Leor Sapir @LeorSapir
Fellow @ManhattanInst | Ph.D. @BostonCollege & Post-Doc @Harvard | Gender medicine | Causes and consequences of institutional dysfunction | opinions own manhattan-institute.org/expert/leor-sa… Joined February 2022-
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NHS to limit trans ideology with new constitution “Clear language, single-sex wards and access to intimate care provided by a health professional of the same sex are crucial to the wellbeing and safety of female patients. They should never have been compromised.”…
The recent “systematic review” of evidence of transition regret published by @AmJSurgery did not follow a proper methodological standard to qualify as a “systematic review.” Others have also noted serious concerns about undisclosed and potentially serious conflict of interest for…
The recent “systematic review” of evidence of transition regret published by @AmJSurgery did not follow a proper methodological standard to qualify as a “systematic review.” Others have also noted serious concerns about undisclosed and potentially serious conflict of interest for…
How the hell is it the case that it falls to @JLCederblom, rather than actual activists and advocates for trans people, to chase down and (often futilely) try to force corrections of these errors? This sort of indefensible academic garbage egregiously fucks over trans people, who…
The lead author of the new paper finding low gender-transition treatment regret is Dr. Katy Gast, a gender-affirming surgeon at UWHealth. She has been sued by a detransitioner accusing her of not properly obtaining informed consent before a double mastectomy at 21. The patient…
So: this surgeon is being sued for operating too quickly, authors a paper claiming to be a systematic review that would seem to undermine the credibility of plaintiff and others like her--but it is not actually a systematic review--and now the doc won't answer questions about it.
So: this surgeon is being sued for operating too quickly, authors a paper claiming to be a systematic review that would seem to undermine the credibility of plaintiff and others like her--but it is not actually a systematic review--and now the doc won't answer questions about it.
HHS’s final rule on Section 1557, dealing with “gender identity” (and by implication gender medicine) issues, has just been made available online. PDF available. Will be published 5/6/24. federalregister.gov/public-inspect…
What happened to Tamara for her sober, reasonable concerns is really shocking. We loved speaking with you, Tamara!
What happened to Tamara for her sober, reasonable concerns is really shocking. We loved speaking with you, Tamara!
Here is this week’s @ManhattanInst Gender Debrief: us4.campaign-archive.com/?u=b75d222a8ff…
"Whether you call it entrapment or grooming, the Biden administration [--in stark contrast to the Cass Review--] is now requiring all American public schools to affirm that children can be born in the wrong body." @maxeden99 Institutionalizing a Lie city-journal.org/article/instit…
🚨🚨A new narrative review falsely claiming to be a systematic review has just been published in @AmJSurgery. The researchers state up front that we know that the increase in trans ID in recent years is only because of greater social acceptance and availability of GAC.…
The Bustos systematic review was published in 2021 and has been thoroughly criticized for errors in computation (double counting), high loss to follow-up, and highly restrictive definitions of regret. In addition, over 99% of the data that informed the review were from adults who…
@wesyang @LeorSapir @majorityfm @EmmaVigeland @ErinInTheMorn My big question for @EmmaVigeland and @SamSeder is whether they will hear that Dr. Hilary Cass has called out the disinformation about activists, a group that includes @ErinInTheMorn, and will issue a correction or have on Dr. Cass herself or any other expert on Cass.
Helen Joyce @HJoyceGender
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@writingblock Also note the paper describes detransition as: "De-transitioning, also known as continued gender transition" Further downplaying any culpability, if it's all part of a "gender journey".
BTW, this is the type of authoritative influence opioid giants sought: get papers into journals that downplayed risk of dependence or deflected attention to patients' tendencies toward "abuse" and "misuse."
I wrote a bit about the latest "systematic review" on transition regret: medium.com/@JLCederblom/a…
Why have I tweeted a lot about Alejandra Caraballo and Erin Reed over the past 2 weeks: 1. The Cass Review came out and became a monumental global news story. 2. Caraballo and Reed, who have massive platforms, told many falsehoods about it. 3. As I did with monkeypox…
@LeorSapir @AriDrennen Gosh, Heterodorx would love to host this discussion.
@LeorSapir @AmJSurgery Also that whole thing about Bustos et al. inventing several thousand people out of thin air.
@wowwowza @LeorSapir @AmJSurgery Littman 2021 is certainly not rigorous enough to say "it's 25%", but it is fairly strong evidence that there is an issue that needs to be investigated further.
'Every time we have investigated the background of a critic of Scientology, we have found crimes for which that person or group could be imprisoned under existing law. We do not find critics of Scientology who do not have criminal pasts.’ -- L Ron Hubbard
Not once has Erin Reed or Alejandra Caraballo parried any of the fact checks I've made of the many falsehoods they've uttered about the Cass Review. Instead, they've deflected and doubled down. And now Reed is projecting, falsely claiming I am telling untruths.
This is the title of @jack_turban talk at the upcoming American Psychiatry Association conference. I’m so excited he will be discussing the Cass Review and the systematic reviews of evidence.
Erin Reed has touted what the activist-blogger has characterized as a "landmark" systematic literature review (SLR) finding low regret rates after gender-transition surgery. But the paper didn't score the evidence, as SLRs are supposed to. Sapir has a catalogue of criticisms.
🚨🚨A new narrative review falsely claiming to be a systematic review has just been published in @AmJSurgery. The researchers state up front that we know that the increase in trans ID in recent years is only because of greater social acceptance and availability of GAC.…
@LeorSapir Correct for DSM. For ICD it’s the derangement with Cass itself, no distress required. Depathologized (but paid for).
Proposal for inclusion in the DSM-VI: Cass Derangement Syndrome
@LeorSapir @AmJSurgery But this narrative review identifies as a systematic review.
@LeorSapir @AmJSurgery Helpful primer on what a systematic review is. Appraisal of evidence is a necessary component. Otherwise SRs wouldn’t provide stronger evidence than the studies they evaluate, and would be largely epistemically pointless. cochrane.org/news/video-wha…
One reason it's so hard for journalists to report honestly about the youth gender culture war is that academic journals have essentially become propagandistic; they don't want to publish studies or papers that can be "weaponized"—that come to the "wrong" conclusion.
🚨🚨A new narrative review falsely claiming to be a systematic review has just been published in @AmJSurgery. The researchers state up front that we know that the increase in trans ID in recent years is only because of greater social acceptance and availability of GAC.…
These same journals publish weak research that gets twisted and shaped until it comes to the "right" conclusion, and then journalists will repeat that conclusion, trusting that peer reviewers would have pointed out such unprofessional conduct. Nope! For example, see @LeorSapir⬆️