Thanks OP.
I've had to read this article/excerpt a few times to get my head around it.
My first reaction was a giant "hooray" but I've had other thoughts since then too.
On the whole it's a really helpful way of prising open the conversation about autism and gender identity conflation. It's recognising that many autistic girls are feeling lost about what it means to "be" a girl, with societal pressures that define "conformity" (and difficulty navigating these) and sensory aspects of periods and breast development. It could easily have been written about my daughter, particularly when she was actively gender questioning -which was also at the time her periods were starting.
On closer inspection, it's very similar to the Cass Report in the way that it comes from a view that gender identity is a real thing. This is where my caution comes in. Just as the Cass Report centres gender identity as something that everyone has, which then paves the way for a clinical trial on medical intervention (when someone's apparent true gender differs from their sex and this causes distress), this article is also predicated on gender identity as fact. In addition to the use of "assigned female", here are some examples from the text that gave me pause for thought - bold is mine...
"emerging evidence has found that being both transgender and autistic is associated with higher rates of mental health problems. They need our care, help and sympathy."
(identifying as transgender and being autistic would have been better IMO)
"The higher levels of gender identity non-conformity among autistic females could well be a response to this. There are possible biological explanations, too."
This is getting very close to "girl brain" and "boy brain"... and the idea that is mooted by Simon Baron-Cohen that autistic girls have "boy brain" patterns... which then leads to the idea that it's possible to be trapped in the wrong body.
"Issues of identity have long been overlooked in autistic populations, but they clearly have enormous significance, particularly for females who have been overlooked by the current diagnostic process."
"For as well as being deprived of help and support, they may be deprived of an identity."
This last one is more subtle but the use of the term "an identity" here is a gateway into a whole world of conflation. Autism as "an identity" is very en vogue ATM in autism groups where people talk about support needing to be "neuro affirming". Funnily enough, these same groups talk about how important it is to "validate someone's identity" - and obviously this includes gender identity. Any pushback gets the double whammy of "that's ableist and transphobic".
We don't need to talk about "an identity" to recognise that we all need a sense of self, a sense of who we are and how we fit into the complex social world around us, and that someone who is autistic may struggle more with this. No, that's not ableist - it's exactly why EHCPs generally all include Speech and Language Therapy provision, to help with cognitive processing of language... and the obvious need here of unpicking the societal enforcement of stereotypes through expectations and limitations e.g. in some schools with girls being given netball lessons and boys being given football/rugby lessons in PE.
However, just as with the Cass Report, overall I think it's helpful that Gina Rippon is coming into this from an angle that supports the belief that we all have a soul that needs to be aligned with a gender. Hopefully, just as with Cass she is also recognising that medical interventions aren't necessarily the answer when thinking about how this "gendered soul" should be "aligned" with the physical body. It certainly seems that way from the excerpt. I'll definitely buy the book and will read with interest.