The only genderist group which has clinical insights that I know of is GIRES which was set up by physios after their son transitioned.
Here's Bernard, he's very well connected https://www.gires.org.uk/about-us/gires-trustees/
His wife, Terry, sadly died and was, quite rightly, celebrated in Frontline https://www.csp.org.uk/frontline/article/how-my-wife-changed-peoples-lives
When GIRES began 25 years ago we had "transsexuals", males who cross dressed usually for erotic purposes but sometimes because of distress. The latter had genital surgery and I know several trans women in that age group who live happy, productive lives and I sincerely hope that was the outcome for Bernard and Terry's family. There are people for whom transition works - it's just that the landscape of who transitions is no longer middle aged males who have had lots of psychotherapy - it's now tweeny girls who are disproportionately autistic, traumatised, distressed or gay. None of which are things that respond to a double mastectomy.
The festishistic cross dressing was previously conducted at home or in clubs or in secret under standard clothing, not in the workplace. People with distress were few and far between and would be allowed into women's spaces on a favour based system. That lasted til not long after I was a student, there was always some skinny gay lad in the women's loos at the night club, but he was there with a collective permission from us and would be kicked out if anyone was uncomfortable - (I'm sorry if you are new to this, there is some dark stuff, so skip the end of this sentence if you don't want to read about fetishistic behaviours) he wasn't there so he could listen to women pee and steal used sanitary towels for sexual stimulation.
Things are different now, we have males imposing themselves on our spaces and even being confused about why a disabled woman might prefer to have another woman provide her with intimate care.
Sall Grover - Australian woman being sued because she said "no" to a man
Grover, Australian woman being sued by a man she said "no" to M
Henrietta Freeman - a non verbal woman harassed by a trans identifying male because she only wants female carers
https://x.com/mrjamesob/status/1778459506340491340
That's what my issue is about this transphobia guidance and the CSPs position that trans women are women. Well, some might be in law, if they have a gender recognition certificate then it is not legal to treat them as if they are male which all got muddled up and messy and that's why we had male rapists in female prisons and that's why I protested the Scottish Parliament's dreadful Gender Recognition Reform Bill. If not being awfully keen on state sanctioned rape makes me a hateful bigot then, fine, I'll be a hateful bigot. What trans women with a GRC are not, and never can be, is female.
I spoke to somebody senior at Council about this and said that it always comes down to individuals. At the time a woman had had to get to the HOUSE OF LORDS for help after the NHS told her she hadn't been raped on a hospital ward because there were only females on the ward. I said to Alex, this is the issue, inclusion has a cost, if you include a male a female always loses something and it is the female who will pay the price. Her response was to ask me if I was saying that all trans women were rapists. Clearly I wasn't, I was saying that one trans woman who had raped a patient was a rapist. This person encouraged me to consider how upsetting it would be for a trans woman to be placed on a male ward and I'm afraid I became very cross "Just to be clear, you are saying "won't somebody think of the rapist? Are you KIDDING me?" our conversation drew to a natural close at that point.
https://grahamlinehan.substack.com/p/baroness-nicholson-uncovers-a-horrific
So, I started to be very, very scared of what was happening in my governing body and trade union - but it's not just physio, it's ALL Royal Colleges, governing bodies, academia, the police, education, political parties, civil servants, and now, even the bloody transport infrastructure.
We have activists making decisions without speaking to the membership. We are the ones they are supposed to be serving. I do not think it is unreasonable to expect them to get the law correct, to consider unintended consequences and to engage with the membership rather than police us.
I will get into trouble for this, I am aware. I am upsetting people with power and influence who would really, really like me to shut up. However, as I said, I have been up to my tits in this for a long time and I'm confident that if I need help I can get it.
I only really have one skill and that's being noisy. The CSP used to think that was an asset to the profession.
Now, I know this is a LOT and some of you will not be up to speed about the wider issues in gender. If you have questions please do ask. If you have rebuttals please make them. I'm not a fan of hashtag-no-debate and I still, against all logic, hope to find that I am wrong.
I expect my profession to provide excellence in care - that includes those who have a gender issue. I don't think we are anywhere near that, unless we have a proper conversation about the actual health issues linked with transition we are no more than cheerleaders at pride pretending that a glitter rainbow is all you need to fix these people's pain.
We can do better and either we will do better or I'll be struck off for insisting that we try.