The Cass Report just landed in the UK. It’s a 388-page study of youth gender medicine in England and Wales authored by an eminent pediatrician, Hilary Cass. It recommends reform but not revolution, trashing puberty blockers but staying silent on the side effects of steroids.
In this post I’ll tell you what Cass says (and doesn’t say) about gays, medical harms of synthetic hormones, and gender identity.
Note: I haven’t read the whole thing. I hadn’t planned to write about it all, but then I realized it would be sadly easy to cover how it addressed topics I care most about. So here goes. Normally I edit my pieces to tone down sarcasm but I won’t do that tonight since it’s breaking news. I’m soooooo sorry.
Gays
Hannah Barnes’ 2023 book about this exact subject — youth gender medicine in England — identifies homophobia as a menace that’s driving gay kids to seek gender medicine. It repeatedly quotes clinicians expressing their shock about the anti-gay bullying kids suffer. Callous straight clinicians and supervisors appear, in her reporting, to be part of the problem. (I’ll be writing about Time to Think in an upcoming post.)
There’s another reason it’s important to understand the gay-trans connection: because homosexuality has a biological basis, and since so many trans people are actually gay, the forces of trans are able to produce studies that show a correlation between, e.g., prenatal androgen exposure and saying you’re trans. But the truth is there’s no biological basis for gender identity.
You can’t understand trans without understanding gay, but Cass only deals with homosexuality superficially.
Page 67: Mentions that historically, most kids with “gender-identity disorder” (a nonsense diagnosis) grew up to be gay.
Page 96: Mentions the number of trans-identified suicide victims who were LGB. No commentary.
Page 100: Sexuality basics. “Females are most commonly attracted to male partners,” etc.
Page 101: Correlations between DSDs and sexual orientation.
Page 118-19: Section on “changes in concepts of gender and sexuality.”
“It is important to consider the relationship between sexual identity and gender identity given that sexuality contributes to a person’s sense of identity[.]”
Acknowledges that a lot of trans-identified kids are gay (also mentioned on page 68).
Mentions GIDS clinicians don’t have a lot of data on sexuality. Why not? “[M]ixed responses were given by GIDS clinicians about the extent to which they explore sexuality with patients[.]” Doesn’t point out that “gender” clinicians who don’t discuss sexuality with their adolescent patients are a disgrace.
“gender” clinicians who don’t discuss sexuality with their adolescent patients are a disgrace
“Clinicians and parents reported that gay students are still being stigmatised and bullied in school and there is sometimes a perception that there is less validation for them than for trans pupils. However, the Review also heard multiple testimonies attesting that having a diverse gender identity is a difficult path with young people subjected to bullying and abuse.”
The experience of gay kids must never receive its own paragraph free of gender identity. Thank you, Hilary Cass, for your conscientiousness in observing this law. I guess she’s implying the old cliche, “no one would choose to be trans over gay,” but her point isn’t clear. No analysis. The second sentence is her excuse for not thinking about the first sentence.
“In some strictly religious cultures, being transgender is seen as preferable to being same-sex attracted as it is then perceived as a physical rather than a psychological issue.”
I wonder where they got that idea from. The New Testament? The Quran? No, the answer is 1970s gender doctors.
“In reality, for any individual young person, there will be different socio-cultural influences that impact on their understanding of both their gender and sexual identity, and this is an area that warrants better exploration and understanding.”
Or you could just rely on deductive reasoning skills to determine that gender identity doesn’t exist, and then quickly get to helping gay kids. But no, further study instead.
Page 122: mentions “gender non-contentedness” is “more often associated with same-sex attraction[.]”
Page 188: Mentions Littman study where 23% of detransitioners cited internalized homophobia as a reason they transed. Doesn’t mention that Littman hadn’t even asked about it — the number would likely be higher if she had.
Vaginas
I searched the document for vaginas because I was trying to see whether Cass addressed the physical harms of cross-sex hormones, which include painful vaginal atrophy.
Here’s the report’s only mention of vaginas:
¨If puberty suppression is started too early in birth-registered males it can make subsequent vaginoplasty (creation of a vagina and vulva) more difficult due to inadequate penile growth.¨
There’s no mention of clitorises, which can become painfully and permanently enlarged by taking T (steroids) and chafe against clothing.
Six mentions of penises.
The section on hormones begins on page 182. It’s mostly about mental health. Here’s Cass’s excuse for skipping over the medical problems:
“Understanding side effects and longer-term complications are important for the health of the transgender community, but in terms of patient choice are unlikely to have a major impact on treatment decisions.”
Translation: these young people are too brainwashed to care about their health so we’re not even going to state the facts about their health in this report.
In 2023 I compiled a very incomplete list of stories on risks/side effects of synthetic hormones here (bottom).
Notes on Santa Claus
Cass uses the term gender identity 395 times. Here’s the closest she comes to defining it:
“In 1966, Kohlberg set out a theory of gender identity development. Kohlberg’s theory describes the typical progression of children acquiring gender identity (realising they are boys or girls) at 2-3 years old, acquiring gender stability (realising that gender does not change) at 3-4 years, and acquiring gender constancy (realising that superficial indicators such as clothes do not change gender) at 5-6 years.
“Modern childhood experiences are different from when Kohlberg was writing, and contemporary research is needed to better understand and examine these fundamental principles, as well as the influence of early childhood experiences on gender identity development.”
I do like the acknowledgment that kids today have different experiences. Perhaps Kohlberg would name the new developmental stage “gender mindfuck.” Kids reach it whenever the schools introduce them to the Genderbread Person.
This post was lightly edited on Sept. 29, 2024.
What a disappointment to learn that Cass & her team have also been so pickled by these poisonous lies that they can’t write about what’s actually happening without resorting to cult language & concepts.
I was encouraged by the interest in the report by the US & UK news media, but obviously the original source bears further reading & reflection. Thanks again UB—your perspective is so smart & valuable.
The more articles I read by you, which do a great job of really analyzing this whole agenda, the more I realize the whole thing is a fraud.
There is just no such thing as "gender identity." There is no such thing as "trans." None of this exists. No other conclusion can be reached.