Please or to access all these features

Feminism: Sex and gender discussions

Michael Craig at Tavi: Are autism and gender dysphoria linked?

145 replies

RethinkingLife · 20/04/2024 02:25

Thoughtful piece.

For six months during the Covid lockdown, Professor Michael Craig sat in remotely on sessions with patients at the Tavistock gender clinic in London. They were children who were being seen for gender dysphoria, the term used to describe a sense of distress caused by somebody feeling that their biological sex does not match their gender identity. But as Craig watched them pass through he says he was “perturbed” by how many also seemed to have another condition: autism.
“There were certainly some days where I was fairly convinced 40-50 per cent of the patients I was seeing were autistic,” he said. Overall, he estimates about 20 per cent might have qualified for an autism diagnosis.
“I was trying to find out what it is that might explain this overlap, but it’s a difficult area to research for all sorts of reasons.”
…
That the two conditions often seem to occur together was highlighted in a review by Dr Hilary Cass this month, on the state of NHS services for children identifying as trans. One of its recommendations is that children presenting at gender clinics should be screened for neurological conditions, especially autism. “Clinicians report seeing teenage girls who have good cognitive ability and are articulate, but are struggling with gender identity, suicidal ideation and self-harm,” Cass explained. “In some of these young people the common denominator is undiagnosed autism, which is often missed in adolescent girls.”

https://www.thetimes.co.uk/article/autism-transgender-professor-michael-craig-cass-review-2s9tkn8qz

https://archive.ph/P4WfQ

Are autism and gender dysphoria linked? This professor thinks so

When Michael Craig, an expert in neurodevelopmental conditions, sat in with the Tavistock’s gender identity development service, he began to question diagnoses

https://www.thetimes.co.uk/article/autism-transgender-professor-michael-craig-cass-review-2s9tkn8qz

OP posts:
New posts on this thread. Refresh page
Thread gallery
8
MarvellousMonsters · 27/04/2024 18:53

Stigglet · 21/04/2024 10:04

I’m autistic. In my early teens I presented in a way that could be described as masculine. I gave no shits about women’s fashion or makeup or nail varnish etc. I wore loose tshirt, jeans and boots pretty much all the time, with a baggy mens jacket. I also wore a tight vest which flattened my breasts. My interests were typically masculine.

Thankfully it was the 90s so nobody suggested I was trans. I can tell you exactly why I dressed like that - to be invisible.

I was completely unable to navigate puberty. People had begun to comment on my breasts growing and I found it upsetting and embarrassing. Sexual harassment from boys was a constant problem, and due to my communication difficulties I was unable to handle flirting. I also found that the boys who shared my interests were starting to exclude me as my femaleness became more obvious. So I hid my female body as much as I could.

As I got older, other girls increasingly shunned me. Girls are much worse for excluding girls with autism than boys are for excluding boys with autism. I had no friends and I was constantly bullied, and I didn’t know why.

At the time I would have latched onto any explanation for the way I was being treated. I would have grabbed any solution that would make the bullying and harassment stop and allow me to have friends. So if I’d been told I was trans, “and that’s why girls don’t want to be your friend, and that’s why you’re not interested in flirting with boys, and that’s why you have male interests”, then I’d have accepted that as the answer. And if I was also told “if you’re trans then the boys who share your interests will be friends with you and the bullying and harassment will stop” - I’d have leapt on that as a way to have friends.

But it was the 90s. So I was just bullied and isolated for a number of years, and tried to kill myself several times. My body grew and I learned to cope with harassment and embarrassment. In fact I learned that my body was a tool that I could use to get friends - because if I let boys have sex with me they would be my friends.

It’s a long and sad story. Suffice to say I’m now in my 40s with kids and clearly not trans. But I completely understand why teens in the same situation grab onto that as an answer and solution to their problems.

I'm very much the same, but older than you. As a child I wanted to be a boy because my brothers toys & games appealed to me more than my sisters. I hated girly clothes like tights & skirts, and hated the sudden attention that the appearance of my boobs brought. I masked like a creature possessed, wore the clothes I was told I should wear, wore make up even though I hated the feel of it on my skin, etc etc. Luckily no one considered me to be trans because it wasn't a thing in the 80s & 90s, and I learnt to cope with the attention, found the confidence to wear what I was comfortable in and am a deeply content gender non-conforming autistic woman.

I'm completely done with seeing men mansplaining what womanhood and femininity is, as they get boob-jobs and grow their hair, put on make up and paint their nails. Get fucked.

MarvellousMonsters · 27/04/2024 18:40

AstonsDataThief · 20/04/2024 13:12

". People with autism feel less compulsion to conform to societal norms, he says — an idea also mentioned by Baron-Cohen in his study. “This frees us up to connect more readily with our true gender,” Lawson said."

Again this goes down to sex stereotypes. A girl with autism might prefer cars, engineering which have straightforward rules compared things like English which requires understanding social conventions. She might also like short hair due to sensory issues. And may follow these interest due to ‘feeling less compelled to conform’. But none of this makes her a boy. There is nothing about engineering and short hair that stops them being for girls. On the otherhand it is surely the need to conform that drives them to trans.

Exactly this. Current ideologies actively suggest that gender non-conformity means these kids are trans. Actually, they are just gender non-conforming. Whilst some people with autism feel less pressure to conform, a significant number feel very disconnected and out of place, which again makes them vulnerable to trans ideology.

AstonsDataThief · 22/04/2024 15:43

This

some frankly revolting bullying of carers who try to voice their concerns.

and this

As a late informally diagnosed AuDHD (by the clin pscyh team assessing my kids, not TikTok)
I think it was because of this, thinking what I’d gone through was to some extent the normal teen experience (think, The Breakfast Club), that I missed the early signs for both my kids.

Undiagnosed autistic parents can often miss autism in their children because their behaviours are ‘normal’ to them. Their child do what they do. So it is ironic when activist autism groups then bully them for what are often actually autistic behaviours in their reaction to their child’s diagnosis.

BusyMummy001 · 22/04/2024 15:26

TomeTome · 22/04/2024 14:28

I think the fact that teen girls with difficulties beyond gender dysphoria were presenting suddenly and in such numbers points to a problem in practice and pathway rather than a true link between a neurological difference and any gender fluidity.

i wonder if a similar set of children were goths, or emos, or punks in previous generations?

As a late informally diagnosed AuDHD (by the clin pscyh team assessing my kids, not TikTok), it is only in retrospect that I understand how it impacted my teens. I was deeply awkward, nerdy, isolated… and a was a punk/Goth - a Souixie/Cure clone and even play electric guitar.

It was all a facade, though, as I played baroque recorder/flute, the lute, sang Suzanne Vega/Tracey Chapman; read classic literature; was top of the class in everything and was bullied unmercifully. The ‘costume’ earned me a pass and was able to fade into the background, or at least seem too scary/angry for boys to sexualise and harass me (I was a Dcup at 12 🤦🏽‍♀️). I found puberty frightening and had no support from my mum, went to a rough mixed secondary, so thought I was mitigating this for my kids by sending them to a small local private school.

I think it was because of this, thinking what I’d gone through was to some extent the normal teen experience (think, The Breakfast Club), that I missed the early signs for both my kids. Once I realised, got their diagnoses, I’d hoped that being able to explain that I truly understood what my DD was going through and why this informed my belief that she was not trans would help. Doh!!

TomeTome · 22/04/2024 14:28

I think the fact that teen girls with difficulties beyond gender dysphoria were presenting suddenly and in such numbers points to a problem in practice and pathway rather than a true link between a neurological difference and any gender fluidity.

i wonder if a similar set of children were goths, or emos, or punks in previous generations?

BonfireLady · 22/04/2024 12:56

WarriorN · 22/04/2024 11:37

Thank you and Flowers to all women on this thread sharing their experiences of going through puberty whilst also autistic (mostly undiagnosed I assume.)

Well said. Thank you from me too. It's such a help to read your perspectives.

WarriorN · 22/04/2024 11:37

Thank you and Flowers to all women on this thread sharing their experiences of going through puberty whilst also autistic (mostly undiagnosed I assume.)

WarriorN · 22/04/2024 11:30

increase in early teens girls with complex additional issues (ie the very group who are likely to have undiagnosed autism)

Very important consideration to highlight

Also teen girls who'd experienced trauma and abuse. Blackpool had the highest rates of referrals and this has been linked to the social service team there.

Julie Bindel article- quite shocking look at Blackpool and the reasons behind the high GIDS referrals there. www.mumsnet.com/Talk/womens_rights/4711357-julie-bindel-article-quite-shocking-look-at-blackpool-and-the-reasons-behind-the-high-gids-referrals-there

Stigglet · 22/04/2024 09:52

The Cass report noted that there’s a high proportion of children with ND including autism presenting to gender clinics, and made particular note of the dramatic increase in early teens girls with complex additional issues (ie the very group who are likely to have undiagnosed autism).

I was a teenage girl who had additional issues including autism that resulted in me presenting as “male”. I hear the same story from lots of autistic women who had similar experiences. Yes I agree this experience is specific to some females with high functioning autism. But from what Cass is saying it sounds like such girls form a high proportion of the “dramatic increase” at gender clinics.

WarriorN · 22/04/2024 09:16

That's a really important distinction @TomeTome, thank you.

Also, a great explanation @TheColourOutOfSpace.

TomeTome · 22/04/2024 09:08

I think people have different insights and understanding and definitely don’t think it’s up to one section of a group to feel they represent the whole. There is very little understanding of some presentations of autism and I would say that is particularly evident in how people use LD and non-verbal interchangeably, their understanding of savant skills etc. There is very little compassion or empathy shown to the more vulnerable parts of the ASD population and some frankly revolting bullying of carers who try to voice their concerns.

VitoCorleoneOfMNMafia · 22/04/2024 08:50

TomeTome · 21/04/2024 17:27

@VitoCorleoneOfMNMafia I was responding to your post stating That was my point. We feel as much compulsion if not more to comply with social norms. which I can see might ring true for many highly verbal female autistics but isn’t universally felt throughout the population. I think you agreed with me?

Yes, we are in agreement.

The quoted article generalised from "high functioning" autistic males to the whole of autistic people, ignoring the differing socialisation of women, which is what I posted about initially, and ignoring the extent to which an autistic person with comorbid severe learning difficulties can absorb or act on social conditioning.

As you have said, autistic people without LD can't speak for those with LD. I add that autistic men cannot speak for autistic women.

TheColourOutOfSpace · 22/04/2024 00:03

People with autism feel less compulsion to conform to societal norms, he says — an idea also mentioned by Baron-Cohen in his study. “This frees us up to connect more readily with our true gender,” Lawson said.

That is such a weird interpretation and conflates normal variations in personality traits with some esoteric gender essence or soul that inhabits a body. It's so bizarre to have supposed scientific professionals subscribe to such notions.

I would say neurotypicals are better at subconsciously picking up unspoken rules and social cues on what is viewed as 'appropriate' behaviour and interests for men and women. They might moderate or change their preferences to fit in better with those around them.

Autistic people, on the other hand, are a bit 'blind' to these rules around societal norms and will pursue hobbies and interests, or wear what feels comfortable without much thought as to what might be expected of them. And probably don't realise unless it's pointed out to them. Or when they realise it's hard to make friends of the same sex since the majority don't seem to share your interests. I don't think there's any conscious decision to go against societal norms.

There's no 'connecting with our true gender', whatever that means. We are just expressing our personality with less filters.

I do think it was a bad idea to lump all autistic people together without any differentiation. Severely autistic people that are non-verbal or have learning disabilities are a different cohort to those autistic people who don't have to deal with such issues. It would be interesting to study the two groups separately and investigate which one is more likely to turn to gender ideology.

AstonsDataThief · 21/04/2024 23:14

BonfireLady I agree. It is one of those things which has made me very cynical. Something that sounds good is actually not.

TooFatTooOldTooUgly · 21/04/2024 20:15

Have only read the first post, but no
shit Sherlock!

Autistic women have been saying this for years, in great detail.

BonfireLady · 21/04/2024 20:12

AstonsDataThief · 21/04/2024 18:08

Much as I would like to agree, you only need to look at Rape Crisis Scotland, Engender, Fawcett, Women’s Aid etc or for LGB, Stonewall, to see that complete and thorough capture exists in these attributes too.

Yes. I realised after my post that I had made my comments very clumsily. I was actually looking forward to someone pulling it apart 😁

What I was trying to say, albeit badly, is that "nothing about us without us" should be simpler where the boundaries are clear e.g. the delineation of men/women etc. In other words women shouldn't be subject to rules set by men without any women's voices included (so in that respect, I think the sentiment is positive). However, those boundaries are clearly compromised... which is kind of the point of this board... 🙃 and arguably the other examples I gave have the same issue.
Rendering my... word salad.. pointless. Ah well. You live and learn 😁

AstonsDataThief · 21/04/2024 18:08

BonfireLady · 21/04/2024 16:57

Great post.

I would also add that "nothing about us, without us" has a very different (and much more positive) meaning when the group that applies it to itself has a single, factual core around which diversity in other attributes exists.

E.g.

  1. Being a woman (or man)
  2. Being L, G or B
  3. Being a British citizen (and within that, being within a devolved nation)

The moment there is no single, factual core, the risk of "capture" is introduced

Obviously there is always risk of capture in any group because of egos, power, money etc. But if the boundaries of the group are clear and can never shift, the risk is much lower.

What does/doesn't count as autism is contested - it's a very wide umbrella, even within the parts that aren't.

Edited

Much as I would like to agree, you only need to look at Rape Crisis Scotland, Engender, Fawcett, Women’s Aid etc or for LGB, Stonewall, to see that complete and thorough capture exists in these attributes too.

AstonsDataThief · 21/04/2024 18:05

WarriorN I see that too. The Scottish Government’s proposed LDAN bill (predictably with a ‘lived experience expert panel’) even goes so far as to say ”lived experience trainers should be able to access appropriate support for training delivery as well as appropriate payments for training work undertaken.” No qualifications required (or, presumably, PVG check) and this is for training across the public sector. Just random individuals with ‘lived experience’ for all ‘neurodiversities’.

WarriorN · 21/04/2024 17:31

I've been writing this post for a bit and have now seen AstonsDataThief's post on the same subject. And much more succinctly put! Below is my personal experience.

Wrt ”Nothing about us without us”

I am seeing more educational trainers who are themselves autistic or have adhd, coming into schools to deliver training.

Which in some respects is useful. It can be useful to hear someone describe very accurately how an individual with autism or adhd may feel in certain situations. But can also pose some issues too. There's an excellent trainer locally who's work I find really useful but he's not coming from the perspective of a child with autism AND learning difficulties or cognitive delays.

He's coming from the perspective of someone who's very academically clever and able to communicate his concepts very well, but clearly struggled at mainstream school and in life when he was younger.

A lot of his suggestions though aren't possible with many of the children in the SEND setting I teach in due to their communication and comprehension levels.

When I've discussed this with local SALT advisors they said it's about recognising there's ages and stages and context also needs to be considered.

Previously that particular trainer was very good on sexism in autism but has since been captured by TRAs.

There's another person who is marketing himself into local schools who was diagnosed late with autism who is simply not appropriate at all. But some schools and (even whole LAs) buy him in on that basis. Has been mentioned in Reduxx.

TomeTome · 21/04/2024 17:27

@VitoCorleoneOfMNMafia I was responding to your post stating That was my point. We feel as much compulsion if not more to comply with social norms. which I can see might ring true for many highly verbal female autistics but isn’t universally felt throughout the population. I think you agreed with me?

VitoCorleoneOfMNMafia · 21/04/2024 17:05

TomeTome · 21/04/2024 16:47

But @VitoCorleoneOfMNMafia and @Stigglet are you the single face of autism? I think you are describing the experience of some high functioning female autistics who are a small proportion of the autistic population.

@AstonsDataThief thats a very good post. Well said.

I don't think that autistic women and girls with concurrent severe learning disabilities are likely to be concerned with gender identity. Severe LD kind of precludes engaging with the concept.

The whole notion that autistic people are more likely to be gender dysphoric is based on extrapolation from the ones who don't have severe learning difficulties.

My point is that, far from freedom from social norms removing barriers to transition in non-LD autistics, a desire to comply with social norms to the extent of wanting to alter one's own apparent sex to make that compliance easier is more likely to drive transition in non-LD autistic females.

The linked and quoted piece is an example of a "high-functioning" autistic male talking for and over both severely-LD autistics and female autistics.

BonfireLady · 21/04/2024 17:01

BonfireLady · 21/04/2024 16:57

Great post.

I would also add that "nothing about us, without us" has a very different (and much more positive) meaning when the group that applies it to itself has a single, factual core around which diversity in other attributes exists.

E.g.

  1. Being a woman (or man)
  2. Being L, G or B
  3. Being a British citizen (and within that, being within a devolved nation)

The moment there is no single, factual core, the risk of "capture" is introduced

Obviously there is always risk of capture in any group because of egos, power, money etc. But if the boundaries of the group are clear and can never shift, the risk is much lower.

What does/doesn't count as autism is contested - it's a very wide umbrella, even within the parts that aren't.

Edited

Obviously being a woman, being LGB and being British are also wide umbrellas, under which smaller interest groups exist. But no smaller interest group should speak on behalf of the whole group. That's what happens in autism and gender identity... (and arguably in Westminster about the devolved nations in the areas where devolved autonomy doesn't exist, but that's a whole other topic and why we have a democratic parliamentary system with elected representatives).

BonfireLady · 21/04/2024 16:57

AstonsDataThief · 21/04/2024 16:35

“nothing about us without us”

What is meant by those demanding this is ‘we set the priorities and decide what is best’. There are three issues with this:

  1. who is ‘us’? ‘Us’ is generally a politically active subset with very specific goals they see as beneficial to themselves. It is a bit like ‘include lived experience’ or ‘must be [condition] led’ which often means ‘include me’ or ‘led by me’ or at least ‘people with the same set of priorities as me’. There is no attempt to assess whether this is actually a widely held view in the whole population.

  2. It ignores bias.

  3. It ignores the value of prior knowledge/expertise

‘Gender affirming treatment’ on tap is the outcome of precisely this approach. No external assessment is permitted, no application of knowledge allowed, no differentiation or safeguarding. The ‘us’ (adult men) apply their wants to another group (young teenage girls) by suggesting they are the same. This also happens in autism. For example the rounding on that DNA study of autism. A study which may or may not have had other issues but much of which is now being carried out elsewhere. There were cries of ‘eugenics!’ But also ignoring those who have autism as part of possibly unknown genetic syndromes and what identifying and building knowledge about those could do to help syndromes that come with a range of health issues.

‘Nothing about us without us’ would be fine if it meant that studies involved gathering views from a wide range of sources, including ensuring efforts were made to engage with those offline and those who purposefully disengaged from groups. But it generally doesn’t as that is too much like hard work when you have a group of activists ready to jump in.

Great post.

I would also add that "nothing about us, without us" has a very different (and much more positive) meaning when the group that applies it to itself has a single, factual core around which diversity in other attributes exists.

E.g.

  1. Being a woman (or man)
  2. Being L, G or B
  3. Being a British citizen (and within that, being within a devolved nation)

The moment there is no single, factual core, the risk of "capture" is introduced

Obviously there is always risk of capture in any group because of egos, power, money etc. But if the boundaries of the group are clear and can never shift, the risk is much lower.

What does/doesn't count as autism is contested - it's a very wide umbrella, even within the parts that aren't.

VitoCorleoneOfMNMafia · 21/04/2024 16:55

SaltPorridge · 21/04/2024 16:52

Has he?
In the context of trans ideology being pushed onto vulnerable young people, I don't see how a scientist exploring a theory can be said to have "done so much harm".

The "extreme male brain" model of autism caused systematic underdiagnosis of women and girls for decades. That would be the harm to which I refer.

SaltPorridge · 21/04/2024 16:52

VitoCorleoneOfMNMafia · 21/04/2024 16:39

He has done so much harm to autistic women and girls.

Has he?
In the context of trans ideology being pushed onto vulnerable young people, I don't see how a scientist exploring a theory can be said to have "done so much harm".