Gender, Identity Politics

Plea to Wes Streeting to halt the Puberty Blocker Trial

The Secretary of State will currently be receiving many representations to stop what is being tagged #StreetingTrial. He has publicly registered his discomfort with medically interfering with natural puberty and also appealed for cross-party consensus “to take the heat and the ideology” out of the debate.  However, aside from the ubiquitous heat and ideology in the context of current debate on “gender”, there is no real possibility of clinical and professional consensus on allowing a clinical trial of puberty blockers to go ahead on children reaching and going through puberty. Many clinicians would say that a serious medical intervention which impacts the body and brain of a developing child is unjustifiable where it is seeking to address what are fundamentally psychological matters of feelings: wishes, desires and dislikes. But many clinicians who would say that have been silenced over the last decade by anxieties for their jobs and reputations. They may have hoped for the universities  and research journals to have promoted enquiry and discussion and their professional bodies to have supported ethical and cautious individualised psychological practice. Until now that enquiry and caution has not been forthcoming and they have seen that the heat and ideology of transgenderism has resoundingly captured the floor. 

The Cass report, the closure of Tavistock GIDS and the banning of puberty blockers seemingly opened a door for more widespread and welcome reflection and review.  A hoped-for follow up of the many young people who were given puberty blockers in the UK, however, has never been undertaken and the prospect of using this medication on more children in the context of a “clinical trial” now looms. This is a turning point for many silent and silenced clinicians and they are protesting. 

We publish here a letter to Wes Streeting that sets out the objections of clinical psychologists whose professional training and expertise means that they cannot, in conscience, agree that such a trial is justifiable.

The Rt Hon Wes Streeting

Secretary of State 

Department of Health and Social Care

14 December 2025

Dear Secretary of State,

Plea to halt the Pathways Puberty Blocker Trial

We, the undersigned 20 clinical psychologists, have personally noted and experienced the censorship of open debate in academia, educational and health service settings and in the media. Clinicians and other professionals have been silenced and feared for their jobs and reputations. It is only now that more of us feel able to speak out, and we are doing so to ask that the Pathways Puberty Blocker trial be halted.

There are many possible psychological, familial, cultural and social reasons why some children show signs of feeling unhappy with the sex they were conceived with and born as. This distress is not the same as suffering an inborn constitutional condition or a serious life-threatening illness such as cancer, hence the ethics and the cost-benefit weighing of the medical risks of clinical trials is completely different. It is neither ethical nor is it possible to conduct a legitimate randomised controlled trial on puberty blocking for psychologically based distress. The actual purpose of the Pathways Puberty Blockers trial is ill-defined, and its methodology cannot answer questions beyond “what happens if we do this to one group and do it a bit later to another?”. With such an unsound rationale it is clear that the medical and developmental risks are not justifiable.

It seems only political intervention at this stage can pause the trial so that the many serious questions can now be raised by clinicians. There is not a current professional or clinical consensus in this area of practice and many clinical experts have grave reservations. We are concerned, as you are, about the sociopolitical context that has influenced previous decision making and we strongly question the assumptions that underpin the rationale for this trial. Our concerns include ideological agendas and vested interests. Past research in this area has been heavily scrutinised and weaknesses, bias, suppressed and inadequate research exposed. The current trial risks repeating and replicating these issues again in its flawed research design. 

Key psychological and clinical considerations are central to our grave concerns. Young children do not understand the essential nature of their birth sex until they are older, or the nature and fluidity of the concept of their identity which is still forming. At the age at which it is being proposed they receive puberty blockers they cannot validly consent to risk their fertility, their ability to experience sexual pleasure and other aspects of adult sexuality. Parents cannot validly consent on their behalf as this is not the same as their sanctioning risky treatment for potentially life-threatening diseases.

Politicians on all sides of the House would support you to act with courage and responsibility.  Halting the Pathways Puberty Blocker trial will allow these seriously problematic issues to be fully and more widely considered before more children are subjected to medical interventions that we already know interfere with normal maturational processes and which are likely to result in serious lifelong changes to their bodily functions and their brains.

We welcome your openness where you acknowledged that you have concerns with, and deep discomfort about, medications that interfere with puberty. As clinicians we share that discomfort. Leaving behind the heated ideology which to date has interfered with debate, the reality is that previously suppressed profound lack of consensus remains within the clinical community and that the trial should therefore not proceed. We are happy to engage in further discussion or assistance.

Yours sincerely,

Ms Patricia Harvey           Consultant Clinical Psychologist (rtd) on behalf of

Dr Lucy Johnstone           Consultant Clinical Psychologist

Dr Gill l’Anson                   Consultant Clinical Psychologist

Dr Celia Sadie                  Consultant Clinical Psychologist

Dr Libby Barnardo          Clinical Psychologist

Dr C Thompson               Consultant Clinical Psychologist

Dr John Higgon               Consultant Clinical Psychologist (rtd)

Prof David Pilgrim        Chartered Clinical Psychologist

Dr Peter Harvey              Consultant Clinical Psychologist (rtd)

and 11 named Consultant Clinical Psychologists/Clinical Psychologists.

Gender, Identity Politics

Would we treat eating disorders with Ozempic?

Gender distress in children and young people may have been the subject of a raging social polemic, but it is undeniably psychological phenomenon arising within diverse developmental, family and social contexts.  The proposed Pathways clinical trial [see here]  is laden with methodological and ethical concerns. Its publication has been in the pipeline for some time. Yet again the British Psychological Society fails members and the general public – it has neither produced a timely response the this highly controversial project, nor is there any sign of the guidelines for psychological interventions with gender distressed children that was promised many months ago. The BPS has fundamentally abdicated on this important issue of psychological theory, research and practice. We republish here, with permission and in full, a highly pertinent blog post [see original here].

As well as concerns about risks vs benefits, and the ethics of irreversible interventions  with children, the UK’s puberty blocker trial raises fundamental questions about how we respond to distress.

So the UK’s puberty blocker (PB) trial has ethical approval, and thus the green light to proceed. The details of the trial are extensively covered elsewhere. Suffice to say that drugs which suppress the hormonal changes which come with puberty are currently banned from being prescribed to minors. This  follows concerns raised by the Cass Review. Clearly this is not a perfect ban, both inside the NHS and outside it (I won’t provide any link to recent publicity surrounding dodgy private providers). However, the Cass Review also pointed to the limited evidence for the effectiveness of such drugs and called for more research. So, the UK is now running a trial to consider the effects of these medications on the mental and physical wellbeing of under 16s with gender incongruence “when a person’s gender identity does not match the sex they were assigned at birth” (a quote from the trial summary). The evidence to date has been of poor quality and, charitably put, not hugely suggestive of benefits.

While this trial has been long-anticipated, reactions have been, perhaps predictably, mixed. Here though I want to focus on some of the risks. There have been a number of prescriptions of such drugs in the UK in the last fifteen years (estimates suggest at least 2000) and, as Cass pointed out, follow up of those people has been poor. Also significant health concerns about the wider effects have been raised (and have been known for some time). Indeed the original “Dutch Protocol” for young teens assumed to be transgender, relied on the effects of such drugs stunting male genital growth to facilitate later “passing” as female. And while that sounds really very creepy indeed, it’s fairly remarkable the degree to which this was overlooked as the protocol influenced the development of services in other countries. There was simply an assumption that we were sure, even at very early stages, that we know what gender ‘is’, that we would know who would have a settled transgender identification, and that the risks of treatment were worth the benefits. The first assumption has been thoroughly debunked by the Cass process, and worries about the second (harm vs benefit) are really at the heart of objections to the current research.

In relation to harms, as well as effects on sexual development, concerns have also been raised in relation to irreversible consequences for bone health and brain development. Given this I don’t think it’s hugely insightful to point out that proper follow-up of those given such drugs is a logical first step. Not to mention the possibility of further animal trials before opening up more experimentation on children. While proper follow-up has been an aspiration for a while (and there is a current review into adult gender services which might provide some of this information), finding the data for that basic first step has been more difficult than you might imagine. But still lot of this information is out there already. On the basis of what was effectively a huge unregulated trial conducted by the UK’s Gender Identity Development Service (GIDS). The concerns about brain development are clearly present for the investigators, and there will be a parallel study looking at brain changes over time. However, this study is also with live ammo (i.e. actual human children), something which surely should be ethically questionable given the, at best, inconclusive results from previous animal trials (linked above).

These worries about the general mental and physical health effects of PBs are also highly relevant when considering the quality of the study protocol itself. This piece, by Hannah Barnes (the author of Time to Think, award-winning account the UK’s national gender service), outlines many of the issues. Methodology will, I think, be a significant area of coverage over the next few weeks. Initial concerns include the degree to which the questions about any changes to mental wellbeing will be answered at all, given that the study compares the PB group to a group receiving other support and interventions. The risks (and apparent irreversibility) of the effects of such drugs also raises ethical questions which it is perhaps surprising that the ethics committee has not taken more seriously. As Dr David Bell (a clinician who investigated practices at GIDS) said the other day, not only is the trial unable to reliably answer its own questions, but also,

“UK law, derived from European law and the Declaration of Helsinki, says that research on children should not disrupt their normal stages of development without good reason,”

Part of the reasoning behind such prohibitions is that we do not consider children able to meaningfully consent to potentially permanent changes of the sort puberty blockers may produce. All of which is to say there is more to this than simply a poor study design. We’re asking children to consent to something permanently life altering. We may do this with medical trials where lives are at stake but, again a significant finding of Cass, was that suicide risk in the cases of children presenting in GIDS services was not discernibly different from those presenting in other mental health services. The myth which terrified so many parents (“would you rather have a live son or a dead daughter”) was just that.

All of these concerns are being raised and documented elsewhere, and there will doubtless be more critique emerging. But, however we gauge the risk vs benefits, there is still something that is somewhat odd with the PB trial. Are we looking to treat mood and wellbeing issues? But we seem to be doing so by accepting that someone simply is what they say they are. And by enacting that belief with them. This is dramatically different from the way we would proceed in most other areas. We don’t, for example, respond to bodily dysmorphia by instead decide to amputate limbs. Indeed reactions to such things have generally been very negative. Maybe we just haven’t become open minded enough yet, but I’d be surprised if we ever even consider broad acceptance of this to be a sign of progressive liberality. Imagine, for a moment, that the proposed trial was about mastectomies for thirteen-year-olds with gender discomfort. Would that seem shocking? I imagine it would. What though is, fundamentally, the difference between that and permanently impeding the effects of puberty? Other than that it is less visible.

Another parallel might be if we decided we’d trial treating eating disorders with Ozempic. If we actually decided the treatment was to encourage children to become as thin as the want? At a key moment in their physical development. Would that be OK? It seems that in the case of eating disorders we enter treatment with an idea that living in your body and minimising dangerous changes is our preferred stance. With gender issues however, sometimes that stance seems to be dismissed as cis-hetronomative or as conversion therapy.

Of course all such calculations of cost vs benefit fall away if one other factor holds: that we treat the idea of being trapped in the wrong body as real. That we decide that an experience or feeling is some kind of metaphysical identity. As Helen Joyce puts it, a “gendered soul”. After all, you perhaps need to believe in something pretty strongly if you are, for example, going to castrate a child on TV. Risks/side effects/long term outcomes, comorbidities and complexities will be of little concern as the belief is so fundamental. Given that, it is worth revisiting the quote at the beginning of this piece, about “when a person’s gender identity does not match the sex they were assigned at birth”. The reference is to “gender identity” rather than, for example, to bodily, or role, discomfort. An experience is being interpreted as an identity which is potentially fixed. But one which really has no scientific validity. And this is happening in reference not even to a real case, but when considering hypothetical children who might enter the study. As an encore we get sex “assigned” at birth, something which may have some relevance to very rare circumstances of unusual genital development, but for the rest of us create the false impression that sex is somehow a chancy guess. This kind of language is something we might expect from gender identity activists, but I at least was surprised to see it from the oversight committee of a high profile medical trial. Perhaps it’s less surprising though when you consider that the host institution has a long record of an affirmative position around what is routinely framed as LGBTQ+ rights. Which now, evidently, include the right of adults to deny children normal development.

Kathleen Stock recently compared PBs to trepanning, a process that presumably also felt less morally complex in a time when we believed we needed to release tormenting demons. Maybe, if you believed hard enough, you might allow a shaman with a dubious skull-slicing protocol near your head? I had rather hoped medical researchers today might not ground their judgement in such notions of souls and spirits. After the announcement of the puberty blocker trial though I am left wondering.

Gender, Identity Politics

“Protect the Dolls!” Profanity, Sanity, Sanctity and Sanctuary?

A feminist psychologist seeks to promote open discussion of a trans campaigning phrase. Natalie C Rose posts….

In the United Kingdom, very recently, the government’s current Culture Secretary, Lisa Nandy, was pictured on a Pride parade wearing a t-shirt proclaiming Protect the Dolls (see here). “Dolls” in this context are males identifying as females, so-called trans women, who seek to “pass”. Passing means achieving the perception by others of the trans person being their adopted gender rather than their biological sex. For some trans people this is more important than for others. Social experiences of failing to pass are deemed to cause distress, anger and despair. Google the phrase Protect the Dolls and AI will inform you that “…the phrase originated in the 1980s ballroom scene and has become a popular slogan supporting transgender women. The term “dolls” is a term of endearment used within the LGBTQ+ community specifically by and for trans women. The phrase, popularised by designer Conner Ives (https://en.wikipedia.org/wiki/Protect _the_Dolls) is a call for protection and affirmation of trans women, especially in the face of increasing attacks and discrimination…”. This is a demand made on everyone in society. As far as I am aware there is no similar injunction pertaining to trans men.

Profanity?

But why dolls? Dolls are the archetypal toys of childhood, having manifestations across many cultures through human history. They are varied in form and meaning, witness baby dolls and Barbie Dolls™. The term Doll meaning a woman was once familiar in the all American movie. Uttered by an all-American teen or GI it objectified the glamorous female catching his attention. Dolls, however, are also the stuff of the Horror movie genre; unsettling, uncanny, creepy and threatening.  They stray easily into the profane – blow-up dolls with usable orifices for an adult market not only interested in doll adults but also in doll minors. This was presaged by the shockingly aberrant forms of the misformed sexualised child dolls of YBA’s Jake and Dinos Chapman in the art exhibition Sensation, which opened its world tour in London in 1997 alongside the famous pickled shark and the children’s handprints constructing the face of Myra Hindley (see here). Culture plays out many forms and has multiple active connotations and allusions. Sexual desires weave their way through much of this, and it seems sexual proclivities and fetishes still need material material as well as digital imagery on screen and online.

Sanity?

So, what is with the dolls of transgenderism beyond the ballroom scene that most will know little or nothing about? These trans dolls may be 6 feet 2 inches tall with unalterably broad shoulders, and the male to female dolls are the ones we are urged to protect. Within transgender campaigning, this truly concerns only the males wanting to be females not the females wanting to be males. From the perspective of psychological inquiry, this quickly takes us into the psychological world of some of that male group and their allies and into a delusion of trans-substantiation. To trans woman India Willoughby and to the gender studies scholar Professor Sally Hines, males who don female clothes and make up and also take oestrogen do actually become the 1959 Cliff Richard’s real cryin, talkin’, sleepin’, walkin’, living’ doll, – they become embodied woman, real females   “..take a look at her hair, it’s real, and if you don’t believe what I say just feel…” (see here).

How many of males currently identifying as females are actually aspiring to a notion of the living doll? More real than a real woman. Some openly describe themselves as better women than cis women;

Trans women are the only real women! Humanity through technology and medical advances has progressed to the point that cis females have gone the way of the Neanderthal; a biological dead end that’s time and purpose have passed”. (see here)

 Are we allowed to say this is not sane, call it a delusion? Here the belief system joins forces with Transhumanism, where individuals want to shuffle off the limitations of the actual mortal coil and attain their fantasised essence, incorporating and possessing it for themselves, forever. Real women, biological females, are an irritating inconvenience and are dispensable.  Surely this is a less than sane and morally offensive subjectivity?

Sanctity?

Non-doll-like, actual women are diverse, messy, imperfect, flawed. Conceived as female, born as baby girls, navigating the trials and tribulations of growing into womanhood, women make up half the human race and they sit at the heart of nature’s preferred model for reproduction of the species. From fairly early on, in all cultures, those women have a wariness (more or less conscious depending on upbringing and experience) of the otherness of males, their superior strength, their propensities for significant differences in sexual, aggressive and dominant behaviour, their gestures, gait and mannerisms. Most men, including trans women, will never understand how instantaneously women, including young girls, women with Down’s syndrome and older women with dementia will reflexively perceive that a trans woman is not a woman. This recognition is not necessarily one of perceiving an active threat, but of something disquieting, untoward. This will add to their sense of vulnerability when it occurs in the context of a woman’s sickness, psychiatric disturbance, trauma or incarceration. Sometimes there will be real danger.  

Sanctuary?

As acknowledged above, trans women, in the main, may present no physical threat to women when they enter women’s spaces, but they do disturb the precious sanctity by disturbing women’s inner peace. Sanctity for womanhood has been sought, often in vain and at a high price, in human cultures through millennia. Where it has been achieved, it is precarious and fragile. Latterly it has been threatened by chants of “Transwomen are Women”, the mantra that closes down discussion and when contested has lost women their jobs.  Sanctity needs sanctuary. Such sanctuary gives women psychological as well as physical safety. Women want it for women’s reasons, such as being able to just be off-guard, to enjoy dignity and privacy, a rest from being kind when you just feel uncomfortable. It is not wanted for the performative reasons of many trans women who seek to enter women’s spaces. As a woman out there, you can only reliably take that privacy and dignity for granted in the company of your biologically female kin in unquestionably women only spaces. 

Please now let us keep to the letter of the UK Supreme Court Ruling about those spaces (see here).

EDI, Gender, Identity Politics

Open letter to the British Psychological Society

Pat Harvey reviews the incredible actions and inactions of an incompetent BPS in relation to debates in which it should have taken a strong and credible lead in a letter on behalf of BPSWatch to the Chair of the Practice Board

Dear Dr Lavender,

Sex and Gender and the British Psychological Society’s Ongoing Failures

We are writing to you in your capacity of Chair of the BPS Practice Board. We have concerns which we wish you to formally bring to the Practice Board for discussion as a matter of urgency. These concerns relate to the continuing dereliction of the BPS as a learned and professional body in relation to its duty to assist and, indeed, lead the continuing public debate on sex and gender. These are clearly matters falling directly – even centrally – within the purview of academic psychology and of psychologist practitioners and about which the BPS should have authoritative statements. They are impacted by an evolving context of government policy, service reviews and legal judgements towards which the BPS has latterly taken a decidedly “spectator” stance. This is embarrassing for members, and not what they pay their fees for.

Adult Gender Services

The Practice Board ratified a revision of the 2019 GSRD Guidelines in 2024, although we note from other minutes available to members, not without some concern about how the process was conducted, including the fact only the chair had seen the final draft. There had been a very evident changing context since 2019, signposting the subsequent and ongoing review of adult gender services  (https://www.england.nhs.uk/long-read/review-of-nhs-adult-gender-dysphoria-clinics/)  which noted:

  • concerns put to the review team by current and former staff working in the adult gender clinics about clinical practice, particularly in regard to individuals with complex co-presentations and undiagnosed conditions
  • lack of a robust evidence base; being mindful that the majority of referrals to the adult gender clinics are of natal females who are aged between 17 and 25 years, and that the historical evidence base that has informed clinical practice relates to an older cohort of natal males
  • limited information on short and long-term outcomes, particularly for those individuals who transferred to adult services from paediatric services
  • an increasing incidence of individuals seeking to ‘detransition’ following previous gender affirming interventions and the absence of a consistent, defined clinical approach for them.

Astonishingly, the BPS chose to replace the two members of the 2019 Task and Finish Group who had demanded their names be removed from that document with two individuals associated with strong trans ideological/activist connections. That ensured that the whole revision group came from one position in the debate and one provocatively at odds with changing knowledge and opinion. It was also unacceptable that the chair remained an individual about whom formal complaints have been made concerning the public statements that research on surgical treatments for transgender people indicate that “…that debate is shut, there is not a debate about this anymore…” (https://www.youtube.com/clip/UgkxRGiT6y5ouSa6T9Nes0om-J6HWo7otLDx). This statement had been patently false, irresponsible and unethical, and unacceptably the BPS had supported that position. It has had no excuse subsequently, however, not to have been fully aware of the incongruity of retaining that chair to lead the process of reviewing the BPS guidelines .

A wise and reflective British Psychological Society would have been following social and professional developments in the period since 2019 and decided that the original Guidelines were patently and wholly unfit for purpose, and scrapped them. It would have set up a new group, carefully considered the Society’s position, acknowledged controversies and social pressures and supported practitioners back in their clinical and educational environments/teams to be able to discuss the management of gender distress with balance backed by confidence in their professional body. As the Guidelines now stand, they are unhelpful, biased and ideological rather than research and practice based. They are discredited. As such they undermine the credibility of the Society. They are not only embarrassing, they fail the public. And, most importantly, they fail the very people who are asking for help.

Children’s Gender Services

At the point at which new services, with stated aims to provide holistic models of multidisciplinary care required by the Cass review, are being developed, the BPS has entirely abrogated its right to a seat round the table of discussions about the central role that Psychology – academic research and therapy – could and should be fulfilling. The last Practice Board minutes available to members (weren’t we going to get summaries of what was going on in the Board to bridge the gaps?) stated that there had been a first meeting of a group (recruitment criteria unknown, membership unknown, chair unknown) and “a discussion paper is in development” (March 3 2025) This is a stable door creaking on its hinges as the horse is running many furlongs in the distance. 

Further Questions

What of Women’s rights and a Society response to the recent Supreme Court ruling which clarifies that biological males, even those with a GRC, cannot be considered women under the Equality Act when it comes to single-sex spaces or services? No comments?

What of the difficulties researchers have experienced in carrying our basic research on sex and gender (see “Review of data, statistics and research on sex and gender Report 2: Barriers to research on sex and gender” (2025) https://www.sullivanreview.uk/barriers.pdf ) such as Professor Sallie Baxendale, clinical neuropsychologist, who experienced repeated rejection of her work by journals on the impact of suppressing puberty on neuropsychological function, saying: “It wasn’t the methods they objected to, it was the actual findings.” No comments?

Beyond that series of instances of barriers, there is a question that perhaps a healthier BPS might be able to address, what are the social psychological implications of gender “exceptionalism” that have led to an extraordinary breakdown of norms in academia and in clinical practice? Might not the BPS be directly implicated in that breakdown?

The Future of Psychology and the BPS in relation to Gender

Clearly there has been an inherent breakdown in how the BPS has and is still responding to the wider controversies on Sex and Gender. The Practice Board has clearly failed in its remit. To undo actual damage to credibility and reputation, It should start by withdrawing the GSRD Guidelines and scrupulously review the energy and activity of the current Children and Young People Gender Group. The BPS as a whole needs to acknowledge its shortcomings and seek a widespread and vigorous consultation with members.

The hitherto biased and resistant editorial policy in respect  of The Psychologist should be urgently reviewed.

Given this unfortunate history and the suppression of debate within the BPS and in the pages of The Psychologist, BPSWatch.com intend to continue a challenging series of articles under the title psychology UNREDACTED. The first two and a response of these should be read by interested parties:

The next article in BPSWatch.com will be this open letter to you. 

We demand action.

Yours sincerely,

Pat Harvey

Peter Harvey

David Pilgrim

BPS members and BPSWatch.com

cc. 

President of the BPS

Chair of BPS Board of Trustees

CEO

Director of Knowledge and Insight (as currently still designated on website)

EDI, Gender, Identity Politics

How is Gender Different? Let me Count the Ways

Work with gender discomfort often seems to lead to very different approaches to those used in any other area of distress. John Proctor considers just how strange this is.

It happened at the end. At an event to discuss whether mental health initiatives in schools might sometimes be unhelpful. Short answer: yes – but it was the discussion that was illuminating. For two hours we considered Mental Health First-Aid, self-diagnosis via TikTok, and how ordinary feelings can be pathologised. Above all we debated how to work with teenagers who adopt diagnostic labels as identities. Then, just as we finished, one young audience member made a final point: “As someone who works with LGBTQ+ youth, their problem is external oppression. It’s about not being accepted for who they are.” [My emphasis]. No chance to reply. While initially frustrated at the lack of space for a response, I’ve thought about that statement many times since. More recently, I appreciate such a clear pronouncement on how we should work with gender discomfort, and such an explicit signal as to what our responses, including those of psychological practitioners, should be. Apparently these need to be different to those provided for any other kind of distress. And this is indeed what we have done over the last few years. Here I’d like to think about the ways we have treated gender as exceptional, and some of the resulting problems.

The first area of difference is the conflation of one issue with another: in this case of sexual orientation with gender. We frequently hear the letter combination LGBT, and the old rainbow flag has been replaced by the ‘Progress’ version. I do often wonder though if these labels actually belong together. It’s worth remembering that this teaming is a recent thing. Adopted for campaigning purposes, it steps adroitly over the fact that the issues raised by same sex attraction may be very different from those raised by gender identification in a way different to your sexed body. For example, being gay does not lead to either arguments about competing rights or to a proposed medical pathway. Indeed, far from a happy coexistence, some ideas about trans rights may be antithetical to the LGB part of the rainbow, as same-sex attraction may be replaced with the idea of same-gender (thus mixed-sex). This was a significant issue in the recent Supreme Court case brought by For Women Scotland in the United Kingdom.

While the commenter in my session only made a single remark, I think the reason it has stayed with me is that ideas of acceptance as primary have become very familiar in my professional circles as a psychologist. In particular, I often hear an emphasis on the validation of gender identity placed ahead of any attempt at investigation and of developing a detailed picture of why someone may feel the way they do. It’s been well documented how, in the UK’s primary specialist service for children with gender issues (the Gender Identity Development Service at the Tavistock Clinic), many clinicians turned away from a more exploratory approach to gender discomfort. Instead a more affirmative stance became favoured. Though some staff clearly held to a more traditional model of working (understanding and formulating), others wouldn’t, or couldn’t, do so. More worryingly this also led, for many, to referral for endocrinology treatment. The evidence for the effectiveness and safety of those treatments has been seriously questioned

Professional bodies have also taken steps towards encouraging more affirmative, identity-based, working with adults. For example, The British Psychological Society’s Guidelines for Psychologists Working with Gender, Sexuality and Relationship Diversity, as well as conflating sexual orientation with gender self-identification, place an emphasis on rights and on de-pathologising any aspect of sexuality or gender. There are cautions not to engage in “conversion therapy” and to make sure you make no judgement on someone’s choices. This makes sense to a point. Of course psychological practitioners wish to respect the people they see. But there is, perhaps, some balance needed.  The primary message is that the experience of being uncomfortable with your sexed body in particular is, in these guidelines, not something we aim to understand, but rather an identity that needs to be validated. Any idea that a therapist might think about the function of trans identification in managing painful emotions, or identification away from your bodily reality as a response to experience, is nowhere to be found.

At organisational levels too this idea of validation takes us along a different path from the one we might take for other issues. We fly flags in our departments, display posters, and put pronouns in our email signatures. All in the name of inclusion and allyship. Some colleagues even offer the idea that clients will know they are “safe” if they display these concrete signs. Presumably not offering such signs is therefore unsafe? And, uniquely, we decide that this issue, out of the many available, is the one we’ll announce a position on. However, for psychological therapists, neutrality is quite central to our ordinary stance. People come through the door and we think with them about their experience. It is not normally our job to pre-empt our conclusions or to take sides in painful and divisive areas. And yet our organisations decide for us that the task is to affirm the identity beliefs of clients. Good outcomes are already being framed according to our ability to agree with someone rather than to explore.

So why this need for validation: individual, organisational, and even societal? Again, I think the speaker at my meeting caught the essence of why this should be so. It’s because of “external oppression”. Over the last few years we’ve heard a narrative of marginalisation and powerlessness in answer to any questioning of how we respond to gender-related matters. Whether the conversation has been about women’s rights and protections, or about questions over puberty blockers, the response is so often that a marginal group is being attacked. The protection of a group we judge vulnerable is an imperative so strong it seems to stop thought about whether there is a different way to approach things. Additionally, we have tools to codify where privilege and powerlessness reside, and certain groups are always deemed to be at the margins. The listening and thinking, which are the work of therapy, are apparently no longer necessary. I sometimes wonder if such a prescriptive approach is to ordinary therapy as colour-by-numbers is to actual painting.

Such responses always raise my curiosity. Are we really talking about the most marginal and powerless group here? Some dispute it, and the prevalence of “trans rights” promotion (from road crossings to HR policies, to arguments made at public expense) in UK public life leaves the powerless narrative looking rather less than convincing. I see nothing comparable for marginal groups such as people with disabilities, or dementia, or who are homeless. In the area of sex and gender the powerlessness seems to me to be far more plausibly located in the people who have had to fight, through the courts, to express beliefs which go against our most recent orthodoxies. For some organisations taking a strong position has not been enough. Legitimate alternative views have also not been tolerated in the face of an axiomatic presumption that there is only one right perspective. This has not only been a divergence from our way of looking at other areas, but also more than a little alarming. 

It’s perhaps only when we consider how different all this is from the way we approach other forms of distress that it becomes apparent just how strange it all is. Let’s think for a moment how it would look to treat eating issues in a similar fashion. The similarities between eating disorders and gender discomfort are evident. Both may be characterised by unease with one’s body, by steps to respond to that distress with quite extreme physical changes, and an underlying context of trauma. After the initial similarities however, gender issues and eating issues part ways. Generally the response to eating disorders is grounded, very firmly, in attempts to understand and work with the experiences and the feelings we encounter. Psychotherapeutic approaches are to the fore and, in cases where greater physical harm is a risk, compulsory hospitalisation and even force feeding come into play. While I, and many, have reservations about the compulsory aspects of treatment, it’s understandable how we get there. Sufferers are at risk of permanent physical harm, or even death. We struggle to let that go unaddressed and tend to use any means we have available to stop it. No surprise therefore that, societally, our response to “pro-ana” advocacy (the idea that starving yourself and extreme thinness is a human right or lifestyle choice) has largely been one of horror. The contrast with gender is striking. At no stage do health professionals working with eating disorders wear “pro-thinness” lanyards, promote bariatric surgery as a human right, and include celebrations of our true body shape in our messages to colleagues and service users.

You could make a similar case related to self-harm, body dysmorphia or a belief one is Jesus. In each case therapists balance empathy with careful exploration of underlying causes. They don’t typically affirm harmful behaviours, quickly move to physical interventions, or suggest that the primary source of distress is others’ failure to understand that someone really is the Son of God. Yet, in gender therapy, chest-binding and surgical alteration can become marks of autonomy, and those who are cautious about someone else’s metaphysical beliefs may be branded bigots.

It is clear that at least some things are changing. The fate of the child GIDS service is, by this point, well known. The Cass Review strongly criticised existing practices in gender healthcare, particularly highlighting weak evidence for puberty blockers, and GIDS closed its doors in 2024. Cass made recommendations for a more holistic, and psychological, approach to gender distress. In the UK children’s access to puberty blocker medication and cross sex hormones has either been restricted or is under review. Adult gender services in the UK are also under scrutiny. Similar developments can be seen elsewhere. Not only have several European countries executed a volte-face in policy, but significant segments of the USA seem to be waking up to widespread public concern about “gender-affirming” medical interventions for children in particular.

Despite these increasing doubts about where we’ve been, this picture of change is, at best, partial. Though many organisations have welcomed the Cass Review, a number of others have either publicly opposed its recommendations or have experienced significant internal conflict about how to respond. There are private providers who, while they may offer assessment, still seem rooted in a belief that they can somehow divine who will benefit from irreversible medications during puberty. To use such drugs we’d surely have to be pretty certain about the predictability of a settled trans identification, something which, as Cass made very clear, we aren’t. This issue of predictability is also a serious concern given that, The UK is, at time of writing, set to press ahead with a clinical trial of puberty blockers for children. Such a step carries risks related to the effects of such drugs on brain development and bone health, as well as the established limiting of male genital development. This seems a very obvious case where a proper follow up of the cohorts who have already been given this medication is the logical initial step in developing the evidence base. Though, as some readers may know, follow up data from adult gender clinics was more  difficult to obtain than one might imagine.

Also significant is the proposed “trans inclusive” ban on conversion therapies in the UK. It looks likely that forthcoming legislation will restrict any steps to challenge someone’s sexual orientation or gender identityA number of prominent bodies representing psychological therapy practitioners in the UK (including the British Association for Counselling & Psychotherapy and the British Psychological Society) have signed something called the Memorandum of Understanding on Conversion Therapy promoting this aim. Other organisations, such as the UK Council for Psychotherapy, have signed and then, following the concerns raised by Cass, withdrawn support. In forthcoming legislation there will apparently be protections for legitimate therapeutic exploration. However, it’s unclear just how the experience of feeling misaligned with your body will be distinguished from what is deemed the existence of a gender identity. If understanding the former is legitimate ground for therapy but thinking about the latter is not, this is not a matter of trivial concern. Therapists could face prosecution if exploring underlying psychological distress around gender identity is misconstrued as conversion therapy. Similar legislation proposed in Scotland in 2024 (and ultimately withdrawn) did not succeed in making such a distinction related to legitimate therapeutic exploration, and it remains to be seen if the UK Government can do any better. Indeed Hillary Cass herself has said that such a law is likely to put pressure on therapists to inhibit exploration.

It seems the commenter in my meeting managed to summarise, in 15 seconds, several of the principles currently in operation in gender healthcare and in psychological therapies. However, such principles (conflation with other issues, an emphasis on validation of identity labels, a very fixed interpretation of powerlessness, and either disregard of or hostility to alternatives) seem to take us away from a path we are committed to in all other domains. The unique approach to gender discomfort also contrasts sharply with evidence-based practices used in other psychological treatments. Though there was no chance to answer, the questioner did, I now think, do me a favour by saying the quiet part out loud. By saying that this area is different and special. Being clear about that offers us an opportunity to think about how we have, in so many areas, embraced that difference. More than that though it offers us a chance to think about whether we want to change our approach in future. Those we are there to help deserve care that genuinely addresses their distress, not care only shaped by ideology. Young people, actually all people, of course deserve to be accepted for “who they are”. Let’s also help them try and understand what’s painful rather than jumping to tell them they’re something they are not.

The author is a clinical psychologist specialising in severe and enduring mental health problems.

Academic freedom and censorship, EDI, Identity Politics

A response to John Higgon’s post “EDI – where did it all go wrong”

David Pilgrim posts….

John has offered us a clear critique of the mess we are in in relation to the battle between transactivists and their opponents. Rather than counter anything John has said I want to extend the implications of some of his statements (hence I cite these directly and then comment). My points make links directly to British psychology in general, which includes how the BPS has managed ideological trans capture.

But, to sex realists, sex and gender are different.  Sex refers to biology, gender refers to the expectations that culture places on men and women to behave in particular ways….” 

This is a standard and legitimate truism. However, since the shift from a largely empiricist tradition in British psychology in the 1980s towards postmodernism, a whole generation of recruits to the discipline has been exposed to the idea that ‘everything is socially constructed’. This has softened them up more generally to uncritically accept what Noam Chomsky called ‘postmodern gibberish’, epitomised in the writing of the third wave feminist Judith Butler. Reality is old hat and language is everything. To me this epistemic nihilism is a form of collective psychosis offered to us by idiots with high IQs. It has fitted hand in glove with transgender activism.

“The rights of various groups often clash, and society has to find a way to balance these opposing rights as best they can be.  This is where we find ourselves now.  Trans-identifying people should of course have rights and should not be subject to unreasonable discrimination.  But it is not self-evident that their rights should trump women’s rights.” 

The chances of clashing rights to citizenship increased with the expansion of identity politics and the emergence of an Olympics of victimhood. This is not that complicated: key groups such as the poor, women and children share clear objective criteria of vulnerability to oppression and detriments to their wellbeing. However, once subjective self-identification began to over-ride this starting point, then anyone could claim an equivalence of vulnerability. 

This has culminated in special pleading from men who believe that they are women (and demand others must agree with them), men who want to claim the right to have sex with children and men who reserve the right to pursue their autocratic theological authority (see Pilgrim (2022) for more on this point about the interaction of neoliberalism and patriarchy). The original materialist focus of intersectionality, on overlapping points of structural inequality affecting social groups, has been superseded by a version where self-identification now predominates. Now the self-declared victimhood of individuals has become a narcissistic faux-criterion of social justice.

“Trans activists have also been very successful in finding their ways into influential positions within organisations.  The BPS is no exception.  Once there, they have a more or less free rein to make whatever pronouncements they see fit, all with the implied backing of the organisation which they represent.” 

John correctly celebrates the pressure now on trans activism created by the Cass Review and the Supreme Court ruling. That strain is showing at last in the BPS. The cadre of transactivists enjoying their hegemony, say two years ago, is now fragmenting, with key figures either departing or re-grouping and licking their wounds about the battles they are losing in public policy settings.  Stonewall and Mermaids are enjoying far less patronage from public and private recently. This particular culture war is not going well for transgender activists The cases John cites of female nurses fighting back, with public support, about their privacy signal this trend. A caveat to this is that in the context of the wider culture wars, the sex/gender controversy is unusual but it is not unique (Pilgrim, 2024). 

“The problem for public sector organisations is that a whole generation of employees has been exposed to gender ideology and actively dissuaded from critically appraising it.  The challenge now is to re-engage our critical faculties so that we can develop new strategies for supporting gender-non-conforming and gender-dysphoric individuals, ensuring that those strategies are evidence-based and do not lead us into situations where one group’s rights come at the expense of another’s.  Psychologists have a role here.  We are trained to think critically.  If you are not convinced by gender ideology, surely nobody can blame you for asking an innocent question at the next team meeting.”

This is the only point where my interpretation of psychology differs from John; that psychologists trained to think critically – is that true? Certainly, during most of the 20th century, the fact that the discipline was inherently contested led to psychology students being obliged to compare and contrast conflicting theoretical approaches to experience and behaviour. However, in the past thirty years that norm has shifted. Critical appraisal has given way to a soggy consensus about methodological rigour, evading an examination of underlying metaphysical divisions and theoretical incompatibilities (Gao, 2014).

This move to ‘methodologism’ in the discipline has then been compounded by the influence John points up about the EDI movement in higher education and settings in which psychologists are now employed. This has created a disabling pincer movement, which now undermines the confidence and willingness of young psychologists to speak their minds (about anything that legitimately comes to their minds). My personal impression now on clinical courses is that trainees are culturally divided. There are the virtue signallers enjoying the glow of self-righteous performativity and quickly pointing out when they are offended or ‘feel unsafe’, when certain words are ever uttered in their presence. These are the ‘new puritans’ who thirst for the judicial logic of Salem (Doyle, 2022). However, epistemic violence and real violence are really not the same. Feeling unsafe is warranted when your village is being bombed but not because people say things that upset you. As van der Kolk, the psychiatric proposer of PTSD noted correctly, being asked to read Othello is not really the same thing as being gang raped.  

Alongside the virtue signallers are others harbouring their moral and intellectual doubts but who are wary to speak out. They may still think critically but that cannot speak critically. This scenario is a product of the betrayal of the post-Enlightenment value of freedom of expression in general and its close cousin but not twin, of academic freedom in particular. The depressing cultural outcome is not peculiar to one discipline but permeates the academy and the organisations that employ graduates. 

Thankfully there is a fightback, organised by those like the Committee for Academic Freedom and Academics For Academic Freedom. The more of us who join their ranks the better. Hovering above the tedious ‘culture wars’ is a more important consideration: can critical thinking be expressed without fear in academic settings? At present a climate of intimidation dominates higher education. Psychologists are constrained by this norm as much as any other group. I am not confident that they have any special insight or privilege to develop and articulate a needed critique but maybe John is right, and I am wrong. The fight back I think must be multi-disciplinary.

Doyle, A. (2022) The New Puritans: How The Religion of Social Justice Captured the Western World. London: Constable

Gao, Z (2014) Methodologism/Methodological Imperative . In T. Teo (Ed.), Encyclopedia of Critical Psychology, New York: Springer

Pilgrim, D. (2024) Identity politics: The sex/gender controversy Is unusual but not unique. Archives of  Sexual Behavior, 53, 2431–2443.

Pilgrim, D. (2022). Identity Politics: Where Did It All Go Wrong? Oxford: Phoenix Books.

EDI, Gender, Identity Politics

EDI – where did it all go wrong?

We are pleased to present ideas that “need to be out there”.

This is the first of a continuing series.

John Higgon, a retired clinical neuropsychologist, posts….

 We live in a diverse world.  Each of us is advantaged, or disadvantaged, by circumstances beyond our control.  In recent decades, we have come to realize that it is wrong to disadvantage a person on the basis of an irrelevant aspect of themselves over which they have no control.  This is discrimination, and, whilst there is a proper place for some kinds of discrimination (for example, in selecting the best candidate for a job based on the candidates’ skills, knowledge and experience), there is general agreement that discrimination should not be based on irrelevances such as one’s age or sex or ethnicity.  To counter discrimination of this kind, we have promoted inclusivity both as a value and as the mechanism by which equality can be more closely attained.  These aims are noble and worthwhile, and nobody would want to dispute them, I hope.  Even so, when translated into a legal framework, the perceived rights of one group (trans-identifying people) have in recent years come into sharp contrast with the perceived rights of other groups (women in general and lesbians in particular).  As a society we are in the process of navigating that, and unfortunately, current EDI practice is not helping.

Some history 

Legislation in the UK addressed discrimination on the basis of race (the Race Relations Act 1965), sex (Equal Pay Act 1970) and disability (Disability Discrimination Act 1995), but it was only in 2010 that these were brought under the umbrella of the Equality Act.  This is a landmark piece of legislation that protects nine groups of people.  Specifically, the ‘protected characteristics’ are age, disability, gender reassignment (more on this later), marital status, pregnancy and maternity, race, religion or belief, sex and sexual orientation.  So far, so good, but there is a fly in the ointment.  The Equality Act has conflated sex and gender, for in the Act gender reassignment is defined as ‘proposing to undergo, undergoing or having undergone a process to reassign sex’.  The linguistic conflation of the words sex and gender is of course not unique to the Equality Act.  We see it everywhere.  But, to sex realists, sex and gender are different.  Sex refers to biology, gender refers to the expectations that culture places on men and women to behave in particular ways: “boys don’t cry”, and so on.  And, whilst this conflation may not matter much in many day-to-day settings, it becomes very important in a legal context. 

As we know, trans rights activists sought to capitalize on this ambiguity by claiming that the Equality Act offered protection to individuals identifying as trans or non-binary.  Specifically, they claimed that the rallying cry of “trans women are women” had a legal significance, and therefore that the law supported the supposed right of transwomen to, for example, attend single-sex services, use female changing rooms and access lesbian networks.  All of a sudden, the rights of women were pitted against the rights of biological males identifying as women.  How did this play out?

Single-sex services

Here in Scotland we recently witnessed the debacle of the Edinburgh Rape Crisis centre, run by a transwoman, which refused to offer single sex groups until forced to do so by its parent organisation, Rape Crisis Scotland.  Rape Crisis Scotland noted that “We are extremely concerned that for around 16 months [Edinburgh Rape Crisis Centre] did not provide dedicated women-only spaces, as required by the National Service Standards, while declaring to [Rape Crisis Scotland] that they were adhering to the standards” (‘Our statement on the Edinburgh Rape Crisis National Service Standards Report’ (Rape Crisis Scotland, accessed on the internet 02/07/2025)).  If you believe that transwomen are women, then it follows that you were providing a single-sex, women-only space.  Unfortunately for the Edinburgh branch, Rape Crisis Scotland central office clearly did not follow this line of reasoning.

Female changing rooms

Just last month, eight nurses in Darlington won their case against their employer.  They had taken their employer to court for its failure to provide single-sex changing facilities, by allowing a biological male identifying as female to use their facilities.  Meanwhile in Fife, another nurse, Sandie Peggie, is fighting her own battle over the exact same issue.  Interestingly, Fife NHS Trust are still withholding documentation that the court has demanded in an apparent delaying tactic.  You would think that they could see where this legal case is headed, given the success of the Darlington nurses and particularly in light of the April 2025 Supreme Court judgement confirming that ‘sex’ means, and has always meant, ‘biological sex’ in the eyes of the law.  But, as I shall suggest later, public sector bodies seem to find it difficult to envisage any way of approaching the trans issue other than the current, largely affirmative, way.

Lesbians’ right to associate on the basis of sexual orientation

 Finally, we come to the infamous ‘cotton ceiling’, perhaps the most extreme example of perceived trans rights clashing with the rights of same-sex attracted women’s rights.  Just as women face a ‘glass ceiling’ in their career advancement, it’s been suggested that ‘transwomen’ (intact biological men) face a ‘cotton ceiling’ when it comes to trying to have sex with lesbians.  Since the phrase was first coined, there have been attempts to deny the sexual connotations of the term, but the ‘cotton’ in ‘cotton ceiling’ is widely interpreted as referring to cotton underwear.  It’s hard, therefore, to see how there isn’t a sexual element to this.  Any reasonable reader would conclude that some transwomen – biological males identifying as women, if you prefer – feel aggrieved that they are not considered as potential sexual partners by lesbians.  The sense of entitlement is astounding.  Indeed, you could say that there’s something quite male about it.

These cases are all quite well known and there is no need to add to the list, although I could.  The point is that the rights demanded by trans activists obviously and self-evidently clash with rights previously accorded to women and lesbians in particular.  The lawyers who drew up the Equality Act cannot have seen that coming, because, as we have seen, the Equality Act, whilst it talked about gender, really meant ‘sex’, as is clear from the definitions contained within the act.  (In fact, they perhaps should have seen the potential for inconsistencies, given that the act offers protection from discrimination to people who are merely ‘proposing to undergo’ procedures to change sex.)

Culture wars

Rights of various groups often clash, and society has to find a way to balance these opposing rights as best they can be.  This is where we find ourselves now.  Trans-identifying people should of course have rights and should not be subject to unreasonable discrimination.  But it is not self-evident that their rights should trump women’s rights.  Trans activists have responded to challenges by adopting the strategy of avoiding any debate of these issues, as recommended in the Denton Report, and for a long time they have got away with it.  Witness the treatment of Kathleen Stock.  Witness the extreme and unchallengeable assertions – “transwomen are women”.  Witness the attempts to shut down academic study that is anything other than affirming (the refusal of scientific journals to publish Sallie Baxendale’s work on puberty blockers and their potential effects on cognitive development, the expulsion of James Caspian from his psychotherapy course because of his proposed research into the experience of detransitioners, the expulsion of James Esses from his psychotherapy training course for his views on affirmative therapy).  Witness the violent protests at sex realist meetings or attempted viewings of sex realist films such as Adult Human Female.

The reason they have got away with it is that these extreme positions are both tacitly and often explicitly supported by EDI policies put together in the HR departments of institutions, in particular, public sector institutions.  It’s not surprising that these policies have developed as they have.  ‘Co-production’ emphasizes the benefits of the public sector working with marginalized groups (“Nothing about us without us”), and whilst there is a place for this, it is reasonable to ask whether trans activists have become the self-serving tail wagging the compliant dog.  Trans activists have also been very successful in finding their ways into influential positions within organisations.  The BPS is no exception.  Once there, they have a more or less free rein to make whatever pronouncements they see fit, all with the implied backing of the organisation which they represent.  In this way, a culture has gradually come into existence which promotes the incorporation of preferred pronouns into name badges, which accepts uncritically the grafting of the ‘T’ onto the pre-existing ‘LGB’, which actively promotes Pride events whilst doing far less to promote other protected groups, and which promotes Stonewall-inspired narratives about gender identity whilst coming down firmly on sex realist narratives.  The climate that has been created looks like it is very diverse and supportive, but woe betide anyone who challenges it.  

Nothing needs to be stated explicitly.  In the same way that health service employees know always to substitute the word ‘challenge’ for the word ‘problem’, employees ‘just know’ that there are things they can say and other things that they shouldn’t.  Self-censorship sets in.  Why would a young professional embarking on the early stages of their career risk gaining a reputation as ‘difficult’, ‘ideologically suspect’, ‘bigoted’, ‘transphobic’?  In a public sector service that rightly exists to cater for all sections of society, it is wise to avoid having these kinds of terms applied to you – whether they are deserved or not.  (And mud sticks.  Some students at Sussex University happily denounced Kathleen Stock as transphobic, whilst simultaneously cheerfully admitting that they had not read her book!) 

On the one hand, then, we have extreme demands from aggressive activists who are not seeking the same rights as ‘the rest of us’, but who are seeking rights that ‘the rest of us’ don’t have – in particular, the right to identify in the way that they see fit, and for the rest of society to bend around that self-identification in any way that is necessary.  On the other, a culture that has permeated large institutions, but in particular public sector institutions – one which provides the necessary intellectual air cover for the activist activity.  Health, schools, higher education and social work have all taken on board the Stonewall narrative, and it is all too easy to join the dots: children exposed to gender identity ideology at school; adolescents, often same-sex attracted, finding a health culture that is willing and able to provide the medical interventions that will realize their trans identities;  and social workers, teachers and health workers who will sideline the concerns of sceptical but deeply caring parents who never drank the Kool Aid.  

A way out

I asked at the beginning of this piece where it all went wrong.  I suggested that the apparently harmless conflation of sex and gender was seized upon by trans activists and turned to their own advantage.  I suggested that activists used tactics to shut down public debate, whilst simultaneously inserting themselves into key positions in public sector institutions, either as advisors from third sector groups, or as fully paid-up employees.  There, they developed policies that enshrined the rights of trans identifying individuals, even when these came self-evidently at the expense of other groups.

Let’s look now at how we can move on and start to put things right.  First, I think we need to support gender-non-conforming people to live the kinds of gender-non-conforming lives that they wish to.  It has been noted elsewhere that on one analysis, the trans project is in fact deeply gender-conforming: “My son played with dolls from an early age, therefore he must really be a girl”.  Second, we have to abandon the practice of creating narratives based on how we would like things to be, and get back to examining how things actually are.  Biological sex is messy, difficult in some ways to define (do we do so on the basis of chromosomes, or genital development?) but ultimately there are two sexes, each evolved to play a part in the reproduction of the species.  It’s really not that difficult.  Beyond that, we can conform to the stereotypes that attach to our sex, or not, and there should be no penalty for choosing either route.  Clinicians should acknowledge that some people are extremely distressed about their sexed bodies and/or their gender, and we should recognize that these feelings are most likely to surface around adolescence.  We need to establish, through the usual process of clinically-based research, what approaches, if any, help gender-dysphoric individuals feel better about themselves.  To date, the evidence base for hitherto standard approaches has been weak to say the least. Third, public sector institutions need to re-think how they are going to support trans and gender-non-conforming people.  There is more than one way to do this.  We can carry on doing what we have been doing: nodding along with over-valued ideas about innate gender identities numbering in the dozens, and acquiescing to every extreme demand made by ‘the trans community’.  Or we can start to think about how to balance competing rights and how to gently push back on some of the wilder unevidenced claims of gender ideology.  

The problem for public sector organisations is that a whole generation of employees has been exposed to gender ideology and actively dissuaded from critically appraising it.  The challenge now is to re-engage our critical faculties so that we can develop new strategies for supporting gender-non-conforming and gender-dysphoric individuals, ensuring that those strategies are evidence-based and do not lead us into situations where one group’s rights come at the expense of another’s.  Psychologists have a role here.  We are trained to think critically.  If you are not convinced by gender ideology, surely nobody can blame you for asking an innocent question at the next team meeting?

"The Psychologist", 'False Memory Syndrome', Academic freedom and censorship, Identity Politics

More hubris in the BPS: on being the ‘Head of Science Communication’

David Pilgrim posts:

Recently BPS members may have noticed that the role of editor of The Psychologist has been extended to that of being ‘Head of Science Communication’. This announcement sets many hares running. I have been a psychologist for forty years and have two higher degrees in the subject. I still could not give a coherent account of what the discipline is, which does not reflect my stupidity but my warranted caution. If psychology is a science, then how is it to be defined by those running the BPS? Occasionally it is confessed that the Society is a ‘broad church’. That is a fair starting point, but I think its flock, whether they are BPS members or outsiders, may reasonably want to hear more. What they actually get (if the content of The Psychologist is anything to go by) is a strange brew of scientism and virtue signalling. 

For example, this month (May 2025) the cover’s headline is Educate your sons (as a small blessing, we were spared today’s breathless exclamation mark)The sub-heading tells us that Jayne Meyrick will be discussing ‘gender-based stereotypes, attitudes, violence and more’. Fair enough, but why the prescriptive headline instead of the valid sub-heading not sufficing more modestly? Should any branch of human science (spoiler alert here, Psychology is not the only game in town) be so crassly preachy? Surely the values involved in parenting are not the possession of Psychology, or any other discipline. For those of us old enough to remember, we know that it is inconceivable that the predecessor of The Psychologist (the Bulletin of the British Psychological Society) would have presented such a moralistic prescription. Its possibility today emerged from a cultural context in which EDI priorities overlay most professional discourse, with identity politics, for now at least, shaping the academic agenda (Pilgrim, 2022).  Psychology with a capital P reflects its fluxing historical context (Richards, 2009) and the context we are in today is authoritarian and sanctimonious. A contempt for academic freedom, virtue signalling and Salem-style speech policing are de rigueur.

If Psychology is a moral science, which arguably it is, then its authority needs to be defended in principle, and in convincing detail, before any of us is subjected to its definitive strictures (more on this below).  This would require a metaphysical exercise to clarify basic assumptions about ontology, epistemology and ethics and how they articulate – see Brinkmann (2011).  In The Psychologist, that required exercise is ignored in favour of moral grandstanding to favour the discipline’s preferred worthy squeaky-clean image. 

Heavy is the head that bears the crown

In the midst of all of this unexplained froth about the BPS being a ‘broad church’ the task of being a communicator of science is unenviable and inevitably challenging.  However, leaders in the discipline seem unfazed by the prospect and Jon Sutton now looks forward to his authoritative role. He can join forces with his colleague with the formerly designated Orwellian title of ‘Director of  Knowledge and Insight’, now rebranded with the equally grandiose title, ‘Director of Research, Education and Practice’. The challenge for these BPS leaders is to find ways of communicating about ‘psychological science’. In the generous tradition of George Miller (1969), they might still opt to ‘give psychology away’, as if the Society is sitting on a scarce and rich body of accumulated knowledge to be shared noblesse oblige.

Miller is a key figure within the liberal wing of Anglo-American psychology and is credited with being a founder of cognitive psychology. At once this was an epistemological game changer as it displaced behaviourism, which in its salad days had allegedly dispatched psychoanalysis forever though it, of course, failed. And, as Miller’s collaborations with others was to prove, maybe philosophy, the scourge of the discipline of Psychology at the turn of the 20th century, still could pack a punch about matters psychological, as his colleague Noam Chomsky was to prove. 

So, what exactly is the big deal about the confused and confusing discipline of Psychology? After all and without looking too far we find a few other contenders offering serious insights into the human condition. Apart from philosophers, we might add topflight historians, economists, anthropologists, neurologists, psychiatrists and last, but not least, novelists. The last one is counter intuitive. However, a skilled fiction writer can explore our interiority and the subtleties of our interpersonal relationships, within a cultural and economic context of a particular time and place. That complexity rarely (if ever) appears in psychology textbooks read by undergraduates. I certainly have learnt more from good novelists than the bank of psychology books on my groaning shelves.

Then beyond behaviourism and the ‘cognitive revolution’ during the 1980s and 90s we endured radical social constructivism and the postmodernist’s Nietzschean disdain for facts. This upended positivism, and its adoration of the psychological laboratory inherited from the 19th century, alongside a eugenic actuarial approach to personality and intelligence. Followers of the competing trends probably sat together in the corridors of academic psychology departments in a state of mutual bemusement. This ‘psychological science’ stuff was becoming a complex mixture of historically layered bids for epistemological legitimacy. 

In that context, what exactly will Jon Sutton be communicating about? Will it be all these epistemological layers, or just this year’s model of disparate pieces being promoted by The Psychologist? To be fair that dilemma must also face the producers of All In The Mind, which seems to have a hotline to the BPS for advice, occasionally hosting guests to demonstrate the most recent breakthrough in psychological knowledge. Apparently, all is well then in the state of Leicester (unless, like the one in London, the office might be about to close). Until then the BPS might be thought of as the repository of the wisdom previously enjoyed by psychiatry and applied philosophy. The competitors have been seen off and ‘communicating science’ thus reinforces and celebrates that triumph. But behind the rosy picture, confusion and uncertainty reign.

Back to the strange brew

To make sense of this considerable challenge for Jon Sutton, we can return to the ‘giving psychology away’ trope of Miller. Given the sub-title of his seminal text Psychology: The Science of Mental Life (Miller, 19991), what exactly is that science being given away, and might many outside of Psychology reasonably claim some legitimate authority about ‘mental life’?  

In 2015 the Division of Academics, Researchers and Teachers in Psychology (DART-P), hosted a symposium at the BPS Annual Conference. The aim was:

…to explore current thinking, developments and practice within contemporary psychology education, with a view to stimulating critical discussion and reflection on psychological literacy and its delivery within both pre-tertiary and higher education contexts. Ultimately, the symposium, and this article are intended to facilitate exploration of the opportunities provided by psychology education, at all levels, to develop students as psychologically literate citizens. (Hulme et al., (2015) emphasis added).

The paper by Hulme et al. drew upon Miller but also the work of McGovern et al. (2010), who offered a definition of ‘psychological literacy’. It listed the skills expected of a psychology graduate:

• vocabulary and knowledge of the critical subject matter of psychology; 

• scientific thinking, disciplined analysis of information to evaluate alternative courses of action; 

• creative and ‘amiable sceptic’ approach to problem solving; 

• applying psychological principles to personal, social and organisational issues in work, relationships and the broader community; 

• acting ethically 

• competent in using and evaluating information and technology; 

• communicating effectively in different modes and with many different audiences; 

• recognising, understanding and fostering respect for diversity; 

• insightful and reflective about one’s own and others’ behaviour and mental processes 

Hulme et al. proceed though with a key insight relevant to Jon Sutton’s challenge today:

The first sentence points up the challenge of content I raised earlier – what precisely is the psychological science that is to be communicated? The laudable cognitive skills emphasised by the authors would, as they say, be important for any critically competent graduate in science but also, as they note by the end, of any graduate in the social sciences and humanities. Maybe Psychology has no mandate to claim a particular legitimacy to understand human experience and conduct. Understanding human activity and experience in its social context has been examined with some success by anthropology and sociology (the clue is in their names). When it comes to content (the elephant in the room avoided by McGovern et al.) the list of cognate disciplines I made earlier would supply the very same material. 

Maybe this coyness on the part of psychologists to define their authority over the content of their work, substituting instead a generic scientific skill set, is because they know that in truth their discipline is so hopelessly contested in terms of its theory and practice. Moreover, by focusing on the study of individual human functioning, in relation to conduct, interiority and small group interactions, they simply cannot compete with those disciplines in the social sciences and humanities offering a wider lens and a longer view.  

Surely the inherent individualism of psychology operates against a desirable outcome of comprehensive context-dependent understandings of human life. This is at its most obvious in the hubris of experimental psychologists, who privilege ‘psychological literacy’ of their own preferred type. They lament the incompetence of ordinary people to reason psychologically in their daily lives. 

A good example here is the role of experimentalists supporting the false memory movement, who disparage the reasoning of judges and juries and offer them condescending advice (French, 2018; Conway, 2011). By contrast, those recognising the implications of experiments producing closed system findings, which have poor ecological validity, have warned us quite rightly that Psychology struggles constantly to justify itself as an empirical science (Uher, 2021; Smedslund, 2016; Adolph, 2019). A symptom of the undeclared pre-Popperian legacy of naïve realism is that the BPS has been proud and unreflective about aligning its policy on memory and law with the false memory movement and its supportive experimentalists (Conway and Pilgrim, 2023). They have a narrow focus on one form of false positive, when human memory is frail across all social contexts in open systems. For example, when validly accused men who rape women and children deny their guilt, do they have a false memory? Have the experimentalists in the false memory movement ever written a book called ‘Witness for the Prosecution’ (cf. Loftus and Ketcham, 1991)?  

Trying to define psychological science is like trying to grasp fog or catch the wind. What the content is about in practice reflects layers of knowledge present since the end of the 19th century and contemporary normativity. However, reflecting a residual confidence in empiricism and positivism Hulme et al. (ibid) let slip the fetish of ‘presentism’ common in academic Psychology. That is, what has become known recently is good but what is old is inferior. They complain that A level students still learn too much about historical figures in the discipline and not enough is taught to them of findings and theories from recent decades. 

That lament reflects an unexamined assumption (or ‘doxa’) which is that ‘psychological science’ proceeds through time in an aggregating and constantly improving manner. This presumption about scientific incrementalism is pre-Popperian in its outlook. It might also explain why the history and philosophy of psychology is still taught so poorly in higher education, reflected in the very precarious survival of the History and Philosophy Section of the BPS. If A level psychology students are indeed still being fed too much information about history, then ironically that might be their only chance to see the light about a contested discipline. For example, the fetish of behavioural statistics is rooted in the empiricist Humean assumption about the causal relevance of ‘constant conjunctions’ (the correlation between two variables with the rest of reality controlled out). The limitations of that closed system thinking still haunt Psychology. 

Insights after the Popperian watershed

Before Popper’s critical rationalism displaced positivism in the philosophy of science, there was the assumption that covering laws would be discovered, which would be applicable to all times and places. The chances of this being true were high in closed systems. For example, in physics or chemistry and even in some branches of neuroscience today, context-independent findings might align with this expectation (cf. Tortorello, 2015). Also, where psychological knowledge is being applied in closed systems it might have legitimate utility. Ergonomics and attention span in pilots could be examples.  However, what all applied psychologists who work with clients from a range of biographical contexts know, is that complexity and unique circumstances require careful exploration. The imposition of forms of prepared knowledge to allcomers is unwise. 

In open systems, laboratory findings are of dubious utility leaving us at best with trends or demi-regularities and at worst with evident unpredictability in human conduct. All human activity is part of an open, not closed, system. Thus, as well as Popper’s focus on science as a social activity and his replacement of verification with falsifiability, the appearance of general systems theory in the mid-20th century advised us about the central importance of context-dependent reasoning (Bateson, 1972). 

To reinforce this point, critical realists have noted that any comprehensive human science should be sensitive to complexity and layers of reality (Pilgrim, 2020). Bhaskar (2016) offered us his four planar social being framework to this end. The first plane is our material rootedness in nature (which we emerged from and return to).  The second plane of reality is that we exist within our relationships to others from conception to grave (we are an interdependent and hierarchical species). The third plane of reality is the supra-personal socio-economic context we are thrown into at birth, which then fluxes during our lifetime. It matters whether we are thrown into a war zone or a tent of plenty, whether we are poor or rich, whether we are born male or female etc.  The fourth plane is our uniquely structured personality arising from the other planes (we have a ‘concrete singularity’). 

My view is that this critical realist framework requires human conduct and experience to be studied with a variety of methodologies and by a range of disciplines, which I listed earlier. Psychology will not only fail if it tries to colonise that inter-disciplinary challenge because it is not competent to deliver a full understanding of our four planar laminated existence but it will also lack insight into its own incompetence. 

Take the example of my complaint that The Psychologist mixes virtue signalling and scientism. That contradiction has arisen in the social context of the growth of identity politics and the self-righteous policing of speech. Being ‘psychologically literate’ might offer some contribution to understanding it, for example, in relation to binary cognitions and thinking too quickly rather than reflectively about complexity. However, those frailties also arose from the growth of a new form of authoritarianism, which encourages a form of witch-finding both on the right and left of politics. Neoliberalism and the failure of Marxist-Leninism have afforded that context of emergence for identity politics. They have fed the EDI industry at the turn of this century, leaving structural power discrepancies unscathed. 

A proper reflective exploration of this complexity is not the particular forte of Psychology but requires epistemic humility, when conversing with those from other disciplines. Without that conversation, leaders in the BPS and the content of The Psychologist will probably keep producing its strange brew of scientism and virtue signalling.  Accordingly, they will lack an understanding of their own context of theory and practice, bearing in mind that hubris often precedes nemesis.  What chance a sophisticated ‘communication of science’ in this blinkered world? Moreover, Jon Sutton has his work cut out for a pressing contextual reason: his paymasters are skating on thinning ice, as we have demonstrated repeatedly on this blog.

References

Adolph, K. E. (2019).  Ecological validity: mistaking the lab for real life. In R. Sternberg (Ed.) My Biggest Research Mistake: Adventures and Misadventures in Psychological Research pp 187–190. Sage.

Bateson, G.  (1972). Steps to an ecology of mind.  Chandler.

Bhaskar, R. (2016). Enlightened common sense: The philosophy of critical realism Routledge.

Brinkmann, S. (2011).  Psychology as a moral science: perspectives on normativity  Springer.

Conway, A. and Pilgrim, D. (2022). The policy alignment of the British False Memory Society and the British Psychological Society. Journal of Trauma & Dissociation 23(2):165-176

Conway, M.(2012). Ten things the law and others should know about human memory. In L. Nadel and W.P. Sinnott-Armstrong (Eds.). Memory and law : Oxford University Press.

French, C. (2018). Reaching ‘Brenda from the chip shop’: scientific literacy. The Psychologist March, 45.

Hulme, J, Skinner, R., Worsnop, F., Collins, E., Banyard, P., Kitching, H., Watt, R. and Goodson, S. (2015). Psychological literacy: A multifaceted perspective. Psychology Teaching Review 12, 2, 13-24.

Loftus, E. and Ketcham, K. (1991). Witness for the defense. New York: St. Martin’s Press. 

McGovern, T. V., Corey, L., Cranney, J., Dixon, W. E., Jr., Holmes, J. D., Kuebli, J. E., Ritchey, K. A., Smith, R. A., & Walker, S. J. (2010). Psychologically literate citizens. In D. F. Halpern (Ed.), Undergraduate education in psychology: A blueprint for the future of the discipline (pp. 9–27). American Psychological Association.

Miller, G. (1991). Psychology: The science of mental life  Penguin.

Miller, G. (1969).  Psychology as a means of promoting human welfare. American Psychologist, 24(12), 1063–1075. doi:10.1037/h0028988 

Pilgrim, D. (Ed.) (2023). British Psychology in Crisis  Phoenix Books.

Pilgrim, D. (2022). Identity Politics: Where Did It All Go Wrong?  Phoenix Books.

Pilgrim, D. (2020). Critical Realism for Psychologists  Routledge.

Richards, G. (2009). Putting psychology in its place: Critical historical perspectives. Routledge.

Smedslund, J. (2016). Why psychology cannot be an empirical scienceIntegrative Psychological and Behavioral Science 50, 2, 185-95. 

Tortorello, F. (2017). What is real about reductive neuroscience? Journal of Critical Realism 16 (3):235-254.

Trapp A., Banister P., Ellis J., Latto R., Miell D and Upton D. (2011). The future of undergraduate psychology in the United Kingdom. Higher Education Academy Psychology Networkhttps://groups.psychology.org.au/Assets/Files/Future%20UG%20UK.pdf

Uher, J. (2021). Psychology’s status as a science. Integrative Psychological and Behavioral Science, 55, 212-224

Gender, Identity Politics

Educational Psychology and ‘Social Transition’. 

Are we ready to talk about wholesale gender affirmation in UK schools?

Our previous posts (see, for example, here and here) about the continuing contentious debate surrounding trans ideology have focussed on clinical and counselling psychology. However, it can be argued that educational psychology has an even more important part to play as its remit is for all children whether in health care systems or not. We are very pleased, therefore, to post this timely and thoughtful piece from Dr David Buck, an independent Consultant Educational Psychologist.

1. Educational Psychologists’ Campaign for ‘Gender Critical’ Approaches.

A small number of Educational Psychologists (EPs) have mounted an ongoing campaign for the last couple of years to raise the issue of ‘gender politics’ in EP practice.  This group suggests that the existence of ‘grooming gangs’ in Rotherham and elsewhere in the UK makes a parallel argument for institutional complacency in UK children’s services due to managers’ fear of retribution from ‘PC/critical social justice’ activism.  This has led to the current position of the EP profession as a whole becoming institutionally ‘gender affirmative’, thus challenging biological explanations of sex difference (Joyce, 2021) and supporting ‘social transitioning’ (e.g. chosen use of pronouns and encouragement to adopt opposite sex stereotypes). 

Much progress has been made on limiting ‘medical transitioning’ to the realm of adult choice and is no longer part of the ‘gender affirmation’ of children.  Severe limitations are now imposed on the use of puberty blockers and re-assignment surgery for the under 18s after the relatively unaccountable activities of the Tavistock Gender Identity Development Service (GIDS – launched in 1989 to help people aged 17 and under who are struggling with their gender identity) leading to its appropriate closure by the NHS in March 2024. 

We are now arguing against the wholly unguarded support that Educational Psychology training courses and local authority (LA) EP delivery services appear to be giving to ‘social transitioning’ (an inherent component of the ‘gender affirmative’ approach). This is now clearly at odds with the Department for Education’s (DfE) ‘Gender Questioning Children’ (GQC) guidance and the Cass (2024) review, which was unable to discount its harmful effects. We also, more broadly, counter the clear bias in favour of critical social justice theory (CSJT), which drives ‘identity politics’ that is deployed within EPs’ professional associations.

In contrast, our own campaign promotes the relevance of Special Educational Needs and Disabilities (SEND) assessment to ‘gender distressed’ children as a means of accommodating this group in UK schools leaving whole school environments relatively unchanged, especially single sex spaces and the Science curriculum, which has been altered to prioritise gender identities over biological explanations of sex difference. 

We have attempted to get EP governance, professional associations, training course leaders, EP forums and blogs, etc. to at least facilitate discussion on ‘identity politics’ that includes ‘gender critical’ commentary.  Such views are characterised by a biological definition of sex difference which we have been promoting.  We prefaced all our posts with the following note:- 

These posts are sent in the spirit of opening debate on the important issues raised around trans-identifying students within all phases of the education system relevant to Educational Psychology practice. However since ‘gender affirmation’ has become such an overwhelming position any alternatives e.g. ‘gender critical’ views (i.e. a biological definition of sex difference, presented here) are treated as ‘transphobic’. It is ‘trans activism’ of ‘Gender Identity Ideology’ that is our particular target (since it ignores negative whole school effects) and is not directed at trans-identifying individuals themselves

These professional associations include the British Psychological Society (BPS), the BPS Division of Educational and Child Psychology (DECP), the Association of Educational Psychologists (AEP) and the National Association of Principal Educational Psychologists (NAPEP) UK , as well as the EP forums and EP blogs that include EPNET and EDPSY. These groups have all resisted, in their own ways, the facilitation of any discussion or publication that could be considered ‘gender critical’, often simply because they promote the Cass Review or the DfE – GQC guidance.

2. On Organisational Capture by Gender Ideologues.

In our view, the current authoritarian manner and regressive misogyny (e.g. encouragement to adopt sexual stereotypes) that underlies the promotion of ‘gender affirmation’ by all public services, including UK Educational Psychology Services and EP Training Courses, has now reached a point of being a real threat to child safeguarding.  The threat is associated with the unreflective ‘institutionalised political correctness’ (the PM’s contemporaneous comment on the Rotherham child sexual exploitation scandal (CSE)) whether from naive critical social justice activists or public sector policy scribes. Such threats are not trivial, as the events in Rotherham demonstrated.  Hence our current emphasis is on those didactic ‘PC’ (now ‘social justice’) narratives, similar to those in past CSE scandals, which are still apparent in the present as anxieties held by those in positions of professional governance of children’s services.  These fears, held by those professionals, are that they could somehow be exposed as acting in a discriminatory manner. Events demonstrate that this distorts their rational decision-making.  This is just as relevant now within children’s services’ responses to ‘Gender Identity Ideology’ (GII) as the topical focus on the inertia of these services’ is associated with the ‘grooming gang’ CSE scandals of the past. The potential harm of ‘social transitioning’ – that it can lead to re-assignment medication and surgery – has not been eliminated by research (Hall et al., 2024; Cass, 2024) so safeguarding should, in our view, default to a cautionary approach in this regard i.e. ‘do no harm’.

We maintain that the UK EP training, governance, management, and EP representative organisations put greater emphases on the ‘social justice’ for minority groups rather than on the effective assessment of their special educational needs and disabilities (SEND) through well-established statutory procedures of Part 3 – Children and Families Act 2014. Their apparent obsessions with niche minority interests flamboyantly demonstrate the EP profession’s virtue signalling of ‘social justice’ which is made at the expense of general negative effects on wider school issues.  One of the most prominent examples is their promotion of the messages from Gender Identity Ideology (GII) charities. Here the minority interests of trans-identifying children are so obviously ranked above whole school interests via ‘gender affirmative’ views e.g. they take a position that prioritises the ‘inclusion’ of these pupils’ access to all facilities according to their chosen gender. This is to the potential detriment of single sex sports, spaces and healthcare for all, where ‘sex’ in these contexts has normally been defined as ‘biological sex difference’.  

The EP profession’s university-based training courses and local authority EP services’ senior staff also show widespread support for ‘gender affirmative care’ reflecting the bias of the GII charities noted above. Their activity on the EPNET forum has clearly indicated widespread and uncritical promotion of ‘social transition’. They are now effectively briefing against both the latest DfE guidance ‘Gender Questioning Children’ and the Cass Review which has highlighted the poor evidence base for either positive or negative outcomes of gender affirmative care.  Even more seriously, this clear bias towards ‘critical social justice theory’ is evident in their professional association, the AEP, in its feedback on DfE guidance GQC consultation. This feedback formulated plainly irresponsible recommendations NOT to follow the DfE GQC guidance. They do this by leaning heavily on the entirely unaccountable advice from GII charities, such as the discredited Stonewall ‘Global Diversity Champions Programme’ and ‘Just Like Us’ who say: ‘We recommend schools do not implement this draft, non-statutory guidance. We encourage teachers to stand for inclusion, not exclusion’. The implication that gender-critical commentary would ‘stand for exclusion’ is disingenuous or faux-naïf at best. 

These organisations are more concerned with virtue signalling the ‘well-being’ of these niche minority groups such as trans-identification rather than that of the school population as a whole.  As deserving of attention as these groups may well be, the wider negative implications for all of meeting their needs across the educational system are rarely directly addressed by the BPS, DECP, AEP, NAPEP or EPNET.  The dominance of the moral imperative to signal ‘inclusivity’ apparently easily overrides the rights of others e.g. in schools the rights of all to single sex spaces, sports and healthcare. The organisations’ role in platforming the profession’s obsession with demonstrations of their own ‘compassion’, ‘kindness’ and ‘empathy’ take primacy over the more mundane issues that abound for all SEND children e.g. the current dearth of SEND resources, poor literacy and numeracy levels.

3. Educational Psychologists Are Influential So Discussion Within The Profession Is Vital.

We have been raising these concerns because LA EPs are very influential across the whole school estate as a reference point for special educational needs and disabilities (SENDs) and wider psychological needs relevant to all pupils e.g. counselling services after a school is involved in a ‘critical incident’. It is therefore imperative that they are offering evidence based advice that is congruent with government guidance.

The issues we have discussed here will only be resolved by the encouragement of open debate amongst front-line workers, free from training, governance, representative organisations and managerial oversight within each of the public sector services responsible for child-safeguarding.  That is currently impossible in the Educational Psychology profession in general and within the remit of the BPS, DECP, AEP, NAPEP & EPNET in particular.  Their spurious technocratic reference to rules and values of self-serving interest, especially amongst Senior Management Teams and academic Educational Psychology training staff, is evident in their active censorship and attempts to shut-down rather than facilitate such debate. 

Although the British Psychological Society (BPS) has made a post-Cass statement , this shows a very weak and ambiguous response to that review.  Additionally, the formal professional guidance shows little has changed since pre-Cass versions – the BPS full guidance (originally published in 2109, revised version published 2024) shows that none of the ‘References’ or ‘Further Reading’ are post-2022 let alone post-Cass Apr 2024.  Professor Christina Richards chaired both the original and the review working parties and much reference is made to her book, co-authored with Dr James Barrett, ‘Trans and non-binary gender healthcare for psychiatrists, psychologists, and other mental health professionals’ (published pre-Cass in 2020).  Not only that but in their book’s biographies it is revealed Professor Richards was elected to the Executive Board of the World Professional Association for Transgender Health (WPATH).  This self-selecting lobbyist-group is well known for its ‘gender affirmative’ position and as such has been widely criticised for its ‘independent’ pretensions e.g. Jennifer Black (2024) , The Economist (2024), Malcolm Clark (2024)

‘…No organisation has played a greater role in the adoption of the pseudo-science of so-called ‘gender affirming healthcare’ globally than the World Professional Association of Transgender Health…’  (Clark, 2024).

Given its active choice to hold onto gender ideologues to revise its policy document, the BPS seems unwilling to represent any neutral, let alone any sort of independent, review of the impact of Gender Identity Ideology as one might have hoped on a first reading of their ‘new’ post-Cass guidance.  Indeed its current focus on GII  appears to support the proposal that sex is determined by an individual’s feelings of gender identification to the opposite sex rather than being biologically fixed (see also here).

4. Conclusion.

However we may regard USA President Trump at a personal level, Joanna Williams has summarised his recent Executive Order (20th January 2025), which proclaims the United States will only recognize ‘two sexes, male and female’ in this way…

By asserting the basic, biological reality of two-sexes, Trump will safeguard women’s right to single-sex prisons, hospital wards, changing rooms and public toilets. Female athletes will no longer risk injury or lose scholarships after being forced to compete against bigger, stronger males. Children will not be taught to choose from one of hundreds of so-called ‘gender identities’ and encouraged to bring their bodies in line with this new sense of themselves through a lifetime of popping pills and surgery. The need for pronoun badges or declarations will be done away with and even the transgender Pride flag, with its baby pink and blue triangles, can be retired. (Williams, 2025 ).

Further, in the UK the Supreme Court is about to (Feb/Mar) make a final decision on the case of Women Scotland Ltd (Appellant) v The Scottish Ministers (Respondent).  The question being considered concerns only the status of those who have Gender Recognition Certificates (GRCs).  It has already been established that for the Equality Act and all other laws that individuals who identify as the opposite sex do not legally alter their biological sex.

If ‘Women Scotland Ltd’ win the Scottish government will have to amend the Gender Representation on Public Boards (Scotland) Act 2018 to make clear that ‘women’ does not even include men with GRCs.  This will eliminate the last UK legal anomaly that creates confusion over the biological reality of sex in law.  If so, how long will it take the BPS and others to alter their position which undoubtedly will become regarded as at odds with all these international legal developments?

The BPS position on the ‘culture wars’ in general and on ‘identity politics’ in particular is becoming out of sync with cultural shifts regarding trans-identification with every week passing.  Its sluggish, if not overtly stubborn responses to these cultural, political and legal changes is leading it to a future perception as the ‘Tavistock GIDS’ of ‘social-transitioning’.  GIDS was established in 1989 and closed down in March 2024 by the NHS.  The most poignant question, due to the subtle, nuanced but non-the-less powerful forms social-transitioning can take is  – will anyone notice, or will it take another 35 years to bring the BPS to book? 

In the meantime front-line EPs would do well to process their involvement with trans-identifying children through an encouragement of parents of this client-group to use the Education, Health & Care Needs Assessment procedures of Part 3 CFA 2014 (Buck, 2022, 2024).  EPs can then protect their own professional credibility by writing in a manner suitable for Special Educational Needs & Disabilities Tribunals and Family Courts.  Then at least there will be a greater possibility such reports will be properly judged against the principles within the NHS Cass Review, the DfE’s ‘Gender Questioning Children’ guidance and revised legislation.  In this context EPs’ written output is free from evaluation against the rapidly ageing GII values that their employing local authorities, Educational Psychology training course tutors, EP representative bodies or the British Psychological Society itself continue to offer. 

REFERENCES

Black, J. (2024).  Dispute arises over World Professional Association for Transgender Health’s involvement in WHO’s trans health guideline  https://www.bmj.com/content/bmj/387/bmj.q2227.full.pdf

British Psychological Society. (2024). Guidelines for Psychologists Working with Gender, Sexuality and Relationship Diversity: For adults and young people (aged 18 and over). https://www.bps.org.uk/guideline/guidelines-psychologists-working-gender-sexuality-and-relationship-diversity

Buck, D. (Sept. 2022). Transgenderism in Schools.
https://www.cieo.org.uk/research/transgenderism-in-schools/

Buck, D. (Apr. 2024). The Importance of Special Educational Needs Assessment Concerning Trans-Identifying Children in UK Schools: The Role of Educational & Child
Psychologists’. – Genspect. https://genspect.org/reconstructing-uk-educational-child-psychologists-roles-regarding-intersectional-identities-of-transgenderism-with-special-educational-needs/

Cass, H. (2022)Independent review of gender identity services for children and young people. NHS England. https://cass.independent-review.uk/home/publications/final-report/

Children & Families Act. (2014). Part 3 Children And Young People In England With Special Educational Needs Or Disabilities Section 22. The Stationery Office, London.

Clark, M. (2024).  All roads lead to WPATH – ‘The Critic’. https://thecritic.co.uk/all-roads-lead-to-wpath/

Department for Education’s (DfE) ‘Gender Questioning Children’ (GQC) guidance. https://consult.education.gov.uk/equalities-political-impartiality-anti-bullying-team/gender-questioning-children-proposed-guidance/supporting_documents/Gender%20Questioning%20Children%20%20nonstatutory%20guidance.pdf

The Economist (27 Jun 2024). ‘Research into trans medicine has been manipulated.  https://www.economist.com/united-states/2024/06/27/research-into-trans-medicine-has-been-manipulated

Equality Act. (2010). The Stationery Office, London.

Executive Order (20th January 2025). Defending Women From Gender Ideology Extremism And Restoring Biological Truth To TheFederal Government. The Whitehouse, USA. https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/

Forstater v. CGD 2022 – M Forstater v CGD Europe and others: 2200909/2019 – GOV.UK

Hall, R. Taylor, J., Hewitt, C.E., Heathcote, C., Jarvis, S.W., Langton, T., Fraser, L. (2024). Impact of social transition in relation to gender for children and adolescents: a systematic review  – BMJ Archives Disease in Childhood. https://adc.bmj.com/content/109/Suppl_2/s12

Joyce, H. (2021). Trans: When Ideology Meets Reality – Oneworld.

Richards, C. & Barrett, J. (2020). Trans and non-binary gender healthcare for psychiatrists, psychologists, and other mental health professionals. London: Royal College of Psychiatrists/Cambridge University Press. https://www.cambridge.org/core/books/trans-and-nonbinary-gender-healthcare-for-psychiatrists-psychologists-and-other-health-professionals/BE6DD100185E0396E84363F92C6A329E

Supreme Court (2024). Women Scotland Ltd (Appellant) v The Scottish Ministers (Respondent). https://www.supremecourt.uk/cases/uksc-2024-0042

 Williams, J. (2025) . Donald Trump, feminist icon? https://cieo.substack.com/p/donald-trump-feminist-icon-68a?utm_source=post-email-title&publication_id=365184&post_id=155344749&utm_campaign=email-post-title&isFreemail=true&r=ueb70&triedRedirect=true&utm_medium=email

"The Psychologist", Gender, Governance, Identity Politics

The BPS : failed and still failing – and failed again.

You may have read our open letter [see here] to Professor Tony Lavender, Chair of the Practice Board of the British Psychological Society. We have had a number of responses to the letter supporting our view. This week (2 September) we received this response from Professor Lavender. Below it is our reply (sent today 3 September).

Dear Pat, Peter, and David

I am writing in response to your recent open letter, ‘The BPS and Gender: Failed and still failing.’

I understand that over recent years, you have raised these issues on many occasions and have received numerous in-depth answers which explain the BPS position, and which fully respond to your concerns. This has included responding to complaints, open letters, and concerns about specific members raised under our member code of conduct. The BPS has taken your concerns seriously and has addressed them with a considerable amount of care and attention as well as significant organisational resources. Because of this, it seems unnecessary to repeat information which has been communicated to you on multiple occasions previously, much of which is also publicly available.

Our Guidelines for psychologists working with gender, sexuality and relationship diversity are broad guidelines which set out general principles for psychologists and those working in associated fields. The guidelines clearly state they are not for the specific clinical treatment or assessment of gender dysphoria or incongruence. The society has stressed on multiple occasions that the guidelines do not relate to children and young people under the age of eighteen. So, while we note your concerns in the context of the Cass Review, we cannot agree that it is valid to project them onto guidance which is designed for adults. However, we do agree that there is a need for increased clinical guidance for professionals working with children and young people in the complex area of gender dysphoria. We have already indicated to NHS England our strong desire to join a consortium of relevant professional bodies to identify gaps in professional training and develop training materials to upskill the workforce. You will also know that the BPS recently created a Children and Young People and Gender task and finish group to look at the critical issues relating to children and young people and gender. This work is currently underway. 

In relation to the Cass Review, we cannot accept your view that the BPS is somehow ‘anti-Cass.’ Our response, as stated by Dr Roman Raczka, to the final report of the Cass Review commended Dr Cass for her ‘thorough and sensitive review into an area that is highly complex and controversial to many.’ He went on to state that, ‘Dr Cass and her team have produced a thought-provoking, detailed, and wide-ranging list of recommendations, which will have implications for all professionals working with gender-questioning children and young people. It will take time to carefully review and respond to the whole report, but I am sure that psychology, as a profession, will reflect and learn lessons from the review, its findings, and recommendations.’ This analysis of the final report and the resulting implication for psychology is currently underway. To support the cross-organisational group of members collaborating on our response, we reached out to the wider BPS membership to submit their evidence-based contributions. It does not appear that you took the opportunity to input into this important work. 

I note your concerns that any perception that the BPS had adopted an ‘anti-Cass’ position could endanger the organisation’s important relationship with NHS England. I am pleased to be able to reassure you that the BPS continue to have a positive relationship with NHS England. NHS England did recently approach the BPS to provide a statement relating to theirannouncement on the expansion of services for children and young people. On this occasion we politely declined as our consultation work with members was ongoing. NHSE readily understood and referred to our initial response to the final Cass report as “supportive.” 

The BPS recognises that the society may adopt policy positions that some of our members disagree with, but these policy positions are arrived at by assessing the evidence base, accessing the relevant expertise of our members as well as providing opportunities for our wider membership to feed their evidenced-based reflections through our consultation processes. While the BPS acknowledges that you remain dissatisfied with the society’s views on gender, with a membership of more than 65,000 passionate people, it is not expected that all our members will hold a single, unified view on any issue. Diversity of thought and opinion is a welcome hallmark and an inherent strength of both our profession and of our organisation.

Kind Regards

Tony Lavender.

This is our reply:

3 September 2024

Dear Tony

Thank you for your response of 2 September to our open letter of 14 August.

We find it difficult to believe that you wrote this reply although you have signed off on it. Accordingly, what follows is not directed at you personally.

Does no-one at the BPS recognise the very serious reputational mess that the BPS finds itself in on this matter? Apparently not. The tone of the response is arrogant, defensive and patronising to senior long-term members who have spent many hours over the years contributing to the Society, latterly to attempt to orient it to a better and more responsive and responsible course. The response is so inappropriate and, in a number of ways dishonest, that it requires point-by-point dissection and this follows below in the order offered by your response.

Your opening paragraph states:

I understand that over recent years, you have raised these issues on many occasions and have received numerous in-depth answers which explain the BPS position, and which fully respond to your concerns. This has included responding to complaints, open letters, and concerns about specific members raised under our member code of conduct. The BPS has taken your concerns seriously and has addressed them with a considerable amount of care and attention as well as significant organisational resources. Because of this, it seems unnecessary to repeat information which has been communicated to you on multiple occasions previously, much of which is also publicly available.

You imply that the BPS has been more than helpful, bending over backwards providing us with plentiful information in an open and transparent manner. That does not square with our experience. Only recently there was the example of the highly irresponsible actions of the editor of The Psychologist (supported by the Chair of the Editorial Board) in posting and retaining a link online to the Singapore-based Gender GP, a supplier of puberty blockers, despite being shown specific warnings from the NHS and the clear position taken by Cass concerning puberty blockers. That link remained online for several months after the representations had been made and rebuffed, and it was only taken down – without acknowledgement to us – after a judge had issues a warning about Gender GP in the High Court. We made a formal complaint about the rude and inappropriate response made by the two men. This was rejected out of hand. No acknowledgement, no reflection, no learning, no apology. The Chair of the Sexualities Section has repeatedly criticised Cass and insulted psychologists he deems supporters of Cass/Gender Critical and has cast disparaging and unprofessional aspersions on social media on LinkedIn. The BPS argued that it should be dealt with by the HCPC and their decision was that this did not reach their threshold for investigation as a fitness to practice issue. On then requesting that the BPS formally investigate (under the BPS’s own Member Conduct Rules and Social Media Guidelines) it refused to act (or may have done but the Complaints Process does not allow complainants any meaningful feedback). Issues of confidentiality regarding complaints aside, some years ago there was an undertaking to publish anonymised data about the types of complaints that were being received, investigated and their outcomes. This appears not to have been done, and it is our view that beyond fitness to practice responsibilities taken by the HCPC there are member Conduct Rules, Code of Ethics and Conduct, Social Media Guidelines and rules for members undertaking official duties for the BPS which should be in force but about which there is no feedback given in terms of application. The BPS is not a learning organisation in itself or for its members.

Your comment about information being publicly available mystifies us. One of our enduring complaints is the lack of information for members. It is our group, as well as others on social media, who have been the source of much information that should have come from the BPS.

It is galling and insulting to be admonished in the second paragraph with 

The guidelines clearly state they are not for the specific clinical treatment or assessment of gender dysphoria or incongruence. The society has stressed on multiple occasions that the guidelines do not relate to children and young people under the age of eighteen. So, while we note your concerns in the context of the Cass Review, we cannot agree that it is valid to project them onto guidance which is designed for adults”.

We need to remind you that it was as a result of a lengthy complaint by one of us (which required considerable persistence) that it was finally made clear two years after publication of the 2019 Guidelines that the Guidelines were for adults/over 18s. On 9 April 2021 the Director of Membership and Professional Development wrote to confirm to us that

“…we have offered to put a statement on the front of our guidelines, on our website and all points/places where the guidelines are referenced to confirm that the BPS guidelines for psychologists working with gender, sexuality and relationship diversity are rot adults. We will implement this urgently.”

The belatedly “adults only” badging would not have happened had it not been for this hard-fought complaint and the rebadging did not remove ambiguities in the content of the guidelines that had implications for a philosophy of practice for young people. 

The concerns of the Cass Review on children’s gender services subsequently raised wide ranging issues of 

  • service philosophy; 
  • exploratory versus affirmative psychological practice;
  • diagnostic overshadowing;
  • the needs of detransitioners.

All of these critical matters are largely downplayed, disregarded or ignored in the revised 2024 adult guidelines. You cannot surely think that at age 18, the radical paradigm shifts proposed by Cass suddenly do not apply? 

The 2024 edition of the Guidelines is a document entirely discontinuous with, and dislocated from, the services which will be developed from Cass, and you actually confirm that with your ridiculous phrase “…we cannot agree that it is valid to project them onto guidance which is designed for adults“. Please do not think it is remotely permissible to bandy the word “project” about in this fashion with clinical psychologists and please endeavour to reflect how utterly patronising and inept these two paragraphs are.

Regarding your third paragraph – is the BPS anti-Cass? The balance of evidence so far is certainly that it has not been interested in, or has been defensive about, the highly relevant recent history of disquiet about the psychologist-led GIDS service that finally led to the Cass Review. This can be evidenced in detail by scrutinising what the BPS has said and done on its website and in The Psychologist, latterly and most blatantly in relation to the revision of the adult Guidelines which we emphatically argue above should show some continuity and consonance with the Cass paradigm shift. The Guidelines patently do not. We would direct you to the following: https://www.bps.org.uk/news/bps-response-new-nhs-england-regional-model-gender-identity-services-children-and-young-people.This is an alarming response following proposals from Cass that GIDS should close. It focussed away from the service philosophy and inadequate psychological practice issues then emerging, and on to waiting time problems. It placed its concern with the current GIDS psychologists rather than showing any curiosity that possibly damaging practices might have been going on there in psychology-led services for children and young people: 

We are aware that some BPS members will work across the Tavistock Clinic and that this news might be unsettling and upsetting for them. We would encourage any members who are affected by this to seek support from their Union or by contacting the BPS where we will work, as their professional body, to support them accordingly.

A response (https://www.bps.org.uk/psychologist/time-honest-reflection-not-defence) from senior members/practitioners to this BPS reaction stated :

These constitute serious criticisms of a flagship psychology-led service, resulting in its closure to protect patient safety. In this context, the statement issued by the BPS is profoundly inadequate. It offers no acknowledgement of the severity and range of these problems, or of the harm done to some children and young people. There is no reflection on mistakes made or lessons to be learnt. Defence, not reflection, has been a theme throughout the story of GIDS. Many clinicians, parents and patients have raised repeated concerns about the practice model. Ex-patients have discussed feeling rushed into body-altering interventions which some have come to regret. Criticism has grown louder recently, following a 2018 internal report, a judicial review in 2020, damages awarded to the Trust safeguarding lead and an ‘inadequate’ CQC report in 2021, plus increasing media coverage. Concerns that GIDS was operating outside usual clinical practice were first raised, however, in 2004. Critics have consistently been labelled bigots or transphobes and ostracised.

Key people at the BPS remain openly hostile to Cass. The Chair of the Sexualities Section has stated publicly that he will be part of a group criticising her Review and its evidence base. The BPS appointed two new members to the working group for the revised Guidelines who were implacably trans-activist and anti-Cass. They are employed in private service provision, Gender Plus, who will get their clientele (including some children) from those who wish to by-pass service strictures in the new NHS provisions. The BPS as a body have been constipated in producing any fully worked out response to Cass. Roman’s response is far from that – it is just a place holder. This is a marked deficit in timeliness and enthusiasm, critical or otherwise, given that psychologists have such a central role to play – no signs of BPS reflection or audit of what went wrong. What has he or anyone else done to action his comment ‘I am sure that psychology, as a profession, will reflect and learn lessons from the review, its findings, and recommendations.’  Not happening and no proposals to make it happen. This response demonstrates that very clearly.

You refer to our failure to contribute to the project identifying the implications of the Cass Review for psychology (https://www.bps.org.uk/news/members-encouraged-contribute-cass-review-project ). Have you considered how that was phrased by the BPS Comms Team? Fill in an online form and “Members are reminded that contributions should be evidence-based”. So, individual members are supposed only to send in opinions which are evidence-based. When part of the problem in previous services was poor evidence, when Cass has extensively, and over a long period reviewed evidence, what is an individual psychologist going to do to produce a contribution which is evidence-based?  This was going to discourage more people than just ourselves from thinking there was much point. Maybe, given our experiences, that was deliberate.

In noting in our letter to you that adult gender services were now also to be reviewed, we have stressed above the discontinuity of paradigm between remodelled children’s services and the stale narrow re-statement in 2024 of a BPS position that had been extant from 5 years before in the 2019 Guidelines. Can you believe that these guidelines will say anything whatsoever in terms of their content to impress policy makers that the BPS can assist them? The BPS is stuck in its activist capture demonstrated with evidence in our letter.  The appointment of Moon and Zitz to a team led by Richards was doubling down on existing massive bias in the ideology of the authors. Your last paragraph 

The BPS recognises that the society may adopt policy positions that some of our members disagree with, but these policy positions are arrived at by assessing the evidence base, accessing the relevant expertise of our members as well as providing opportunities for our wider membership to feed their evidenced-based reflections through our consultation processes. While the BPS acknowledges that you remain dissatisfied with the society’s views on gender, with a membership of more than 65,000 passionate people, it is not expected that all our members will hold a single, unified view on any issue. Diversity of thought and opinion is a welcome hallmark and an inherent strength of both our profession and of our organisation.

is patently ridiculous and insults our intelligence. Everything in this last paragraph is untrue. To use common parlance, the whole reply is gaslighting. How could a small writing group of six who shared clear common affiliations with trans activism such as WPATH and BAGIS and working for Gender Plus represent a breadth of viewpoint? Why choose an additional psychologist such as one still aligned with GIDS instead of someone from the thirty-five experienced psychologists who had left that regime? Why had two of the previous authors taken the decisive decision to have their names removed from the 2019 document? Despite seismic shifts in the context of gender services between 2019 and 2024, the BPS made decisions which showed no reflection of that and reinforced its capture by trans activists, a narrowing of dogmatic prescription rather than more nuanced, diverse and inclusive perspectives. It is beyond irony that you trumpet diversity of thought and opinion in your defence of an entirely exclusive and inflexibly rigid document. The Society has dug a deep hole for itself, and it keeps on digging. Your Comms-Speak response confirms this: “65000 passionate members” is taking that rhetoric to its silly apogee.

Withdraw the guidelines now. 

Yours sincerely,

Pat Harvey, David Pilgrim, Peter Harvey,

BPS members, Clinical Psychologists.

BPSWatch.com, @psychsocwatchuk