Ok, so, I’m an ex-academic, have spent a stupid amount of my life designing research studies, and teaching students how to do the same, and evaluating those of other researchers. It is clear that the Pathways trial is the most flabbily designed piece of shit ever. I think we’ve established that.
But! What bothers me most is this: what is the goal? I mean, “make these children happier,” sure, but what does that mean? If it is just “alleviate depression,” well, we have drugs for that - drugs that don’t have the diabolical side effects of puberty blockers. So it can’t be that.
The goal must be “remove their perceived gender incongruence.” But what does that mean? It can only mean somehow bring their mental picture of themselves, and their physical body, into a state of congruence.
Which means one of two things. Either help them to accept their sexed bodies as they are, using tools that address this as a mental health or psychological issue. Or cosmetically alter their body to make it match their mental picture.
Puberty blockers do not help a child accept their sexed body. We know this. The flawed data collection from the Tavistock showed this. They lead in 90% or more of cases to a desperate desire for cross-sex hormones. They prevent the brain development that happens in puberty that would allow for a child to mature and realise that there is nothing wrong with their sexed body.
So, by default, this study is starting from the standpoint that the solution to “gender incongruence” is to permanently cosmetically alter a perfectly healthy child’s body.
The study is biased and broken before you even get to the fact that the design is beyond flawed and won’t give any useful results at all, and will physically harm vulnerable children.
How Cass can look anyone in the eye and say that this study is necessary is beyond me.