Certain factors can place people at a higher risk for suicide than others. These are some risk factors that affect the transgender population particularly:

  • Distress related to a conflict between one’s physical or assigned gender and the gender with which they identify
  • Stress related to fear of transitioning, including the potential backlash and life disruption, as well as considering the risks and sometimes lengthy time period involved
  • Experience of discrimination (transphobia) in the form of physical or verbal harassment, physical or sexual assault
  • Lack of support from parents and other family members
  • Institutional prejudice manifesting as laws and policies which create inequalities and/or fail to provide protection from discrimination
  • Mental illness (including depression, anxiety)
  • Excessive alcohol and/or drug use
  • Stigma
  • Isolation from conventional society
  • Access to lethal means (e.g. firearms, prescription drugs)
  • Homelessness

(Bailey et al., 2014; Haas et al., 2011; SPRC, 2008).

Warning signs for those at risk

Some warning signs require more immediate action than others. If someone is exhibiting the following warning signs, call 9-1-1:

  • Talking about wanting to die or kill oneself; or
  • Looking for a way to kill oneself or already having a plan (American Association of Suicidology, 2018).

Homeless trans youth

LGBTQ youth are greatly overrepresented in the homeless youth population in North America (Abramovich, 2012); about 30% of homeless youth identify as LGBTQ compared to 5 to 10% of non-homeless youth. The shelter system (which houses homeless youth intermittently) should be accountable for fostering safe spaces for all youth, irrespective of sexual or gender identity. Staff should be trained on “issues relating to LGBTQ youth culture, terminology, needs, homophobia and transphobia” (Abramovich, 2012, p.47).

Transitioning as both protective and risk factor

The decision to medically transition to the gender with which one identifies can be stressful and may place someone more at risk for suicide. However, studies show that once a transition is completed, it does have beneficial effects.

A survey of trans people in the UK found that a completed medical transition was shown to greatly reduce rates of suicidal ideation and attempts, in contrast to those at other stages of transition (imminently transitioning or beginning transition). 67% of transitioning people thought about suicide pre-transition and only 3% post-transition (Bailey et al., 2014).

While some trans people undergo medical interventions like hormone therapy or gender reassignment surgery, others may not, choosing to socially transition by changing their name and/or gender presentation.

The Sexual Revolution Posted December 1th 2019

The Sexual Revolution, 1960-1980by Jeffrey EscoffierEncyclopedia Copyright © 2015, glbtq, Inc.Entry Copyright © 2004, glbtq, inc.Reprinted from http://www.glbtq.comGordon Rattray Taylor’s sweeping generalization that “the history of civilization is thehistory of a long warfare between the dangerous and powerful forces of the id, andthe various systems of taboos and inhibitions . . . erected to control them” goes so faras to be almost meaningless.

Fluctuations in the regulation of sexual activity havetaken place in many different historical periods and cultures. Usually such changes arelocal and limited to one aspect of sexual life. Given this context, the dramaticchanges in American sexual behavior, mores, and attitudes that took place during the1960s and 1970s are noteworthy indeed.

The sexual revolution of the 1960s and 1970s was recognized by the mass media almost immediately. Some early commentators believed that it was in fact the second sexual revolution, the first one having takenplace in the period after World War I and culminating in the wild drinking and sexual pranks of the lostgeneration, which included such writers as F. Scott Fitzgerald, Edna Saint Vincent Millay, and ErnestHemingway, in the roaring twenties.Nevertheless, the sexual revolution that took place in the latter half of the twentieth century was deeper,more sweeping, and longer lasting.The Increased Numbers of Sexual PartnersCentral to the sexual revolution was the growing acceptance of sexual encounters between unmarriedadults.

Throughout this period young men and women engaged in their first acts of sexual intercourse atincreasingly younger ages. The impact of earlier sexual experimentation was reinforced by the later age ofmarriage; thus, young men and women had more time available to acquire sexual experience with partnersbefore entering upon a long-term monogamous relationship. In addition, the growing number of marriagesresulting in divorce–and the consequent lessening of the stigma attached to divorce–provided anotheropportunity for men and women (to a lesser degree) to engage in non-monogamous sexual activity

Editorial Comment For me the key phrase in this extract is that the idea of a sexual revolution grabbed by the elite owned media is evidence that the permissive society was permitted for the masses so that sexual behavior could be brought out into the open, manipulated, marketed- with many 60s and 70s elite pop culture figures paying the price facing allegations from their ‘victims’ who are now living in dull lonely old age, looks no longer a ticket to hedonistic lifestyles.

For them it is time for compensation, feminist saint hood, martydom, good care homes and zimmer frames. The sexual revoution phase three is a reign of feminist terror, thought, censorship and speech control on pain of being done for hate crime.

This bigotry is sanctified in ” Our Diverse Society” So we must have more police officers to deal with male domestic violence and sex allegations because we all know- as a survey told us- women never lie. All of us must listen and prioritise the female voice. The police must never act against women in any way.

If women appear to blame for anything, find the man who exploited their other worldly vulnerability, get males to be more like them- having a so called sex change on demand. It is so funny how feminists hate transexuals, but they do not have to make sense.

In future posts, I hope to look at the lure of internet porn, swinging websites, and the animalisic deterioration in gender relationships consequent or maybe causing this. Why do so many married men go dogging with one another? The police are frequent visitors.

I have even been told they blackmail men for sexual services which are then filmed by them. One officer went to jail for having a police helicopter hover over a dogging site while he and two other officers enjoyed and filmed the view. He was only exposed when he divorced his wife, so his wife sent his video collection, filmed from the police helicopter, to his employers who had the traumatic experience of having to watch them ( sic )

Of course it would be foolish to sentimentalise past relationships in ages when survival was hard for the lower orders and hypocrisy the order of the day for the upper classes, including the likes of War Minister John Profumo and his exploitation of young Christine Keeler, along with his powerful rich friends enjoying her and Mandy Rice Davis, for animal gratification.

That has always been the way, and the media is still run to protect this sort- as we see with the Epstein and Prince Andrew tip of a very nasty iceberg. Elsewhere, the Polly Station page covers the story of a top cop boss in Scotland reluctantly investigated for half naked sex with a woman, on police time in a police car, in a public place. It was behind a park n’ ride site- so he had a sense of humour! Or maybe he was just an idiotic animalistic moron, which would explain his promotion.

Scots police have a reputation for this sort of behaviour, with one Chief Constable demoted to PC for inviting himself into a female cadets room drunk at taxpayer’s expense while on a training course- she booted him out so we don’t know what this extra curricular training might have involved. He later got his rank back. Is that Sexual Revolution ?

It is the police who police and judge our sex lives, they should be judged very harshly when exposed. For the sanctimonious British ruling elite, including their top cop jumped up medal ribbon wearing lackeys, sex is the basis of our moral system.

Of course this is not commensurate with the second sexual revolution. The first one started during World War One when middle class women joined the lower orders ‘meeting the troops’ on leave, relieving the guard as it were.

This revoloution continued during the Second World war on the home front and abroad- because people feared death. The current one has happened. Its architects and leaders brook no challenge, so the only outcome will be social decay, like the Roman Empire, rotting from within, waiting for the new Barbarian Hordes to take over. Robert Cook

Officers please leave that woman alone, you are supposed to be protecting her and that natural state of female innocence of all things evil.
‘Man, Maid, Woman’ a novel by R J Cook, about a messed up young man, son of a PTSD messed up World War two soldier and the self centred woman who gets her old boyfriend to kill the father. The young man copes with his failure by becoming his own girlfriend, while his mother is dying of cancer. The young man becomes a ‘man made woman’ – whatever that might be..

London Tavistock Gender Identity Clinic recommends mentally ill patient for sex change treatment. Read our exclusive Polly Sexual True Story further down this page. It will be concluded shortly, raising the question ‘How many more mentally ill and suicidal patients are they treating- and the further question is ‘who are the really crazy ones here?’ Posted December 4th 2019

Polly Sexual dressed to thrill.

Female Brains or Mental Strains? Posted December 4th 2019

Transexualism is an outcome of our feminised society. In this society of broken homes, rampant feminism and no legitimate popular male role models. This nightmare world for men is infested with so much other legal and media negative male stereotyping.

Thus it is not surprising so many men are in jail, living on the streets, alcoholics and or drug addicts. Last but not least, too many are suicidal. For some of them, sex change (sic) is seen as their life line.

The following post goes into more detail. Polly Sexual will also be concluding her story futher down this page, later today. ww.robertcookofnorthbucks.com

How Catering To Mentally Ill Transsexuals Is Making Our Whole Society Crazy Posted December 4th 2019

By John Hawkins

When someone is clinically depressed, we’re not encouraged to say, “You should be depressed! No one will ever love you because you’re a bad person!” If we run across someone with Narcissistic personality disorder, we’re not supposed to go, “We are all inferior to you great and mighty one!” If we talk to someone who believes the CIA is reading their thoughts through their teeth, no one suggests feeding their delusion by going, “Yes they do. In fact I know they do because I’ve been listening to your thoughts and knew you were going to come ask me about it.” As a matter of fact, not only do we not do these things, if we are compassionate people, we can recognize that it would be CRUEL to encourage someone’s mental illness instead of helping them back in the right direction.

Believing you should be the other gender is a mental illness. We seem to have no problem recognizing this even in very similar cases. For example, people with Body integrity identity disorder believe they should be missing limbs or paralyzed. They often ask doctors to mutilate them in this way and they are TURNED DOWN because it’s considering unethical for a doctor to destroy a healthy body part. Furthermore, there are people who believe they are Jesus Christ, a Raccoon, and alien or a planet (Yes, really). We don’t just roll with that and say, “Oh you’re a planet! Well, we need to get you into space where you belong” or “You’re a Raccoon, huh? Well, I’ve got a tasty garbage can you can get into in my back yard.”

People who are transsexual deserve our compassion and sympathy because they are living with a mental illness that has a high suicide rate and often leads to a lot of unhappiness. However instead of acknowledging that transsexualism like the mental illness it is and considering it to be a problem for poor individuals inflicted with it and their psychologists, we are treating them like the sane ones and acting like the rest of our society is crazy for not accepting their delusional beliefs as fact. Worse yet, because we’ve wrapped this mental illness in the cloak of Civil Rights, we’ve warped our behavior in bizarre ways.

We’re allowing men, with testicles, that are often sexually interested in women, into bathrooms and changing rooms where women and little girls are in various states of undress. This has already led to numerous incidents (Here’s a far from complete list). Then, if women quite naturally complain about this, they’re treated like they have the problem for not wanting to share that private space with the opposite gender. Yet, the whole purpose of having men’s and women’s bathrooms instead of just bathrooms is so that women don’t have share bathrooms with men.

Trending: She’s Upset That Her Boyfriend Doesn’t Like Her Decision Not to Shave

We are now starting to see men posing as women dominating in certain women’s sports. For example, transgender weightlifter Laurel Hubbard who transitioned a few years ago has now qualified for the women’s Olympics. This is not a big surprise because men are bigger, stronger, faster than women and everything from men’s hearts, to the length of our legs to our bone structure tends to give us a competitive advantage in sporting events. Yes, you can chemically force down the level of testosterone in a body, but that only takes away a small percentage of man’s advantage.  Again, this is why we have “men’s sports” and “women’s sports,” but not just “sports.” It’s because we all know it’s not fair to women to make them compete with men. Yet the women who lose out on chances at scholarships or are defeated in athletic contests they’ve spent years training for because they’re beaten by men are treated as the ones with problems when they’re simply asking for a level playing field.

We’re now regularly seeing small children being allowed to “choose” their gender. Just as one example out of many, Charlize Theron claimed her son came out as transgender at 3. Since when do we allow small children to make massive, life altering decisions like this? We even have some people claiming TODDLERS can change their gender. Despite the fact that “80 to 95 percent of children with gender dysphoria will come to identify with and embrace their bodily sex,” 15 states have already made it illegal to have therapy that tries to reconcile them with their gender. In other words, we simultaneously note than transsexuals struggle with their mental health and have a 41% suicide rate, yet we are working overtime to steer young children towards life altering surgeries, hormones & identity changes despite the fact that many of them would just grow out of it if left alone. This the moral equivalent of child molestation, but we simply shrug our shoulders and ignore it.

Just as we don’t consider it ethical for doctors to chop off the healthy arms and legs of people with Body integrity identity disorder, it should not be considered ethical for a doctor to mutilate a person to look like the opposite gender. Yet not only are we allowing that, increasingly we as a society are paying for it. There are multiple states that pay for the enormous cost (150k is a very rough estimate) of these surgeries and some others even pay for prisoners to get sex changes. Right now there’s a trans employee suing his employer for refusing to pay $40,000 for a surgery to fix his mannish face. But of course, his face looks mannish because he’s a man. So now the big ask is for taxpayers to pay for mentally ill people to mutilate themselves and there are supposedly sane people going along with it.

We can go on and on with this. Have you heard of “deadnaming?” That’s another name for calling transsexuals by the names they were born with. There is a lawsuit over that in Britain. Similarly in Canada, there is – and no, this is not a joke – a guy suing to force women to wax his scrotum. He claims he’s a “she” and apparently has right to have women touch his junk. We now have states changing the name and gender on the birth certificate for a child decades later, as if lying on the birth certificate will make it reality. There is also now a regular argument being made that men who won’t date transgender women are “transphobic.” So the argument is now that straight men who don’t want to date other men pretending to be women are the ones with the problem, not the mentally ill men that have surgically mutilated themselves to appear to be the other sex.

By taking a mental health issue and pretending that it’s a civil rights issue, we’ve turned the mental issues of a tiny slice of the population into mental health issues for everyone else. Suddenly, if Tom decides at 30 years of age that he’s really a woman, it’s your responsibility to pay for it, call him by his new name and send him into the locker room with your daughter to watch her change. All in the name of what, exactly? Having the rest of us act like head cases doesn’t have an upside and there’s really not much evidence that these “sex changes” are helping transsexuals as a group either either.

…”There is huge uncertainty over whether changing someone’s sex is a good or a bad thing,” said Chris Hyde, the director of the facility. Even if doctors are careful to perform these procedures only on “appropriate patients,” Hyde continued, “there’s still a large number of people who have the surgery but remain traumatized-often to the point of committing suicide.”

…The most thorough follow-up of sex-reassigned people—extending over 30 years and conducted in Sweden, where the culture is strongly supportive of the transgendered—documents their lifelong mental unrest. Ten to 15 years after surgical reassignment, the suicide rate of those who had undergone sex-reassignment surgery rose to 20 times that of comparable peers.

It’s almost like asking mentally ill people what they want to do and then just rolling with it even though you know it’s an extremely bad idea doesn’t work out very well for anyone.

Featured Image

Why ‘sex change surgeries’ are making things worse for transgender people

  gender identity, homosexuality, lgbt, suicide, transgenderism

August 3, 2017 (Witherspoon Institute) — In a recent discussion on Twitter, Chelsea Manning (formerly Bradley Manning), pardoned by President Obama after being convicted of espionage, argued that transgender “treatment” is necessary for the health of trans individuals, “because,” Chelsea stated, “not getting medical attention for trans people is fatal.”

Manning’s argument is anything but an isolated one. When 17-year-old Leelah Alcorn committed suicide in 2014, LGBT activists immediately jumped to blame his parents and society at large for causing the tragedy. Zack Ford of ThinkProgress wrote:

Leelah Alcorn’s death was a preventable tragedy. Here was a 17-year-old girl with full access to all of the information available in the 21st century about transgender identities, including many safe and effective ways to transition. But as she wrote in her own suicide note before jumping in front of a tractor trailer this week, there was no hope attached to those possibilities — no trust that it could, in fact, get better. She had given up on crying for help.

This, despite the young man’s parents support of his gender identity. He killed himself because his parents asked him to wait until he was 18 to begin transitioning. They wouldn’t agree to pay for it earlier.

The argument can be summarized as follows. Without medical treatment (expensive surgery and lifelong hormone therapy), social acceptance, correct pronoun use, and open bathroom access, trans people will never be comfortable in their bodies or in society. Consequently, they are at a high risk for suicide, and it’s an injustice not to make these “treatments” available; the crime of killing trans people can even be laid at the feet of those who do not take these steps.

This argument, made by Manning, Ford, and so many others, is supposed to halt any criticism — or even querying — of gender theory, but it raises more questions than it answers.

If it needs treatment, isn’t it an illness?

The various liberal resources are shockingly equivocal as to what gender identity actually is. Gender identity is an “innermost knowing,” an issue of hormone imbalance, the result of a male brain in a female body, or a ‘transsexual’ brain, maybe an inherited characteristic, and many other possibilities, depending on whom you ask. According to some, gender is an inborn and permanent state; for others, a fluid awareness that might change by the day. How is it possible that a condition so insusceptible of consistent definition could be universally declared fatal without medical treatment?

Further, if transgenderism requires medical treatment, how can it form the basis of anyone’s identity? Trans people and their allies have, of course, insisted with great indignation that their condition is not an illness, but it is hard to see how this conclusion is to be avoided, if it’s insisted that it must be treated or else will be fatal.

Illnesses that require treatment do not constitute anyone’s identity. Being HIV-positive requires medical treatment. I do not identify as HIV-positive as though it made me an entirely new kind of person. It is a condition I need to treat in order to live and be healthy. How is being trans any different?

Aiming at sex-gender alignment

The goal of most transgender individuals is to live as the opposite sex. If this were not true, there would be no concern about “access to healthcare” or medical necessity. If one could simply enjoy whatever gender identity felt the most appropriate at any given time, medical intervention would be merely cosmetic. So if we agree that people who identify as transgender desire to be the opposite sex to the best of their ability — arguing that internally they already are — then we must accept that the ideal state for all individuals is cisgender, where gender and sex align naturally.

In my experience, this assertion is viewed as hateful and intolerant. To suggest that people who identify as transgender desire to be “like everyone else,” “normal,” or — dare I say — “healthy” by aligning their gender and sex is to suggest a transgender identity is itself a state of error. But again, this seems to be what is presupposed by the argument that medical intervention is so vital that, without it, a person may commit suicide.

In order to achieve a healthy and mentally stable state, a trans person must have their gender and sex as closely aligned as possible. Why, though, does this require the physical sex to change in order to align to the perceived gender? Why shouldn’t the perceived gender be what changes?

It seems far more reasonable — and medically ethical and sound — to achieve this homeostasis by changing gender to match to the already established sex. A woman taking testosterone must continue taking testosterone, or else her desired masculine secondary sex characteristics will fade away (though if she has removed her ovaries, her body will not be able to produce estrogen and bring her female sex characteristics back). As many trans men prefer to keep their reproductive organs and become pregnant, this risk is even higher. The body’s aggressive and persistent attempt to return to a state, despite medical interventions to override that state, indicates that the state is “natural.” The body is being medically forced to adapt to conditions it is unsuited to experience.

If the ideal state is one of homeostasis, in which gender and sex are the same, then why would trans people dedicate their entire lives to forcing their bodies to adapt to conditions they cannot maintain on their own? It seems far more reasonable to recognize that the physical sex at birth is the standard by which internal perception should be aligned. Logically, wouldn’t a transgender person who suffers due to misalignment of gender and sex be equally as happy aligning his gender to his sex if the end result is that gender and sex are the same? Why is the only acceptable option to force, through dramatic physical deformity, the body to adapt to the mind instead?

We need a real cure

Some trans advocates would presumably reply that sex should change rather than gender because sex can change, whereas attempts to change one’s gender usually end badly, but this response is unnecessarily pessimistic.

I have personally experienced gender dysphoria, and I explored transition in my early 20s. I am aware of the emotional struggle, and I am sympathetic to the sense of frustration and hopelessness. But I am also aware of the empowering realization that I alone control how I perceive the world. Even if I would prefer to be female, I understand that my body is male, and therefore the most effective and healthiest plan of action is to align my sense of gender to that unchangeable state. I have largely been successful, as I feel fully integrated today and am not only comfortable in my male body but find myself enjoying the pursuit of masculine physical progress.

An uncomfortable truth is that many surveys, including a 2011 Swedish study, indicate that suicide rates remain high after sex-reassignment surgery (the Swedish study reports that people who have had sex-reassignment surgery are 19 times more likely to die by suicide than is the general population); and the National Center for Transgender Equality reported in 2015 that 40 percent of people who identify as transgender have attempted suicide. The LGBT community actively fights such studies and suppresses the voices of people who, like myself, have chosen natural alignment or who regret transitioning. The medical community is currently uninterested in recognizing the inherent dangers and long-term impact of transition therapy and is equally unwilling to pursue study that may result in finding a cure or a resolution to the underlying issue. To suggest this is a medical issue needing to be cured is to be accused of proposing genocide.

But medical issues do need to be cured. If gender dysphoria is indeed naturally fatal without treatment, the only ethical solution is to find a cure that exposes the body to the least amount of risk. Obviously, this would be to correct the biological problem and/or address the psychological distress behind the dysphoria itself.

The LGBT movement has built a civilization around the validation of being “who you are” despite all efforts of judgment or persecution. Trans individuals often tell me they are now their “true gender.” Advocates like Zack Ford and others routinely demand that extreme social bigotry prevents the trans individual from living a full and happy life. But in the center of this storm of indignation and boasting of perseverance is the steady and quiet realization that these people are extremely insecure.

We cannot forget the real tragedy in all of this. People suffering from genuine mental anguish are being promised that with enough surgery, camouflage, social acceptance, legal protection, educational campaigns, and so on, they will finally feel whole as a person. Worse, they are told that the only reason they continue to suffer is due to the intolerance and hatred of those around them. The current method of addressing this concern is only making matters worse. Treatment needs to address the core problem.

Chad Felix Greene is the author of the Reasonably Gay: Essays and Arguments series and is a social writer focusing on truth in media, conservative ideas and goals and true equality under the law. You can follow him on Twitter @chadfelixg.

​Reprinted with permission from The Witherspoon Institute.

FREE pro-life and pro-family news.

Stay up-to-date on the issues you care about the most. Sign up today!

Select Your Edition:

Standard Edition USA Standard Edition Canada Standard Edition World Catholic Edition All Regions

You can make a difference!

Can you donate today?

Share this article


  1. 1 Why ‘sex change surgeries’ are making things worse for transgender people Opinion By Chad Felix Greene
  2. 2 Pro-lifer arrested outside Planned Parenthood; police refuse to specify… News By Calvin Freiburger
  3. 3 Pro-lifers cheer as Trump flips third appeals court with Republican judge News By Calvin Freiburger
  4. 4 Only ‘homophobes’ think Dem Buttigieg’s same-sex ‘marriage’… News By Calvin Freiburger
  5. 5 Game of Thrones star Emilia Clarke: Rape scenes were… Blogs By Jonathon Van Maren

Sex Change: Physically Impossible, Psychosocially Unhelpful, and Philosophically Misguided Posted November 21st 2019

March 5, 2018By Ryan T. AndersonModern medicine can’t reassign sex physically, and attempting to do so doesn’t produce good outcomes psychosocially. Here is the evidence.

Contrary to the claims of activists, sex isn’t “assigned” at birth—and that’s why it can’t be “reassigned.” As I explain in my book When Harry Became Sally: Responding to the Transgender Moment, sex is a bodily reality that can be recognized well before birth with ultrasound imaging. The sex of an organism is defined and identified by the way in which it (he or she) is organized for sexual reproduction.

This is just one manifestation of the fact that natural organization is “the defining feature of an organism,” as neuroscientist Maureen Condic and her philosopher brother Samuel Condic explain. In organisms, “the various parts … are organized to cooperatively interact for the welfare of the entity as a whole. Organisms can exist at various levels, from microscopic single cells to sperm whales weighing many tons, yet they are all characterized by the integrated function of parts for the sake of the whole.”

Male and female organisms have different parts that are functionally integrated for the sake of their whole, and for the sake of a larger whole—their sexual union and reproduction. So an organism’s sex—as male or female—is identified by its organization for sexually reproductive acts. Sex as a status—male or female—is a recognition of the organization of a body that can engage in sex as an act.

That organization isn’t just the best way to figure out which sex you are; it’s the only way to make sense of the concepts of male and female at all. What else could “maleness” or “femaleness” even refer to, if not your basic physical capacity for one of two functions in sexual reproduction?

The conceptual distinction between male and female based on reproductive organization provides the only coherent way to classify the two sexes. Apart from that, all we have are stereotypes.

This shouldn’t be controversial. Sex is understood this way across sexually reproducing species. No one finds it particularly difficult—let alone controversial—to identify male and female members of the bovine species or the canine species. Farmers and breeders rely on this easy distinction for their livelihoods. It’s only recently, and only with respect to the human species, that the very concept of sex has become controversial.

And yet, in an expert declaration to a federal district court in North Carolina concerning H.B. 2 (a state law governing access to sex-specific restrooms), Dr. Deanna Adkins stated, “From a medical perspective, the appropriate determinant of sex is gender identity.” Adkins is a professor at Duke University School of Medicine and the director of the Duke Center for Child and Adolescent Gender Care (which opened in 2015).

Adkins argues that gender identity is not only the preferred basis for determining sex, but “the only medically supported determinant of sex.” Every other method is bad science, she claims: “It is counter to medical science to use chromosomes, hormones, internal reproductive organs, external genitalia, or secondary sex characteristics to override gender identity for purposes of classifying someone as male or female.”

In her sworn declaration to the federal court, Dr. Deanna Adkins called the standard account of sex—an organism’s sexual organization—“an extremely outdated view of biological sex.” Dr. Lawrence Mayer responded in his rebuttal declaration: “This statement is stunning. I have searched dozens of references in biology, medicine and genetics—even Wiki!—and can find no alternative scientific definition. In fact the only references to a more fluid definition of biological sex are in the social policy literature.” Just so. Dr. Mayer is a scholar in residence in the Department of Psychiatry at the Johns Hopkins University School of Medicine and a professor of statistics and biostatistics at Arizona State University.

Modern science shows that our sexual organization begins with our DNA and development in the womb, and that sex differences manifest themselves in many bodily systems and organs, all the way down to the molecular level. In other words, our physical organization for one of two functions in reproduction shapes us organically, from the beginning of life, at every level of our being.

Cosmetic surgery and cross-sex hormones can’t change us into the opposite sex. They can affect appearances. They can stunt or damage some outward expressions of our reproductive organization. But they can’t transform it. They can’t turn us from one sex into the other.

“Scientifically speaking, transgender men are not biological men and transgender women are not biological women. The claims to the contrary are not supported by a scintilla of scientific evidence,” explains Dr. Mayer.

Or, as Princeton philosopher Robert P. George put it, “Changing sexes is a metaphysical impossibility because it is a biological impossibility.”

Psychosocial Outcomes

Sadly, just as “sex reassignment” fails to reassign sex biologically, it also fails to bring wholeness socially and psychologically. As I demonstrate in When Harry Became Sally, the medical evidence suggests that it does not adequately address the psychosocial difficulties faced by people who identify as transgender.

Even when the procedures are successful technically and cosmetically, and even in cultures that are relatively “trans-friendly,” transitioners still face poor outcomes.

Dr. Paul McHugh, the University Distinguished Service Professor of Psychiatry at the Johns Hopkins University School of Medicine, explains:

Transgendered men do not become women, nor do transgendered women become men. All (including Bruce Jenner) become feminized men or masculinized women, counterfeits or impersonators of the sex with which they “identify.” In that lies their problematic future.

When “the tumult and shouting dies,” it proves not easy nor wise to live in a counterfeit sexual garb. The most thorough follow-up of sex-reassigned people—extending over thirty years and conducted in Sweden, where the culture is strongly supportive of the transgendered—documents their lifelong mental unrest. Ten to fifteen years after surgical reassignment, the suicide rate of those who had undergone sex-reassignment surgery rose to twenty times that of comparable peers.

Dr. McHugh points to the reality that because sex change is physically impossible, it frequently does not provide the long-term wholeness and happiness that people seek.

Indeed, the best scientific research supports McHugh’s caution and concern.

Here’s how the Guardian summarized the results of a review of “more than 100 follow-up studies of post-operative transsexuals” by Birmingham University’s Aggressive Research Intelligence Facility (Arif):

Arif, which conducts reviews of healthcare treatments for the NHS, concludes that none of the studies provides conclusive evidence that gender reassignment is beneficial for patients. It found that most research was poorly designed, which skewed the results in favour of physically changing sex. There was no evaluation of whether other treatments, such as long-term counselling, might help transsexuals, or whether their gender confusion might lessen over time.

“There is huge uncertainty over whether changing someone’s sex is a good or a bad thing,” said Chris Hyde, the director of Arif. Even if doctors are careful to perform these procedures only on “appropriate patients,” Hyde continued, “there’s still a large number of people who have the surgery but remain traumatized—often to the point of committing suicide.”

Of particular concern are the people these studies “lost track of.” As the Guardian noted, “the results of many gender reassignment studies are unsound because researchers lost track of more than half of the participants.” Indeed, “Dr. Hyde said the high drop out rate could reflect high levels of dissatisfaction or even suicide among post-operative transsexuals.” Dr. Hyde concluded: “The bottom line is that although it’s clear that some people do well with gender reassignment surgery, the available research does little to reassure about how many patients do badly and, if so, how badly.”

Arif conducted its review back in 2004, so perhaps things have changed in the past decade? Not so. In 2014, a new review of the scientific literature was done by Hayes, Inc., a research and consulting firm that evaluates the safety and health outcomes of medical technologies. Hayes found that the evidence on long-term results of sex reassignment was too sparse to support meaningful conclusions and gave these studies its lowest rating for quality:

Statistically significant improvements have not been consistently demonstrated by multiple studies for most outcomes. … Evidence regarding quality of life and function in male-to-female (MtF) adults was very sparse. Evidence for less comprehensive measures of well-being in adult recipients of cross-sex hormone therapy was directly applicable to GD patients but was sparse and/or conflicting. The study designs do not permit conclusions of causality and studies generally had weaknesses associated with study execution as well. There are potentially long-term safety risks associated with hormone therapy but none have been proven or conclusively ruled out.

The Obama administration came to similar conclusions. In 2016, the Centers for Medicare and Medicaid revisited the question whether sex reassignment surgery would have to be covered by Medicare plans. Despite receiving a request that its coverage be mandated, they refused, on the ground that we lack evidence that it benefits patients. Here’s how the June 2016 “Proposed Decision Memo for Gender Dysphoria and Gender Reassignment Surgery” put it:

Based on a thorough review of the clinical evidence available at this time, there is not enough evidence to determine whether gender reassignment surgery improves health outcomes for Medicare beneficiaries with gender dysphoria. There were conflicting (inconsistent) study results—of the best designed studies, some reported benefits while others reported harms. The quality and strength of evidence were low due to the mostly observational study designs with no comparison groups, potential confounding and small sample sizes. Many studies that reported positive outcomes were exploratory type studies (case-series and case-control) with no confirmatory follow-up.

The final August 2016 “Decision Memo for Gender Dysphoria and Gender Reassignment Surgery” was even more blunt. It pointed out that “Overall, the quality and strength of evidence were low due to mostly observational study designs with no comparison groups, subjective endpoints, potential confounding (a situation where the association between the intervention and outcome is influenced by another factor such as a co-intervention), small sample sizes, lack of validated assessment tools, and considerable lost to follow-up.” That “lost to follow-up,” remember, could be pointing to people who committed suicide.

And when it comes to the best studies, there is no evidence of “clinically significant changes” after sex reassignment:

The majority of studies were non-longitudinal, exploratory type studies (i.e., in a preliminary state of investigation or hypothesis generating), or did not include concurrent controls or testing prior to and after surgery. Several reported positive results but the potential issues noted above reduced strength and confidence. After careful assessment, we identified six studies that could provide useful information. Of these, the four best designed and conducted studies that assessed quality of life before and after surgery using validated (albeit non-specific) psychometric studies did not demonstrate clinically significant changes or differences in psychometric test results after GRS [gender reassignment surgery].

In a discussion of the largest and most robust study—the study from Sweden that Dr. McHugh mentioned in the quote above—the Obama Centers for Medicare and Medicaid pointed out the nineteen-times-greater likelihood for death by suicide, and a host of other poor outcomes:

The study identified increased mortality and psychiatric hospitalization compared to the matched controls. The mortality was primarily due to completed suicides (19.1-fold greater than in control Swedes), but death due to neoplasm and cardiovascular disease was increased 2 to 2.5 times as well. We note, mortality from this patient population did not become apparent until after 10 years. The risk for psychiatric hospitalization was 2.8 times greater than in controls even after adjustment for prior psychiatric disease (18%). The risk for attempted suicide was greater in male-to-female patients regardless of the gender of the control. Further, we cannot exclude therapeutic interventions as a cause of the observed excess morbidity and mortality. The study, however, was not constructed to assess the impact of gender reassignment surgery per se.

These results are tragic. And they directly contradict the most popular media narratives, as well as many of the snapshot studies that do not track people over time. As the Obama Centers for Medicare and Medicaid pointed out, “mortality from this patient population did not become apparent until after 10 years.” So when the media tout studies that only track outcomes for a few years, and claim that reassignment is a stunning success, there are good grounds for skepticism.

As I explain in my book, these outcomes should be enough to stop the headlong rush into sex-reassignment procedures. They should prompt us to develop better therapies for helping people who struggle with their gender identity. And none of this even begins to address the radical, entirely experimental therapies that are being directed at the bodies of children to transition them.

The Purpose of Medicine, Emotions, and the Mind

Behind the debates over therapies for people with gender dysphoria are two related questions: How do we define mental health and human flourishing? And what is the purpose of medicine, particularly psychiatry?

Those general questions encompass more specific ones: If a man has an internal sense that he is a woman, is that just a variety of normal human functioning, or is it a psychopathology? Should we be concerned about the disconnection between feeling and reality, or only about the emotional distress or functional difficulties it may cause? What is the best way to help people with gender dysphoria manage their symptoms: by accepting their insistence that they are the opposite sex and supporting a surgical transition, or by encouraging them to recognize that their feelings are out of line with reality and learn how to identify with their bodies? All of these questions require philosophical analysis and worldview judgments about what “normal human functioning” looks like and what the purpose of medicine is.

Settling the debates over the proper response to gender dysphoria requires more than scientific and medical evidence. Medical science alone cannot tell us what the purpose of medicine is. Science cannot answer questions about meaning or purpose in a moral sense. It can tell us about the function of this or that bodily system, but it can’t tell us what to do with that knowledge. It cannot tell us how human beings ought to act. Those are philosophical questions, as I explain in When Harry Became Sally.

While medical science does not answer philosophical questions, every medical practitioner has a philosophical worldview, explicit or not. Some doctors may regard feelings and beliefs that are disconnected from reality as a part of normal human functioning and not a source of concern unless they cause distress. Other doctors will regard those feelings and beliefs as dysfunctional in themselves, even if the patient does not find them distressing, because they indicate a defect in mental processes. But the assumptions made by this or that psychiatrist for purposes of diagnosis and treatment cannot settle the philosophical questions: Is it good or bad or neutral to harbor feelings and beliefs that are at odds with reality? Should we accept them as the last word, or try to understand their causes and correct them, or at least mitigate their effects?

While the current findings of medical science, as shown above, reveal poor psychosocial outcomes for people who have had sex-reassignment therapies, that conclusion should not be where we stop. We must also look deeper for philosophical wisdom, starting with some basic truths about human well-being and healthy functioning. We should begin by recognizing that sex reassignment is physically impossible. Our minds and senses function properly when they reveal reality to us and lead us to knowledge of truth. And we flourish as human beings when we embrace the truth and live in accordance with it. A person might find some emotional relief in embracing a falsehood, but doing so would not make him or her objectively better off. Living by a falsehood keeps us from flourishing fully, whether or not it also causes distress.

This philosophical view of human well-being is the foundation of a sound medical practice. Dr. Michelle Cretella, the president of the American College of Pediatricians—a group of doctors who formed their own professional guild in response to the politicization of the American Academy of Pediatrics—emphasizes that mental health care should be guided by norms grounded in reality, including the reality of the bodily self. “The norm for human development is for one’s thoughts to align with physical reality, and for one’s gender identity to align with one’s biologic sex,” she says. For human beings to flourish, they need to feel comfortable in their own bodies, readily identify with their sex, and believe that they are who they actually are. For children especially, normal development and functioning require accepting their physical being and understanding their embodied selves as male or female.

Unfortunately, many professionals now view health care—including mental health care—primarily as a means of fulfilling patients’ desires, whatever those are. In the words of Leon Kass, a professor emeritus at the University of Chicago, today a doctor is often seen as nothing more than “a highly competent hired syringe”:

The implicit (and sometimes explicit) model of the doctor-patient relationship is one of contract: the physician—a highly competent hired syringe, as it were—sells his services on demand, restrained only by the law (though he is free to refuse his services if the patient is unwilling or unable to meet his fee). Here’s the deal: for the patient, autonomy and service; for the doctor, money, graced by the pleasure of giving the patient what he wants. If a patient wants to fix her nose or change his gender, determine the sex of unborn children, or take euphoriant drugs just for kicks, the physician can and will go to work—provided that the price is right and that the contract is explicit about what happens if the customer isn’t satisfied.

This modern vision of medicine and medical professionals gets it wrong, says Dr. Kass. Professionals ought to profess their devotion to the purposes and ideals they serve. Teachers should be devoted to learning, lawyers to justice, clergy to things divine, and physicians to “healing the sick, looking up to health and wholeness.” Healing is “the central core of medicine,” Kass writes; “to heal, to make whole, is the doctor’s primary business.”

To provide the best possible care, serving the patient’s medical interests, requires an understanding of human wholeness and well-being. Mental health care must be guided by a sound concept of human flourishing. The minimal standard of care should begin with a standard of normality. Dr. Cretella explains how this standard applies to mental health:

One of the chief functions of the brain is to perceive physical reality. Thoughts that are in accordance with physical reality are normal. Thoughts that deviate from physical reality are abnormal—as well as potentially harmful to the individual or to others. This is true whether or not the individual who possesses the abnormal thoughts feels distress.

Our brains and senses are designed to bring us into contact with reality, connecting us with the outside world and with the reality of ourselves. Thoughts that disguise or distort reality are misguided—and can cause harm. In When Harry Became Sally, I argue that we need to do a better job of helping people who face these struggles.

About the Author

Ryan T. Anderson

Ryan T. Anderson is Founder and Editor-in-Chief of Public Discourse. He is also the William E. Simon Senior Research Fellow at The Heritage Foundation. He is the author of When Harry Became Sally: Responding to the Transgender Moment and Truth Overruled: The Future of … READ MORE

Related Posts

By Molly Sheahan

By Adam J. MacLeod

American Muslims Challenge Transgenderism—and Each Other

By Jennifer S. Bryson

Coherence, Calvinball, and the Consistent Ethic of Life

By R.J. Snell

Against the “Feminine Essence”

By Jane Robbins

By Angela Franks

Coming Soon- pardon the expression.

Polly Sexual will be giving her personal view of the transgender phenomenon, the mysterious ways of London’s Tavistock Transgender Clinic and the police policing sex in modern diversity Britain.

The Sexual Act by Polly Sexual October 13th 2019

Polly Sexual It is suspected that police have involved themselves with accustaions of prostitution against Polly.


We are moving ever more into the world of Franz Kafka. Kafka’s ‘Metamorphosis’ is a particularly disturbing work. A young man turns into a beetle overnight. Next day his family beat him to death with a broom.

Of course this person did not opt for change, or did he? Was it some kind of self disgust that made him visualise himself as an insect deserving such a brutal demise? Literature offers freedom for the imagination, where anything is possible- publishers permitting.

Fortunately or unfortunately, depending on circumstances, desire and hope; outcomes can be good or bad. Socially, good or bad depends on culture. So what has this to do with what is called sex change or gender reassignment ?

One needs imagination to question one’s gender or sexuality. One might also be responding to how others treat us according to our birth sex. These days the world of sex and gender is a minefield and place of contradictions.

Embarking along the road to sex change, or gender reassignment, as it is euphemistically described, is an enlightening process, revealing a lot about how the State backed Tavistock Gender Reassignment Clinic sees its patients, its motives, methods, how it categorisies and defines gender/sexuality.

So I will, over the next few weeks, do my best to describe and explain my feelings as I went through a three year process, culminating in being told I have a Paranoid Personality Disorder and must take anti psychotic drugs prior to surgery. The possibility of unspecified time in a mental hospital was also mentioned.

The diagnosis was made by Dr C R Ramsay of Aylesbury’s Whiteleaf Centre for the Tavistock. Requests came from Dr Kirpal Sahota and Dr Anna Barnes of the Tavistock. They were influenced by what the Tavistock’s consultant endrocrinologist Leighton Sewell described, in writing as ‘five interesting letters’ includiing unfounded allegations of alcoholism.

These letters were sent by Norden House Surgery’s principal Dr Rodger Dickson in Winslow Buckinghamshire. The GMC have been informed of my concerns, but after several months, decline to comment.

Ramsay recommended indefinite monitoring by police, social services and his own department. He concluded, that ‘there is no need for hospitalisation at the moment.’ He and colleagues persistently refuse to explain their working definition of Paranoid Personality Disorder and how they related it to this particular diagnosis.

Examples from the wonderful world of fiction advertised on the minimalist staircase of ‘Waterstones Book Shop. The world of fiction can be very inspiring and often a little too close to the truth for comfort. October 9th 2019 Image Appledene Publishing


The purpose of this essay is not to say why I, Polly Sexual, ever thought that gender reassignment was or ever is a good idea. It is to look at the Tavistock Gender Identity Clinic from a particular patient’s point of view. That includes some observations about the staff, how they appeared to go about their jobs, other patients observed during the process of visiting and the general atmosphere of the place.

To be accepted for assessment at the Tavistock Clinic one must seek a referral from a GP. This involves questions about one’s background and why gender reassignment seems like a good option. A well educated person would have no difficulty telling the busy GP what that person wanted to hear in order to sign off the paperwork. Obviously it helps to at least prtend to having had sex with a man, better still men!

Being well educated does not rule out delusion, but I was aware of no questions to probe that possibilty- a deluded educated person could easily play the system, especially if the system is also deluded about gender.

The inclination to reject one’s physical sexual appearance, or birth gender, is medically described as gender dysphoria. It is an incredibly complex area of brain function with no proven scientific method of measurement, though research has been carried out on dead peoples’ brains to ascertain brain gender differences. Much is still a matter of speculation and a curious course of research in an age of alleged gender equality.

There is evidence that life experience can alter DNA and hormone levels. It is also suggested that raised hormone levels in the mother’s body can feminsie an otherwise male foetus during pregnancy. All of this, however, becomes very confusing when the ruling expedient dogma is that the genders are equal, with stereotying seen as very bad.

In my experience of GPs, psychology and psychiatry does not seem to be their abiding interest. When it comes to social judgements prejudice is their tool of choice.

It seems to me that a lot of young people choose medical school for the status and pay offered as a qualified doctor. The majority of doctors in Britain are drawn from the upper middle classes. Others are imported on the cheap from poorer countries where training standards may not be so high as the U.K’s.

This class bias undoubtedly limits their ability to empathise with those from a lower social class cultural background- the latter group being the majority provider of gender reassignment candidates. These candidates are often from one parent families, many being divorced with a deep sense of inadequacy as men.

It follows that the selction process for gender reassignment should involve some very seriously crafted questions into very sensitive areas of the pateint’s life, not a process of rubber stamping with little monitoring over the two year period while the patient is supposed to be living as a woman- whatever living as a woman is supposed to mean in this age of alleged gender equality!

Many young doctors complain about workload due to staff shortages. However, once they are on the career ladder recruiting more staff seems to them like a recipe for diluting their pay. It is very much a case of ‘ I am alright Jack, pull up the ladder.’

I once had a session with a very eccentric GP, sadly only a transient locum. He told me that the job involved a lot of guess work and the need for all the science was exaggerated.

Of course he was not talking about surgeons. This area requires cool nerves and manual dexterity. Apparently the latter skill is on the wane because young people are too much involved with keyboards from an early age. Tapping away at a keyboard does not enhance their capacity for complex motor skills it is argued, meaning potential surgeons are in ever shorter supply.

Ideally changing a person’s physical appearance to match the opposite sex involves the utmost manual dexterity on the surgeons part. Due to the scarcity of skilled specialist surgeons the process is expensive and draws on a wide range of NHS resources. Therefore it would be alarming to think that the pathway toward a patient’s surgery is based on guess work.

I have looked at a number of case studies in the transgender field. There is no doubt that there have been some significant success stories. The model ‘Tula’ and journalist Jan Williams are but two examples. There have also been many rather sad cases, even suicides, Mental health issues abound in the transgender community.

Of course it is impossible to say whether those suicides and mental issues would not have arisen without gender reassignment procedures, but one would have hoped that the risk would have been spotted. It seems fairly obvious that some patients might consider so called sex change as a step up cure to all of their social discomforts and uncertainties.

My experience suggests that the Tavistock Clinic may see certain types of mental illness as coincident with gender dysphoria, going ahead with the reassignment process anyway. That raises the possibility of a hidden agenda. Oh dear, does that sound like paranoia? We are still supposed to beleve in God, but not conspiracies for heaven’s sake.


So after saying all the right things to my then female GP, a report was sent to the local mental health unit, where I met Dr C R Ramsay, a former Aylesbury Grammar school boy and still boyish graduate of Nottingham University Medical School. He was described as a consultant dealing with the mental health of older patients. The word geriatric is out of fashion but his sort are still patronising- particlarly if one is wearing a dress!

So, for whatever reason, he went through his assessment which included my medical history, sex life, sexuality and whether I heard voices in my head. I responded, asking did he mean the silent words of our thoughts or did some people hear real voices?

‘Yes the voices can be real and examination has shown that such patient’s audio section lights up when they are being spoken to.’ ‘Has any research been done to ascertain whether these people really hear these sounds. Are they auto generated or do they come from afar?’ ‘No research has been done, but the conclusion is that the voices indicate paranoid schizophreneia.’

The good doctor Ramsay seemed disappointed and disbelieveing when I told him that I did not hear voices. As will be come apparent, he was working up to a diagnosis of psychosis and paranoid persoanlity disorder, but it would be a few years before that officially came to light.

So after disappointing him, he snapped in his best squeaky efforts at sounding non threatening , impatiently commanding ‘We must move on.’

It is my expereince that most doctors prefer their patients to be passive. Engaging with them creates memories which may rebound later on. Like the police – who they often work with now that the police are guardians and judges on the road to being sectioned in modern Britain- they want plausible deniability.

Their priority, is to ‘Cover yourself.’ I noted that Ramsay had that same bland non threatening look that Blair has. Legal action can worry them, but arrogance means they often do not see it coming -as with the current action against the Tavistock who have given life changing sex drugs to children. It seems, from my experience, that the clinic has the same blase attitude to us older folk.

I have a copy of Ramsay’s official report from over three years ago. It fully recommended me as a sex change patient. No reference was made to me being violent, dishonest or otherwise mentally ill. I have no idea what was reported behind my back- it took me 12 months to get redacted and modified records from them and Norden House Surgery.

However, several months after seeing Ramsay, I was invited to an inaugural meeting for would be transexuals at the Tavistock Clinic. It is is attached to Charing Cross Hospital, where eye watering drastic gender ‘modification’ surgery is carried out.


I do not have the exact figures to hand but a very large number of biologically defined male people are queing up for sex change, or what is nicely described as gender reassignment. The language gives the impression that God sent us down here on an assignment but some agency or other on earth has read signals from above that we need a new assignement in different clothes and body shape.

It was the troubled writer Virginia Woolf- who drowed herself when aged 50- who wrote that ‘The clothes we wear decides how others see and us and how we see them.’ These clothes, she said, also decided how we would be judged and treated by society.

I heard a 1970s black footballer on Radio Five Live saying he preferred the old days because then you knew who the racists were and how to deal with them. The same might be said of transphobics.

The prejudiced, and I would include Dr Ramsay in that group, are uncomfortable with men in women’s clothes. Both genders -or should I say sex without falling foul of the PC Brigade?- have problems here. Left to itself nature is binary and misfits are cast aside.

Regular people cannot tell the difference between a transexual and a transvestite. Given the Tavistock GIC’s insistence on doing something called dressing and living as a woman, one suspects that they can’t tell the difference either.

Psychiatrists work from a book called Diagnosis Statistics and Medication- DSM for short. Over the years increasing manifestations of socially odd disturbed and disturbing behaviour have been labelled as mental illness without much if any reference to an unstable fast changing multi cultural world which psychiatrits and psychologists are employed to protect.

Identity issues are inevitable outcomes. Growth of such behaviour has led to an ever expanding DSM which currently weighs around 6 kg. Career opportunities have expanded along with the weight and size of this book. Conveniently paranoid personality disorder has no precise characteristics or manifestations. It is a catch all for misfits and awkward types.

There is an assumption among common people that mental health treatment is based on science. Science can cause more blindness than mustard gas. The majority of people are poorly educated in terms of self awareness, though they may be permitted, even encouraged to opt for a new awareness, as one of the transgendered.

I tend to agree with Germaine Greer that transexuals cannot be CIS women. No need to go into details about smelly vaginas. All animals smell horrible without proper hygiene. It is just a matter of fact that one’s genitals have laregly defined us throughout recorded history. People used to be allowed to do what came naturally and necessarily before all the experts and social workers came along to ‘help’ them.

I am leaving transvestites to one side, with just the comment that this group tend to have a fetish about female clothes, getting off on wearing and having fun this way. Transexuals are very different, wanting their bodies to resemble sis females.

Transgender is not primarily about clothes, though SIS women have their fetishes- though might not admit it out of much needed modesty! Transexuals also want to convince and be convinced that they are some kind of idealised female, sounding like one too. So psycho and voice therapy goes with the territory. That raises the question whether the staff of the GIC Tavistock have to be convinced of all this too? Is it possible that these ‘scientists of sex’ are brainwashed brainwashers?


My first encounter with the Tavistock Clinic was strange. I felt more like an observer than particpant as I looked down from the back of the steep bank of lecture theatre stairs. I also looked around me trying to make sense of others who had come to this place looking for rebirth.

A tallish slim middle aged grey haired man whose name I forget began the talk in a condescending monotone. I do not recall the details, only my impressions. He very soon gave warnings about starting treatment for pre pubescent males as convincing surgery could not be carried out without full male genital raw material- forgive use of the word raw. He also gave warning about overdosing on female hormones because it could lead to blocked nipple ducts, stifling female breast development.

I never liked biology, but this man was mesmerising me. The big question was, how could these feminising changes alter a person’s behaviour? I noticed a good looking young man sitting near me and wondered why he would want to go down this road. How could he have body dysphoria?

Of course it was not all about men wanting to be women. A rather plump butch forty something woman boomed out an interesting question. ‘Will I have the choice to have a large penis and testicles?’ How very Freudian. I thought. The thin man was quick to reassure the aspiring new man: ‘Penises and testicles come in three sizes, small, medium and large.’ He said. I cringed.

There followed a slide show when I cringed even more. With photos of bloody surgery and diagrams, the MC explained how the penis head was removed and penile shaft split, fat removed, to form two halves of the new vagina. The scrotum was slit open, the testicles pulled out and cut off.

Now just in case that was enough to put candidates off, there were images of the finished product on screen, all products of nature bar one. We were asked to spot the surgically created product. No one could. So, if you wanted it and were prepared to ‘live as a woman’ for three years- one year waiting for the first counselling session and decision to prescribe hormones – then you could have it.

As for the few CIS women present, they could have some skin cut from their upper thighs to create a bag for a penis implant and false scrotum to be filled with what looked like marble shaped spongy fake testicles. The penis would be inflated by a little pump.

So how does one go about living as a member of the opposite sex for a year before you get far enough up the very long waiting list and commencement of hormones, starting the two year road to surgery?

Not much of an answer was given to that other than changing your name via deed poll, and all other documents- telling your friends and family ( who may run a mile ) and your employer who may make an excuse to ‘let you go.’ In the latter event you may scrape a living as an escort – if you don’t die of alcholism, drugs, A.I.D.S , kill yourself or be murdered first.

Finally there was a a word on voice therapy, with a demonstration by an expert who ranged examples from girlie to bass, with a few tricks and explanations. This prompted a question from a TS pre treatment lady with, stubble putting Desperate Dan to shame, a voice deeper than Paul Robeson’s, Glaswegian of accent and wearing a very unconvincing wig and tacky dress. OMG I thought, Dressing as a woman was a must the MC said. So how does a woman dress and live these days?


In the film ‘My Fair Lady’ an exasperated Rex Harrison vents himself with a song ‘Why Can’t A Woman Be More like A Man?’ Britain has moved on, so the song should be ‘Why can’t a man be more like a woman?’

Well it seems today you can be whatever you want to be. Want to be a girl then tell your GP and he or she will tell the GIC. The definition of what it is to be male or female nowadays is confused and confusing, with burly bearded transexuals allowed to compete in international female sports events- infuriating raging feminist sexual equality supremacist warriors.

But still London’s Tavistock Clinic prefers its candidates to look and play the part of a sterotypical submissive helpless pretty (stupid ) woman. So when, after a years wait, I got my invitation for first assessment with Dr Kirpal Sahota, my choice of clothing was questioned. ‘Well lots of women wear jeans, tee shirt and short unisex jacket’ I argued defensively. ‘Well are you wearing female underwear?’ She rejoined. Obviously how the genitals are wrapped up is crucial to this establishment- snug lace and satin for ladies, baggy coarse cloth for men.

After this session I was sent for a blood test at neighbouring Charing Cross Hospital to test my liver and kidney functions- and thus their ability to cope with hormone and anti androgen treatment. No problems were found but my GP boss Dr Rodger Dickson persisted in his adverse correspondence to the effect that I am mad and alcoholic. Interesting Rodger, or is it Roger? I can never remember so maybe you would like to add dementia to my list of imprediments doctor?

Dr Sahota concluded by recommending me for six counselling sessions with another upper middle class well dressed and well made up member of staff Dr Laura ( or was it Lorna ) Barone Scaronne- or a name something like that, haven’t time now to check my records.

For various and interesting reasons I missed one session. I don’t remember the details, but there were a lot of fixed and loaded questions. Dr Laura’s irritability was obvious when I deviated from her script. One thing I remember is that she said ‘Being transgendered is not your main concern is it?’ So she had been listening after all, I concluded.

The implication of her question is that she was obviously used to counselling people who thought having a sex change or gender reassignement was their be all and end all solution to life’s challenges, sadness and injustices..

This raises the question why would anyone think so? The conventional and nowadays sacrosanct answer to that is because transexuals are women born in men’s bodies. Dr Laura also commented that I spoke to her as if I was organising a book.


During my second session session with Dr Kirpal Sahota the following year, she asked me which part of my body I most disliked. Rather tediously I procrastinated. I said that given my age I was lucky to have a body that still worked so well in all its departments. I added that I knew a man in his seventies who had been run over when he was 7, then spent the rest of his life to date in a wheel chair.

Boredom registered on Kirpal’s face. She wanted the obvious answer that I hated my penis and testicles. It was that simple. Dress as what they envisage a woman to look like, take the hormones and hate your penis and testicles. That will prove you are a woman for our purposes- but there was a shocking twist to come a year later.

This was the big test because I was being assessed for hormone treatment. After all, I was all perfumedl dressed and made up, teetering on high heels, shrinking my body image, head held coyly to one side like Princess Diana feigning her innocence, voice softened to a regal blur sounding like the Queen of somewhere : so why was I messing about to sound like the Queen of somwhere? I was the dog, or bitch if you like, and Kirpal had the bone.

One would have thought the leading question at the outset of the transgender process should or would have been ‘Why don’t you like being a man? Followed or preceded by Why do you want to be a woman?

Nevertheless, Dr Sahota recommended me to her senior, Dr Anna Barnes, for hormone treatment. There followed several weeks after which it became apparent that Dr Dickson had intervened with his ‘interesting letters’ to the GIC Tavistock’s consultant endocrinologist Leighton Seal which I have still not been allowed to see.

However Leighton copied me in to his correspondence on the subject, where it was made clear that Dr Dickson had told him that my liver would not cope because he knew me to be an alcoholic. How he knew this has never been explained to me. He has refused to answer my questions, as have the GIC and GMC. One of Dickon’s junior colleagues also showed me a letter from Thames Valley Police stating that I am mentally ill and needed treatment. I cannot say why at the moment for legal reasons.

Notwitstanding all of this, I was called to a consulation with a beligerent Dr Anna Barnes who told me of her concerns, and that I needed to tell everyone I knew that I am transgendered, including my employer. When I told her I was an OAP she looked disappointed, but one would have thought she should have known I was not required to have a job. Clearly there was pressure on the GIC coming from Police, Norden House and Dickson in Big Brother Britain.

A few weeks later I was given the go ahead for prescription of hormones and anti androgens but Norden House still refused for months to honour this. Eventually they had to give way, but there was more to come.


There is a limit to how much more can be said at this stage. For several more months, Norden House surgery continued to obstruct vital anti androgen injections as prescribed by the Gender Identity Clinic.

Over a year earlier a young GP had shown me a letter from Reading Police station advising the surgery that I was mentally ill and gender reassignment should be blocked by the Clinic. I cannot go into the reasons for the police’s criminal behaviour toward me at the moment. My last meeting at the GIC was on February 12th this year.

Dr Sahota told me that I was a very elegant woman. She argued with me defining myself as working class, insisting that I was not gender conflicted. Obvious warning bells started ringing. This highly qualified psychiatrist – so why so many psychiatrists here if gender dysphoria is not mental illness?

Now to appear as an elegant middle class woman on this gender identity clinic stage is not difficult. Without wishing to offend, in all of my visits I never saw a single male to female transexual who looked like my idea of a woman. It was not a high hurdle to look more ‘feminine’ than them.

However, this meeting was the meeting to end all meetings. Dr Sahota rather suddenly changed the subject. ‘Now before I can clear you for gender reassignment surgery ( GRS ) , you need to agree to taking some medication.’ ‘What are you talking about? ‘ ‘Anti psychotic drugs.’ ‘I don’t need them.’ ‘ I want to bring in a colleague to observe.’ Enter a bearded man in Freudian style clothing. ‘Take the drugs and you can have GRS. Is that a deal.’ ‘No.

And so I left the clinic. In March I received a copy letter from the GIC Clinic signed by Sahota and dated February 12th. The letter was addressed to my GP surgery.

It included lines about me demonstraiting a strong female identity advising the surgery to arrange further hormone medication to ‘reduce my plasamestra estraiol level of 400-600pmol/L and suppress the teststerone to the female range of 1-3nmol per litre. there was also a line telling the GP that I had ‘ a secure female identity, uses female pronouns and has already changed name by Deed Poll.

There followed more procrastiantion from Norden House Surgery who on the basis of police lies, had been told that I am an alcoholic.

However, the powerful injections were ultimately agreed. only to be followed by a surprise visit from a NHS psychiatrist, psychiatric medical student and a rather well built mental health nurse. Their brief appeared to be diagnosis with a view to me either accepting anti psychotic medciation and/or mental hospital.


Of course the outcome of powerful injections and other medication combined with brainwashing, is impotence, infertility and real gender confusion. So the GIC have reason to expect further and total cooperation if the patient wants to be rescued. Imagine how much worse and more crazy this is if applied to the pre pubescent, as seems increasinly popular.

According to Dr C R Ramsay, who told me that the Gender Identity Clinic were looking for a serious and strong mental illness diagnosis-bearing in mind that he originally recommended me for sex change processing three years earlier- I have a paranoid personality disorder (PPD).  Several months have passed since I was officially informed, with the rider that hospitalisation is not necessary at the moment.  My requests for their working definition of PPD and how I fit the criteria have been repeatedly ignored.

It is also important to bear in mind that I informed Ramsay and the Gender Identity Clinic of my powerful in laws and police allegations that I am mentally ill, back when the whole process started three years ago.  I was told by a smiling GIC female psychiatrist that I could have gender dysphoria and be mentally ill at the same time.

Ramsay recommended a multi agency approach to my mental health treatment, including police monitoring. Since then I have heard nothing.  Now imagine the effects one might expect from that on a truly paranoid person.  So if they think that I am, then they are deliberately putting my life at risk from suicide.

Now, on the subject of suicide, young aspiring for promotion Dr Ramsay’s report makes interesting reading.  He says that I am more likely to die from misadventure than suicide.  One can only assume that he has been influenced by Dr Dickson of Norden House and the Police alleging, without evidence, that I am a ‘gay’ escort and alcoholic.  The fact that I am 69 years old and have been placed under intolerable stress does not seem to figure in their calculations re the expected manner of my demise.

When State officials predict that I might die from misadventure, I guess I should be very worried.  Maybe I will end up like Jeffrey Epstein in a cell, possibly padded or other mental hospital facility with my neck broken in two places.

That’s all for now, from me, but keep reading my page.  Who knows what’s coming next.  Polly Sexual

Is Brain Gender Real? Symbolic Interactionism Posted November 15th 2019

This novel advances the view that a transexual boy may just be a young man messed up by social circumstances deluded into beleiving he is a she- just a man made woman. It raises questions about female innocence and what gender means.

This approach to studying the social world was outlined by Herbert Blumer in his book Symbolic Interactionism in 1937. In it, Blumer outlined three tenets of this theory:

  1. We act toward people and things based on the meaning we interpret from them.
  2. Those meanings are the product of social interaction between people.
  3. Meaning-making and understanding is an ongoing interpretive process, during which the initial meaning might remain the same, evolve slightly, or change radically.

You can use this theory to examine and analyze social interactions that you are a part of and that you witness in your everyday life. For example, it is a useful tool for understanding how race and gender shape social interactions. 02 of 03

Where Are You From?

“Where are you from? Your English is perfect.”

“San Diego. We speak English there.”

“Oh, no. Where are you from?”

The dialog above comes from a short viral satirical video that critiques this phenomenon and watching it will help you understand this example.

This awkward conversation, in which a white man questions an Asian woman, is commonly experienced by Asian Americans and many other Americans of color who are presumed by white people (though not exclusively) to be immigrants from foreign lands. Blumer’s three tenets of symbolic interaction theory can help illuminate the social forces at play in this exchange.

First, Blumer observes that we act toward people and things based on the meaning we interpret from them. In this example, a white man encounters a woman that he and we as the viewer understand to be racially Asian. The physical appearance of her face, hair, and skin color serves as a set of symbols that communicate this information to us. The man then seems to infer meaning from her race—that she is an immigrant—which leads him to ask the question, “Where are you from?”

Next, Blumer would point out that those meanings are the product of social interaction between people. Considering this, we can see that the way the man interprets the race of the woman is itself a product of social interaction. The assumption that Asian Americans are immigrants is socially constructed through a combination of different kinds of social interactions, like the almost entirely white social circles and segregated neighborhoods that white people inhabit; the erasure of Asian American history from the mainstream teaching of American History; underrepresentation and misrepresentation of Asian Americans in television and film; and the socio-economic circumstances that lead first-generation Asian American immigrants to work in shops and restaurants where they might be the only Asian Americans that the average white person interacts with. The assumption that an Asian American is an immigrant is the product of these social forces and interactions.

Finally, Blumer points out that meaning-making and understanding are ongoing interpretive processes, during which the initial meaning might remain the same, evolve slightly, or change radically. In the video, and in countless conversations like this that occur in everyday life, through interaction the man is made to realize that his interpretation of the meaning of the woman based on the symbol of her race was wrong. It is possible that his interpretation of Asian people might shift overall because social interaction is a learning experience that has the power to alter how we understand others and the world around us. 03 of 03

It’s a Boy!

Symbolic interaction theory is very useful to those seeking to understand the social significance of sex and gender. The powerful force that gender exerts on us is especially visible when one considers interactions between adults and infants. Though they are born with differing sex organs, and then classified on the basis of sex as either male, female, or intersex, it’s impossible to know the sex of a clothed infant because they all look the same. So, based on their sex, the process of gendering a baby begins almost immediately and is inspired by two simple words: boy and girl.

Once the pronouncement has been made, those in the know immediately begin to shape their interaction with that child based on the interpretations of gender that are attached to these words, and that thus become attached to a baby marked by either of them. The socially produced meaning of gender shapes things like the kinds of toys and styles and colors of clothes we give to them and even affects the way we speak to babies and what we tell them about themselves.

Sociologists believe that gender itself is entirely a social construct that emerges out of the interactions we have with each other through a process of socialization. Through this process we learn things like how we are supposed to behave, dress, speak, and even which spaces into which we are allowed to enter. As people who have learned the meaning of masculine and feminine gender roles and behaviors, we transmit those to the young through social interaction.

However, as babies grow into toddlers and then older, we may find through interacting with them that what we have come to expect on the basis of gender does not manifest in their behavior, and so our interpretation of what gender means may shift. In fact, all people we interact with on a daily basis play a role in either reaffirming the meaning of gender that we already hold or in challenging and reshaping it.

Does Tavistock GIDS fast-track 16+ referrals of adolescents with gender dysphoria? Posted October 3rd 2019

by Susan Matthews, academic and contributor to the book Transgender Children and Young People: Born in Your Own Body and the follow-up book Inventing Transgender Children and Young People, available to pre-order now. Susan Matthews writes on gender ideology and campaigns for better NHS treatment for young people with gender dysphoria.

Does Tavistock GIDS fast-track 16 + referrals of adolescents with gender dysphoria?

In November 2018 the Observer reported the claim that the Tavistock Gender Identity Development Service was ‘fast-tracking young adults’. In response the Tavistock said:

‘We do not limit or curtail assessments because of pressure to move swiftly to medical interventions. With complex cases, rather than truncating assessments, we will often extend the time given to trying understand what may be going on.’

In a private email that has been shared with us, Paul Jenkins, CEO of the Tavistock, wrote to some concerned parents and explained that the Leeds branch of GIDS did offer a pathway for older adolescents but denied that this could be described as ‘fast-tracking’:

In Leeds referrals of older adolescents are carefully screened; some attend a one-off group session. Others who are not considered suitable– usually on the basis of the complexity of their presentation – are not offered this. This approach offers young people who have been on our waiting list a chance to think with us about their options from a balanced GIDS perspective: it is not fast-tracking. (Email 2/10/2018)

This reply left us with more questions that it answered. What does ‘carefully screened’ mean in practice?  Can a desire to be the other sex ever be straightforward? We got in touch with a clinician who had worked at the Leeds clinic. Their view is that: ‘The service did not have agreed criteria for how to rate the complexity of a case (despite the intake form requiring clinicians to pick a severity rating).’

Writing from their own experience, this clinician described the process as a ‘fast-track assessment’ which ‘encapsulates well what GIDS assessments often are: an extended information-giving process so that the NHS can say that the young person provided informed consent to physical intervention.’ 

A different clinician who also worked at Leeds GIDS, Dr Kirsty Entwistle, has written of her concerns at the lack of differential diagnosis:  

‘I think there are others, like me, who went to work at GIDS expecting to do complex assessments and differential diagnosis but the reality is that you run the risk of being called transphobic if you propose that, say, a child might have Body Dysmorphia rather than Gender Dysphoria.’

We feel that the situation of older adolescents and young adults is particularly dangerous. This is the age group amongst which gender dysphoria has soared. The years from 17 to 25 are also an age group in which mental health problems can appear for the first time.

This post is an attempt to work out just what an adolescent on the 16 + pathway at Leeds GIDS might experience in terms of assessment. It draws on three sources:

  1. a 2017 presentation to the Belgrade EPATH conference by two GIDS clinicians, Laura Charlton and Jo Charsley.

One hundred Irish children have been sent to a controversial “fast-track” sex-change centre in London in the past three years.

The Mirror’ April 14th 2019.

The Tavistock Gender Identity Development Service clinic is the main treatment facility for kids across Ireland and the UK.

It is under the spotlight after the resignation of whistle-blowing clinicians who claim children were
being incorrectly diagnosed with gender dysphoria.

Marcus Evans, a former governor of The Tavistock and Portman NHS Foundation Trust which runs the centre, said the centre is too quick to give young people sex reassignment treatment.

He added: “I do not have confidence, and that’s why I resigned, that the trust is taking the necessary steps to make sure children are being adequately cared for.”

The most recent figures released from the facility revealed 38 Irish youngsters attended in 2017/2018, with 35 the previous year and 27 the year before that.

The London Gender Identity Development Service in the Tavistock Centre, Belsize Lane, London. Google street view from Google Maps
Read More

Since 2010, a total of 117 kids unhappy with their biological sex have attended the clinic.

However, in the last three years there has been a sharp rise in referrals.

The children, ranging in age from eight to 17, are psychologically assessed.

Treatment, which can involve puberty blockers, is mainly carried out in the Our Lady’s Children’s Hospital in Dublin.

The consultant psychotherapist, who had a 34-year association with the trust, insisted the facility needs oversight from an independent body.

Dr Evans told how he was approached last year with staff concerns there was “not enough of a thorough investigation of what was wrong with these kids” and they were “being fast-tracked”.

He said parents can often come in with a specific agenda wanting “drugs as quickly as possible to take away the dysphoria”.

Read More

Children can be treated with hormone blockers and from the age of 16 can be prescribed cross-sex treatment of oestrogen or testosterone, causing irreversible changes to the body.

Dr Evans told how people find it difficult to speak out because of the “tyrannical” fear of being accused of transphobia.

He added: “I’m not transphobic – I’m standing up for what I think is good medical practice. I think we need to slow the whole thing. In normal development you go through different stages, you identify with your mum, your dad, you experiment with being the risktaker, at being passive, you become a punk – experimenting with different facets of your identity is part of growing up.

“Why are we coming to fix solutions on one topic (gender) at an early age? This is a clinical and a parental failure.”

Transgender Man denied right to be father September 26th 2019

A transgender man who has given birth but does not want to be described as “mother” on a birth certificate has lost a High Court fight.

Freddy was born female and had already transitioned into a man when he fell pregnant after using a sperm donor two years ago in 2017.

Freddy McConnell, a multimedia journalist, wants to be registered as father or parent on the birth certificate.

A judge on Wednesday ruled against him after analysing argument at a High Court trial in London.

Sir Andrew McFarlane, President of the Family Division of the High Court, has heard how Mr McConnell is a single parent who was born a woman but now lives as a man following surgery.

Freddy McConnell began testosterone injections seven years ago (Image: S Meddle/ITV/REX)
Freddy and his child – who he fell pregnant with in 2017 after using a sperm donor
Read More

Mr McConnell was biologically able to get pregnant and give birth but had legally become a man when the child was born.

A registrar told him that the law required people who give birth to be registered as mothers.

He took legal action against the General Register Office, which administers the registration of births and deaths in England and Wales.

Sir Andrew said in the ruling: “There is a material difference between a person’s gender and their status as a parent.

Editorial Comment The whole isssue of transexualism offers a serious insight into how humans perceive themselves at the basic level of gender, sexual and whole identity. An interesting book, ‘The Feminisation of Nature’ suggested among other things that tpollution, especially PCBs from discarded plastic bottles is raising female hormone levels in foetuses and pregnant mothers creating feminised offspring.

Sex change surgery for female to male is less convincing and less popular, though some argue that militant feminists through behaviour, interests and dress style are demonstrating transgendered behaviour.

Unless you are dominated by the 3000 year old Judaic.Christian/Islamic religious mindset, you will undertand that nature is far from perfect in its workings- even producing humans who share one body.

All sorts of variables, including upbringing influences behaviour. Appearance is also an issue with some being obviously in possession of certain genitals, even both in some cases, but their appearance can be very much steroetypical of what we might exect from the opposite sex. This can lead to gender conflict.

Having said that, many transexuals ultimately experience this and are more likely to commit suicide. Suicide may, however have been an inevitable outcome, with sex change being chosen in hope of remedying wider and deeper miseries, regardless of sex change. That may account for many male to female transexuals growing up in fatherless families and a society dominated by the feminist agenda. Polly Sexual

Transgender Surgery: Regret Rates Highest in Male-to-Female Reassignment Operations

By Lizette Borreli On 10/3/17 at 1:30 PM EDT

Brain, Gender, SexNovember 2, 2011 Male-to-female transsexuals have “male” brains Posted September 19th 2019

Gender-confirmation surgeries—the name given to procedures that change the physical appearance and function of sexual characteristics—increased by 20 percent from 2015 to 2016 in the U.S., with more than 3,000 such operations performed last year. Rates are also increasing worldwide. Now, at least one surgeon is reporting a trend of regret.

Urologist Miroslav Djordjevic, who specializes in gender reassignment surgery, has seen an increase in “reversal” surgeries among transgender women who want their male genitalia back. In the past five years, Djordjevic performed seven reversals in his clinic in Belgrade, Serbia. The urologist explains to The Telegraph that those who want the reversal display high levels of depression, and in some instances, suicidal thoughts. Other researchers also report hearing about such regrets.

Related: Transgender teen repeatedly stabbed in genitals; LGBT advocates battling for hate crime classification

“It can be a real disaster to hear these stories,” Djordjevic told The Telegraph.

Charles Kane, who identified as Sam Hashimi after male-to-female reassignment surgery, opted to become a man again after experiencing “hormonal regret.” In the BBC documentary One Life: Make Me a Man Again, Kane explained he originally wanted to become a woman after a nervous breakdown.

“When I was in the psychiatric hospital, there was a man on one side of me who thought he was King George and another guy on the other side who thought he was Jesus Christ. I decided I was Sam,” Kane said.

Postsurgery, Kane believed his female identity would never be liked or accepted as a real woman. He also blamed the influence of female hormones as responsible for making him seek the surgery. “I don’t think there’s anyone born transsexual. Areas of their human brain get altered by female hormones,” Kane told Nightline.

Kane’s insight may not be applicable to all transgender patients seeking reversal surgery. Djordjevic expresses concern about the psychiatric evaluation and counseling that take place prior to the gender reassignment surgery. He recalls patients telling him that when they inquired about the procedure at other clinics, they receive minimal information before being asked for proof that they could pay for the operation.

In Djordjevic’s practice, patients undergo a minimum of one to two years of psychiatric evaluation, accompanied by hormonal evaluation and therapy. Prior to the surgery, he asks patients for two professional letters of recommendation. After the procedure, he strives to remain in contact—he talks with 80 percent of his former patients, The Telegraph reports.

Related: What’s the cultural impact of transgender characters on TV?

Male-to-female transsexuals have “male” brains Posted September 19th 2019

People with “gender dysphoria” feel as though their sexual identity doesn’t match their biological sex. A popular theory is that such people have a brain with physical characteristics that match the sex they identify with. So, for a man who feels like he is a woman – a male-to-female transsexual – the proposal is that he has a female brain “trapped” in a male body. Now in one of the first studies of its kind, Ivanak Savic and Stefan Arver have scanned the brains of 24 heterosexual, pre-operative male-to-female transsexuals and compared their structure to the brains of 24 heterosexual male and 24 heterosexual female controls. Homosexual transsexuals were omitted to help avoid the complicating influence of sexuality on the results. None of the transsexual participants had taken any hormone treatments, which is another factor that could have skewed the findings.

The scans threw up several of the structural brain differences associated with biological sex that have been reported before. For example, the men’s brains had more grey matter in the cerebellum (involved in motor control) and lingual gyrus (involved in vision) and less gray matter and white matter in the precentral sulcus (part of the frontal lobe), compared with the women’s brains. The men also had smaller hippocampi (involved in memory) than the women. In all these respects the brains of the male-to-female transexuals resembled the brains of the male control group. Likewise, the male-to-female transsexuals, like the male controls, had more asymmetric brains than the female controls. “The present study does not support the dogma that male-to-female transsexuals have atypical sex dimorphism in the brain but confirms the previously reported sex differences in structural volumes, gray, and white matter fractions,” the researchers said. In other words, the male-to-female transsexuals may have felt like women, but their brains had structural characteristics typical of men.

But that’s not to say that the male-to-female transsexual participants had brains that were unremarkable. Compared with the male and female controls, they had a smaller thalamus (the brain’s relay centre) and putamen (an area involved in motor control) and increased gray matter in the right insula and inferior frontal cortex (regions involved in representing the body, among other functions). Savic and Arver advised treating these differences with caution. They’ve never been found before so need to be replicated with a larger sample. And even if confirmed, it’s not clear what these differences mean, or whether they are a cause or consequence of gender dysphoria. “One highly speculative thought is that the enlargement of the … insular and inferior frontal cortex … could derive from a constant rumination about one’s own body,” the researchers said.

More research is needed, with larger samples and including studies of homosexual transsexuals and female-to-male transsexuals. “Any interpretation must, therefore, proceed cautiously and can at this point only be highly speculative,” the researchers said.

Johns Hopkins Psychiatrist: Transgender is ‘Mental Disorder;’ Sex Change ‘Biologically Impossible’ Posted September 13th 2019

By Michael W. Chapman | June 2, 2015 | 1:34 PM EDT

Dr. Paul R. McHugh. (Photo:

Johns Hopkins Medicine)

(CNSNews.com) —  Dr. Paul R. McHugh, the former psychiatrist-in-chief for Johns Hopkins Hospital and its current Distinguished Service Professor of Psychiatry, said that transgenderism is a “mental disorder” that merits treatment, that sex change is “biologically impossible,” and that people who promote sexual reassignment surgery are collaborating with and promoting a mental disorder.

Dr. McHugh, the author of six books and at least 125 peer-reviewed medical articles, made his remarks in a recent commentary in the Wall Street Journal, where he explained that transgender surgery is not the solution for people who suffer a “disorder of ‘assumption’” – the notion that their maleness or femaleness is different than what nature assigned to them biologically.

He also reported on a new study showing that the suicide rate among transgendered people who had reassignment surgery is 20 times higher than the suicide rate among non-transgender people. Dr. McHugh further noted studies from Vanderbilt University and London’s Portman Clinic of children who had expressed transgender feelings but for whom, over time, 70%-80% “spontaneously lost those feelings.”

While the Obama administration, Hollywood, and major media such as Time magazine promote transgenderism as normal, said Dr. McHugh, these “policy makers and the media are doing no favors either to the public or the transgendered by treating their confusions as a right in need of defending rather than as a mental disorder that deserves understanding, treatment and prevention.”

Time magazine, June 9, 2014,

cover story,  The Transgender Tipping Point:

America’s Next Civil Rights Frontier. (Photo: AP)

“This intensely felt sense of being transgendered constitutes a mental disorder in two respects. The first is that the idea of sex misalignment is simply mistaken – it does not correspond with physical reality. The second is that it can lead to grim psychological outcomes.”

The transgendered person’s disorder, said Dr. McHugh, is in the person’s “assumption” that they are different than the physical reality of their body, their maleness or femaleness, as assigned by nature. It is a disorder similar to a “dangerously thin” person suffering anorexia who looks in the mirror and thinks they are “overweight,” said McHugh.

This assumption, that one’s gender is only in the mind regardless of anatomical reality, has led some transgendered people to push for social acceptance and affirmation of their own subjective “personal truth,” said Dr. McHugh. As a result, some states – California, New Jersey, and Massachusetts – have passed laws barring psychiatrists, “even with parental permission, from striving to restore natural gender feelings to a transgender minor,” he said.

The pro-transgender advocates do not want to know, said McHugh, that studies show between 70% and 80% of children who express transgender feelings “spontaneously lose those feelings” over time. Also, for those who had sexual reassignment surgery, most said they were “satisfied” with the operation “but their subsequent psycho-social adjustments were no better than those who didn’t have the surgery.”

Pro-transgender activists. The

Obama administration announced

in May that Medicare will

now cover transgender surgical

procedures. (AP)

“And so at Hopkins we stopped doing sex-reassignment surgery, since producing a ‘satisfied’ but still troubled patient seemed an inadequate reason for surgically amputating normal organs,” said Dr. McHugh.

The former Johns Hopkins chief of psychiatry also warned against enabling or encouraging certain subgroups of the transgendered, such as young people “susceptible to suggestion from ‘everything is normal’ sex education,” and the schools’ “diversity counselors” who, like “cult leaders,” may “encourage these young people to distance themselves from their families and offer advice on rebutting arguments against having transgender surgery.”

Dr. McHugh also reported that there are “misguided doctors” who, working with very young children who seem to imitate the opposite sex, will administer “puberty-delaying hormones to render later sex-change surgeries less onerous – even though the drugs stunt the children’s growth and risk causing sterility.”

Such action comes “close to child abuse,” said Dr. McHugh, given that close to 80% of those kids will “abandon their confusion and grow naturally into adult life if untreated ….”

“’Sex change’ is biologically impossible,” said McHugh. “People who undergo sex-reassignment surgery do not change from men to women or vice versa. Rather, they become feminized men or masculinized women. Claiming that this is civil-rights matter and encouraging surgical intervention is in reality to collaborate with and promote a mental disorder.”

CNSNews Reader,

The liberal media are terrified of the truth, especially when it leads to uncomfortable questions about their own leftist worldview.

CNSNews covers the stories that the liberal media are afraid to touch. It drives the national debate through real, honest journalism — not by misrepresenting or ignoring the facts.

CNSNews relies on the support of our loyal readers to keep providing the news and commentary that matter to the American people, not just stories that prop up the liberal agenda.

Editorial Comment I am not sure the liberal media are terrified of the truth. The best they ever do is twist truth. Their worst is burying it with lies. There are so many factors driving people, especially men, mad that it would be hard to separate cause from effect when it comes to sex change or the more correctly named gender reassignment.

I explored the theme in my novel ‘Man, Maid, Woman’ back in 2003, receiving no critical interest fom the liberal media- although I did get an hour on BBC Radio Solent- while back on my old Hampshire stomping ground.

It is, however, clear to me that society and the elite, if they were honest, would have to admit that they see transgender as a form of madness. I am not saying I do, just reporting my impression.

Sex Change and Madness

September 12th 2019

There is an idelogy in multi culture that we can all be whatever we want to be. This is arrant nonsense and has much to do with rising mental health statistics. An area of great interest to this site is the world of sex change. It serves a number of purposes. Talcott Parsons’ functionalist theory would suggest it is useful for managing latent tension. There will be more comment on here and a transexual will tell her exclusive story in due course.

But first the following report needs to be put on record. In a nutshell, the Dutch report wars that there is a connection between psychosis and individuals requesting male to female sex change surgery. If this is the case then it would suggest links to elements in militant feminism where sex change desires may be less overt and ultimately less achieveable physically.

Gender Dysphoria and Co-Existing Psychosis:Review and Four Case Examples of SuccessfulGender Affirmative TreatmentJulia H. Meijer, MD, PhD,1Guus M. Eeckhout, MD,2Roy H.T. van Vlerken, MD,1and Annelou L.C. de Vries, MD, PhD3AbstractPurpose:Controversy exists as to if, and when, gender affirmative (GA) treatment should be offered to individ-uals with gender dysphoria (GD) and co-existing psychosis. Concerns exist regarding a high risk of misdiagnosis,regret afterward due to impulsive decision making, and deterioration of psychotic symptoms.

This case series aims at extending the sparse literature on GA treatment in this population by identifying challenges in diagnosisand treatment and offering recommendations to overcome them.Case Series:The authors present case descriptions of two transgender men and two transgender women in theage range of 29–57 years with a diagnosis of GD and a schizophrenia-related diagnosis. All had undergone GAtreatment with a minimum follow-up of 3 years.

The gender diagnosis was complicated by the fact that feelingsof GD were only shared after the onset of psychosis, and GA treatment was hampered by the persistence of mildpsychotic symptoms despite antipsychotic treatment. Close communication with the psychosis treating cliniciansproved useful to address these problems. GA treatment was paralleled by a stabilization of psychotic symptoms,and adherence to and satisfaction with the therapy was high.Conclusion:These case examples show that GA treatment is possible and safe in this vulnerable population

Keywords:gender identity, healthcare barriers, psychiatric symptoms, schizophrenia, transgenderIntroductionGender Dysphoria (GD),* formerly known as genderidentity disorder (GID), is characterized by a strongand persistent identification with a gender different fromone’s assigned gender and discomfort with one’s assignedgender.

1Individuals with GD may consult a gender identity clinicwith a request for gender affirmative (GA) treatment. Inpre–post intervention studies, GA treatment resulted in a sig-nificant reduction of GD in 80% of cases (95% CI=68%–89%from eight studies), and in 78% of cases co-existing psychopa-thology (e.g., depression, anxiety disorders, substance abuse,and suicidality) decreased as well (95% CI=56%–94% fromseven studies).2Based on its effectiveness, it has been stated that the op-tion to receive GA treatment should be an ethical right ofall individuals with GD.3However, many clinicians remainreluctant to provide GA treatment to individuals with GDand co-existing psychopathology.

This may be related toreports that psychiatric illness is one of the major nega-tive prognostic features for the outcome of GA surgery.4In particular, much controversy exists regarding whetherindividuals with psychotic symptoms should receive GAtreatment.5–7

How GD has been viewed over the past century can helpto increase understanding of these controversies. Until themiddle of the 20th century, the prevailing view of individualswith GD was that one would have to be severely mentallydisturbed to want GA treatment.8GD could only exist aspart of another serious psychiatric illness, predominantly1Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, The Netherlands.2Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands.3Department of Child and Adolescent Psychiatry, Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam,The Netherlands.*In this article, ‘‘GD’’ refers to the DSM 5 diagnosis of genderdysphoria (and its DSM-IV predecessor Gender Identity Disorder),whereas ‘‘gender dysphoric feelings’’ refers to dysphoria withrespect to gender assignment and/or gender role expectationsregardless of whether or not full criteria for GD are met.LGBT HealthVolume 4, Number 2, 2017ªMary Ann Liebert, Inc.DOI: 10.1089/lgbt.2016.0133106personality disorders9or schizophrenia.10From the 1950sto 1960s onward, care for individuals with GD becamemore widely accessible, evoking protest with GA treatmentbeing compared with ‘‘collaborating with the psychosis.’’8During the following decades, understanding increasedthat GD is often the primary condition, with co-existingpsychosis being the exception to the rule.

This was reflectedin the DSM-III acknowledging GD as a separate diagno-sis.11The World Professional Association for TransgenderHealth’s (WPATH) Standards of Care state in the fifth (pub-lished in 1998), the sixth, and the currently used seventh ver-sion12that if GD and psychotic disorders co-exist, GD maymerit treatment in its own right. GA treatment for individualswith psychosis seems, however, not yet widely accepted,which may be due to several factors.

First, although some studies report no elevated prevalenceof psychosis in GD samples,13,14others state that ‘‘schizo-phrenic patients presenting behind a mask of GD not un-commonly apply for surgery.’’15Accordingly, 24% of 584individuals with gender dysphoric symptoms were judgedto be actually suffering from a psychotic disorder in a surveystudy performed among psychiatrists working in generalmental health institutions.16The authors cautioned againstmisdiagnosing gender concerns that may arise as epiphe-nomena of psychosis as GD.

This survey has been criticized,as no validated diagnostic instruments were used and partic-ipants were all psychiatrists who were likely to encounter aless healthy population of gender dysphoric individuals.17Second, unrealistic treatment expectations and impulsivedecision making have been attributed to individuals withschizophrenia.7,18Third, hormonal interventions, especiallythose that produce a decrease in estrogen levels and an in-crease in testosterone levels, have been associated with therisk of triggering or worsening psychotic symptoms.19,20Finally, it has been suggested that individuals with GD andco-existing psychosis are at an increased risk of developingregrets about GA treatment.5,21,22To date, there is little evidence to counterbalance theseconcerns, as people with psychosis are often excluded fromstudies for methodological reasons.23,24There is only evi-dence from a total of 19 case reports.5,6,21,25–40Individualswith past or present psychotic symptoms, mostly pertainingto a schizophreniform disorder, combined with experiencesor beliefs with a gender dysphoric content are described.

These experiences vary from those of someone with GDwho wishes to pursue life in the other gender role to bizarreideas such as having been castrated at birth, the latter ofwhich is referred to in this article as a ‘‘gender-themeddelusion.’’ In only three of these case studies, the authorsconcluded that a GD diagnosis was co-existing with the psy-chotic symptoms.38–40In the remaining 16 case studies,the gender-related experiences and beliefs were judged as‘‘delusional pseudotranssexualism’’ or ‘‘secondary transsex-ualism,’’ that is, to be part of a psychotic process and GAtreatment was not deemed indicated. In these individuals,gender dysphoric ideas had waned under antipsychotic treat-ment or a developmental history of gender incongruence waslacking.

Four of these cases had still undergone hormonal orsurgical GA treatment despite the lack of meeting criteria fora GD diagnosis, with unfavorable clinical outcomes.5,21,30,37Only 1 out of 19 case studies reports on successful GA treat-ment in the face of co-existing psychotic symptoms.38Thiscase series by Fisk describes three individuals whose psy-chotic symptoms decreased after prolonged living in therole of the experienced gender and hormonal treatment.

The results of this case series contrast with the numerouscase reports about misdiagnoses and unsuccessful outcomes,which may explain the reluctance felt by clinicians whenfaced with an individual with GD and co-existing psychosis.In the meantime, there is clinical experience of the authorsworking in specialized gender identity clinics that GA treat-ment options for those meeting criteria for GD are consid-ered in the case of all co-existing psychiatric illnesses,including psychosis.

This article aims at extending existing knowledge about GA treatment in individuals with co-existingpsychosis by describing individuals whom we have treatedand focusing on the complexities that may be encounteredin this specific population. By offering recommendationsto overcome these challenges, we hope to lend support tothe clinician who is consulted for GA treatment by an in-dividual with past or present psychotic symptoms. The fol-lowing research questions will be addressed:1. Which complexities may be encountered during the di-agnostic phase and how should they be addressed?2.

Which complexities may be encountered after the startof GA treatment and how should they be managed?3. What is the outcome of GA treatment for this specificpopulation with regard to risks that have been men-tioned in the literature?Case SeriesFor this case series, we included individuals with a DSM-IV41diagnosis of GID (all cases were diagnosed before DSM5) and a co-existing primary psychotic disorder, defined asschizophrenia, schizoaffective disorder, or psychosis not oth-erwise specified, who had been treated at the Center ofExpertise on GD of the VU University Medical Center inAmsterdam. GA treatment had to consist of the administra-tion of gender-affirming hormones whether combined withGA surgery or not.

A prerequisite was that individuals hadundergone the typical diagnostic procedure, which consistsof regular sessions over a minimum period of 6 months, com-pleting a psychological test battery, and a collateral historyobtained from a family member or an acquaintance. For a de-tailed description of the diagnostic procedures, we refer tothe baseline publication of the European network for the in-vestigation of gender incongruence.42Moreover, to be able to report on outcome data regardingthe efficacy and safety of GA treatment, we included peoplewith a minimum follow-up period of 3 years since the start ofhormonal treatment. GA treatment spanned from 2005 until2015, and data were collected in spring 2015. Five individu-als with primary psychotic disorder emerged who had beenseen by three different psychiatrists.

Subjects were contactedby phone to invite them to participate. One of them, a trans-gender man with a co-existing diagnosis of schizophrenia,declined cooperation by saying that he had been living as aman for more than 15 years to his satisfaction. He was grate-ful for the care provided, but thinking about his former life asa woman was too distressing for him, all of which was con-firmed by his current psychiatrist.

The other four individualsprovided written and verbal consent to participate. All werestill frequenting the VU Medical Center for somatic genderGENDER DYSPHORIA AND PSYCHOSIS: A CASE SERIES107identity care (endocrinology/urology/gynecology). The par-ticipants provided written informed consent indicating thattheir case histories could be used in anonymized form.Data collection regarding psychiatric history, gender iden-tity development, and GA treatment was performed througha study of the medical records. Subsequently, these data werepresented in summarized form to the subjects in a face-to-face interview with their own psychiatrist and the first authorto adjust them where necessary. In addition, these interviewswere used to examine each individual’s perspective on GAtreatment.

Participants were invited in open-ended questionsto look back on their gender identity trajectory and askedwhether there had been elements that had been either partic-ularly burdensome or supportive to them.Case 1: PP (57-year-old transgender woman; Caucasian)Assigned male at birth, PP first felt the desire to be a girl atthe age of 4 years, starting with ‘‘a warm sensation in herbelly at the thought of wearing a skirt.’’ This longing becamestronger over the following years, even though her outer ap-pearances were typically boyish and her preferences in playwere gender neutral. Pubertal changes starting at the age of12 evoked great stress. She tried to suppress her feelingsby displaying overt masculine behavior such as fanaticjudoing, youth criminal acts, and womanizing behavior.

Fan-tasies about cross-dressing as a woman became increasinglysexually arousing to her. In her twenties, approximately, shestarted cross-dressing in secret while masturbating at thesame time. She realized, however, that pursuing her life inthe female role would not be accepted by her dominantand dismissive father and she fled into the daily use of co-caine to which she became addicted.

At the age of 23, she de-veloped paranoid delusions and disorganized behavior for which she assiduously avoided psychiatric care for years, aperiod in which she neglected herself and was unable towork. At the age of 38 years, she was compulsorily admitted to a psychiatric facility due to aggressive behavior related tothe psychosis and cocaine abuse. She was diagnosed with paranoid schizophrenia, as the psychotic symptoms persisted while abstaining from cocaine. Treatment with haloperidolin high doses resulted in a remission of psychosis. Duringthis admission, she talked about her gender dysphoric feel-ings for the first time in her life to a psychiatric nurse.

At the age of 42 years, PP applied for GA treatment forthe first time but dropped out of the diagnostic phase. Thereason for dropout was that the gender team doubted hermotivation, because she requested to undergo GA treatmentwithout having to make the social transition, a period of timein which individuals live full-time in their preferred genderrole. When PP was 44 years old, she engaged in intensivetreatment by a psychosis outreach team, after which sheadhered with her antipsychotic regimen and succeeded inabstaining from cocaine.At the age of 50 years, she reapplied at the gender identityclinic, now with a more feminine physical appearance.

After the intake appointment with a psychologist of the genderteam, there was a delay in diagnostics of 9 months for unknownreasons. PP was subsequently transferred to a psychiatrist of theteam, who concluded that GD persisted and seemed not to berelated to her schizophrenia, partly because gender dysphoricfeelings became more prominent as her psychosis waned.Based on her psychotic vulnerability, phased treatmentwas decided upon, starting with antiandrogens solely for ayear, followed by the addition of estrogen treatment for asecond year.

Meanwhile, PP experienced how the inner rest-lessness and strong drive to masturbate that she had felt foryears declined. Her breasts developed to a B-cup to her sat-isfaction. Her family, especially her mother, had opposed theGA treatment from the outset, out of fear that this wish wasdelusional. When PP was referred for genital surgery, an-other family consultation was held to alleviate some of themother’s concerns. PP received a penile inversion vagino-plasty at the age of 55 years. Due to anxiety about the sur-gery, she was admitted to the medical psychiatric unit.To date, 5 years after the start of GA treatment, PP hasbeen satisfied with her feminine appearance, which is notsexually arousing to her anymore. Since she enrolled in psy-chosis treatment 13 years ago, PP has not experienced anypsychotic decompensations.

Mild paranoid beliefs have per-sisted, however, that are not related to her gender identityand do not affect her daily functioning.The family history reports manic psychosis in her father.

Somatically, PP has been treated for a sexually transmitteddisease at the age of 20 years. PP has always been sexuallyattracted to women and has had three relationships thatlasted*1 year and all of which occurred when she was inher twenties. Since this time, she has not felt the desire any-more to be in a romantic relationship.Individual’s perspective: PP feels that schizophrenia hasbeen the result of a long-lasting feeling of uneasiness withher body that she has been unable to talk about for a longtime. She believes that GD, combined with the flight intococaine, triggered her psychoses. Both GD and psychosisare associated with a feeling of alienation in her view. Inher words: ‘‘haloperidol brought me back to reality with ashock, while GA treatment brought me back into my healthyself more gradually.’’

Regarding the initial dropout from the diagnostic phase, she explains that her reluctance to initiatethe social transition had not been a question of motivationbut of fear. Despite her strong wish to live as a woman, togo shopping at a women’s department with her overtly mas-culine physical appearance was too big a step for her backthen. In retrospect, she says that if someone could have ac-companied her during the social transition, this would havebeen of great support.Case 2: ZJ (38-year-old transgender man; Caucasian)Assigned female at birth, ZJ recalls that the longing to liveas a boy dates back to the age of 4 years.

He did not want towear typical girls’ clothing, preferred to play with boys andsturdy girls, and engaged in gender-neutral activities suchas hiking and horseback riding. He was an introvertedchild who always experienced difficulties fitting in with hispeers. He felt there was no use in complaining about his gen-der dysphoric feelings, because he believed that all girlswould prefer to be boys. Real suffering started at the onsetof puberty with a disgust toward his developing breastsand a feeling of filthiness during his monthly period, whichmade him withdraw from social interactions.

At the age of 23 years, as a student living by himself, ZJ developed hisfirst acute manic psychotic decompensation that had beenpreceded by a year-long severe depression. His symptoms108MEIJER ET AL.consisted of paranoid, religious and grandiose delusions, vi-sual and acoustic hallucinations, and affect lability, for whichhe was diagnosed with schizoaffective disorder. ZJ enrolledin intensive ambulatory psychosis treatment but due to a lowtolerance to both classic and atypical antipsychotics, he dis-continued all prescriptions within the first months of use.

He was psychiatrically admitted six times in the following 8years due to imminent or full-blown psychotic episodes.At age 29, he talked about his gender incongruent feelingsfor the first time in his life to his psychiatric nurse. One yearlater, after getting used to the idea of GA treatment, he appliedto the gender identity clinic with a gender neutral appearance.The diagnostic phase proceeded too slowly, according to him,with months passing without an appointment, reflecting a con-siderable delay due to several circumstances.At age 32, 2 years after applying to the gender identityclinic, ZJ experienced another psychotic decompensationfor which he was psychiatrically admitted and started onlithium combined with haloperidol, resulting in a quick re-mission of psychosis.

After this psychotic episode, the psy-chiatrist from the psychosis outreach team contacted thegender identity clinic to explain how they had witnessed aclinical improvement in ZJ during his social transition overthe past years. The psychiatrist stated that the gender dys-phoric feelings were persistent and independent from thepsychotic complaints, whereas a further delay in diagnosticswas seen as a great source of stress and a possible trigger forrenewed psychosis.Subsequently, ZJ was transferred to a psychiatrist of thegender identity clinic and considered eligible and ready tostart with androgen treatment.

He succeeded in quittingsmoking and lost 5 kg, both requirements for GA surgery.He received a mammectomy at the age of 35 years. At age36, he received a laparoscopic hysterectomy and a col-pectomy, which was complicated by a severe hemorrhage4 days post-surgery. He has been referred for metoidioplasty,but has decided to postpone it until a more stable period afterfinishing his studies.

Since the switch to lithium and haloper-idol that coincided with the start of GA treatment 6 yearsago, ZJ has been free of psychosis.There is a history of depression in his mother and her fam-ily members; schizophrenia is present in a cousin on themother’s side. ZJ has always felt attracted to men and hashad two serious relationships during late adolescence.Individual’s perspective: ZJ believes that he was born withGD and a vulnerability to psychosis, but that he might nothave developed psychosis without the stress related to his gen-der identity.

Antipsychotics and lithium never influenced his gender incongruent feelings, but androgen treatment didmake him feel more self-assured and less prone to new psy-choses. ZJ experienced gender-themed delusions and halluci-nations. To him, psychosis is ‘‘a mirror of your most bizarreself.’’ The inclusion of a life-consuming issue such as genderincongruence in his psychoses was, therefore, logical to him.During psychotic decompensation, he was convinced that hewas the last woman on earth and experienced visual hallucina-tions of having scars on his breasts.

At the isolation ward, he had to take off his breast-binder and he had to exchange hisclothes for a dress-like safety cloth, which was interpretedby him as the medical team wanting to transform him backinto a woman. Psychiatric admissions were very stressful tohim due to the staff’s lack of knowledge about GD.When he suffered severe post-surgical hemorrhage, hewas alone in his home and called an ambulance just intime. Looking back, however, he says that he had almostrefrained from calling for help, based on a lack of trust inhis own judgment and the fear of not being taken seriouslywith his history of psychosis.

For this reason, he recommendsa prolonged post-surgical observation in a hospital or reha-bilitation facility for individuals with co-existing psychosisand little social support.Case 3: FV (56-year-old transgender woman; Caucasian)Assigned male at birth, FV had a preference for playingwith girls and dolls from the age of 7 years, which wasdiscouraged by her parents. She liked to dress in her sister’sclothes and, after angry reactions from her father, she woulddo so hidden on the rooftop of their house. During puberty,she developed a hatred toward her male physical features.The conscious wish to be a girl was present from the ageof 14, but she refrained from talking about her feelings dueto the anticipated disapproval of her family. She almost putan end to her life twice at*16 years of age.During her twenties, FV received crisis interventions dueto suicidal behavior, auto-mutilation (e.g., of her chest), anddepression. At that same time, she had episodes during whichshe went outside dressed in women’s clothing to dirty herselfwith mud.

At the age of 31 years, FV developed progressivepsychotic symptoms consisting of hallucinations, paranoidthoughts, and disorganization for which she was diagnosedwith paranoid schizophrenia.At the age of 33 years, she spoke for the first time abouther gender dysphoric feelings during a psychiatric admissionafter the clinical staff had seen her cross-dressing in secret.One year later, she applied for gender identity care forthe first time while she was still living in the male role.

The gender team concluded that she most likely sufferedfrom a disturbance in early identity development, resultingin transvestitism, hypersexuality, substance abuse, and para-suicidal behavior.For diagnostic purposes, it was proposed to treat the hyper-sexual behavior first by suppressing her libido with antiandro-gens combined with behavioral therapy.

This proposition wasstressful and disappointing for FV, and she dropped out ofcare. For the next 16 years, she was treated with several anti-psychotics that were effective, but her non-adherence resultedin a relapsing-remitting course of schizophrenia. She led a va-grant life with self-neglect and suffered from impulse controlproblems (alcohol misuse, gambling) and suicide attempts.

At the age of 50 years, she entered intensive psychosis treatmentfor the first time at a psychiatric rehabilitation facility. Oneyear later, she started her social transition process and sharedher feelings with her family.At the age of 52, FV reapplied for gender identity careafter she had transitioned socially and improved clinically.It was concluded that GD and schizophrenia were separatediagnoses.

Due to the psychotic vulnerability, an extendedhormonal phase of 3–4 years was agreed on instead of theusual 1 year. However, after 2 years, FV was granted surgerydue to the drastic clinical improvement that had paralleledher feminization. This decision was made in close dialoguewith her psychosis treating psychiatrist.

To date, however, no surgery has been performed due to FV’s concerns aboutGENDER DYSPHORIA AND PSYCHOSIS: A CASE SERIES109the associated risks, difficulties to give up her nicotine addic-tion, and doubt about whether it will improve her alreadystrong feelings of femininity.For 5 years, she has been free of psychotic and depressivesymptoms, which she attributes to a stable housing situation,adherence with antipsychotics, positive reactions toward hersocial transition, and the start at the gender identity clinic.

There is no family history of psychiatric problems. Somati-cally, she has received a hip prosthesis after a fracture. FVidentifies as a bisexual and had three sexual relationshipswith women when she was still living in the male role.Individual’s perspective: FV sees GD as being more fun-damental than schizophrenia, as ‘‘something that has alwaysbeen a part of her,’’ whereas schizophrenia is perceived byher as a disease that overcame her. In her opinion, an impor-tant contribution to her psychotic decompensation was thedisapproval of her family in reaction to her feminine expres-sion and behavior.

This ultimately led her to break awayfrom the family. It was during a psychiatric admission thatshe was able to speak about her GD for the first time in herlife. She experienced great relief from people listening toher express what she called ‘‘an explosion of suppressedfeelings.’’ She has experienced strong feelings of shameabout presenting as a woman in public, but when she finallydid, chronic feelings of inner restlessness waned. Without thehelp of her social worker, she could have never taken the stepof social transition and coming out to her family.Case 4: DV (29-year-old transgender man; Asian)Assigned female at birth, DV has felt the desire to live as aboy as long as he can remember.

As a toddler, he used to playwith boys, refused to wear dresses, and was addressed as aboy by strangers. Gender-deviant behavior was, however,disapproved by his grandmother who took care of him. Psy-chiatrically, he experienced half a year of elective mutismafter having moved from Asia to the Netherlands at theage of 3. He has experienced pseudo hallucinations fromchildhood onward that he interprets as being mostly comfort-ing, paranormal experiences.

His body uneasiness increased from the age of 11 whenpuberty set in, but he did not dare to speak about it. He with-drew from social contacts, wishing that God had createdhim as a boy. At 16 years of age, DV experienced his firstpsychotic episode after a year of prodromal depressive symp-toms for which he received antidepressants without improve-ment. His symptoms consisted of auditory, tactile, and visualhallucinations, delusions of reference with bizarre and gran-diose content, and affect lability. He was diagnosed withschizoaffective disorder.Shortly after the onset of psychosis, DV spoke about hisgender dysphoric feelings for the first time in his life to hispsychiatrist, because he could not keep it to himself any lon-ger. He was treated with risperidone by a psychiatric outreachteam. Due to the persistence of psychotic symptoms, he waspsychiatrically admitted half a year later and achieved almostcomplete remission after a switch to clozapine.

At the age of 17 years, DV started the intake procedure atthe gender identity clinic with outer appearances of a youngman. Shortly after, he started to live by his male name. Thegender team concluded, in close dialogue with his treatingpsychiatrist, that he met diagnostic criteria for GD and thatGD was a possible factor in the onset of his psychotic symp-toms. He was approved to start androgens at age 19.

After 1year of hormonal treatment, a mastectomy and hysterectomywere performed. A metoidioplasty was performed at age 21,which was complicated by a urethra obstruction and a fistula.At the age of 24 years, he started to lose his hair for which hestarted finasteride.When he was 25 years old, DV experienced his second andlast full-blown psychotic episode after a stressful study tripand the cessation of antipsychotics on his own accord. Re-initiation of clozapine resulted in a quick remission of psy-chosis, and DV has been adherent with medication for thepast 4 years.Family history is significant for a mother who has hadparanoid delusions and an addiction to alcohol, neither ofwhich were treated.

DV has always been attracted towomen. Despite a strong desire, he has never been in a ro-mantic relationship.Individual’s perspective: DV explained that he has hadGD from birth as well as a vulnerability to developing psy-chosis. DV experienced gender-themed delusions duringhis psychoses. While still living in the female role, he had de-lusions of reference that everybody knew that he was born aboy.

After his social transition, he heard a devil’s voice say-ing ‘‘everyone can see that you are a girl.’’ Since he has un-dergone GA treatment, he feels much more confident andcopes better with psychotic symptoms. He says, ‘‘Auditoryhallucinations address your biggest uncertainties so theyhave always addressed my gender issue and will continueto do so. The difference is that these voices hurt and dis-tressed me at first, but now that I am in the right body Ican ignore them.’’The most important results regarding diagnostics, treat-ment, and outcome are summarized in Tables 1–3.DiscussionThese four case descriptions extend the sparse literatureon experiences of GA treatment in individuals in whom aGD diagnosis is accompanied by a psychotic illness. Weidentified challenges in gender diagnostics and treatmentand provided suggestions on how to address them.

Moreover,we focused on the outcomes of GA treatment in relation toconcerns that have been raised in the literature.Our case histories revealed some important findings re-garding outcomes that do not uphold the caveats about GAtreatment in the face of co-existing psychosis. There wasno association in any of our cases between GA treatmentand an increase in psychotic symptoms. Decisions aboutGA treatment were considered thoroughly, there were no re-grets, and adherence to treatment was high. Our results donot support reports that the effects of hormonal19,20or surgi-cal43,44GA interventions may trigger psychosis.

The onepsychotic decompensation that showed a relationship withthe GA trajectory occurred during a prolonged diagnosticphase in which the individual experienced distress and uncer-tainty. What we have learned from this case by talking abouthis perspective is that it was not the prolonged waiting per se,but the lack of transparency about the reason for delaythat was the most stressful.

The stabilization of psychosisthat we witnessed is consistent with results from one othercase series.38Moreover, the fact that our cases had realistic110MEIJER ET AL.expectations and were very careful in their decision-makingprocess (e.g., postponing surgeries until a more stable period,or choosing the least risky surgical options) does not concurwith some previous reports.18,21An article titled ‘‘Change ofsex and collaboration with the psychosis’’ described a groupof psychotic patients who wanted various body parts alteredin addition to sex change surgery.18Some subsequent litera-ture has repeated this assumption.21In our case series, we en-countered none of these behaviors.

Several complexities were identified regarding diagnos-tics: (1) that gender dysphoric feelings were first revealedafter the onset of psychotic or prodromal symptoms, (2)that gender themes were sometimes present in psychotic be-liefs, (3) that family members were not always available toprovide a collateral gender history, and (4) the risk of drop-out from the diagnostic phase.The most remarkable similarity among our cases is thatthey all expressed their gender dysphoric feelings for thefirst time in life after they had entered mental healthcarefor psychosis, a phenomenon that we can find in other casedescriptions.29,40

All of our cases recalled attempting todeal with a severe gender identity problem for all of theirTable2.Complexities and Recommendations Regarding GA Treatmentin the Case of Co-Existing PsychosisComplexitiesRecommendationsCasesMild psychotic symptoms persist despiteantipsychotic treatment, resulting inreluctance to initiate GA treatment out offear that psychotic symptoms will increaseor that the patient is insufficiently able toprovide informed consentPhased treatment with longer intervals to monitor effects ofsocial role change and hormones on psychosis1, 4Close communication with local psychosis clinicians abouthow they judge the patient’s understanding of andreadiness for GA interventionsIndividual experiences stress around surgicalprocedures with increased risk ofpsychotic decompensation

Consider admission to a psychiatric medical unit instead of asurgical ward for extra psychological assistance1–3Consider an extended admission, especially whensupporting network is limitedUnhealthy lifestyle that is more common inpsychosis (substance abuse; obesity) andforms a contraindication for surgeryCommunicate with psychosis treating psychiatrist to seewhether lifestyle training should be organized4Table1.Complexities and Recommendations Regarding GD Diagnosticsin the Case of Co-Existing

PsychosisComplexitiesRecommendationsCasesFeelings of gender dysphoria (GD) are reportedto exist before the age of 12, but are firstshared after psychosis onset. This mayhamper differential diagnostics between GDand delusional gender confusionThorough biography and collateral history1–4Explore the reasons for late articulation of gender dysphoricfeelingsClosely evaluate the effect of social role change on dailyfunctioningInvolve one’s local psychosis clinicians for their viewon the relationship between psychosis and gender identityIndividuals have gender-themed psychoticexperiences that may complicate thediagnosis of GD and they are reluctant toshare these out of shame or fear that this mayhamper gender affirmative (GA) treatmentEvaluate the nature of gender beliefs: bizarre andtenaciously held beliefs that remit with treatment ofpsychosis (delusions) versus feelings of incongruencebetween body and mind (GD)2, 4In case of GD, expectations about GA treatment shouldbe realisticGender-themed delusions but not GD resolve withresolution of psychotic episodeTraining of mental health professionals to recognize andfreely discuss gender-themed experiences

Parents/caretakers not available to providecollateral history due to disturbed familyrelations and/or skepticism in familymembers about the authenticity of GDApply systemic interventions to involve family and toprovide psycho-education about GD and psychosis1, 3If family cannot be involved, invite another person (friend;social worker) to provide collateral gender history and usepictures from youth to illustrate developmental historyDropout from diagnostic phase due to inabilityto initiate social transitioning alone or fear ofbeing denied treatment Communicate with psychosis caretakers (e.g., social worker;psychiatric nurse) to see how they can support in socialtransitioning1, 3In case of delay, be as transparent as possible about thetrajectoryGENDER DYSPHORIA AND PSYCHOSIS: A CASE SERIES111lives, with first gender dysphoric feelings existing well be-fore the age of 12.

Thereby, they all fulfilled the criteria of‘‘early onset’’ GD.1When trying to understand why genderdysphoric feelings had not been expressed earlier, ourcases seemed to have been introverted characters duringchildhood and/or had a rearing environment in which genderincongruent behavior was discouraged or even punished.

However, since the late time of articulating gender dysphoricfeelings coincided with psychotic symptoms and a reliablecollateral history was not always available, they could havebeen easily confused with individuals having ‘‘late onset’’GD, or with individuals having delusional gender confusion.To facilitate the diagnostic dilemma between delusionalgender confusion and the persistent gender dysphoric feel-ings required for a diagnosis of GD, consultation with thepatient’s psychosis treating clinicians proved to be of greatimportance.

They could confirm that psychosis and GDwere separate conditions and that the stress related to GDnegatively impacted psychotic symptoms. Without this sup-port, it is conceivable that these cases would not have beentreated or even referred to the gender team.

This was mostrelevant for our cases who experienced gender-themed delu-sions (case numbers 2 and 4). Reports that gender-themeddelusions occur frequently in psychotic individuals wholack any history of GD have been used as an argument thatthese conditions should not be diagnosed together.6,16,36Onecase story described that GA treatment was denied, because de-lusions were all focused on gender themes, despite the fact thatthere was a developmental history of GD.30Our cases dis-played a clear difference between the bizarreness of delusionalgender beliefs during psychosis and the realism of a felt incon-gruence between body and mind that persisted even after suc-cessful antipsychotic treatment.

The shame and sense ofsecrecy that both cases felt about their gender-themed psy-chotic experiences—they only talked about it in retrospect—emphasize the importance of healthcare professionals beingtrained to recognize and discuss gender-themed experiences.Another important diagnostic tool in cases of co-occurringpsychosis and GD is time. Our cases proved that the period ofsocial transition may have to be extended until there isenough confidence that the person will be able to live inthe experienced gender role.

Likewise, treatment may needto be phased (e.g., solely anti-androgens before the start ofestrogens) or longer hormonal treatment may need to begiven before surgery. At the same time, treatment delaymay cause additional stress for the individual with a risk ofdropout or even clinical deterioration.

Therefore, such stepsin the decision-making process should always be explainedcarefully.The complexities that we identified regarding GA treat-ment were (1) the fact that mild psychotic symptoms per-sisted despite antipsychotic treatment, (2) the perceiveddistress experienced by individuals regarding surgical proce-dures, and (3) unhealthy lifestyles that formed a contraindi-cation for GA surgery.We believe that the most important recommendation forsuccessful GA treatment in the context of psychotic symp-toms is that individuals should be adequately engaged in atreatment facility with competence in the treatment of psy-chotic disorders. This was reflected in our cases, who wereall under stable psychosis treatment elsewhere at the startof GA treatment.

In addition to the fact that these psychosistreating clinicians may provide useful second opinions re-garding GD as previously mentioned, collaborating closelywith them may be a necessary condition for successful deci-sion making regarding each step of GA treatment.

Even in asmall country such as the Netherlands, clients often have totravel for hours to the gender identity clinic due to the highlyspecialized nature of the care provided. Having psychiatricoutreach care close to one’s own living environment enablesthe patient to have more frequent consultations and beattended to more quickly in the case of acute situationsthat may be related to stress or side effects related to GAprocedures.Table3.Possible Risks of GA Treatment in the Case of Co-Existing Psychosis and Outcomes in Our CasesRisksOutcomesCasesHormonal treatment orperioperative stress maytrigger or worsen psychosis

No psychotic decompensation in two cases during 7 and 4 years of follow-up, respectively, since start of gender trajectory1, 3One psychotic episode during 6 years of follow-up, possibly triggered bydelay and uncertainty around diagnostics2One psychotic episode during 12 years of follow-up in response to anenvironmental stressor and with no relation to the start of hormonaltreatment (6 years earlier) or surgeries (4 and 5 years earlier)3Individuals have more regretand unrealistic expectationsof GANo regrets regarding GA treatment or dissatisfaction with the results1–4Decisions about treatment arebeing taken impulsivelyCase postponed genital surgery for almost 2 years to contemplate (realistic)risks of incontinence and loss of sexual sensibility1Case postponed surgery to a less stressful period in life2Genital surgery is still being postponed based on doubt about its addedvalue to the sense of femininity3Less risky metoidioplasty was chosen over phalloplasty2, 4No desire for mamma augmentation after hormonal treatment1, 3Insufficient adherence tohormonal and(post)surgical treatmentGood adherence to hormonal treatment1–4In case of surgical complications, cases adhered with follow-upappointments2, 4112MEIJER ET AL.

Furthermore, psychosis treating clinicians proved extremelyhelpful in our cases during certain steps in GA treatment, forinstance, by providing support for coming out to family,which can be a dreaded process, or in undertaking the prac-tical steps of social transition.

Moreover, they assistedpatients to make needed lifestyle changes in preparationfor surgery. While in our cases this assistance was providedby clinicians from psychosis outreach facilities, another op-tion would be for the gender team to have access to lifecoaches or case managers who are trained to support trans-gender individuals who are unable to make the social transi-tion alone.

Remarkably, the importance of cooperating withthe psychosis treating clinicians has not been noted in the lit-erature. In case reports in which uncertainty existed aboutthe differentiation between true GD and gender delusions,it was unclear whether consultation between gender identityclinicians and one’s treating psychiatrists had taken place.6,29,39Finally, our case observations provide an opportunity tohypothesize about the relationship between GD and psycho-sis. Over the past decade, schizophrenia and other psychoticdisorders have been increasingly associated with a disruptionof the basic sense of self.45,46The incongruence in one’sbasic sense of self, specifically the representation of one’sown body, may have an overlap with the phenomenologyof GD. Feelings of being alienated from one’s body as apart of GD could contribute to a more profound loss of thesense of self, resulting in psychotic development.

Why only a minority of GD individuals develop psychosis maybe explained by the diathesis-stress model of schizophre-nia.47Hence, we hypothesize that the bodily incongruenceof GD may predispose an individual to a ‘‘psychotic’’ lossof self later in life, but only when the associated stress ishigh enough. All of our described individuals experiencedconsiderable distress due to the inability to share their genderincongruent experiences with anyone, whereas talking abouttheir experiences cultivated relief and clinical benefit.

Our hypothesis is corroborated by evidence that disclosure oftransgender feelings is a protective factor against developingall sorts of psychiatric disorders.48This study has some limitations. First, it is based on asmall case series and, as such, may be not representative ofall individuals with GD and psychotic symptoms.

By fo-cusing on individuals who completed GA treatment, we in-evitably selected relatively well-functioning cases. Still, weidentified challenges that may be illustrative for this specificpopulation, including treatment delays, dropouts, and diffi-culties in acknowledging gender dysphoric feelings to one-self and others. Second, the psychotic diagnosis was notassessed with standardized instruments, although psychia-trists of the gender identity team (co-authors of this article)verified the diagnoses of the psychosis treating cliniciansby a clinical examination. Third, the case-study design impliesthat our recommendations sometimes rely on only one or two observations whereas we cannot draw conclusions aboutcausality.

So, although we observed a general clinical im-provement after the start of transgender care, we cannot ex-clude the possibility that this was due to other factors.ConclusionThese four cases demonstrate that safe and satisfying GAtreatment is possible in the case of co-existing GD and psy-chosis, provided that both patients and caretakers invest ef-fort and demonstrate patience and flexibility.

Effort isrequired to carry out the necessary diagnostics when articu-lation of gender dysphoric feelings coincides with the onsetof psychosis, to optimally engage family members, and to es-tablish a close collaboration between transgender care pro-viders and psychosis treating clinicians. Patience is neededto carefully observe the effect of each treatment step andto persist when more time is required. Finally, flexibility isnecessary to reevaluate the initial treatment strategy at anytime and to shape GA treatment to the individual’s specificneeds, whether this is perioperative psychiatric care or prac-tical assistance with shopping during social transition.

When such investments are made, individuals with co-existing gen-der incongruence and psychosis may be just as good candi-dates for GA treatment as anyone else. They are able tomake decisions on timing and type of GA interventions,and satisfaction with and adherence to treatment is high.Moreover, psychotic symptoms may decrease concurrentlywith the gender dysphoric feelings.

More data on GA treatment, risk management, andprognosis in the case of co-existing psychosis are needed.Psychosis should no longer be an exclusion criterion in lon-gitudinal studies on GA treatment. Moreover, follow-up dataare required on those who drop out of care and who are beingdenied GA treatment.

When this knowledge is translated intoclinical guidelines, we will hopefully overcome barriers toquality healthcare in this small but important subgroup ofthe transgender population.

Acknowledgments The authors are grateful to their four participants for theirtime and invaluable contributions to this study. This study re-ceived no specific grant from any funding agency.Author Disclosure StatementNo competing financial interests exist.References1. American Psychiatric Association:Diagnostic and Statisti-cal Manual of Mental Disorders (DSM-5Ò), 5th ed. Wash-ington, DC: American Psychiatric Association, 2013.2. Murad MH, Elamin MB, Garcia MZ, et al.: Hormonal ther-apy and sex reassignment: A systematic review and meta-analysis of quality of life and psychosocial outcomes. ClinEndocrinol (Oxf.) 2010;72:214–231.3. Gijs L, Van der Putten-Bierman E, De Cuypere G: Psychi-atric comorbidity in adults with gender identity disorder.In:Gender Dysphoria and Disorders of Sex Development:Progress in Care and Knowledge.Edited by KreukelsBPC, Steensma TD, de Vries ALC. New York: Springer,2014, pp 255–276.4. Dhejne C, Lichtenstein P, Boman M, et al.: Long-termfollow-up of transsexual persons undergoing sex reassign-ment surgery: Cohort study in Sweden. PLoS One 2011;6:e16885.5. Borras L, Huguelet P, Eytan A: Delusional ‘‘pseudotrans-sexualism’’ in schizophrenia. Psychiatry 2007;70:175–179.6. Baltieri DA, De Andrade AG: Schizophrenia modifying theexpression of gender identity disorder. J Sex Med 2009;6:1185–1188.GENDER DYSPHORIA AND PSYCHOSIS: A CASE SERIES1137. A`Campo JM, Nijman H: Gender dysphoria and psychiatricsymptoms. J Nerv Ment Dis 2016;204:558.8. Hoenig J, Kenna JC: The nosological position of transsexu-alism. Arch Sex Behav 1974;3:273–287.9. Randell JB: Transvestitism and transsexualism: A study of50 cases. Br J Psychiatry 1959;2:1448–1452.10. Lukianowicz N: Transvestite episodes in acute schizophre-nia. Psychiatr Q 1962;36:44–54.11. American Psychiatric Association:Diagnostic and Statisti-cal Manual of Mental Disorders, 3rd ed. Washington, DC:American Psychiatric Association, 1980.12. Coleman E, Bockting W, Botzer M, et al.: Standards of carefor the health of transsexual, transgender, and gender-nonconforming people, version 7. Int J Transgenderism 2012;13:165–232.13. Go ́mez-Gil E, Trilla A, Salamero M, et al.: Sociodemo-graphic, clinical, and psychiatric characteristics of transsex-uals from Spain. Arch Sex Behav 2009;38:378–392.14. Cole CM, O’Boyle M, Emory LE, Meyer WJ: Comorbidityof gender dysphoria and other major psychiatric diagnoses.Arch Sex Behav 1997;26:13–26.15. Bower H: The gender identity disorder in the DSM-IV clas-sification: A critical evaluation. Aust N Z J Psychiatry2001;35:1–8.16. A`Campo J, Nijman H, Merckelbach H, Evers C: Psychiatriccomorbidity of gender identity disorders: A survey amongdutch psychiatrists. Am J Psychiatry 2003;160:1332–1336.17. Giltay EJ, Gooren LJG, Cohen-Kettenis PT, et al.: Comor-bidity of gender identity disorders. Am J Psychiatry 2004;161:934–935.18. Meerlo JAM: Change of sex and collaboration with the psy-chosis. Am J Psychiatry 1967;124:263–264.19. Faulk M: Psychosis in a transsexual. Br J Psychiatry 1990;156:285–286.20. Mallett P, Marshall EJ, Blacker CVR: ‘‘Puerperal psycho-sis’’ following male-to-female sex reassignment? Br J Psy-chiatry 1989;155:257–259.21. Campo JM, Nijman H, Evers C, et al.: Gender identity dis-orders as a symptom of psychosis, schizophrenia in particu-lar. Ned Tijdschr Geneeskd 2001;145:1876–1880.22. Lande ́nM,Wa ̊linder J, Hambert G, Lundstro ̈m B: Factorspredictive of regret in sex reassignment. Acta PsychiatrScand 1998;97:284–289.23. Heylens G, Elaut E, Kreukels BPC, et al.: Psychiatric char-acteristics in transsexual individuals: Multicentre study infour European countries. Br J Psychiatry 2014;204:151–156.24. Okabe N, Sato T, Matsumoto Y, et al.: Clinical characteristicsof patients with gender identity disorder at a Japanese genderidentity disorder clinic. Psychiatry Res 2008;157:315–318.25. Bru ̈ne M: Delusional ‘‘Pseudotranssexualism’’ in Schizo-phrenic Psychosis (Wahnhafter ‘‘pseudotranssexualismus’’bei schizophrener psychose). Psychiatr Prax 1996;23:246–247.26. Caldwell C, Keshavan MS: Schizophrenia with secondarytranssexualism. Can J Psychiatry 1991;36:300–301.27. Commander M, Dean C: Symptomatic transsexualism. Br JPsychiatry 1990;156:894–896.28. Manderson L: Gender identity disorder as a rare manifestationof schizophrenia. Aust N Z J Psychiatry 1994;35:546–547.29. Banerjee A, Nizamie SH, Chopra VK, Bagchi DJ: Trans-sexualism: Onset after an acute psychotic episode. IndianJ Psychiatry 1997;39:76–78.30. Haberman M, Hollingsworth F, Falek A, Michael RP: Genderidentity confusion, schizophrenia and a 47 XYY karyotype: Acase report. Psychoneuroendocrinology 1975;1:207–209.31. Jiloha RC, Bathla JC, Bawbja A, Gupta V: Transsexualismin schizophrenia: A case report. Indian J Psychiatry 1998;40:186–188.32. Puri BK, Singh I: The successful treatment of a gender dys-phoric patient with pimozide. Aust N Z J Psychiatry1996;30:422–425.33. Scherrer P, Pelletier JC: From transsexualism to schizophre-nia. Ann Med Psychol 1972;2:609–635.34. Schwarz K, Fontanari AM, Mueller A, et al.: Neural corre-lates of psychosis and gender dysphoria in an adult male.Arch Sex Behav 2016;45:761–765.35. Mayer C, Kapfhammer HP: Coincidence of transsexualityand psychosis (Koinzidenz von Transexualitat und Psy-chose). Nervenarzt 1995;66:225–230.36. Chakrabarti N, Sinha VK, Parial A: Secondary gender iden-tity disorder—a case report. Indian J Psychiatry 1999;41:257–259.37. Zafar R: Schizophrenia and gender identity disorder. Psy-chiatr Bull 2008;32:316–317.38. Fisk N: Transsexualism rehabilitation. Five spectacular re-sults. Arch Sex Behav 1978;7:351–369.39. Bhargava SC, Sethi S: Transsexualism and schizophrenia: Acase report. Indian J Psychiatry 2002;44:177–178.40. Habermeyer E, Kamps I, Kawohl W: A case of bipolarpsychosis and transsexualism. Psychopathology 2003;36:168–170.41. American Psychiatric Association:Diagnostic and Statisti-cal Manual of Mental Disorders, 4th ed.,text rev. Washing-ton, DC: American Psychiatric Association, 2000.42. Kreukels BPC, Haraldsen IR, De Cuypere G, et al.: AEuropean network for the investigation of gender incon-gruence: The ENIGI initiative. Eur Psychiatry 2012;27:445–450.43. Childs A: Acute symbiotic psychosis in a postoperativetranssexual. Arch Sex Behav 1977;6:37–44.44. Van Putten T, Fawzy FI: Sex conversion surgery in a manwith severe gender dysphoria: A tragic outcome. ArchGen Psychiatry 1976;33:751–753.45. Fuchs T: From self-disorders to ego disorders. Psychopa-thology 2015;48:324–331.46. Ferri F, Costantini M, Salone A, et al.: Upcoming tactileevents and body ownership in schizophrenia. SchizophrRes 2014;152:51–57.47. Zubin J, Spring B: Vulnerability—A new view of schizo-phrenia. J Abnorm Psychol 1977;86:103–126.48. Dhejne C, Van Vlerken R, Heylens G, Arcelus J: Mentalhealth and gender dysphoria: A review of the literature.Int Rev Psychiatry 2016;28:44–57.Address correspondence to:Julia H. Meijer, MD, PhDCenter of Expertise on Gender DysphoriaVU University Medical CenterPO Box 7057Amsterdam 1007 MBTh

Editorial Comment I doubt anyone but academics like myself will have read and understood this. I conclude that the authors believe that there is a strong link between those idenifying as transgender with pyschosis, paranoia, schizophrenia and related delusion.

Conevntionally, the authors do not question any of these conditions or explain why they think they are related- or the causes I am curious that they think GRS ( Gender Reassignment Surgery ) inside or out of the mental asylum is a viable solution- along with anti psychotic drugs.

Surely the drugs would be enough. On the one hand feminists ridicule female stereotypes, on the other organisations like Britain’s Tavistock Clinic take people they consider, and as a piece of patient correspondence we have, concludes that the person has a ‘secure female identity’ and should be prepared for GRS, following this a week or so later with a psychiatrist’s visit and conclusions that the patient has a paranoid personality disorde, but not needing immediate hospitalisation.

She was advised that there was to be a multi agency approach to her case involving the police. This is a dubious and dangerous business. In this country all it needs to section someone, outside the elite, is a psychiatrist and police officers knocking at the door. Crime fighting is no longer the priority of Britain’s police.

The Goddess, pure and innocent image Transexuals are aspring to.
The story, told by a man, a maid and a woman, of a failed young man who becomes his own girlfreind modelled on his own long lost girlfriend, who when they meet again, finds him/her disgusting, calling him/her ‘A man made woman.’ It was written in 2003 by Robert Cook

Are schizophrenics hypersexual? by Lukas Müller, Diagnosed with schizophrenia, copes with it. Posted September 8th 2019

First of all, don’t use this word. I’m a person with schizophrenia, not a schizophrenic. This illness doesn’t define me.

To answer your question: usually the contrary is true.

Both schizophrenia itself and the antipsychotics we have to take reduce sex drive. Before schizophrenia struck, I needed “it” multiple times a day. Now despite doing well I’m down to maybe once a week. There also has been a time in which I wasn’t in the mood for months.

I really don’t see where this idea comes from.

What is sex and what is it for? A lady in satin and lace lingerie may be the answer, it is beyond reason, but why we are here.

Dangers in Diversity September 2nd 2019 Robert Cook

Sixteen years ago I wrote the novel ‘Man, Maid,Woman’ about a messed up working class boy from the 1950s, son of a messed up soldier father, who decides to become his long lost girl friend. This boy has transcended his worship of women into wanting to be one.

This is a dangerous path. Needless to say my simple, yet complex book never went mainstream. Obviously I won’t say there are no happy transexuals, but there is diversity within this diverse group and sociological/psychological imperatives driving men and boys to dislike their biological masculinity.

Feminists have a plan for them, a new suit- women have always liked dressing men but don’t like men dressing them- they want new men to help them get a bigger share of the power jobs. No mention is made of social class divisoons. We are supposed to accept that society is divided between men and women. If you are an upper middle class media woman it is a great way to claim a pay rise.

There have never been so many men wanting to be women. Many if not most are from father less families. Diversity is a con. In my view there are men, women and individuals.

Diversity plugs religion and freedom of worshipping a God that can never be proven to exist, or feminism which dictates that women worship upper middle class media/ academic women. These icons tell women what they could or should be, while telling women and men what men are.

Below is an update on the tale of former boxing promoter Frank Maloney.

Speaking to The Sun after recovering following therapy, Kellie said: “As Frank I could have what I wanted. As Kellie I can’t do that, I’m totally different.”

Kellie Maloney attempted to take her own life after transitioning from boxing promoter Frank.

The 66-year-old transgender star has talked about the ‘loneliness’ she has felt since leaving Frank behind – and almost took her life with a ‘mixture of alcohol and dog painkillers’.

Kellie has admitted that she has no regrets about the life-changing transition she made in 2014, but has said that there are times it has left her in a dark place.

This led to a fateful night when she collapsed at her Portuguese villa after taking a cocktail of booze and pills, which left her unconscious.

She admitted that there was a “sense of despair that I’d given up that amazing life. I was lost.”

A string of disastrous dates left Kellie doubting her sexuality and it led her to start drinking heavily, “slowly losing control” of her life in the process.

Speaking to The Sun after recovering following therapy, Kellie said: “As Frank I could have what I wanted. As Kellie I can’t do that, I’m totally different.”

She admitted that there was a “sense of despair that I’d given up that amazing life. I was lost.”

A string of disastrous dates left Kellie doubting her sexuality and it led her to start drinking heavily, “slowly losing control” of her life in the process.

The woman who was trans before her time Posted August 27th 2019

Katie Daubs

By Katie DaubsFeature WriterSun., March 27, 2016timer16 min. read

When Dianna Boileau showed up in Toronto court in 1963, the clerk asked the question she had asked herself for years.

“Are you male or female?”

In the silence, the reporters jotted details: Pink fingernails, pink lipstick. Black tunic dress. Tiny pearl earrings. Double identity. Man. Woman.

In 1960s Toronto, gender identity just wasn’t something people talked about. The first major story about a trans person had made international headlines a decade earlier: Christine Jorgensen, a 26-year-old New Yorker, was called a “man turned girl,” offered Hollywood roles and dubiously honoured by a footwear company that created a shoe for “daring tomboys.”

Dianna faced a world that hadn’t come very far since then: “Wearing dress, man remanded in car death,” one headline read. “Woman driver, 32, found to be male.”

In 1962, Dianna and her best friend, Rosemary, were driving on Hwy. 401 near Leslie St. when her car crashed into the guardrail. Her friend died, and Dianna was charged with dangerous driving and criminal negligence causing death. Police took her to a female lock-up, then a male lock-up, and finally the Don Jail, where inmates whistled the “Wedding March.” Word leaked to the press.

The trial ended with an acquittal, and Dianna, who had been living in Toronto for a few years, said she planned to stay. “There are an awful lot of understanding people here,” she said, not telling the press about the kids who found out where she worked and came to gawk at lunch, forcing her to hide in the bathroom.

With the death of her friend and end of her anonymity, she drank heavily, lost her job as a legal secretary and lived on unemployment insurance and cheap wine. In her sober moments, her desire to erase her male characteristics grew.


By 1970, Dianna was back in the headlines, anonymously, as one of the first Canadians to have gender-confirming surgery — in those days called a sex change operation. Two years later, she shared her story publicly in one of Canada’s first trans memoirs, Behold, I Am a Woman. Then she disappeared. She married and gained a new last name that was never linked to the sensational car crash, or her status as a trans pioneer. It was a life she always wanted, in which she could be just another woman.

At a Toronto news conference in 1970 — the same year she had gender-confirming surgery — Dianna announced she was writing a book, which would be released two years later thanks to a New York publisher. Canadian publishers found it "too hot to handle."

‘The loneliest people in all the world’

Dianna’s story begins when she was “born a boy” in Winnipeg in the 1930s and, as she would later write, adopted by a loving couple who named her Clifford. Her father was a forest ranger, and Dianna grew up with no electricity or running water. It was a lonely but active childhood — catching fish, nibbling on salt for the cows and collecting eggs.

Her father had bad eyesight, and the family moved around Manitoba and northern Ontario so he could find work. As a teenager, Dianna lived in Fort Frances, Ont., a paper mill town that for most high school students in the postwar years revolved around dances and school sports. Dianna hated sports. As she would later write in Behold, I Am a Woman, she went to the town doctor, looking for a medical excuse to skip that “torture.”

Dr. Harold Challis, tall, burly and British, moved to the land of white pines and paper mills with his family in 1950. Known as “Chally” by his friends, he brought the local doctors into a group practice, helped modernize the hospital and liked to joke with the nuns who ran it. He had blue eyes and dark, thinning hair, and was known as a “witty and urbane after-dinner speaker.”

Challis talked with Dianna and told her she was a transsexual (the medical terminology of the era — still embraced as an identity by some, but rejected by others as pathologizing). She became his patient as well as part-time receptionist, she wrote in her book, but the diagnosis stayed private.

Chris Lowe, a classmate who knew Dianna, remembers her presenting as a quiet boy with flawless skin, stylish rolled-up jean cuffs and beautiful fingernails.

“Our typing teacher, Miss Arthur, asked him to cut his fingernails because they were getting caught between the keys of the typewriter, says Lowe, 80. “Of course, us girls, we were envious of that.

“But you know, I think he led a really rough life. He didn’t really fit in anywhere.”

Images of Dianna as a child, from her book. "I always loved having my picture taken," she wrote. The photo at right was her "first professional portrait, taken in Winnipeg."

Dianna stole her mother’s Avon lipstick samples and practised in her room. She sent away for a wig and bought heels, dresses and lingerie to wear in her bedroom, she wrote in her book. She anticipated Halloween like a kid counting the sleeps until Christmas, and when Oct. 31 arrived, she was resplendent in a silk white gown, evening gloves and a beaded handbag.

Dianna yearned for a life in the city, where nobody knew her as Clifford. Her first trip to Winnipeg dressed in women’s clothing ended disastrously — police wanted to know why a young girl was hanging out in a hotel lobby by herself. When they found out she was 17, they called her parents.

“My very distraught parents arrived at police headquarters the next day to face life-shattering news concerning their son,” she wrote. “Never in their sheltered lives had they heard of a boy dressing as a woman. The sight of me in the complete attire of a woman made mother weep and father fume.”

Doctors who worked with trans people in the 1950s were very rare. For the next couple of decades, this was still a “crazy idea” for most people, says Aaron Devor, the chair in transgender studies and founder of the Transgender Archives at the University of Victoria.

“Most professionals thought that they needed to be convinced out of these odd notions,” he says, adding that physicians who worked with trans people “were thought to be a bit odd by their colleagues as well … It was very hard to get anybody to help you.”

Dr. Challis was an exception. He told Dianna’s parents to be supportive.

“He would fit in, in today’s world,” says Challis’s daughter, Deborah.

Surgery was being performed in other countries, and one day would be offered in Canada, Challis assured her family. Dianna’s parents were bewildered, but understanding. They moved to Thunder Bay to start over: father, mother, daughter.

Without the Internet, there was no easy way to reach others, and trans people in rural communities were especially isolated. “The loneliest people in all the world,” the Toronto Daily Star wrote, in a 1967 article about the “rare group of men and women” in North America known as transsexuals.

An early feature on "transsexuals" appears in the Star in 1967, with photos of Christine Jorgensen.

In 1971, Rupert Raj, a young trans man, tried to place an ad in the Ottawa Journal seeking “transsexuals and transvestites” to form a support group.

“They refused (the ad),” he says. “They found those words problematic; somehow they thought they were sexual recruitment because they didn’t understand the difference between gender identity and sexual orientation.”

He submitted an article to a gay newsletter, and eventually met trans people through organizations for gay people.

“The isolation and the stigma is hard to imagine in today’s world,” says Devor. “But this is a time when, in most jurisdictions, it was still illegal to even be gay.”

‘This is Mr. Boileau saying goodbye’

Dianna always dreamed of independence, and she found it in Calgary and Edmonton, working as a model and stenographer.

She was outed to a friend following her arrest when she and a group of pals drank too much and snapped off a car antenna in a parking lot one night. She was sent for psychiatric evaluation as part of the arrest. Not long after, Dianna left Edmonton for Toronto, where she found work as a legal secretary and stenographer.

Things were going smoothly, until a humid June morning in 1962 when Dianna, with her friend Rosemary Sheehan sitting beside her, crashed into the guardrail of the 401, spinning down an embankment. Sheehan died in hospital, and Dianna was charged and outed to the entire city in a sensational trial. Although she was acquitted, the notoriety was crushing. She tried to kill herself with pills.

In the aftermath of the trial, Dianna met two other trans people in Toronto and researched gender-confirming surgery, not yet available in Canada. She heard of doctors in Casablanca and Mexico, but the costs were “astronomical.” Dianna took some comfort in the fact that Canada was catching up to the U.S.

In 1966, Dr. Harry Benjamin, a German-American physician, published The Transsexual Phenomenon, the first book that sympathetically argued trans people should receive treatment. It spawned a major change in attitudes and treatment models, and gender clinics were beginning to open in other countries. Dianna spoke to a local surgeon, consulted U.S. doctors and began taking hormone pills.

Dr. Harold Challis, left, was the first person to tell Dianna that she was a transsexual. He was supportive of her when, as a teen, she was outed to her parents by police. Dr. Betty Steiner, right, examined Dianna at the Clarke Institute in Toronto in 1970, and warned her that what was then called a sex change was irreversible.

During the summer of 1969, Dianna and a friend travelled to New York for castration surgery. Their recovery was excruciating; neither could walk and they had to keep the maids away from their motel room, where “it looked more like a case of an illegal, unsuccessful abortion than a castration,” she wrote. When they returned, Canadian customs asked: had they brought anything back? Dianna whispered to her friend: “No, but let’s tell him we left our balls floating in the Hudson River.”

Not long after that procedure, Dianna consulted a team of doctors at Toronto General Hospital, seeking out further surgery to remove her male sexual organs and create female genitalia. They told her it was possible, but only if endorsed by Toronto’s newly opened gender identity clinic at the Clarke Institute. OHIP would then pay for it.

She submitted to medical exams and interviews. During a two-week stay at the Clarke in spring 1970, she met doctors and fled a “distasteful test” to measure her sexual response to pictures of naked and clothed men, women and children. Toward the end of the process, the clinic’s director, Betty Steiner, tried to dissuade her, emphasizing there would be no turning back.

Steiner was known for being conservative: in 1982, she told the Star that of 600 individuals who came to the gender clinic, only 75 were approved for surgeries. “We have to weed out the emotionally unstable and intellectually subnormal, and spot the ones who are serious, because there is no going back after,” she said.

Back in 1970, Dianna had made up her mind, and chose her words carefully.

“Dr. Steiner, this is Mr. Boileau saying goodbye.”

Dianna tells her story

The morning rain had cleared into a warm spring day and Felicity Cochrane was reading the Globe and Mail in her Don Mills home on April 23, 1970. The front page had a story about the first Earth Day, but Cochrane was more interested in a smaller item: “Identity concealed: Sex change surgery is first for Canada.”

(Although the media called this a “first,” a 1967 story in the Star mentions a surgery in Toronto, and trans historians note there were other people who had surgery around the same time.)

The English-born Cochrane had been an actress, a journalist, and a front-page story in 1965 as Toronto’s only female Tory candidate in the federal election, blond hair whipped into a beehive on page 1 of the Star. By 1970, the 41-year-old mother of three was managing a local Dixieland band. She knew little about trans people, but sensed a good story. Cochrane was discussing the surgery with a friend — she can’t remember where — when a stranger approached. She apologized for listening in, but she happened to know Dianna and wondered if Cochrane wanted to meet her.

A few days later, Cochrane walked into Toronto General, hoping to write a story for Chatelaine, and posed as Dianna’s best friend, breezing past security guards.

“She had doctors that had never done this before,” Cochrane, now 86, remembers from her winter home in California. “She did not just have one operation; she had several afterwards, because everything wasn’t perfect.”

Once Cochrane began the interviews, she realized Dianna’s life would be best suited to a book. The women agreed to split profits on Behold, I Am a Woman.

Felicity Cochrane, an actress, journalist and one-time Tory candidate for Parliament, sought out Dianna after reading a story about her in the newspaper. She co-authored Dianna's book and remained friends with her, though they lost touch in later years.


Dianna was frank with details she was comfortable sharing, but not with her age, as Cochrane would learn years later. In publicity for the book in 1970, she is said to be in her late 20s, but media reports from her 1963 trial say she was then 32. (Her real age is never clear, but as she was a teenager in Fort Frances in the early 1950s, she was likely born in the mid-1930s.)

“By no means has my life been a series of tragedies,” the book’s preface says. “I’ve really never taken anyone very seriously, least of all myself. My life has been a combination of laughter, fear, and sadness.”

When the women sent their pitch to publishers, they learned Canada wasn’t ready for chapters that began with sentences like “One does not usually associate castration with roast beef, but I do.”

“It was too hot to handle,” Cochrane says. “They wouldn’t touch it with a barge pole.”

But Cochrane found a New York publisher. She and Dianna went on a publicity tour in September 1970, where coverage was equal parts sensationalism and advocacy. Dianna dedicated the book, published in 1972, to her parents, to Betty Steiner and to the doctors and nurses at Toronto General.

Gender identity clinic accused of fast-tracking young adults

This article is more than 9 months old Tavistock Centre launches review amid parents’ fears over pace of transitioning decisions

Jamie Doward

Sat 3 Nov 2018 21.30 GMT Last modified on Sat 3 Nov 2018 23.55 GMT

Shares 319

The Tavistock Centre in London

The Tavistock Centre in London is looking into criticisms that young people are being rushed into life-changing decisions. Photograph: Alamy

Britain’s only NHS gender identity service for children is reviewing its operations amid claims made by a senior member of staff that it is failing to examine fully the psychological and social reasons behind young people’s desire to change gender.

The views are shared by a group of parents of transgender children, who have raised their own concerns that the Tavistock Centre’s gender identity development service (GIDS) in London is “fast-tracking” young people into life-altering decisions without fully assessing their personal histories.

Too young to decide? Questions dividing real-life Butterfly families

Jamie Doward Read more

In a letter to the trust’s board, seen by the Observer, the parents say they fear “the GIDS team is being asked to engage with and assess complex and difficult cases within a highly constrained time frame”.

They continue: “We have specific concerns about the situation of those with gender dysphoria in the age group 17 to 25 who are referred to the [adult] GIC [gender identity clinic], where they do not receive the complex psychosocial assessment offered at GIDS: for these young adults there is little exploration of the family or cultural context of their still developing gender identity.”

The Tavistock confirmed that a senior member of staff had submitted a report to its board, raising issues about its service. The Observer believes that the report questions whether the clinic should do more to consider young people’s personal histories, notably by examining whether they are on the autistic spectrum, have experienced trauma or are being influenced by social pressures, before helping them on the path to transition. As a result, the clinic has begun an internal review, to see whether these views are shared more broadly by staff.

In a statement, the Tavistock said: “A document has been produced that makes allegations about the service. In response, our medical director is conducting a review of the issues raised. All staff in the service are aware of the review and have been encouraged by both our medical director and chief executive to avail themselves of this opportunity to express their own views about the service.”

With complex cases, we will often extend the time given to trying to understand what may be going on Tavistock and Portman NHS foundation trust

It added: “The trust is concerned by the tone and manner in which these allegations have been made. They reveal a negative attitude to gender dysphoria and gender identity which does not reflect the views or the approach of the trust.”

The parents claim that the huge increase in numbers of children seeking referrals, which has risen from 97 in 2009 to 2,519 in the year to April, is placing great demands on the clinic, with potentially negative consequences for children.

“Given the pressure under which GIDS now works, we believe there is a real danger that the cohort of young people who enter GIDS post-16 may be fast-tracked on to adult services in an attempt to reduce caseloads,” the parents claim. They said they feared the adult service did not adequately examine psychosocial factors that they claim may influence a young person’s decision to transition.

Guardian Today: the headlines, the analysis, the debate – sent direct to you

Read more

But the Tavistock insisted that “comprehensive psychosocial assessment precedes any referral to the endocrine clinic for consideration of physical treatment”, and that no one was being fast-tracked through its services.

In a statement, it said: “We do not limit or curtail assessments because of pressure to move swiftly to medical interventions. With complex cases, rather than truncating assessments, we will often extend the time given to trying to understand what may be going on. Whilst the national specifications against which the service is commissioned describe an assessment phase of between four and six meetings, one outcome of assessment may be further assessment. Nevertheless, we are always mindful that gender dysphoria is not in and of itself a mental health diagnosis.”

The view that psychosocial factors – such as the popularisation of trans issues on social media, or the role trauma has played in their early life – can help shape someone’s desire to transition is rejected by many trans support groups. They said their experience was that, far from being fast-tracked, adolescents experienced a lengthy assessment process before transitioning could begin.

“The reality we hear from our service users is quite the opposite of the suggestion that services are rushed,” said Lui Asquith of the transgender support charity Mermaids. “In most cases, after the initial assessments and because of the rigorous approach to assessment the Tavi implements, there will be a further long period of ‘watchful waiting’, which can lead to trans children not getting timely support.

“At Mermaids, we see that a delay in necessary, developmentally appropriate or age-specified medical intervention can have a negative effect on the wellbeing of a trans child – an inability to concentrate at school, to engage with their peers, to excel in their hobbies – because they are not getting the support they need in time.”

Polly Sexual Image Appledene Publishing 2007


Editorial This site is monitoring a case where the Tavistock Clinic concluded that a mature patient had ‘ a secure female identity’ after two years under ther scrutiny.

However, following their collusion with this person’s GP and the police who had consulted with them, the Gender Identity Clinic decided that gender reassignmenet surgery would be contingent upon the patient taking anti psychotic drugs. The police had informed them that the patient was paranoid delusional- they refuse to explain why they say this. This site cannot comment at this stage on what it belives to be the case.

This site has seen copy correspondence involving the patient’s GP, police, and the Tavistock Gender Identity Clinic. The latter informed the patient that it was possible to be transgendered and mentally ill.

All three parties have refused to reveal their records or method of diagnosis. The patient has a history of problems with the police and has made criminal allegations against them, which cannot be published at this stage.

According to papers we have seen, the patient had been targeted by police for several years. A psychiatrist, mental nurse and psychiatric student doctor invaded the patients home this year, forced the patient into three meetings, directed by Tavistock psychiatrists. The patient, they concluded was suffering from a paranoid personality disorder but had no immediate need for hospital. The case is ongoing.

The police have an ongoing investigation following their allegations that the patient shopped herself to , to various parties, including senior police officers in December 2017, for working for her son as a gay escort, and that her son was running an escort agency. To this date, the police refuse to explain the status of what they call an ongoing investigation. We have seen the dubious ‘evidence’ file the police used for their seven person early morning raid on the patient’s home.

This alleged investigation led to the patient into another long spell in police cells, Crown Court facing jail threats for leaving abusive messages- three months after arrest= on the answerphone of the lead officer who ignored requests for updates on the status of the investigation, and wherabouts of confiscated laptops and mobile phones. The items were released prior to court, with an officer explaining ;’ ‘This job’s going nowhere.’

Sex The Ugly Truth August 25th 2019

It starts with kisses, This image was taken August 25th 2019, birds on top of my greenhouse. Robert Cook.
It leads to this and more pidgeons and they then fight for survival, though it is not so bad for them in my overgrown two acress, with all its trees. Robert Cook August 25th 2019

Prince Andrew faces more questions over Kazakh links

May 24, 2016

Leaked emails allege Duke of York was ‘involved’ in sale of his £15m Sunningdale Park home to oligarch Timur Kulibayev Posted August 20th 2019

The Duke of York’s links to Kazakhstan have come under scrutiny again after new details emerged about the 2007 sale of his marital home.

Leaked emails uncovered by the Daily Mail claim “the Prince was far more involved in the sale than previously admitted”.

The claims relate to Prince Andrew’s former mansion, Sunninghill Park, in Berkshire, which was sold to Kazakh oligarch Timur Kulibayev for £15m – £3m above the asking price, despite having languished on the market for five years. 

The house reportedly stood empty following the sale before being demolished last October, says The Independent.

The Mail also claims that Andrew’s aide at the time attempted to lease adjoining fields from the Crown Estate at a very low, “peppercorn” rent for Kulibayev, the son-in-law of Kazakh dictator Nursultan Nazarbayev, and that the Prince had tried to arrange for the Queen’s bank, Coutts, to take him on as a client.

“Prince Andrew has very questionable tastes when it comes to his business relationships,” said former Foreign Office minister Chris Bryant.

Buckingham Palace has previously said: “The sale of Sunninghill Park was a straight commercial transaction between the trust which owned the house and the trust which bought it.

“There were no side deals and absolutely no arrangement from the Duke of York to benefit otherwise or to commit to any other commercial arrangement.

“Any suggestion otherwise is completely false.”

The latest disclosures follow claims that Andrew also helped a Greek sewage company and a Swiss finance house pursue a £385m contract in Kazakhstan. According to the Daily Telegraph, the unsuccessful deal “would allegedly have seen Prince Andrew benefit from a £4m commission”.

A spokesman for the Duke denied he had helped any private organisation to pursue business in Kazakhstan. 

Jeffrey Epstein is dead, but questions remain for Prince Andrew August 20th 2019

Duke of York yet to explain photo of him with arm around alleged victim Virginia Giuffre

Paul Lewis and Jim Waterson

Mon 12 Aug 2019 18.33 BST Last modified on Mon 12 Aug 2019 20.55 BST

Prince Andrew and Virginia Roberts, now Giuffre, aged 17 at Ghislaine Maxwell’s townhouse in London, 2001.

Prince Andrew and Virginia Roberts, now Giuffre, aged 17 at Ghislaine Maxwell’s townhouse in London, 2001. Photograph: Rex/Shutterstock

When New York prosecutors announced the death of Jeffrey Epstein over the weekend, Prince Andrew and his ex-wife Sarah, Duchess of York, were reportedly holidaying in Balmoral with the Queen. It must have have made for an uncomfortable moment: the Duke of York’s former friendship with the disgraced New York hedge fund manager has proven a persistent headache for Buckingham Palace, which has repeatedly been forced to deny allegations that Andrew had sexual encounters with a 17-year-old who had been coerced by Epstein.

The death of the financier, a convicted sex offender who was facing federal charges for sex trafficking, is unlikely to end questions about his relationship to both Prince Andrew and the Duchess of York, to whom Epstein once lent £15,000 to clear her debts. The duchess later described the arrangement as “a gigantic error of judgment”.

Andrew reportedly met Epstein in the late 1990s, after being introduced by Epstein’s then girlfriend Ghislaine Maxwell, the daughter of the press baron Robert Maxwell. Ghislaine Maxwell, whose whereabouts are currently unknown, has previously denied any wrongdoing.

Jeffrey Epstein was enabled – he did not operate in a vacuum

Suzanne Moore

Suzanne Moore

Read more

It was in Maxwell’s London home that a photograph was taken in 2001 capturing Andrew grinning with his arm around the midriff of Virginia Giuffre – the 17-year-old, then known as Virginia Roberts, who alleged in court documents that Epstein coerced her into “sexual relations” with Andrew in London, New York and on Epstein’s private island in the US Virgin Islands.

Giuffre alleges she was recruited and groomed by Maxwell into a life of sexual servitude for Epstein. The hedge fund manager allegedly instructed Giuffre “to give the prince whatever he required” and report back on the details of “the sexual abuse”, according to testimony filed by her lawyers in 2015.

Those allegations prompted a highly unusual and forceful denial from Buckingham Palace, which vehemently denied there was “any form of sexual contact or relationship” between Andrew and Giuffre. “The allegations made are false and without any foundation,” the statement said.

The palace released a similar statement on Friday, after newly released legal documents stemming from a defamation suit that Giuffre brought against Maxwell revealed that the Duke of York was accused of inappropriately touching another young woman.

In a witness statement, Johanna Sjoberg, another alleged Epstein victim who claims she was recruited by Maxwell, claimed Andrew touched her breast while sitting on a couch at Epstein’s New York apartment in 2001. Buckingham Palace said the allegations were “categorically untrue”.

While the palace has been quick to reject accusations from Epstein’s victims implicating Andrew, it has yet to provide an explanation for the photograph showing Andrew with his arm around Giuffre. Neither has the palace directly addressed the many questions over Andrew’s repeated encounters with Epstein over several years.

Records detailing flights by Epstein’s private Gulfstream jet, previously seen by the Guardian, reveal that in May 2000 Andrew flew with Epstein and Maxwell to Palm Beach, Florida. The next month, Epstein and Maxwell are believed to have attended a Windsor Castle party for the birthdays of Princess Anne, Prince Andrew and Princess Margaret.

Barr vows Epstein inquiry will continue as new questions about jail conditions emerge August 20th 2019

In 2000, the prince is reported to have shared a holiday with Epstein on his yacht in Thailand. Other encounters between the two men are believed to have taken place at the Queen’s Norfolk estate and an exclusive dinner in St Tropez. The pair were most recently pictured walking together in New York’s Central Park in 2011, shortly after Epstein, by then a registered sex offender, was released from jail.

The duchess has been more forthcoming about her financial arrangement with Epstein. In an interview with the Evening Standard, she apologised for allowing the financier to help pay £15,000 of her debts, in an arrangement the newspaper said was arranged through Prince Andrew’s office.

“I personally, on behalf of myself, deeply regret that Jeffrey Epstein became involved in any way with me,” she said. “I abhor paedophilia and any sexual abuse of children and know that this was a gigantic error of judgment on my behalf.”

She added: “Once again my errors have compounded and rebounded and also inadvertently impacted on the man I admire most in the world, the duke.”

Prince Andrew named in US lawsuit over underage sex claims Posted August 19th 2019

In case related to banker Jeffrey Epstein, woman alleges in court filing that she was forced to have repeated ‘sexual relations’ with duke.

Editor’s Comment One wonders how Epstein managed to kill himself in August 2019, breaking his neck in two places whilst on suicide watch in a max security jail- but he did, according to the BBC, so it must be true (sic)

Paul Lewis and James Ball

Sat 3 Jan 2015 10.59 GMT First published on Fri 2 Jan 2015 12.42 GMT

Prince Andrew, the Duke of York

Prince Andrew, whose close relationship with convicted sex offender Jeffrey Epstein has long been a source of controversy. Photograph: Dan Kitwood/Getty Images

A woman who claims that an American investment banker loaned her to rich and powerful friends as an underage “sex slave” has alleged in a US court document that she was repeatedly forced to have sexual relations with Prince Andrew.

The accusation against the Duke of York is contained in a motion filed in a Florida court this week in connection with a long-running lawsuit brought by women who say they were exploited by Jeffrey Epstein, a multi-millionaire convicted of soliciting sex with an underage girl after a plea deal.

Prince Andrew and Jeffrey Epstein

Facebook Twitter Pinterest Prince Andrew and Jeffrey Epstein in New York. Photograph: Jae Donnelly/News Syndication

The woman, who filed the motion anonymously, alleges that between 1999 and 2002 she was repeatedly sexually abused by Epstein who, she also alleges, loaned her out to rich and influential men around the world.

The document – a motion to expand an ongoing lawsuit relating to prosecutors’ handling of Epstein’s case with two new plaintiffs – alleges that the woman “was forced to have sexual relations with this prince when she was a minor” in London, New York and on a private Caribbean island owned by Epstein.

Jeffrey Epstein.

The prince is not a named party to the legal claim, which is directed against federal prosecutors. He has not had any opportunity to respond to the allegations in the legal claim.

The woman is said to have been 17 at the time, considered to be a minor in Florida.

In a 2011 Vanity Fair article, Prince Andrew denied any sexual contact with young women associated with Epstein.

Contacted on Thursday, Buckingham Palace declined to comment on the allegations contained in the court document. A palace spokesperson said the royal household would “never comment on an ongoing legal matter”.

However following publication of this article on theguardian.com, Buckingham Palace issued the following statement: “This relates to long-running and ongoing civil proceedings in the United States to which the Duke of York is not a party. As such we would not comment in detail. However, for the avoidance of doubt, any suggestion of impropriety with underage minors is categorically untrue.”

Another close associate of Epstein who is also accused in the lawsuit, Alan Dershowitz, told the Guardian that the woman’s accusations against himself were “totally false and made up”.

The Harvard law professor and esteemed criminal defence attorney who later advised Epstein on how to respond to the FBI’s investigation is accused in the court motion of having sexual relations with the woman when she was a minor and of witnessing the abuse of other minors.

On Thursday he told the Guardian: “There is no more strenuous denial than the one I am giving. I never met her. I don’t know her. I have never had sex with an underage person.”

He added: “This person has made this up out of cloth, maliciously and knowingly in order to extort money from Mr Epstein.”

Dershowitz, who has occasionally written op-ed articles for the Guardian, said he could not comment on the woman’s allegations against Prince Andrew or any other men, but he said her claims against him were demonstrably false and challenged her to file criminal charges against him.

“It is a totally fabricated charge in every possible way,” he said. “It just never happened.”

He said he was considering taking legal action to have Brad Edwards and Paul Cassell, the lawyers who filed the motion, disbarred for “knowingly filing … a false, malicious and defamatory statement in a lawsuit”.

Edwards said: “We have been informed of Mr Dershowitz’s threats of legal action and bar proceedings … we carefully investigate all of the allegations in our pleadings before presenting them.”

In a statement to the Guardian through her lawyers, the woman behind the allegations said she was being “unjustly victimised again”.

“These types of aggressive attacks on me are exactly the reason why sexual abuse victims typically remain silent and the reason why I did for a long time,” she said. “That trend should change. I’m not going to be bullied back into silence.”

The Guardian is aware of the identity of the plaintiff behind the allegations, but is respecting her wish to bring the case anonymously.

Andrew’s close relationship with Epstein – he visited him in New York two years after the American’s release from prison in 2009 – has long been a source of controversy. The Daily Mail reported in 2011 that the prince had broken off contact with the banker.

The duke had previously been accused of meeting Epstein’s young victims and possibly being aware of their sexual exploitation. However, this is the first time he has been named in a court document as a participant in any sexual activity with one of the young women allegedly trafficked by Epstein.

As the claim has only just been lodged, and as the duke is not a named party to it, he has not had the opportunity to formally file a defence or denial to the claims.

In 2006, the FBI opened an investigation into allegations that Epstein had been paying for sex with underage girls at his Palm Beach mansion for years. By the following year federal prosecutors said they had identified 40 young women who may have been illegally procured by Epstein.

In 2008, however, the federal inquiry was dropped after Epstein negotiated a deal with prosecutors in which he agreed to plead guilty to a relatively minor state charge relating to soliciting paid sex with a minor – a 14-year-old girl. He served 13 months of an 18-month sentence and is now a registered sex offender.

Many of his alleged victims have since reached out-of-court settlements with Epstein, who was once considered among the wealthiest investment bankers in the world.

However, two of Epstein’s alleged victims, referred to in court documents as Jane Doe 1 and Jane Doe 2, have brought a lawsuit arguing that federal prosecutors violated a victims’ rights statute by failing to consult them over Epstein’s secret deal.

The pair won a significant legal victory in July last year entitling them to see previously confidential documents from the plea bargain discussions between Epstein’s lawyers and federal prosecutors.

The court document filed this week containing allegations against Andrew is a motion to allow two more alleged Epstein victims, referred to as Jane Doe 3 and Jane Doe 4, to join the action.

Jane Doe 3 – the woman who made the accusations against Andrew – claims her contact with Epstein began when she was approached at the age of 15 by Ghislaine Maxwell, the daughter of the late media mogul Robert Maxwell and a close friend of Epstein.

The motion alleges that Maxwell “was one of the main women whom Epstein used to procure under-aged girls for sexual activities”. With Maxwell’s assistance, the document alleges, Epstein converted the girl into a “sex slave”, repeatedly abusing her in his private jet or his lavish residences in New York, New Mexico, Florida and the US Virgin Islands.

“Epstein also sexually trafficked the then-minor Jane Doe, making her available for sex to politically connected and financially powerful people,” the court document alleges. “Epstein’s purposes in ‘lending’ Jane Doe (along with other young girls) to such powerful people were to ingratiate himself with them for business, personal, political, and financial gain, as well as to obtain potential blackmail information.”

The motion alleges that Maxwell was “a primary co-conspirator in his sexual abuse and sex trafficking scheme” and that she also participated in the abuse.

The document goes on to allege: “Perhaps even more important to her role in Epstein’s sexual abuse ring, Maxwell had direct connections to other powerful individuals with whom she could connect Epstein. For instance, one such powerful individual Epstein forced Jane Doe #3 to have sexual relations with was a member of the British royal family, Prince Andrew (aka Duke of York).”

The document lists three locations where the woman alleges she was forced to have sexual relations with Andrew: Maxwell’s London apartment, Epstein’s private Caribbean island in what was allegedly “an orgy with numerous other under-aged girls”, and an undisclosed location in New York.

Requests made to representatives of Ghislaine Maxwell for comment had not been returned at the time of publication, but she has previously strenuously denied any involvement in procuring young girls for Epstein or any of his associates. In 2011 a spokesperson for Maxwell said she had never been contacted by any law enforcement agency in connection with the allegations.

However a statement issued on behalf of Maxwell after the Guardian published details of the lawsuit on Friday said the claims were “not new and have been fully responded to and shown to be untrue”. It added: “Ghislaine Maxwell’s original response to the lies and defamatory claims remains the same.”

The new motion alleges that Epstein instructed the girl “to give the prince whatever he demanded” and also instructed her to “report back on the details of the sexual abuse”.

The woman’s lawyers allege in their motion that, in addition to facilitating her alleged encounters with the prince and Dershowitz, Epstein trafficked her to “many other powerful men, including numerous prominent American politicians, powerful business executives, foreign presidents, a well-known prime minister, and other world leaders”.

‘I will not be bullied into silence’: Woman who claims Prince Andrew abused her while she was billionaire’s ‘underage sex slave’ says she is being ‘unjustly victimised’ August 19th 2019 Daily Mail

  • Court motion in U.S. brought in relation to millionaire Jeffrey Epstein
  • Epstein, a former friend of the Prince, was convicted of sex crime in 2008
  • Court papers in motion claim woman had sex with Andrew three times
  • They claim meetings took place in London, New York and US Virgin Islands
  • One meeting was ‘an orgy with numerous under-aged girls’ it is claimed
  • It is said the woman was approached by socialite Ghislaine Maxwell
  • She is the daughter of the late former media mogul, Robert Maxwell 
  • Papers also allege the Prince lobbied US government over Epstein case 
  • The royal has issued a strong denial of the ‘categorically untrue’ claims

By Richard Spillett and Martin Robinson and Stephanie Linning for MailOnline and Daniel Bates For Mailonline In New York

Published: 14:18, 2 January 2015 | Updated: 07:36, 3 January 2015


A woman who claims she was forced to have sex with Prince Andrew on three separate occasions – including at an orgy – has said that she will ‘not be bullied back into silence’ and ‘victimised’.

‘Jane Doe 3’ alleges that she was loaned out to Prince Andrew and other friends by Jeffrey Epstein, an American billionaire who has been convicted of soliciting underage prostitution.

She is said to have been 17 at the time of the alleged meetings, meaning she was underage according to Florida law.

In court documents she accuses Epstein, the Prince, his friend the socialite Ghislaine Maxwell, and – among others – the leading American defence lawyer Alan Dershowitz of abusing her when she was underage.

Her lawyers, who are also representing another woman, ‘Jane Doe 4’, also told an American court that Prince Andrew had lobbied the US government over Epstein’s case.

The Prince today issued a comprehensive denial of the allegations, with Buckingham Palace insisting any suggestion of underage sex on his part is ‘categorically untrue’. 

Prince Andrew pictured in 2011 with multi-millionaire Jeffrey Epstein, who is at the centre of the new  case

Prince Andrew pictured in 2011 with multi-millionaire Jeffrey Epstein, who is at the centre of the new case

The royal and Epstein were friends and were seen together in Central Park, New York in 2011 after the financier’s conviction, which came in the wake of an FBI investigation into his associations with underage girls, especially in Florida, where he maintains a home.

‘Jane Doe 3’, who is now an adult, claims that she was groomed on behalf of Epstein by Maxwell – daughter of Robert Maxwell, the disgraced newspaper owner – when she was just 15 and forced into a world of sexual abuse.

It included being ‘forced to have sexual relations with… Prince [Andrew] when she was a minor in London at Ghislaine Maxwell’s apartment, in New York, and on Epstein’s private island in the U.S. Virgin Islands in an orgy with numerous other under-aged girls’, she claimed in documents submitted this week to federal court in Palm Beach, Florida

Editorial Comment The rich are sanctimonious hypocrits in so many cases. They have been hedonists throughout history. The British establishment victimised a poor vulnerable girl, Christine Keeler. She was jailed while her powerful abusers got of scott free.

The lechorous war minister John Profumo would have been better named The Whore Minister. He purged himself in true upper class English style doing charity work in the East End of London when he was forced to resign from the Tory Government that his debauchery helped destroy.

Meanwhile Prince Andrew can rest assured that as a pillar of the historic British establishment, he will not be hounded on the basis of allegations as the super rich commoner Donald Trump has been. Nor do I expect any more mention of Bill Clinton in this connection. ‘Not in the public interest’ will say the elite and their lackeys. For public interest substitute class interest because that is what it means when the British elite and its minions use that term.

It’s the rich wot gets the pleasure, it’s the poor wot gets the blame- August 18th 2019

NEWLY unearthed FBI files describe Prince Charles’s mentor, Lord Mountbatten, as “a homosexual with a perversion for young boys”.

The decorated war hero was seen as a father figure to the young Charles, his great-nephew, and is even credited with introducing his father to Queen Elizabeth.

 Prince Charles and Lord Mountbatten visit Nepal to attend the coronation of King Birendra in 1975
Prince Charles and Lord Mountbatten visit Nepal to attend the coronation of King Birendra in 1975Credit: Getty – Contributor

The Prince of Wales was mentored by Mountbatten as he grew up, and described him as “the grandfather I never had”.

Mountbatten – who also features in The Crown on Netflix – even coached his great-nephew on his love life.

As the last viceroy of India, Mountbatten oversaw the British withdrawal and eventually became the chief of defence until 1965.

The military man was also well-known for his sexual appetites, sparked in part by his own comment about his wife: “Edwina and I spent all our married lives getting into other people’s beds.”


More is known about Edwina’s extra-marital affairs, but in the 75-year-old dossier, an aristocratic source close to them, interviewed by the FBI in the 1940s, described them as “persons of extremely low morals”.

British historian Andrew Lownie used freedom of information laws to source the files, and quotes them in his new biography of the famous couple.

Another source in the FBI files claimed that Mountbatten’s private life made him “an unfit man to direct any sort of military operations.”

In Lownie’s book, The Mountbattens: their Lives & Loves, Ron Perks, who was Mountbatten’s driver in Malta in 1948, also breaks his silence.

He tells how Mountbatten had one favoured destination, the Red House near Rabat, which “was an upmarket gay brothel used by senior naval officers”, which he had not realised at the time.

Homesexual acts were banned in the UK until 1967, and many memos about Mountbatten’s sexuality have been edited or destroyed since.


Disturbing allegations also claim he had an interest in underage boys.

Elizabeth de la Poer Beresford, Baroness Decies, when interviewed about another matter, had mentioned being an intimate of Queen Elizabeth, Queen Mary and their ladies-in-waiting. The first FBI files date back to February 1944, soon after Mountbatten had become supreme allied commander of southeast Asia.

It reads: “She states that in these circles Lord Louis Mountbatten and his wife are considered persons of extremely low morals.

“She stated that Lord Louis Mountbatten was known to be a homosexual with a perversion for young boys.

“In Lady Decies’ opinion he is an unfit man to direct any sort of military operations because of this condition. She stated further that his wife Lady Mountbatten was considered equally erratic.”

Mr Lownie believes US spies began compiling intelligence on Mountbatten’s private life after he was made supreme allied commander of Southeast Asia during the Second World War.

It’s not known if the material was passed to the British government.

Mountabatten was assassinated in an IRA bomb attack in 1979, that also killed Nicholas, John’s mother Lady Brabourne and a 15-year-old crew member, Paul Maxwell.

The book, The Mountbattens, will be published on August 22.

 Prince Charles and Prince Philip with Lord Mountbatten, centre, who died in August 1979
Prince Charles and Prince Philip with Lord Mountbatten, centre, who died in August 1979Credit: News Group Newspapers Ltd

Charles visits scene of great uncle’s murder