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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

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TomeTome · 21/04/2024 11:43

I’d say it’s extremely common because I have had countless experiences of people telling me their child has done this. Of course in that population some of the children will be autistic and some homosexual. I’m not sure what you mean by “credibility”. If you’re suggesting I’m lying about it can I ask politely why I would do that?

WarriorN · 21/04/2024 11:41

Gasp0deTheW0nderD0g · 21/04/2024 11:01

That doesn't mean that people are really suffering with ocd/ body dysphoria about their sex.

Is there a missing 'not' here, @WarriorN ?

Yes

My eyes are shut at the moment

TomeTome · 21/04/2024 11:39

Apologies @GreenAndSpringy Ive answered several questions with one answer which is unnecessarily confusing.

I’m Autistic.

Can you be specific?
Yes
What is extremely common?
As I said “It’s extremely common for children to express the wish to be married to their parent (of either sex).”
I’ve agreed that a male presenting child wanting to marry their mother is common and a female presenting child wanting to marry their father is common.

Or are you saying that your experience is of girls wanting to marry their mothers and boys wanting to marry their fathers (all children with conventionally paired parents) being extremely common?
Yes that is my experience.

GreenAndSpringy · 21/04/2024 11:39

TomeTome · 21/04/2024 11:25

@GreenAndSpringy yes

Never met anyone else who did this, so you’ll need to expound on this for me to give this statement any credibility.

How do you define “extremely common”?

I myself define “outlier” behaviour as something no more than 5% of the population would typically do

RedToothBrush · 21/04/2024 11:33

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 wanted to be Justine Frischmann or Louise Wener. Except they didn't look as good with guitars as men. Unfortunately I was also short and not flat chested so the fashion didn't suit my shape. I dressed massively awkwardly trying to be that ultra cool. I missed and I knew I was missing. I wore a lot of second hand seventies and eighties top and oversized shirts. I didn't fancy the blokes in bands I just liked the music but felt treated like a total groupie.

I wanted to be a bloke and I remember expressing that explicitly to a friend on a number of occasions.

It was a sort of frustration at not being able to fit the box I wanted and trying to do something but not quite getting it right.

Ironically in hindsight, I think I probably was a lot cooler and hit the mark more than I thought. It's just that I had a perfectionism and an idealised concept in my head. I was also starving myself and making a point of eating once every two days at most and then only a tiny amount. It was 100% about control. The attention I got was about my boobs and not me as a person and I hated that. In the crowd in a gig I could disappear and be part of something and going and seeing the same bands multiple times you did become part of a scene and the bands did start to notice. It was a special thing but not a sexualised thing which I don't really think it acknowledged because we have these preconceived ideas about groupism. Quite frankly backstage was almost without exception dull and was only interesting because I got to hang out with mates (I didn't particularly like hanging out with bands although I did get that type of access).

Fast forward to now and the K-pop look is the rage for these kids which isn't that dissimilar and I can definitely see massive parallels.

One of the big culture shifts is that the music scene doesn't exist as it did and the trendy thing is now politics which I think helps precisely no one.

I do know exactly what I'd be doing and where I'd be socially if I was 17/18 now and it's scary.

TomeTome · 21/04/2024 11:25

@GreenAndSpringy yes

Gasp0deTheW0nderD0g · 21/04/2024 11:25

I've no idea whether it's common or not, but toddlers say all sorts of odd things and my general rule was not to take any of it literally.

GreenAndSpringy · 21/04/2024 11:21

TomeTome · 21/04/2024 11:10

@GreenAndSpringy that’s not my experience. In fact I would say it’s extremely common. Perhaps it’s less common for it to be linked in any way with gender or homosexuality.

I’m Autistic.

Can you be specific?

What is extremely common?

I’ve agreed that a male presenting child wanting to marry their mother is common and a female presenting child wanting to marry their father is common.

Or are you saying that your experience is of girls wanting to marry their mothers and boys wanting to marry their fathers (all children with conventionally paired parents) being extremely common?

GreenAndSpringy · 21/04/2024 11:16

@Stigglet I recognised your post about growing up all too well.

Yours is exactly the kind of voice that should be heard and included as we go forward with our understanding of the lived Neurodiverse experience and the inevitable cognitive/emotional/social dissonance that we are forced to try and navigate within frameworks imposed on us by communities and policies that lessen us for not being able to conform to them.

I ended up in a smallish boarding unit in a larger singe sex day school where one to one interactions made friendly relationships eventually possible, being around each other 24/7 forced a degree of understanding.
I’m not sure I would have survived the full standard secondary school experience. You’re amazing!

TomeTome · 21/04/2024 11:10

@GreenAndSpringy that’s not my experience. In fact I would say it’s extremely common. Perhaps it’s less common for it to be linked in any way with gender or homosexuality.

Stigglet · 21/04/2024 11:08

Gasp0deTheW0nderD0g · 21/04/2024 10:39

Flowers I hope things are better for you now.

I still present as “male”. Short hair, trousers, no makeup, computer programmer. But I’m a middle aged woman with kids so nobody is trying to tell me I’m trans. Also now I’m older (and no longer sexually attractive) I’m finding that men who share my interests are more willing to be friends with me.

GreenAndSpringy · 21/04/2024 11:06

TomeTome · 21/04/2024 10:58

It’s extremely common for children to express the wish to be married to their parent (of either sex). It’s nothing to do with being autistic or gender or sexual preferences.

Edited

It is.

But being Autistic means being an outlier.
And little girls with conventionally paired parents with no exposure to same sex parented families who decide they will make their own family with their mother are very much an outlier minority.

Stigglet · 21/04/2024 11:05

WarriorN · 21/04/2024 10:41

I would also say the opposite @GreenAndSpringy

Gender dysphoria/ transgender is a socially constructed condition. That doesn't mean that people are really suffering with ocd/ body dysphoria about their sex. But its links to social ideas of male and female are inextricable. Babies are not born with GD.

Autism is a neurological difference that is innate. And extremely diverse.

Autism is a neurological difference that results in being bullied and socially excluded. But instead of being diagnosed with autism, people are being diagnosed with gender dysphoria.

I tend to think that GD is an “easier” thing to diagnose people with than ASD.

Firstly the diagnosis is easier - do you present as the opposite gender, end of diagnosis. It’s not complicated by masking and other issues.

Secondly there’s medical treatment for GD and there isn’t any treatment for autism (other than expensive talking therapies that the NHS doesn’t want to provide).

Thirdly there is still a general assumption that you can’t have autism if you don’t have learning difficulties (even though it’s 30 years since the medical establishment agreed this isn’t the case).

Gasp0deTheW0nderD0g · 21/04/2024 11:01

That doesn't mean that people are really suffering with ocd/ body dysphoria about their sex.

Is there a missing 'not' here, @WarriorN ?

TomeTome · 21/04/2024 10:58

It’s extremely common for children to express the wish to be married to their parent (of either sex). It’s nothing to do with being autistic or gender or sexual preferences.

GreenAndSpringy · 21/04/2024 10:54

WarriorN · 21/04/2024 10:41

I would also say the opposite @GreenAndSpringy

Gender dysphoria/ transgender is a socially constructed condition. That doesn't mean that people are really suffering with ocd/ body dysphoria about their sex. But its links to social ideas of male and female are inextricable. Babies are not born with GD.

Autism is a neurological difference that is innate. And extremely diverse.

You would say the opposite to “nothing about us without us” ?

You seem to think the opinion you have somehow linked to what I said is a fact.

Thankfully, I’ve never shared your certainty, and if I had it would have made me very uncomfortable when my toddling daughter expressed her certainty that she and I (her mother - in a loving relationship with her father) would eventually get married.

Gasp0deTheW0nderD0g · 21/04/2024 10:51

@BonfireLady, your daughter might be interested in Jasmin Paris, who is an astounding British ultramarathon runner and also a vet, an academic and the mother of two young children. The reaction of the running community to Jasmin's recent achievement of being the first woman ever to finish the insanely difficult 100+ mile Barkley Marathons was incredibly heartening. https://www.instagram.com/p/C45tCzHLxUR Write up from one of the other four finishers, who were all male.

https://www.runnersworld.com/uk/training/ultra/a25930252/who-is-jasmin-paris/

Who is Jasmin Paris?

The British ultrarunner is the first woman ever to complete the Barkley Marathons

https://www.runnersworld.com/uk/training/ultra/a25930252/who-is-jasmin-paris

HidingBehindTheWallpaper · 21/04/2024 10:47

I think it is very clear to anyone who has been following this for the last few years to see a very clear link between autism and trans.

I think the problem has come from being trans being part of the LGBT community. If an autistic child told a professional that they were gay then it wouldn’t be a problem, just who they are. But with being trans being seen as being part of the same ‘group’ professionals feel they can’t question someone saying they are trans as it’s ’the same’ as being gay.

Gasp0deTheW0nderD0g · 21/04/2024 10:42

BusyMummy001 · 21/04/2024 10:07

I agree, but what is interesting is that I think even just a few weeks ago people would have regarded a discussion of this as transphobic and ableist. It’s an article that probably couldn’t even have been published until now because of the toxicity surrounding this issue.

And I think there seriously needs to be research, support and a pretty much wholesale review in how we support autistic individuals and their families - especially girls but also those regarded as ‘high functioning’ because they don’t have SEN needs, as such. There is a narrative that if a kid is able to get good GCSEs then their ASD is somehow less acute, when this attitude has it’s roots in the days when ‘autism’ was only recognised in non-verbal, pre-pubescent boys. This fails to acknowledge what autism actually is and focuses on a small number of associated co-morbidities/symptoms. As the definition - and thus the spectrum umbrella - has broadened over the last 20 years, DoE and the NHS should have adapted.

Successive govts have failed in this, the current one (even allowing for the necessary prioritising of Covid management) has failed to step up.

Absolutely. A shockingly low percentage of people on the autistic spectrum manage to hold down a job or career. Terrible waste of talent for society as a whole and not a good outcome for the individuals concerned, given the knock-on effects on their mental and physical health.

WarriorN · 21/04/2024 10:41

I would also say the opposite @GreenAndSpringy

Gender dysphoria/ transgender is a socially constructed condition. That doesn't mean that people are really suffering with ocd/ body dysphoria about their sex. But its links to social ideas of male and female are inextricable. Babies are not born with GD.

Autism is a neurological difference that is innate. And extremely diverse.

Gasp0deTheW0nderD0g · 21/04/2024 10:39

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.

Flowers I hope things are better for you now.

Zeugma · 21/04/2024 10:30

The BMX Freestyle Olympic qualifiers happen next month so the athletes aren’t confirmed yet, but Charlotte Worthington of the UK is heavily tipped @BonfireLady - she was Olympic champion in Tokyo. A very good model of a strong, confident female.

Charlotte Worthington makes HISTORY with BMX GOLD | Tokyo 2020 Olympic Games | Medal Moments

A rollercoaster journey to Tokyo 2020 ended in a gold medal for Charlotte Worthington as she made BMX Freestyle history.The 25-year-old became the first woma...

https://m.youtube.com/watch?v=fTBXNV40XIs

TomeTome · 21/04/2024 10:30

GreenAndSpringy · 21/04/2024 10:22

This just adds legitimacy to what is obvious to Autistic people:
”Nothing about us without us”

No one Autistic voice is going to provide the answers. An Autistic minority is not enough either.

What is very, very definitely clear here is that too many professionals who understand Autism academically have set the framework. It’s a framework where Autism and Gender Dysphoria have been split into separate sections.
If more people affected had been included it would have been understood from the start that these cannot be segmented.

Edited

I would say this is the polar opposite of my thoughts.

GreenAndSpringy · 21/04/2024 10:22

This just adds legitimacy to what is obvious to Autistic people:
”Nothing about us without us”

No one Autistic voice is going to provide the answers. An Autistic minority is not enough either.

What is very, very definitely clear here is that too many professionals who understand Autism academically have set the framework. It’s a framework where Autism and Gender Dysphoria have been split into separate sections.
If more people affected had been included it would have been understood from the start that these cannot be segmented.

BusyMummy001 · 21/04/2024 10:07

tracktrail · 20/04/2024 06:15

Does that not fall into the 'no shit, Sherlock' bracket?

I agree, but what is interesting is that I think even just a few weeks ago people would have regarded a discussion of this as transphobic and ableist. It’s an article that probably couldn’t even have been published until now because of the toxicity surrounding this issue.

And I think there seriously needs to be research, support and a pretty much wholesale review in how we support autistic individuals and their families - especially girls but also those regarded as ‘high functioning’ because they don’t have SEN needs, as such. There is a narrative that if a kid is able to get good GCSEs then their ASD is somehow less acute, when this attitude has it’s roots in the days when ‘autism’ was only recognised in non-verbal, pre-pubescent boys. This fails to acknowledge what autism actually is and focuses on a small number of associated co-morbidities/symptoms. As the definition - and thus the spectrum umbrella - has broadened over the last 20 years, DoE and the NHS should have adapted.

Successive govts have failed in this, the current one (even allowing for the necessary prioritising of Covid management) has failed to step up.