Critical thinking and open debate are pillars of scientific and medical research. Yet experienced professionals are increasingly scared to openly discuss their views on the treatment of children questioning their gender identity.
This was the conclusion drawn by Hilary Cass last week in her landmark review of the services provided by the NHS in this field, which said a toxic debate had resulted in a culture of fear. Her conclusion was echoed by doctors, academic researchers and scientists, who told the Guardian this has had a chilling effect on research in an area in desperate need of better evidence.
Some said they had been deterred from pursuing what they believed to be crucial studies, saying merely entering the arena would put their reputation at risk. Others spoke of abuse on social media, academic conferences being shut down, biases in publishing and the personal cost of speaking out.
"In most areas of health, medical researchers have freedom to answer questions to problems without fear of judgment," said Dr Channa Jayasena, a consultant in reproductive endocrinology at Imperial College London.
"I've never quite known a field where the risks are also in how you're seen and your beliefs. You have to be careful about what you say, both in and out of the workplace." Sallie Baxendale, a professor of clinical neuropsychology at UCL's Institute of Neurology, received abuse after publishing a systematic review of studies that investigated the impact of puberty blockers on brain development. Her review found that "critical questions" remained around the nature, extent and permanence of any arrested development of cognitive function linked to the treatment.
The paper, which merely summarised the state of relevant research, provoked anger. "I've been accused of being an anti-trans activist, and that now comes up on Google and is never going to go away," Baxendale said.
Denne historien er fra April 19, 2024-utgaven av The Guardian Weekly.
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Denne historien er fra April 19, 2024-utgaven av The Guardian Weekly.
Start din 7-dagers gratis prøveperiode på Magzter GOLD for å få tilgang til tusenvis av utvalgte premiumhistorier og 9000+ magasiner og aviser.
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Starlink's conquest of the Amazon leaves Brazil in a dilemma
The helicopter swooped into one of the most inaccessible corners of the Amazon rainforest. Brazilian special forces commandos leaped from it into the caiman-inhabited waters below.
Dalai Lama's mountain town feels the strain of tourist boom
SUVs and saloon cars pass slowly along McLeod Ganj's narrow one-way Jogiwara Road, blaring horns at pedestrians and scooter riders and playing loud music.
'I am all the world' The brutal rule of a West Bank settler
Palestinians tell ofblacklisted Yakov's reign across the Jabal Salman valley and heisjust one of many violent bosses
Stormy waters New flashpoint emerges in South China Sea dispute
Hopes that tensions in the South China Sea might ease have been short lived.
'Justice delayed' Why trust in public inquiries to bring closure is fading
After the final report of the Grenfell fire inquiry was published, Hisam Choucair, who lost six family members in the blaze, said: \"We did not ask for this inquiry... It's delayed the justice my family deserves.\"
Celeriac soup with almond pangrattato
I'm not ashamed to say that as soon as September hits, my stick blender comes out. Just as I embrace salads when the clocks go forward in the UK, I wholeheartedly throw myself into soup season once the summer holidays end. Autumn is approaching in the northern hemisphere and I'm ready with my ladle. Celeriac is one of my favourite soup heroes, because it gives the creamiest, silkiest finish with little effort. You don't have to make the almond pangrattato, but it is a wonderful addition.
Are smoke signals telling me to make an oil change in the kitchen?
Should you that is, not can you) cook with extra-virgin olive oil? Antonio, Atlanta, Georgia, US
Going underground
A darkly humorous encounter between an American spy-cop and the members ofan eco-commune she is hired to infiltrate
All work and no play
Hard Graft, a powerfulnew London exhibition, focuses onworkers’ exploitation, from the ruined hands ofa washerwoman to mothers forced to sell their bodies
What the princess and the shaman tell us about hereditary privilege
It should have been an Instagram-perfect wedding image, but it turned out to be something more embarrassing.
