Transcript part 2:
JG: Why not?
LM: So, can we just please make a really clear distinction between what safeguarding is. As a teacher, you escalate issues with students when you feel that there are issues of abuse, or harassment, or bullying, or that - things of that nature. If a child comes to you, let's say in a drama class or a music class, and they sit with you and they say ...
JG: And children do confide in teachers.
LM: ... and, oh they do! Oh they do, and you know, especially in those sorts of subjects, and I had it in my science class, that I'd hold for kid - you know, that personal relationship is so important, and if a child then comes to you and confesses that they've had this issue and they don't know how - who to talk to and they just ...
JG: And they haven't told their parents?
LM: ... and they haven't told anyone, and by the way, I've got a gay brother and sister. Neither of them told my parents first, they told all their friends, and the reason was at the time, it was a while ago now, they felt that my parents wouldn't understand. So they told their friends, and actually they told some select teachers. If we're saying is - is that if a trans student goes to - confesses to a teacher and is looking for that support, that it's the duty of the teacher to tell the parent, that is a dereliction of trust between the student and the parent.
JG: Michelle, Layla makes quite a compelling case there, what do you say?
MM: She does, but I don't think that parents should be denied the capacity to safeguard their own children and that if schools are withholding information that would enable them to do that, that's particularly problematic.
LM: But Michelle, can I pull you up on the word safeguarding again? Because safeguarding has got a specific ...
MM: No, I want to speak for a minute Layla actually ...
LM: ... but it's got a specific ...
MM: ... I want to talk about alienation from the family that happens when schools keep a child's secret like that. Alienation from the family means that the child then only has school and online resources to support them. It actually makes them very vulnerable in terms of grooming via social media, the advice they get online is all about affirmation only. 80% of children who at one point identify as transgender, it appears from my research, are later on changing their minds about that. In online forums where affirmation is pushed children are finding themselves on a one-way track to medical interventions for which there is no evidence base.
JG: Right, I really want to talk about that in a moment but - but Layla, just carry on with what you were trying to say.
LM: Right. Well it - I apologise Michelle, it's just that this word safeguarding, and also this word you've just used of grooming, you know those - those have specific meanings in law that - that are indeed very grave issues and it also - I come back to the point that if - if what - are you saying that you can make someone trans? Because I seriously - I'm concerned about that. If these children are indeed being groomed in some way to be trans, and then they sort of change their mind, well it didn't work did it? And I'm worried about this word safeguarding in the context of schools, I mean you know, you were talking about young people, but this is specifically about schools. What schools have to do, I think, is to prepare children for the world that they're going into, to help them grow into comfortable adults with themselves. The sorts of issues that are going through an adolescent's - and you're right Michelle to point out, you know, this is something that children can change their minds about, but creating an inclusive environment, where children feel comfortable to be able to talk about it, is surely a good thing, isn't it?
JG: There's so much we could talk about and I'm conscious of a real lack of time as ever, but I really - you mentioned drug treatment Michelle, just carry on, on that line.
MM: Yes, what happens is that once you go along with social affirmation of a child's transgender identity they very quickly, because no-one's allowed to ask questions or talk otherwise to them, find themselves on a route to medical interventions, and there is no evidence base whatsoever for safe outcomes of these medical interventions, and there's considerable concern about harms caused by these medical interventions.
JG: And some of those interventions are irreversible?
MM: Some of them are irreversible, yep, and some of them actually compound gender confusion. So if you have, for example, a child who takes puberty blockers and then goes onto hormone therapy, you can have a young transwoman who's been through that route and finds themself with the penis of their boyhood and breasts. Well, this is confusing in terms of gender, potentially.
JG: Yes, this is - I guess, isn't particularly an issue to do with schools, is it, although it happens within schools. I also want to ask you about the ...
MM: It is if schools begin this trajectory of social transition.
JM: ... Right, I get that link, absolutely ...
LM: But schools wouldn't make a medical intervention like that and, you know, I think - where - the boundary of a school would never be to suggest medical intervention or not, would it?
JG: No, no. Let's talk about the potential for a link to autism, which I know is something you have talked about Michelle - more on that.
MM: Mmm-hmm. Well, 30% of children who are going to the Tavistock Clinic, the specialist centre for these kinds of conditions ...
JG: Yes, they've been on the programme, yep.
MM: ... yeah, they are children who are on the autistic spectrum ...
JG: Now, that - you've just said 30%, where does that figure come from?
MM: Well those are the Tavistock's own figures and they're figures that are replicated in my own research that's ongoing at the moment. And there's concern here about the kinds of messages that children are getting. For example, the idea that transitioning is a cure for autism is something that's around on social media and again, that's really problematic. In my work I'm much more concerned about making sure that children are comfortable in the world that they live in and not intervening on their body, particularly when there's no evidence of safe outcomes of intervention on the body.
JG: Layla, does this concern you?
LM: Well goodness me, if - yeah, what the - I'm not aware of any causality between autism and being transgender ...
MM: There isn't any.
LM: ... indeed, and so, you know, absolutely right Michelle, I agree with you. If there is advice out there in any way, shape or form, saying that it's a cure that's ... awful. I think however to - there's almost two things here isn't there, and I think Michelle you and I probably maybe would agree, you know, that we need more resource behind supporting kids with autism, generally. The CAMHS service is a mess, it takes two years to get referrals. But the thing is you can be autistic and also transgender, those two things are separate. I was thinking about this in the context of my own experience and I've taught, actually, a number of autistic girls in particular and, you know, I was thinking why could this be and is it that - and this is simply a hypothesis and there's no evidence behind my assertion here - but could it be that they're just more upfront about how they feel about their body, and they're more likely to say 'I don't know'? But I do think we should maybe separate the two issues?
MM: Well the only thing that is necessary for a child, whether they have autism or not, to decide that they are transgender is for enough adults to agree that the child is born in the wrong body. And that is something that my research is showing is simply - is not true, that does not happen, children are not born in the wrong body ...
JG: Ok Michelle ...
MM: ... they may find their world uncomfortable, but that's a different matter.
JG: ... yes, well, that is your take and your opinion, and of course there will be people who disagree and have personal experience which leads them to suspect otherwise. Thank you both very much ...
LM: Thank you.
JG: ... and thank you both for being willing to talk to each other, which is, in this area, real progress.
LM: Unusual. Oh, with pleasure ...
JG: Michelle ...
LM: ... No, we need more of that ...
JG: ... and Layla, thank you very much. Quick statement from the Department for Education: 'All schools should provide an inclusive environment' - this is off their website actually, apologies - 'All schools should provide an inclusive environment that allows every pupil to fulfill their potential whatever their identity or background. Fundamentally we trust schools to know how best to support all their pupils.' I'm sure plenty of people out there have got a view or an experience they'd be willing to share. @BBCWomansHour on Twitter, same for Instagram of course, you can follow us there, you can email the programme whenever you like via that website - bbc.co.uk/womanshour.