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Rapid Onset Gender Dysphoria

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Rapid Onset Gender Dysphoria (ROGD), named by Lisa Littman, is a hypothesized subtype of gender dysphoria that is socially mediated.[1] In a non-peer reviewed Poster Abstract[2] , Littman utilizes the term to describe the phenomenon of younger people, who suddenly begin to report symptoms of gender dysphoria and begin to self identify as transgender after displaying no previous signs of gender identity uncertainty. Littman further speculates that rapid onset gender dysphoria could be a "social coping mechanism" for other disorders, such as depression and anxiety caused by adolescent trauma.[3] Following corrections issued by PLOS one, the sole peer reviewed study on the hypothesized phenomenon asserts that ROGD has not been clinically validated.[1][4]

Publication controversy[edit]

The term was first used by Lisa Littman, an American physician and researcher at the School of Public Health at Brown University at a 2017 conference, and then again in a 2018 paper published in the free online journal of science, PLOS One. The publication of the paper led to controversy about both the methods used in the study and academic freedom following a retraction of a press release by Brown University and an internal review from the journal.[5][6] This decision was criticized by a former dean of Harvard Medical School [7], while 54 academics wrote an open letter to The Guardian about their opposition to harassment of researchers of transgender issues,[8], and support of the academic freedom to study the phenomenon, saying that it is "not transphobic to investigate and analyse this area from a range of critical academic perspectives". In an interview, Littman also said she had been harassed.[9]. Responding to critics, Brown University President Christina Paxson, and Provost Richard Locke, denied infringing on academic freedom and asserted Brown's commitment to only "publicize research that unassailably meets the highest standards of excellence" required Brown to retract the press release after PLOS One opened an investigation on the paper in question.[10] Further noting that "Given the concerns raised about research design and methods, the most responsible course of action was to stop publicizing the work published in this particular instance. We would have done this regardless of the topic of the article."[11]On March 19, 2019, PLOS One completed its review. Reviewer Angelo Brandelli Costa criticized the methods and conclusion of the study in a formal comment, saying, "The level of evidence produced by the Dr. Littman’s study cannot generate a new diagnostic criterion relative to the time of presentation of the demands of medical and social gender affirmation."[12]

Correction[edit]

After the review, a corrected version of the paper was published in March 2019, revising its abstract, introduction, methodology, discussion, and conclusions.[13] The letter of correction now prefacing Littman’s study noting: “The post-publication review identified issues that needed to be addressed to ensure the article meets PLOS ONE’s publication criteria. Given the nature of the issues in this case, the PLOS ONE Editors decided to republish the article, replacing the original version of record with a revised version in which the author has updated the Title, Abstract, Introduction, Discussion, and Conclusion sections, to address the concerns raised in the editorial reassessment. The Materials and methods section was updated to include new information and more detailed descriptions about recruitment sites and to remove two figures due to copyright restrictions. Other than the addition of a few missing values in Table 13, the Results section is unchanged in the updated version of the article.”[14] Writing for PLOS, editor Joerg Heber wrote an apology, saying "the study, including its goals, methodology, and conclusions, were not adequately framed in the published version, and that these needed to be corrected" and that the hypothesized ROGD condition had "not yet been clinically validated." [4].

Political reactions[edit]

Aside from the controversy over the scientific validity of the condition, the political implications of the alleged condition have been a source of heated discussion. The hypothesized condition has been called both "a poisonous lie used to discredit trans people" in the op-ed section of The Guardian,[15] but also an explanation for the experiences of multiple parents writing in the op-ed section of the Wall Street Journal[16][17] and online support communities.[18] Publications such as The Advocate and Slate have condemned what they see as politicization by social conservatives [19][20][21] whereas Madeleine Kearns a contributing writer at National Review has described the alleged condition as "particularly concerning" and called for further study.[21] In an article for Psychology Today, psychologist Lee Jussim described the PLOS mandated rewrite of the paper as an "Orwellian correction-that-did-not-correct-any-errors", but said the process of peer review had worked.[22]

References[edit]

  1. 1.0 1.1 Littman, L. (August 16, 2018). "Rapid-onset gender dysphoria in adolescents and young adults: A study of parental reports". PLOS One. 13 (8): e0202330. doi:10.1371/journal.pone.0202330. PMC 6095578. PMID 30114286.
  2. Rosmarakis ES, Soteriades ES, Vergidis PI, Kasiakou SK, Falagas ME (May 2005). "From conference abstract to full paper: differences between data presented in conferences and journals". FASEB Journal. 19 (7): 673–80. doi:10.1096/fj.04-3140lfe. PMID 15857882.
  3. Littman, L.L. (February 2017). "Rapid Onset of Gender Dysphoria in Adolescents and Young Adults: a Descriptive Study". Journal of Adolescent Health. 60 (2): S95–S96. doi:10.1016/j.jadohealth.2016.10.369. Supplement 1.
  4. 4.0 4.1 "Correcting the scientific record on gender incongruence – and an apology". PLOS One. August 29, 2018. Retrieved August 29, 2018.
  5. Wadman, Meredith (August 30, 2018). "News: New paper ignites storm over whether teens experience 'rapid onset' of transgender identity". Science. doi:10.1126/science.aav2613. ISSN 1095-9203. Archived from the original on 2018-08-31.
  6. "Reader outcry prompts Brown to retract press release on trans teens". Retraction Watch. August 29, 2018. Retrieved 2018-08-30.
  7. "As a Former Dean of Harvard Medical School, I Question Brown's Failure to Defend Lisa Littman".
  8. "Academics are being harassed over their research into transgender issues".
  9. "An Interview With Lisa Littman, Who Coined the Term Rapid Onset Gender Dysphoria".
  10. Paxson, Christina (September 9, 2018). "Paxson '19, Locke '18: University committed to academic freedom, faculty support". The Brown Daily Herald. Brown University.
  11. "Expanded Brown University Statement – Tuesday, Sept. 5, 2018". 2018-09-05. Retrieved 2019-03-21.
  12. Costa, Angello Brandelli (2019-03-19). "Formal comment on: Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria". PLOS One. Retrieved 2019-03-21.
  13. Bartlett, Tom (2019-03-19). "Journal Issues Revised Version of Controversial Paper That Questioned Why Some Teens Identify as Transgender". The Chronicle of Higher Education. ISSN 0009-5982. Retrieved 2019-03-19.
  14. "Correction: Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria".
  15. "Rapid-onset gender dysphoria' is a poisonous lie used to discredit trans people".
  16. "When Your Daughter Defies Biology".
  17. "Peer Pressure and 'Transgender' Teens".
  18. "Parents of ROGD Kids".
  19. "Criticism Is Not Censorship".
  20. ""Why 'rapid-onset gender dysphoria' is bad science"".
  21. 21.0 21.1 "Rapid Onset Gender Dysphoria Should Be Investigated, Not Smeared". National Review.
  22. "Rapid Onset Gender Dysphoria".


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