Dr. Ken Zucker, on NPR, regarding transgender in children:
Q:Theoretically, if you got a kid at an early stage — 2 or 3 — even if the child were on the far side of the spectrum and really had a lot of behaviors that seemed to point in the direction of a transgender identity, do you feel like you could take that child and make that child feel comfortable being the sex he or she was born with?
A:Clinically, I would say yes. I've seen many kids over the years present with all the indicators of GID, and in terms of my quantitative measures they're very extreme. But the follow-up studies I've done, and others too, show [that] a substantial majority of kids seen for GID in childhood show desistance — that is, when they're older they don't want to be the other sex. We just published a study of 25 girls we first saw in childhood and found that only 12 percent seem to have persistent gender dysphoria when they're older. We find similar rates of persistence in boys.
Q:What do you think of the alternative approach — the approach that allows kids to transition to the opposite sex at an early age?
A:In the last few years, what one is starting to hear about at conferences is this group of therapists and parents who will conceptualize young children as having transgender or gender variant identity. There are some parents and therapists suggesting that the best way to help these kids is to encourage an early gender role change. So, I've seen reports of parents enrolling their 5-year-old biological male child in kindergarten as a girl, for example. That's a very different therapeutic approach than the one I take.
The therapists supporting a child's transition early, I have characterized them in a half serious way as liberal essentialists. On the surface, the approach comes across as very humanistic, liberal, accepting, tolerant of diversity. But I think the hidden assumption is that they believe the child's cross-gender identity is entirely caused by biological factors. That's why I call them essentialists. Liberals have always been critical of biological reductionism, but here they embrace it. I think that conceptual approach is astonishingly naive and simplistic, and I think it's wrong.
I would predict if we followed kids, longitudinally, who are being told "do what you want" — or encouraging early gender role change — they would be much more likely in adolescence or adulthood to go through hormonal and surgical sex change than kids being seen in a psychotherapeutic way, and even probably than kids where people don't do anything active.
Q:What you're saying is that this approach essentially tracks them into a transgender identity?
A:That would be my prediction, yes.