Evidence Does Not Support the Existence of Sudden Onset Gender Dissociation

Rapid-Onset Gender Dysphoria Not Supported by Verifiable Proof

In the realm of transgender health, a hypothesized new clinical subgroup called Rapid-Onset Gender Dysphoria (ROGD) has been a subject of intense debate. This condition, characterised by sudden identification as transgender in adolescence or early adulthood, has been primarily associated with the work of researcher Lisa Littman.

Littman's study, however, has faced criticism, with the first and most notable issue being its sample choice. The research relies on parental report without independent confirmation and was advertised for recruitment exclusively on anti-trans websites. This approach has raised concerns about the study's credibility and bias.

The second and biggest problem with the study is Littman's failure to consider alternative, more plausible explanations for her observations. For instance, the increased consumption of internet and social media by questioning youth is not surprising, as they often seek out trans-related content for informational purposes and shared experiences.

Academics have noted that there aren't many people under the age of 30 who haven't been on Tumblr, trans or not, and social media is frequently people's main source of non-academic information. This context could potentially influence the perceived suddenness of gender identity expression.

The hypothesis of ROGD has been predicated on the belief that late-onset gender dysphoria was inapplicable. This belief is grounded in the mistaken assumption that late-onset gender dysphoria is nearly exclusive to children assigned male at birth. However, there is no evidence supporting the existence of ROGD. All evidence proposed in favor of the hypothesis is best compatible with adolescent-onset gender dysphoria against a background of parental hostility to gender identity.

The World Professional Association for Transgender Health (WPATH) has stated that it is premature and inappropriate to employ the label of ROGD. In March, 21 experts in trans health endorsed an essay concluding that the hypothesis of ROGD is bad science.

The belief in ROGD can prevent a healthy narrative reconstruction for parents, leaving them stuck in a state of disruption in their life story. It is essential for parents to move past this disruption to reconstitute a new life narrative that accommodates their child's gender identity.

Parental acceptance of a child's gender identity is a well-known predictor of mental wellbeing for transgender people. Conversely, children who are not supported in their identities are unlikely to want to maintain a good relationship with their parents, which can lead to deterioration of the parent-child relationship and decline in the mental health of the youth.

Hostility towards transgender people is common, and even putatively progressive parents often have difficulties accepting the expressed gender identity of their children. This underscores the importance of accurate and unbiased research in the field of transgender health.

In conclusion, while the concept of ROGD has sparked significant discussion, the current evidence does not support its existence. It is crucial for researchers, practitioners, and parents to approach the subject with caution and openness to alternative explanations.