J.K. Rowling, author of the beloved "Harry Potter" series, published a lengthy blog post on her website this week, attempting to explain her controversial tweets about transgender women.
The author has been widely criticized for a history of making transphobic comments, including most recently writing on Twitter that trans activism was harming women, and reiterating her rejection of the existence of non-binary and intersex people.
Rowling said in her post that one of the reasons she's taken such positions is that she's "concerned about the huge explosion in young women wishing to transition," as well as the growing number who she says seem to be detransitioning, or returning to the sex they were assigned at birth.
They do so, Rowling wrote, "because they regret taking steps that have, in some cases, altered their bodies irrevocably, and taken away their fertility."
She added: "Some say they decided to transition after realizing they were same-sex attracted, and that transitioning was partly driven by homophobia, either in society or in their families."
Rowling also said that 10 years ago most people who wanted to transition were assigned male at birth, but now the UK "has experienced a 4,400% increase in girls being referred for transitioning treatment," adding that autistic girls are "hugely overrepresented."
Rowling's claims are not only unsupported by data, but perpetuate dangerous myths about trans people that can inhibit their access to life-saving care.
Demographers don't know exactly how many transgender people there are or how that number has changed, since there are a range of terms to describe transgender identities and population-based surveys have historically not asked about trans identities.
Rowling's 4,400% increase reference seems to come from a report finding that 40 people assigned female at birth in the UK sought gender treatment between 2009 and 2010, while 1,806 did between 2017 and 2018.
Polly Carmichael, a psychologist who heads The Tavistock and Portman mental health clinic's gender identity service (which was the only trans affirming service in the UK in 2016), told NBC that while she is seeing large increase in the number of patients in need of gender-affirming care, this is likely due to an increase in visibility for trans services and gender varience rather than a "trend."
"Young people experiencing gender dysphoria is a real phenomenon," Carmichael said. "It can be incredibly isolating. If you don't feel you belong in a particular category that you've been assigned to. Many adolescents do become very distressed and self-harm."
Rowling's assertion that being a trans boy or man is suddenly more common than being a trans girl or woman is also questionable. In fact, one 2019 survey from the UK government found 3.5% of the population were trans women (women who were assigned male at birth) while 2.9% were trans men (men who'd been assigned female at birth).
While more people who were assigned female at birth have transitioned in recent years, that's likely because gender-affirming treatments such as hormone replacement therapy (HRT) and surgeries weren't that accessible to transgender people until recently.
Insurance companies refused to cover gender-affirming care for decades and many primary-care physicians were unwilling to provide HRT, a medication also prescribed for menopause, to transgender and nonbinary patients because medical guidelines had not changed to include them.
It wasn't until 2017 that "gender identity disorder" was decategorized as a mental disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. In fact the World Health Organization removed "transsexualism" from the International Classification of Diseases only in 2018 a move that, the WHO said, would allow for better "access to necessary health interventions."
Many trans people simply have more access.
While detransitioning does happen, it's very rare, with one analysis showing that less than a percent of 3,398 trans people said they'd experienced transitioned-related regret, or had detransitioned.
And contrary to Rowling's assertion that detransitioning means the person regretted transitioning, "the most common reason for detransition is the person couldn't cope with the family and community support they lost and the experiences of transphobia," according to the UK organization Stonewall.
Others may be unable to find a job or housing, or no longer identify the gender they transitioned to feel more valid in.
Research actually shows any feelings of regret are typically related to unsatisfactory surgical results.
These fears about detransitioning can be dangerous because they invalidate the gender identities of young trans people and make it more difficult to obtain access to care.
Across the United States, state representatives are attempting to pass legislation that would go against medical guidelines and ban doctors from providing gender-affirming treatments to transgender youth. Their arguments are based on the same logic of Rowling's assertion that transgender youth are simply going through a phase they will grow out of.
Studies have debunked this idea and shown children as young as four develop their gender in the same ways as their cisgender peers.
In a study released in 2019, researchers found no significant differences between the trans and cis kids' gender development, or how they grew to understand and formulate their gender.The findings also revealed that transgender children gravitate toward the same gendered toys, clothing items, and friends as cisgender participants, regardless of how long they had been socially transitioned.
"Gender-affirming health care saves lives," Shawn Meerkamper and Dale Melchert, senior staff attorney and staff attorney for the Transgender Law Center, told Insider for a previous story.
In her essay, Rowling made the point that the gender dysphoria when a person feels as if their body doesn't match their gender identity that many young trans people are feeling is a "social contagion."
She cited a 2018 study from Brown University that argued the "rapid-onset gender dysphoria" (ROGD), typically for those assigned female at birth, came out of social pressures from peers rather than genuine feelings of being transgender.
This study has since been cited by media outlets and gender-critical feminists as an argument against transgender youth receiving gender-affirming care. Like Rowling, people have used this research to make the argument that being trans is a trend.
However, another recent study from Brown University debunked the claim that ROGD exists.
Arjee Restar, a transgender researcher at Brown, wrote a critique of the study that found themethodology including surveying parents of trans teens who had read anti-trans websites is flawed and pathologizes trans people.
PLOS One, the journal the 2018 study appeared in, published a revised version that said the data was based on observations of parents rather than data from the trans teens themselves. If a parent does not see their child's gender identity as valid, they are likely more susceptible to cite ROGD as the reason their child has started to openly identify as trans.
Restar told BuzzFeed News that the corrected version of the study was still flawed and "below scientific standards."
"It's important to use methods and terminologies that don't further stigmatize an already disenfranchised community," Restar said.
Read More:
Trans 'Harry Potter' fans say they are devastated by JK Rowling's transphobia but some say it's a distraction from the violence against trans Black people
'Transgender women are women': Daniel Radcliffe rebukes J.K. Rowling's comments and apologizes to 'Harry Potter' readers if their experience of the books is now tarnished
People are sharing hormones on Google Docs and turning to 'grey market' pharmacies to get gender-affirming care during the pandemic
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