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New York Times publishes bizarre case for youth gender transition

This 4,500 slog is in need of an edit. Credit: NYT

December 3, 2023 - 8:00am

A recent New York Times op-ed entitled “There is no way to live a life without regret” meditates on youth gender transition, regret and how we know who we are (I’ll save you a few thousand words: we don’t). 

As far as op-eds go, it’s poorly argued and far too long. But as an example of its genre —a genre we could call ‘Desperately Throwing Spaghetti at the Wall’ — it’s unbeatable. 

“[L]iberals and progressives who fret about the rapidly changing gender landscape,” according to author Lydia Polgreen, are too worked up about the possibility that children and adolescents may later regret the decision to transition. Rather than address their actual concerns, however, Polgreen gives readers a rambling tour of misdirections: gender is like race, somehow, and also like an arranged marriage. Further, life is full of “transitions” that are like “little deaths,” all leading up to the biggest “transition” of all: the big sleep. 

Some teenagers get nose jobs and boob jobs, so why should gender transition surgery be viewed as any different? “Cosmetic procedures can produce regret, sometimes famously so,” the author writes. Never mind that few of youth gender transitions’ critics champion cosmetic surgery for teens. The point is, “gender-affirming” care has not been billed to regulators, consumers, and the public as cosmetic, but held up as life-saving procedures, covered under many public and private health insurance plans, and carried out in the name of medicine as a treatment for distress. The stakes matter. 

But what is a life without regret? This is a talking point that started circulating relatively recently, in response to mounting evidence of regret and detransition, and concerns that social influence may be driving the explosion in gender-distressed youth — the way just about everybody acknowledges that social influence drives the recent surge in TikTok tics or multiple personalities. So what if it’s a social contagion? “What is gender if not contagious?” Polgreen asks. 

Because few young people who embarked on transition as children have spoken up, the author first dismisses their experiences as rare and overhyped (“a handful of such people have appeared over and over again in news stories across the world”) before writing them off altogether a few paragraphs later (“when the media fixates on the hypothetical regret of children who do transition…”). 

Besides, maybe deciding to transition as a child is like quitting the swim team: “so what are we saying, really, when we worry that a child will regret this particular decision, the decision to transition? And how is it different, really, from the decision I made to quit competitive swimming?” 

Of course, a child who quits competitive swimming merely forecloses a competitive swimming career. One needn’t give up the ocean or the pool whereas children who undergo puberty suppression, cross-sex hormones, and surgeries foreclose more than one possible future. Fertility, sexual pleasure, the possibility of growing up and becoming comfortable in one’s own intact body, to name a few.

We have no idea what childish decisions like these will mean 50 years down the road. And again: Polgreen has pulled the conversation off-course to avoid the inconvenient topic of medical responsibility. The decision to quit swimming is not a medical decision, cosigned by medical authorities. Youth gender transition is. 

The author goes on to make a number of bizarre analogies in this 4,500-word slog. But she never touches the real arguments that she pretends to counter: that children are not just small adults, that the medical system needs to be accountable for the power it exercises, and that children who struggle with gender distress need real support, not empty meditations on identity, autonomy, and the ubiquity of regret.

Polgreen misdirects and obfuscates in a half-dozen creative ways, then reifies her misdirections. She misses the point — on purpose — and then wonders why so many people care so much about this issue.


Eliza Mondegreen is a graduate student in psychiatry and the author of Writing Behavior on Substack.

elizamondegreen

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Jeremy Bray
Jeremy Bray
4 months ago

There are a myriad of decisions that adults take and the law mandates to prevent children (including up to the age of 21 in the US and in the UK in the past) taking decisions that will likely have far less future drastic effects than “transition” such as drinking alcohol, having sex with adults, marrying, smoking, driving, leaving education and taking full time employment, etc. The point is to protect children against unwise and potentially risky decisions. Adults are there to protect children against regret.

Ethniciodo Rodenydo
Ethniciodo Rodenydo
4 months ago
Reply to  Jeremy Bray

I would put it that adults are there to protect children against evil

Talia Perkins
Talia Perkins
4 months ago

Then how shall we protect LGBTQ children from the likes of you? You are the a threat to them.

Huw Parker
Huw Parker
4 months ago
Reply to  Jeremy Bray

‘Mum, can I have a cigarette?’ ‘No, of course not!’
‘Mum, can I have a glass of wine?’ ‘No, of course not!’
‘Mum, can I drive the car?’ ‘No, of course not!’
‘Mum, can I leave school?’ ‘No, of course not!’
‘Mum, can I get a tattoo?’ ‘No, of course not!’
‘Mum, can I enter the lottery?’ ‘No, of course not!’
‘Mum, can I be a blood donor?’ ‘No, of course not!’
‘Mum, can I begin social, medical and surgical gender transition?’ ‘Of course dear, you know what’s best for you.’

Talia Perkins
Talia Perkins
4 months ago
Reply to  Huw Parker

“‘Mum, can I begin social, medical and surgical gender transition?’ ‘Of course dear, you know what’s best for you.’” <– No, but when they meet the WPATH standards for age categorized care for gender dysphoria, they benefit immensely from that, 99 times out of 100.

Sheryl Rhodes
Sheryl Rhodes
4 months ago
Reply to  Huw Parker

Mum, can I have a fifty-two year old boyfriend? I know that I REALLY love him and it’s my body, my choice.

Talia Perkins
Talia Perkins
4 months ago
Reply to  Jeremy Bray

“. The point is to protect children against unwise and potentially risky decisions.” <– That can not be the point, because there is no evidence there is any untoward regret rate. It is below 1%. You will be unable to justify any claim of a greater percentage being more reliable.
The actual point is Social Conservatives like any other sort of progressive, being seen to succeed in enacting their agenda and having power, by in this case abusing those children they think are only fit for abuse. That is what restricting gender affirming care is, child abuse.

Susan Scheid
Susan Scheid
4 months ago

Thank you so much for taking this article to task in your usual, thorough way. Even though we are all aware by now what an execrable job the New York Times has been doing in reporting and opining on gender identity issues, this Op Ed reached a landmark new low.

Dominic A
Dominic A
4 months ago
Reply to  Susan Scheid

Hopefully the beauty of free-speech is manifesting: give people enough rope and they will hang themselves. In other words, the gen pop needs to realise that the SJWs are nuts – at the moment I think many people think modern Stonewall is just continuing the good work of the 80s, 90s, whereas the movement has morphed from a cause to a business to a racket.

Lillian Fry
Lillian Fry
4 months ago
Reply to  Susan Scheid

The NYT has been lying for nearly 100 years, starting in the early 1930 s by covering up Stalin’s crimes. Later lies are covered by Ashley Rindsberg in The Gray Lady Winked. Timely is an episode in which their writers claimed Israeli soldiers beat up a Palestinian boy only to have the father of the Jewish boy being beaten up by Palestinians call up to correct them. There’s lots more.

Talia Perkins
Talia Perkins
4 months ago
Reply to  Susan Scheid

“Thank you so much for taking this article to task in your usual, thorough way.” <– You mean vapid, atmospheric argumenst based on nothing but bigotry and deliberate ignorance? Because that is all she has displayed here.

El Uro
El Uro
4 months ago

Lydia Polgreen is a vile creature

Allison Barrows
Allison Barrows
4 months ago
Reply to  El Uro

And no doubt paid to be.

Talia Perkins
Talia Perkins
4 months ago
Reply to  El Uro

No more than any Social Conservative.

Wim de Vriend
Wim de Vriend
4 months ago
Reply to  El Uro

As is Talia Perkins.

Arkadian Arkadian
Arkadian Arkadian
4 months ago

The word “transition” is SO misleading.

Alphonse Pfarti
Alphonse Pfarti
4 months ago

Quite. It’s essentially part of the same spectrum on which cosmetic surgery (also a bad idea) exists.

Jonathan Andrews
Jonathan Andrews
4 months ago

False breasts are a daft idea but they do not cause harm to the same extent

Alphonse Pfarti
Alphonse Pfarti
4 months ago

Which is why I described it as a spectrum.

Talia Perkins
Talia Perkins
4 months ago

They are regretted far more often when done for cosmetic reasons, and when done for gender dysphoria almost never. That’s why you are daft — you don’t care what is real.

Huw Parker
Huw Parker
4 months ago

Where does cosmetic surgery end and reconstructive surgery begin?

Alphonse Pfarti
Alphonse Pfarti
4 months ago
Reply to  Huw Parker

Fair question. I would say that it’s the other way round and cosmetic surgery (elective, non essential in terms of functionality and for the purposes of changing the body’s appearance to match the individual’s preferences) begins where reconstructive (often advisory rather than purely elective and which either restores or confers functionality, which may include creating a conventional appearance in parts of the body) ends.

Talia Perkins
Talia Perkins
4 months ago

No, it is not. Literally someone is transitioning from signalling one gender to signalling another — their real one more then 99 times out of 100.

Lesley van Reenen
Lesley van Reenen
4 months ago

An odious woman published by an odious media outlet. Well done Eliza.

Father of gender dysphoric teen
Father of gender dysphoric teen
4 months ago

I’m just glad the NYT have finally allowed comments on an article about trans teens. Finally.

Dominic A
Dominic A
4 months ago

The penny is dropping, I’d wager. Did you notice the direction of the commments – over-whelmingly critical of the article. This may be the best way for the zealots to shut up, and reality-check their saviour/warrior-for-freedom complex; and insulate the adults at the paper from gaslighting claims of transphobia.

Huw Parker
Huw Parker
4 months ago
Reply to  Dominic A

I admire your optimism. However, in my my experience, it only makes them double down and dismiss as bigots all those who dare disagree with them. That’s pretty much the way all cult ideologies maintain traction.

Dominic A
Dominic A
4 months ago
Reply to  Huw Parker

True – though maybe that is to realise the process is longer, more vexatious and less complete than we’d hope!

Mike Michaels
Mike Michaels
4 months ago

Dropping out of the swimming team may have been more to do with having to get changed whilst a man looks on then destroys their dreams in the pool.

Atticus Catticus
Atticus Catticus
4 months ago

We need to stop framing detranitioners realisation that they have not been given the correct treatment for their distress as ‘regret’. These young people were ‘diagnosed’ by members of the medical profession who offered them an completely inappropriate, harmful and irreversible ‘treatments’ for their distress. ‘Regret’ places all of the responsibility on the patient and none on the doctors and surgeons who harmed them.

Talia Perkins
Talia Perkins
4 months ago

“We need to stop framing detranitioners realisation that they have not been given the correct treatment for their distress as ‘regret’.” <– Except of course all double handfuls or so of the “loud” ones Social Conservatives prop up as their Lord Haw Haws do claim to regret their transition, and like Keira Bell, are misdiagnosed on the basis of their lies. Only they can be responsible for their lies.
You did know the court decision only initially in favor of Bell was reversed on appeal as her deceits became known to the higher court, didn’t you?

Paul T
Paul T
4 months ago

It’s just so weird. The whole point about this stuff is that it is meant to deliver a life without the regret of never living one’s “truth”. To then claim “regret is a part of life, whatever” is a recognition of sorts that transing-away-the-gay/pain is never going to work.

Talia Perkins
Talia Perkins
4 months ago
Reply to  Paul T

The person writing the original article is an idiot, so is the Social Conservative parrot attempting a rely. The regret rate at gender affirming care in terms of surgery is below 1%.
No one has the right to impose on someone regret at being forced to undergo the puberty of their sex, when they meet the criteria for gender affirming care per WPATH standards of care.

Paul T
Paul T
4 months ago
Reply to  Talia Perkins

Your projections reflect back on nobody but you.

William Brand
William Brand
4 months ago

Female to male transition is a fad. Girls are highly suspectible to fads and fashion. When fads change young tomboy ànd lesbians are left without genitals

R Wright
R Wright
4 months ago
Reply to  William Brand

The whole emo thing was far less self-destructive

L Brady
L Brady
4 months ago
Reply to  R Wright

Hippies, Trogs, Goths, Emus etc, etc. subculture phases that many young people have gone through in the past. Unlike “transitions” the only negative is looking back on the daft photos of the fashion as they get on with their normal life. Probably laugh at how they looked as they settle into their job at the corporation they vowed to despise for life.

Talia Perkins
Talia Perkins
4 months ago
Reply to  R Wright

And has nothing to do with it.

Andrew Thompson
Andrew Thompson
4 months ago
Reply to  William Brand

They probably hate themselves that much they think it more exciting to transition than live life as a boring old ten a penny lesbian

Talia Perkins
Talia Perkins
4 months ago

You certainly make up whatever you prefer to believe.

Talia Perkins
Talia Perkins
4 months ago
Reply to  William Brand

“Female to male transition is a fad. Girls are highly suspectible to fads and fashion.” <– There is no more any evidence of that than there is that the fact 1 in 20 to 30 now say they are gay or bi is a “fad”.

Darlene Craig
Darlene Craig
4 months ago

I like the new genre – “throwing spaghetti at the wall”. Very apt. Let’s encourage young people to mutilate themselves – after all regret is a part of life. Insane! And this person – from what google tells me a “queer” lesbian – doesn’t even hear herself!

Guy Austin
Guy Austin
4 months ago
Reply to  Darlene Craig

Queer lesbian? Is that straight?

Talia Perkins
Talia Perkins
4 months ago
Reply to  Guy Austin

No, it means definitely not the “lipstick” sort. More the lumberjack look with five unnatural hair colors.

Talia Perkins
Talia Perkins
4 months ago
Reply to  Darlene Craig

It is not apt at all. It has nothing to do with it. Neither does Mondegreen’s reply to the NYT.

Vir Raga
Vir Raga
4 months ago

Trans Rights Activists have been saying “so what?” to questions about regret for a while now. They have even implied that young people can simply have further surgery to fix things. “A girl regrets her double mastectomy? So what? She can get breast implants”. The fact that she can never breastfeed is swept aside. And genital surgery is absolutely irreversible. They want us to think people are made of Lego; we can just click new parts on at will. But we can’t.

Andrew Horsman
Andrew Horsman
4 months ago

This is what a collapsing narrative looks like.

It’s ugly; but, like all things, this too shall pass.

john d rockemella
john d rockemella
4 months ago

These procedures are crimes against the most vulnerable of our society, intellectual wannabe comments are just ridiculous! They are cutting and sterilising our children. These people are anti-human. I hate anyone who thinks differently, as you are the problem.

Matt Sylvestre
Matt Sylvestre
4 months ago

Hating anyone who thinks differently sounds a bit Woke – Are you sure you are at the right publication as i think you might prefer Slate.com or some such…

Alphonse Pfarti
Alphonse Pfarti
4 months ago
Reply to  Matt Sylvestre

My reading of it is that the ‘intellectual wannabes’ refers to the NYT columnists and the last sentence is paraphrasing the attitude that such people adopt. I didn’t read this as the poster’s actual viewpoint. It is a bit unclear though.

laurence scaduto
laurence scaduto
4 months ago

Agreed. But…
I don’t really care about your anger issues. As a first step “toward healing” (as they say) maybe you should just keep it to yourself.

S Wilkinson
S Wilkinson
4 months ago

The NYT article is risible.
The comments however are very interesting. The cracks in gender ideology are definitely widening and more people are openly challenging it with pretty solid facts about the harms.
Fortunately the activists and zealots are starting to do our work for us, in this case dismantling the ‘life saving’ claims of the trans lobbyists by reducing their mystical ‘transition’ to the status of having a nose job.

UnHerd Reader
UnHerd Reader
4 months ago
Reply to  S Wilkinson

What makes it interesting is that most of them were written by liberals.

William Hickey
William Hickey
4 months ago

Thanks for writing this review of new arrival to the West Lydia Polgreen’s confusion-inducing meditation on swimming, adolescent angst and mutilating the genitals of minors.

I quit the Times’ article just past the midway point and did the crossword to clear my head. It’s nice to know that I made the right
decision.

Daniel Lee
Daniel Lee
4 months ago

There’s just nothing to be done about these major media outlets. They’ve completely given in to the most ridiculous of emotional melodramas and are unlikely to make a recovery. While the New York Times was issuing the above piece of agitprop, the Washington Post had a 7,000 word op-ed (they’re usually about 900 words) claiming in its headline that Donald Trump is literally quite likely to impose a dictatorship on America. At the same time, The Atlantic has devoted its entire latest issue to hysterical fantasies of a Trumpian collapse of America. These people are lost; forget them.

Last edited 4 months ago by Daniel Lee
Ira Perman
Ira Perman
4 months ago

Thanks for this article. The comments to the New York Times’ article are encouraging.

Last edited 4 months ago by Ira Perman
UnHerd Reader
UnHerd Reader
4 months ago

Masha Gessen made the same case in the New Yorker. A regret-free life is impossible so why worry? The real meaning of regret in this story is the way it is intensely avoided by parents who can’t face the possibility they’ve been handmaidens to serious mistakes.

Marko Bee
Marko Bee
4 months ago

I’m old enough to remember when genital mutilation was frowned upon in civilized countries.

William Brand
William Brand
4 months ago

Can the kid sing? Opera has many classical rolls for castrated males and no one to fill them. Italians castrated boys of music talent. Pre puberty castration results is the male soprano was a staplr of italian opera. Without eunuchs these operas by famous composers are un performed. A well paid job openi5.

Dumetrius
Dumetrius
4 months ago

The Hypatia Transracialism Controversy provides an entertaining sightseeing tour on alleged differences and similarities between gender and race.
‘When Luvvies Fall Out’ might be a good four line summary.

Scott Norman Rosenthal
Scott Norman Rosenthal
4 months ago

The collateral damage to the body is profound and deadly.

Cal R
Cal R
4 months ago

Thank you much for this pithy and sane rebuttal to that meandering drivel from Polgreen. I was so frustrated after reading that the other day and hoping it would be a topic of conversation among the thinking minority that I come here to hear from. I woke up this morning pondering how someone could trivialize medical malfeasance to being akin to dropping out of youth sports. Ridiculous.

Gerald Arcuri
Gerald Arcuri
4 months ago

Let us be incandescently clear: the New York Times lost the plot more than three decades ago. Since then, it has become merely a mouthpiece of the Left, by the Left, and for the Left. Facts matter not in the least to this moribund publication. They might as well rename it Pravda. Sort of a caricature of the news with no real truth to it.

Talia Perkins
Talia Perkins
4 months ago

The only writer here misrepresenting anything is you, Mondegreen.
“Some teenagers get nose jobs and b**b jobs, so why should gender transition surgery be viewed as any different?” <– Nothing the article ever says or implies.

“Cosmetic procedures can produce regret, sometimes famously so,” the author writes.

And that is correct. The point is that gender affirming procedures are regretted almost never, the rate is below 1% being regretted.
“but held up as life-saving procedures”
Because it is. It is how the infamously high rate at which transgender people experience suicidality is reduced by them by a factor of approximately 4.
“We have no idea what childish decisions like these will mean 50 years down the road.”
Yes we do, because gender affirming care was originated in the United States in the 1970’s, and has been in use somewhere ever since.
That 1% regret rate includes youthful transitions in it’s dataset.
Those links and others can be found here.
https://taliaperkinssspace.quora.com/People-are-born-transgender-they-are-not-mentally-ill-it-is-no-paraphilia-it-is-a-physical-variance-from-the-usual-at
“that children are not just small adults” <– Who do you pretend says they are? To what effect do you pretend they do?
“that the medical system needs to be accountable for the power it exercises” <– It already is.
“and that children who struggle with gender distress need real support” <– That real support is what gender affirming care per the WPATH standards of care is. What you apparently want instead if conversion therapy which will torture them.
“not empty meditations on identity” <– No such things are involved in gender affirmation care.
“autonomy” <– They have it, you r=want to take, and you have no excuse to pretend they misuse it with any frequency more than about 1 time in 100.
“and the ubiquity of regret” <– Which has nothing to do with anything, as it happens. But I understand your deceitful reasons for dwelling on it.
You will be unable to respond with any facts which prove any point to which you allude.
Goebbels would be proud of you.

Paul T
Paul T
4 months ago
Reply to  Talia Perkins

And you finish your hate-speech with some Godwin lunacy. Definitely male aggression going on there eh mate?