Talk:Rapid-onset gender dysphoria controversy/Archive 8

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Archive 7

Archive 8

New Lead Proposal

In the discussion above, I proposed a rough draft of a new lead that seemed to be met well. As the discussion has closed, I want to get people's thoughts on replacing the current lead with the following text.

Rapid-onset gender dysphoria (ROGD) is a proposed phenomenon where children identify as transgender and experience gender dysphoria due to peer influence and social contagion.12 ROGD is not recognized as a valid mental health diagnosis by any major professional association, who discourage its use due to a lack of reputable scientific evidence for the concept, major methodological issues in existing research, and stigmatization of gender-affirming care for transgender youth.1234 The paper proposing the concept was based on a survey of parents on 3 anti-trans websites;12 following its publication, it was re-reviewed and a correction was issued highlighting that ROGD is not a clinically validated phenomenon.12567 Since the paper's publication, the concept has frequently been cited in attempts to restrict or criminalize gender-affirming care for transgender youth.12

Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 07:13, 8 February 2024 (UTC)

I think this seems good. Don't really have anything to add or edit. Loki (talk) 07:17, 8 February 2024 (UTC)

It needs to be clear that there is no scientific or evidence based support of this proposed thing—blindlynx 14:59, 8 February 2024 (UTC)

I agree and was hoping this version of the lead would do a better job of that than the old one. Do you think a change such as ROGD is a discredited term referring to a proposed phenomenon where... to the first sentence of the proposed lead would alleviate those concerns? Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 23:10, 11 February 2024 (UTC)

I would call it a "pseudoscientific proposed phenomenon" to avoid any ambiguity in the first sentence. The word "discredited" implies it had any credibility to begin with, and later lost it. LesbianTiamat (talk) LesbianTiamat (talk) 00:00, 12 February 2024 (UTC)

What language is prevalent in sources?—blindlynx 00:18, 12 February 2024 (UTC)

I think pseudoscientific is fairly supported, but that would require an RFC and can always be discussed after the main changes to the lead. Discredited is well supported by RS [1][2][3][4], and is a neutral and straightforward description capturing the fact hundreds of medical organizations have said ~"it is unevidenced, shouldn't be used, and has been used to advance anti-trans legislation through misinformation". TLDR, regardless of whether it falls under pseudoscience, the fact it's discredited according to the world's leading health bodies is inarguable. Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 00:55, 12 February 2024 (UTC)

sounds good—blindlynx 15:37, 12 February 2024 (UTC)

What makes Yale Journal of Law and Feminism and Bulletin of Applied Transgender Studies reliable sources under WP:MEDRS? Partofthemachine (talk) 16:21, 8 March 2024 (UTC)

I think pseudoscience is valid language here, but I don't think "discredited" necessarily implies widespread credibility. Plenty of theories can be described as "discredited" that were only ever considered credible by a specific subset of kooks. Tdmurlock (talk) 21:24, 18 February 2024 (UTC)

Pinging those who commented on the new lead proposal in the RFC: @Mathglot, @HandThatFeeds, @TransButterflyQueen, @LesbianTiamat - I'd appreciate your thoughts on this! Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 23:07, 11 February 2024 (UTC)

Looks like a very good intro to me. — The Hand That Feeds You:^Bite 15:13, 12 February 2024 (UTC)

I like this! However, one comment. I feel that this line : "The paper proposing the concept was based on a survey of parents on 3 anti-trans websites" (sorry, I don't know how to make it green like that yet) could be a little stonger. Possibly something like: "The paper that first proposed the concept drew on a sample of trans youth hosted on anti-trans websites". Maybe "anti-trans websites" could be changed to "websites promoting anti-transgender ideology"? I don't know, these just seem a bit more clinical to me. TransButterflyQueen Ɛï3 00:21, 12 February 2024 (UTC)

Thanks! 1) Template:tq is how I get the green text. 2) The sources use "anti-trans websites" so I think it's more straightforward to use that and expand in the body, and a sample of trans youth is misleading as one of the largest criticisms has been that parents, not trans youth, were surveyed. Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 00:59, 12 February 2024 (UTC)

Oh, I meant "parents of trans youth", actually. Typo on my part. I agree with "anti-trans websites", if that's what the sources use, of course. TransButterflyQueen Ɛï3 13:28, 12 February 2024 (UTC)

I would replace "proposed phenomenon" with "discredited phenemenon", personally. Tdmurlock (talk) 21:05, 18 February 2024 (UTC)

I support this Snokalok (talk) 17:41, 21 February 2024 (UTC)

Hello - this is a serious question - but can you not all see how incredibly partisan and biased you are all being with this piece? Just your user names alone are enough to show that you are in no way non-partisan and that you have a very clear and obvious agenda? If you really want to be of use to the world then you need to show some real effort into making an entirely balanced piece. The published page is currently terrible but the proposed edits are in some ways even worse. Who can be appealed to to actually look at this thing independently because you all quite clearly cannot? — Preceding unsigned comment added by 82.10.58.36 (talk • contribs) 20:55, 18 February 2024 (UTC)

Unsigned Comment,

Hello. I appreciate your interest in this proposal. However, I believe you may be a little misguided in a few aspects of your comments. First, about the "non-partisan" nature of our usernames. Presumably, you are talking about the word Trans in my own and the symbol (⚧) in Your Friendly Neighborhood Sociologist ⚧ Ⓐ's, that implies that we are, or at the very least strongly support, transgender individuals. Being trans or supporting trans people is not a political ideology, and is not an "agenda". Furthermore, even if it were, we would have the dignity and respect for Wikipedia's WP:NPOV policy to put aside any sort of partisan beliefs before making a change such as the proposed one.

Secondly, you noted that we are not creating an "entirely balanced piece". In that sense, you are absolutely correct. Wikipedia is not the place to show all points of view equally. Wikipedia bases its articles on scientific consensus, and does not support or endorse WP:FRINGE beliefs supported by shaky, unreliable evidence. In my opinion, modern flat earth beliefs is the best example of Wikipedia's stance on giving WP:UNDUE credit to pseudoscience and quackery. While there is substantial "evidence" for the earth being flat, that evidence is unreliable at best, and tampered with or manufactured at worse. Thus, we do not give alternate theories about the shape of the earth undue support, but instead rely on generally accepted scientific evidence on the Earth's shape. We do the same with gender dysphoria, and specifically ROGD- we look at the source of the evidence, and it's relativity, methodology, and potential bias. If only a single source on a single viewpoint exists, while many that support the contrary do, it is in Wikipedia's best interest to show that difference, and not give the single source an undue amount of weight.

Again, I appreciate your interest in this article, and hope this helps clarify things. -TransButterflyQueen Ɛï3 14:09, 20 February 2024 (UTC)

Yet the sources section for this article consists of very few (and carefuly selected) defendent articles drowned in the midst of an unreadable ocean of cons article that are (for the vaste majority of them) blog articles made by journalists (keep in mind these are blogs). Why the first source is a blog article but the two main articles about the subject are not sourcing the said subject? ("Age of Realization and Disclosure of Gender Identity Among Transgender Adults" and the answer to it "The U.S. Transgender Survey of 2015 Supports Rapid-Onset Gender Dysphoria: Revisiting the “Age of Realization and Disclosure of Gender Identity Among Transgender Adults”").

This would have been honest work if the article was not titled "controversy". This title should NOT be permited on an encyclopedia because it is a bias and only the reader should decide how to wrap his mind around it. An encyclopedia is no place for gossip. This is not honest work.

That person is right, even if you truly don't want to, your work is inevitably biased. People emotionaly involved into a subject should not be able to write articles about the said subject, or at least should be pear reviewed by partial persons. this is not what it looks like here. All we can see is a group of persons that oppose the willingness of transparancy with opinions and sources thes opinions with blogs telling these very opinions.

Number of articles never have been an argument. Only arguments are.

Look at how the subject is described, instantly the main author is discredited telling it have never studied transgender health care. How this have not been reviewed yet? We are on Wikipedia! That person is a doctor, period. At what point you can tell she never studied the subject? Nor it is even relevant that she never had (if it was even true)? Nolieonlytruth (talk) 00:57, 10 March 2024 (UTC)

This article generally and the lead specifically are based on that peer-reviewed scientific literature. There is quite an involved discussion about how best to summarize the peer-reviewed scientific literature relating to this topic just below, you should read through this discussion. What sources in particular do you take issue with?—blindlynx 16:43, 10 March 2024 (UTC)

None of them (the cons sources) are valid because journalists/activists/etc are not scientific and more important, what they wrote have not been reviewed. Anyone can make statements on the internet and wikipedia is no place to give credits to these opinions, it's a place of pure information. in another hand, the "Age of Realization and Disclosure of Gender Identity Among Transgender Adults" is a perfectly valid point. And there is another one out there which is an article that first found support for the original ROGD article (https://link.springer.com/article/10.1007/s10508-023-02576-9) and then was retracted before it were republished with a more teinted conclusion (https://researchers.one/articles/23.10.00002v1). The graphs and the conclusion on this article make a clear statement that the original ROGD paper, for yet can't be that categorical, may not be 100% wrong.

Again, none of these are used as a source nowhere in this wikipedia article.

Apparently noone wants to address my other points so I will create a new talk since this one is for the lead only, I guess. Nolieonlytruth (talk) 19:10, 11 March 2024 (UTC)

An article about perceptions of ROGD amongst people believe in ROGD is not evidence for the ROGD regardless of how rigorous it is. One paper in which the authors know that they cannot make a supported claim about the topic existing is simply not a good argument for it, particularity given the extensive academic discussion and research of this topic.

I strongly urge you to heed your own advice and examine your own biases with regard to this this topic—blindlynx 20:25, 11 March 2024 (UTC)

And I suggest you not to judge my biases on the subject since I didn't speak about it. My goal is purely ethical. If you use blog articles as sources, you must use the suggested read the same way. There is nothing biased about that say... Nolieonlytruth (talk) 12:43, 15 March 2024 (UTC)

What blog are you talking about?—blindlynx 13:07, 15 March 2024 (UTC)

There is many in the sources, but the MIT one for example. And before you tell me it is not a blog it is the MIT, he could be the website of the King of england, there is no other word to describe it, a blog is a blog. Nolieonlytruth (talk) 15:11, 19 March 2024 (UTC)

I'm not certain what you mean. Could you please list the sources you think are 'blogs' or otherwise not reliable—blindlynx 18:41, 19 March 2024 (UTC)

you are disgustingly biased. All contributors to this page have a clear and obvious agenda to present things in one way and one style, ignoring scientific literature, debate and anything that would show transgenderism in anything but a perfect light. It shows a complete lack of intellectual rigger, scrutiny and honesty. You should all be shamed of yourselves it's so blatant. 82.10.58.36 (talk) 12:41, 11 March 2024 (UTC)

IP Editor. While I appreciate your interest on this page, you did not actually answer any of the points I made in my response to your original commenter. If you continue to ignore the points I have made, I will not continue this conversation any further.

Furthermore, your statements in this reply are factually incorrect, and somewhat incoherent. We are not presenting things "in one way and one style", we are giving due weight to each source. In some cases, such as this one, we end up with articles that tend to favor one viewpoint because that is what the best evidence supports.

Secondly, and I acknowledge this only because of how insubstantial the rest of your reply is, but "transgenderism" is not only grammatically incorrect, but portrays being transgender as being a political ideology, which, as I mentioned in my previous reply, it is not. Additionally, we are not showing it "in a perfect light": we are going with what reliable sources tell us. If your view of reality doesn't align with what reliable evidence upholds, it should not be reality that you try and change

Lastly, your claim about our intellectual rigor and honesty are not only completely unfounded, but border on that of a personal attack. We are all simply trying to make Wikipedia a better place, just like I assume you are doing. Please keep this discussion about the article, and not about the editors. TransButterflyQueen Ɛï3 13:15, 11 March 2024 (UTC)

If you know that scientific literature is being ignored, simply WP:PROVEIT. Flounder fillet (talk) 16:37, 11 March 2024 (UTC)

IP 82: I have responded at your Talk page. Mathglot (talk) 16:49, 11 March 2024 (UTC)

break: 'scientifically unsupported'

Blindlynx, you've twice inserted your preferred wording into the WP:LEADSENTENCE of this highly contentious article. The sources do not support your version, and in any case, you shouldn't be reverting the article, the lead, and especially the definition against multiple editors. That means there isn't consensus about it. Please undo your last change. Thanks, Mathglot (talk) 19:09, 3 March 2024 (UTC)

I've reverted. What exactly do you think isn't supported?—blindlynx 21:55, 3 March 2024 (UTC)

Blindlynx, thank you for that. When the new lead was installed recently, I was pretty nervous, because I feared it might lead to warring in the lead, and so it has. It took a long time to get a stable version of this article, even more so the lead, but through long and admirable effort by a lot of editors, that was finally achieved. I thought a big change to the lead might turn out to be heaving a rock into the hornet's nest, but I didn't say anything, because I wanted to see how it would turn out, and hoped it would just stick, but apparently it has not. That's a pity. So much for that bit of history.

For now, I'm okay with either the previous wording of proposed (proposed as a subtype of gender dysphoria) or of hypothesis (is a hypothesis which proposes...). Earlier stable versions used the word controversy or controversial. I somewhat prefer use of controversial because it leads with the idea that something may be wrong with the hypothesis, or at least that there is plenty of debate about it, whereas just the word hypothesis (or proposed or proposal) on its own seems too favorable to it; it kind of gives off an air of, "might be true, they probably just need a bit more evidence" which I think is unwarranted, undue, and leaves the wrong impression in the minds of readers right in sentence one.

On the other hand, I think scientifically unsupported cannot be used in Wikipedia's voice in the lead sentence, for three reasons:

1. because that wording is about scientific method, and however crappy we find Littman's methodology, or however biased her population sample, she didn't write her article based on throwing the Ching or standing under a crystal; she used scientific method and it was published in a scientific journal recognized as a reliable source. I don't like her results any more than you do, and neither do plenty of scientific organizations that have criticized her paper, amply discussed in the article, so no need to rehash that here. (Scientific method sometimes produces crappy results, see Cold fusion. Using questionable methodology makes that more likely, but doesn't make it unscientific.)
2. if a categorical statement of scientifically unsupported were apt, then there wouldn't be a controversy and we wouldn't have this article, because her paper, one among dozens pubished just that one day in PLOS, wouldn't be notable. Theoretically, you could finesse that by saying, unsupported by most major scientific organizations, which is a completely different kind of statement about opinion, and might work elsewhere, even if not in the lead sentence. And that brings us to the third reason:
3. because the lead already says that (the opinion version of it) in the very next sentence of lead paragraph one: "not recognized... by any major professional association... due to a lack of reputable scientific evidence". It doesn't need to be placed in the first sentence as well in an even more categorical form; the sentence two version of it is fine, accurate, and supportable; no need to triple down on it.

This is a highly contentious topic in a broader area of gender-related controversies, which have been designated as a contentious topic area by ArbCom. More than in almost any other article, it calls for us as editors to set aside our own views, and stick very closely to sources and above all, to maintaining a neutral point of view. Stating scientifically unsupported is a valid point of view, but not the only one, as the controversy swirling around it since the beginning aptly demonstrates. Neutrality demands that we step lightly and carefully, especially when making categorical statements in Wikipedia's voice, and super especially in the WP:LEADSENTENCE, which defines the topic and sets the tone for the lead, and the article. (Note that I don't have an a priori objection to using the words scientifically unsupported in the body *if* accompanied by a source that supports it, preferably using those exact words, or as spoken or written by someone reliable, if double-quoted and accompmanied by in-text attribution.)

But I think that wording is way out of line in the first sentence. Among the options, including that one, and the four I mentioned above, I think controversial beats them all, because it avoids making a categorical claim at the outset about scientific method and for other reasons listed above, and because it echoes the word controversy in the title, which I think is central to this entire topic, and because it shouldn't be hard to get consensus for something like controversial hypothesis (or, hypothesis about XYZ which has garnered a lot of controversy, or similar) because regardless where one stands on the whole issue, I think that could be one point of agreement even from those on opposite ends of the controversy, and it is true, and supportable. Given all this, I could support wording such as: "is a controversial hypothesis which claims that..." but I'm open to other formulations. Thanks, Mathglot (talk) 00:24, 4 March 2024 (UTC)

With respect, I strongly support Blindlynx's version and very much disagree with removing scientifically unsupported or words to that effect. Just to take your three reasons:

1. Yes, it was published in a journal generally agreed to be a reliable source. So was Wakefield's infamous anti-vaccine paper, all the papers on the luminiferous aether, and lots of other pseudoscientific or disproven ideas. All these ideas are scientifically unsupported now because of the consensus of the field, and so with this.

2. Scientifically, there isn't a controversy. There's a political controversy but I don't see any scientific source from anyone other than Littman that supports it. That tautologically means that it is scientifically unsupported.

3. WP:PSCI, WP:FRINGE, and the general way we talk about pseudoscience on Wikipedia disagrees with you. Look at how we talk about Wakefield's fake MMR paper above: fraudulent research paper, discredited and deregistered Andrew Wakefield, falsely claimed causative links, fraud was exposed are all phrases that appear before the final sentence definitively saying The scientific consensus on vaccines and autism is that there is no causal connection between MMR, or any other vaccine, and autism. In fact, these guidelines about fringe science (and to be clear, this paper is unambiguously WP:FRINGE because it's not consensus and not close to it, whether or not it's technically pseudoscience) are very clear about avoiding WP:FALSEBALANCE. Loki (talk) 01:21, 4 March 2024 (UTC)

Edit-warring the defining sentence is exactly what I had hoped to avoid while a discussion about a content disagreement about the lead sentence was going on at a contentious article. The controversy is mostly political, agreed, but clearly there's plenty of disagreement about her methodology—and that is scientific disagreement. Other than that, your points don't hold water: yes, discredited ideas may be labeled such once the verdict is in, as they are with Wakefield and others you mention; that is not the case here. As crappy as Littman's methodology was, none of the terms like discredited and deregistered Andrew Wakefield, falsely claimed causative links, or fraud was exposed have been used about Littman's research; if they have, please add them to the article and I will withdraw my objection. At this point, we don't yet know what future research will show, and it's too early to make a statement like that in the lead sentence in Wikipedia's voice. We, as editors, don't get to decide what is fringe science, we rely on reliable sources for that. Please self-revert while the discussion is going on. Thanks, Mathglot (talk) 04:25, 4 March 2024 (UTC)

I will not self-revert. The sources clearly establish it as WP:FRINGE, which is not the same as pseudoscientific or false. WP:FRINGE means what it sounds like: ideas that are on the fringe of their field. The fact that there is almost no scientific support for Littman's hypothesis makes it fringe even before considering there's considerable opposition to it. It doesn't need to be disproven to make it fringe: controversial scientific ideas are fringe science. There's even a specific cutout, WP:FRINGE/ALT, for this situation.

Of course, the actual situation here is more like WP:FRINGE/QS, as many of the sources disputing Littman say pretty forthrightly that the theory is not true. MIT Technology Review says that overwhelming evidence disagrees with it. Scientific American says that a steadily growing body of scientific evidence demonstrates that [Littman's theory] does not reflect transgender adolescents’ experiences and quotes the head of WPATH saying "To even say it’s a hypothesis at this point, based on the paucity of research on this, I think is a real stretch". CAAPS says there is no evidence that ROGD aligns with the lived experiences of transgender children and adolescents. WPATH says that Littman's correction to her paper effectively disproves her own initial report. In scientific language, this is very strong condemnation, and indicates that actual authorities in the topic area don't just think the theory is controversial or unproven, they think it's false.

I also assert that it is you who is edit-warring dispute that we are edit warring: I read a clear consensus for some version of this language in the edit history. There have been many edits to this language but most of them have been nitpicks about the exact wording, and not content disagreements. Even your past edit regarding this was, according to the edit summary, a matter of redundant language and not motivated by real content disagreement. Loki (talk) 06:03, 4 March 2024 (UTC)

Um, and I'm edit-warring because... of my one edit to the lead in the last month? Right. Mathglot (talk) 06:20, 4 March 2024 (UTC)

Sorry, I struck that because I forgot it was Partofthemachine and not you who made the intervening edit between Blindlynx's edits. (Regardless, the rest of my comment stands.) Loki (talk) 06:24, 4 March 2024 (UTC)

The sources don't establish it as FRINGE, you assert it is FRINGE by your reading of the sources—not the same thing, not neutral, and not our role. Mathglot (talk) 09:46, 6 March 2024 (UTC)

Not sure how you get to WP:FRINGE and WP:FALSEBALANCE when - again - the highest quality recent source is this meta analysis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10409298/

Which says only:

There continues debate as to whether AOGD is a genuine phenomenon

and

It is clear that we simply do not know enough about the observed phenomenon referred to as AOGD

A meta-analysis like this is as good as it gets, and if this is no more conclusive than "we don't know", then we should not go any further than "we don't know" here. Disputed, controversial, subject of debate, etc.

I also think this paper should go in the "further research" section, and "adolescent-onset gender dysphoria (AOGD)" added as an alternative name in the lede. Void if removed (talk) 18:13, 4 March 2024 (UTC)

"adolescent-onset gender dysphoria (AOGD)" added as an alternative name in the lede I don't think that's warranted. That paper is the third part of a three paper series (paper 1, paper 2), and it's the only one to even mention ROGD or AOGD. If the purpose of the series was to study what they're referring to as either AOGD or ROGD, you'd expect that to be mentioned throughout.

It's also weird that the review is conflating rapid-onset with adolescent-onset, whereas the sources they're citing don't make that conflation. Of the 19 papers explicitly included in this part of the review, 14 are about physiological or psychological changes relating to GnRHa and hormonal treatments (all three papers by Tack et al., Perl et al., de Vries et al., both papers by Klaver et al., Schagen et al., Stoffers et al., Costa et al., Joseph et al., Jensen et al., Kuper et al., Lee et al.), 2 were about the demographic use of GnRHa or hormonal treatments (Lopez, et al., Nahata et al.), and only 3 were about the diagnosis itself (Becker-Hebly et al., Russell et al., and Chen et al.). Of those final three, none mention ROGD or cite Littman's paper, much less assert that AOGD is an alternative name for ROGD. Outside of the review corpus, the authors cite Bauer et al. which doesn't mention the term AOGD, Sinai's critique of Bauer which does, but not in a way that establishes it as an alternate name for ROGD, and Littman's critique of Bauer which does not.

When looking much closer at this review, I'm actually kinda surprised they even remark on Littman's hypothesis, much less assert that "we simply do not know enough about the observed phenomenon" as it seems wholly out of scope of that paper. As the authors state in the scope of the review section, the question on the age of gender dysphoria onset is addressed in paper 1. Paper 1 makes no mention of rapid-onset, nor adolescent-onset, nor does it comment on the onset of GD being rapid in other terms. I really struggle to see how, outside of that sentence, the third paper in the review series has anything to do with ROGD, especially when the first paper did not. Sideswipe9th (talk) 21:44, 4 March 2024 (UTC)

wholly out of scope of that paper. Agreed, and the way these little remarks were taken out of context and then blown up shows why it's important to consider whether such statements are WP:DUE, and whether the text in the article is actually representing sources accurately. Hist9600 (talk) 22:29, 5 March 2024 (UTC)

The full context is that the entire first section is about epidemiology, and finds pretty conclusively a) an increase in adolescent presentation and b) a sex-ratio shift towards females (approx 2:1). This is the "observed phenomenon" referred to succinctly in the above quote.

At present we have a whole paragraph, of four sentences, devoted to the Turban et al 2022 study which claimed to find against ROGD because there was no shift in sex ratio, and that the data favoured males. However, part 1 of this PRISMA review finds the opposite. That is the "observed phenomenon" being referred to.

Turban is an outlier in claiming there is no "observed phenomenon" here, and contradicted by a higher quality MEDRS - and the quote in part 3 relates this "observed phenomenon" directly to Littman's hypothesised explanation for the "observed phenomenon". Even though it concludes we don't know, it finds quite conclusively that there is something unexplained.

I think if you include Turban's claim there is no "observed phenomenon" as a mark against ROGD, you really have to include this far higher quality source saying there actually is an "observed phenomenon", even if all it finds is that we don't really know the cause yet. Void if removed (talk) 09:58, 6 March 2024 (UTC)

The full context is that the entire first section is about epidemiology The first paper makes no mention of ROGD, nor does it cite Littman's paper.

This is the "observed phenomenon" referred to succinctly in the above quote. This sounds like SYNTH, combining findings from paper 1 and applying that to paper 3. The first paper in the series makes no remarks on an "observed phenomenon" by that term or any similar phrasing. Nor do the first or second papers use this AOGD acronym or its constituent parts. Only the third paper does, in one paragraph of its discussion section.

What the first paper does remark on is how the authors are unable to report on age of onset of GD as this was rarely reported. They were only able to find one paper that had information on age of onset, the others only had age of referral. What is more likely the case here is that when the authors state that we simply don't know enough about the observed phenomenon, it is a remark on how few papers actually report the age of onset. That isn't a comment on ROGD though, just on the lack of research.

Turban is an outlier in claiming there is no "observed phenomenon" here Turban's paper wasn't included in the review, primarily because despite being published in 2023 the review's cut-off date was some time around 2 November 2020 according to the first paper. In fact, with the exception of a commentary by de Vries, all of the cited papers in the further research section of the article were published after the cut-off date of this review. Turban's 2022 research is quite simply newer than this review, despite their relative publishing dates.

Even though it concludes we don't know, it finds quite conclusively that there is something unexplained. No, it doesn't. None of the three papers cited in the brief remark in the third paper are cited elsewhere in the review. And the first part of the review has no remarks on an unexplained phenomenon. Only the third paper in the series does, and it's really unclear why they've asserted it other than perhaps based on the paper by Bauer and the response letters by Littman and Sinai. Sideswipe9th (talk) 22:41, 6 March 2024 (UTC)

This sounds like SYNTH

Here's the scope:

1. What is the prevalence of GD in adolescence?

2. What are the proportions of natal males / females with GD in adolescence (a) and has this changed over time (b)?

3. What is the pattern of age at (a) onset (b) referral (c) assessment (d) treatment?

4. What is the pattern of mental health problems in this population?

5. What treatments have been used to address GD in adolescence?

6. What outcomes are associated with treatment/s for GD in adolescence?

7. What are the long-term outcomes for all (treated or otherwise) in this population?

The present paper focuses on questions 1, 2, 3a, 3b, and 3c. We shall address question 4 in a second paper, and questions 3d, and 5–7 in a final paper. The methodology below includes the searches conducted for the whole review.

The whole series is part of the same review, and paper 1 establishes the sex ratio shifts they refer to in paper 3, when discussing A/ROGD. Papers 1-3 are all part of the same review, this is nothing like SYNTH.

Turban et al (2022) claims there is no shift in sex ratio (and therefore, by their assertion, no ROGD), this higher quality source says there is a shift in sex ratio but that A/ROGD as a distinct phenomenon remains a subject of debate. The Turban paper remains an outlier claiming there is no shift in sex ratio - and yet we have a whole paragraph on it, while completely excluding this systematic review.

The cutoff is irrelevant when the published papers are older and in any case (per WP:MEDRS) A newer source that is of lower quality does not supersede an older source of higher quality.

And questioning why the authors mentioned ROGD is not really relevant - they did, its a systematic review, and it is the highest quality source out there at the moment. They don't find it isn't real, or it is debunked, or scientifically unsupported. They find it is unknown. We should cite this paper, and not go beyond that level of certainty in the lede. Void if removed (talk) 18:08, 8 March 2024 (UTC)

They are part of the same series, but they're all answering different questions. Paper 1 is answering questions 1, 2, 3a, 3b, and 3c. Paper 2 covers question 4. And paper 3 covers questions 3d, 5, 6, and 7. It is not appropriate therefore to take a sentence from paper 3, cited solely to papers that were not included in the review, and apply it to the context of paper 1. Papers 1 and 3 are reviewing different parts of the literature.

The real question we should be asking here is, if the authors intended from the start to consider ROGD to be the same thing as adolescent-onset gender dysphoria, why did they not say this in paper 1? It seems odd that the first time they bring ROGD into this, is in a paragraph in the third paper, divorced from the findings of the first paper that would potentially support it.

Turban et al (2022) claims there is no shift in sex ratio Incorrect. Turban reports that there was a relative increase in the number of AFAB youth between 2017 and 2019, going from an AMAF:AFAB ratio of 1.5:1 to 1.2:1, but that this more due to an absolute decrease in the numbers of AMAB youth than an absolute increase in the numbers of AFAB youth.

The cutoff is irrelevant when the published papers are older Here you're quoting from WP:MEDDATE, and that would potentially be appropriate if the review actually supported what you're trying to use it for. However paper 1 doesn't support any commentary on ROGD, because it quite explicitly states that the authors were unable to report on age of onset of GD as this was rarely reported.

And questioning why the authors mentioned ROGD is not really relevant It is entirely relevant when the papers on ROGD, including Littman's original paper, were not included in the review. We cannot cite this paper in this article, because the subject of this article was not included within the scope of the review. Sideswipe9th (talk) 22:46, 8 March 2024 (UTC)

Incorrect

By "shift in sex ratio" I don't mean a small shift, I mean the ratio has reversed. It has gone from roughly 2:1 male/female to 2:1 female:male in a short space of time, due to an increase in female presentation. That is a significant shift that this meta analysis supports.

Which is why Turban is an outlier, claiming not to find this shift (by which I mean the large shift to the extent of reversal) and no increase in female presentation, and flatly contradicted by this (superior) source, which then goes on to discuss A/ROGD in the context of this observed increase and significant shift in ratio. Void if removed (talk) 12:25, 9 March 2024 (UTC)

It's pretty clear that the article is not about ROGD specifically, so we shouldn't use that source. The Wikipedia article is about a specific hypothesis. A lot of what you're writing seems like original research and synthesis, trying to claim the paper is about ROGD specifically, when it only very briefly mentions it. We should make efforts to avoid original research and synthesis. Hist9600 (talk) 15:34, 9 March 2024 (UTC)

Its "a PRISMA systematic review of adolescent gender dysphoria literature", in three parts. Epidemiology is part 1, which notes the profound sex ratio shift, ROGD is mentioned in part 3, and given the context of this same sex ratio shift.

And it is relevant because it is the highest quality MEDRS that discusses ROGD at all - as part of a systematic review of adolescent gender dysphoria literature, so completely relevant - and states it remains "a debate" and that "we simply do not know".

This is neither OR nor SYNTH, nor was my original, single-sentence addition.

It would be OR and SYNTH to use this in text as a rebuttal to Turban et al, say, but I'm not suggesting that. I'm merely noting that we are currently devoting 4 sentences to a paper whose central finding happens to be completely contradicted by a higher quality MEDRS we are currently excluding from this page. Void if removed (talk) 23:40, 10 March 2024 (UTC)

@Void if removed I ask that you self revert your latest addition to the article as there's a consensus against it.

You wrote In August 2023, a PRISMA systematic review into rapid- or adolescent-onset gender dysphoria (AOGD) found an absence of literature

The actual text said We originally set out to study the phenomenon of adolescent- or rapid-onset GD (AOGD) and found an absence of literature, leading to our broader search strategy.

1) there was already a consensus against including this, see here

2) LokiTheLiar stated something there that is relevant here As far as I can tell, Swood is mischaracterizing this review pretty severely. It's a review of adolescent gender dysphoria in general, not of studies of ROGD. You've done the exact same thing - and I've been scratching my head wondering how anyone gets from "we wrote a review on this" from "we wanted to write a review on this, but didn't and reviewed a larger topic instead" (ie, explicitly stating they did not write a review on this)

Best regards, Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 20:58, 5 March 2024 (UTC)

Yeah, the title of this article is ROGD, not AOGD. And it's not like it's just a different word for the same concept, because the authors of the paper explicitly say that they tried to investigate ROGD and failed.

I'm not totally against including this paper but it needs to be very clear what the paper is actually saying and what it isn't. The current wording just conflates AOGD with ROGD, which is WP:SYNTH. Loki (talk) 07:27, 6 March 2024 (UTC)

There is also Elkadi et al (2023) which states:

Alongside our international colleagues, the founding multidisciplinary team also became aware of the increase of presentations of what was termed late-onset, rapid-onset, or adolescent-onset GD. This group of adolescents, predominantly female, had no prior history of gender distress during early development and presented with sudden-onset gender-related distress. The absence of prior history raised questions that this particular group of adolescents were being drawn to the construct of gender dysphoria because of some evolving social process.

Again, there's a paucity of research, and the evolving terminology is confusing, but in context it is clear that Thompson et al are using AOGD to refer to Littman's hypothesised ROGD. Void if removed (talk) 09:34, 6 March 2024 (UTC)

Elkadi et al has been cited five times according to CrossRef. One of those citations is to a paper titled Recognizing and responding to misleading trans health research. It says quite strongly and succinctly that Elkadi's claims are simply are not justified by the data. This paper then goes on to express significant methodological concerns about Elkadi's work, and remark how they misrepresent and misinterpret their findings.

The other citations to Elkadi so far call it into question. There's a letter to the editor written by Leor Sapir of the Manhattan Institute, Michael Biggs of SEGM, and Littman, a "review" written by Stephen B. Levine and E. Abbruzzese of SEGM, a German language paper that I can't access but is published in a journal devoted to Anthroposophic medicine, and a paper in PLOSOne that simply cited it without commentary.

The citations alone to multiple fringe groups would give me cause for concern, that another paper was written purely about the concerns over its content strongly suggests that we should not be relying on Elkadi's paper for any information whatsoever. Sideswipe9th (talk) 23:05, 6 March 2024 (UTC)

This is veering into WP:OR, and the critical paper is an editorial, thus less weighty than the retrospective study it is criticising. The point in any case is not to cite this paper (though I don't see why not) but to note in passing there is no consensus about terminology here, and given the controversy and lack of actual research addressing the ROGD hypothesis this is hardly surprising. Void if removed (talk) 17:18, 8 March 2024 (UTC)

Per WP:OR

”This policy does not apply to talk pages and other pages which evaluate article content and sources, such as deletion discussions or policy noticeboards.” Snokalok (talk) 20:43, 9 March 2024 (UTC)

That didn't look like a clear consensus, and much of the discussion seemed to favour including a sentence actually. Where there was argument against inclusion, it seemed by my reading to be that the article is already stating that it is a hypothesised phenomenon, and adding another source that simply says "we don't yet know" adds nothing.

However, the context now is continued moves to change the lede to have stronger wording that it is not only a "we don't yet know", but actually discredited or scientifically unsupported.

These are strong assertions that are contradicted by Thompson et al, which is far more equivocal. Excluding a reference from the body because the article is supposedly balanced and then changing the lede actually makes a stronger case that Thompson should have been included in the first place. So no, I won't self-revert, and I don't think that it should have been reverted either. Void if removed (talk) 09:38, 6 March 2024 (UTC)

Between that earlier discussion and this one, Mathglot, Loki, Silverseren, Sideswipe, and I have all stated that the article is very clearly not a review of literature on ROGD (as do the authors of the review itself). You and Swood have disagreed. That's 6-2 (including the authors, because they explicitly say it). While there may be a rough consensus to include something, it was to include a very limited mention along the lines of A 2023 systematic review of gender dysphoria in adolescence found there had not been enough studies to do a review of ROGD specifically.

Part 1 of the review you're citing states Our over-arching aim was to establish ‘what does the literature tell us about gender dysphoria in adolescence?’ and We were unable to report on age of onset of GD as this was rarely reported.

A key point I think you're missing is that gender dysphoria in adolescence" (gender dysphoria experienced during adolescence, which may be a continuation of pre-adolescent dysphoria), ROGD (the theory that trans youth are suddenly getting gender dysphoria out of the blue at puberty due to catching trans from the internet and their friends), and the ratio of transmasculine to transfeminine youth seeking care are distinct topics. It is SYNTH to conflate them and say an article on the first saying "this is not about the second" is actually about the second because it commented on the third. Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 22:35, 8 March 2024 (UTC)

7-2, actually. I haven't had much to say, but i've been watching this conversation with interest. It feels like much of the counter-argument is incredibly misleading or nitpicky- ie, talking about separate but related topics and claiming that deeming an article untrustworthy (after being well-received as so by reliable secondary sources) as Wikipedia:OR. This discussion genuinely feels like its going in circles at this point. TransButterflyQueen Ɛï3 15:33, 9 March 2024 (UTC)

8-2 Snokalok (talk) 20:44, 9 March 2024 (UTC)

I put in a limited - one-sentence - mention, along with a quote of the relevant part. There was consensus for adding something, so why would I self-revert?

the ratio of transmasculine to transfeminine youth seeking care are distinct topics

Then why do we have 4 sentences about Turban's paper claiming that not finding a shift in ratio disproves ROGD?

And the point is this systematic review does not support the claim in the lede that ROGD is "scientifically unsupported", only that it remains controversial and a subject of debate. That is all. This is important now because the continued exclusion of this paper from the body has led to unwarranted changes to the lede. It belongs in the body in some form, and then the lede should follow the body. Void if removed (talk) 15:41, 9 March 2024 (UTC)

Void, you are galloping further into WP:IDHT territory. [You] put in a limited - one-sentence - mention that calls a review explicitly not about ROGD a PRISMA systematic review into rapid- or adolescent-onset gender dysphoria (AOGD). Multiple editors are trying to point out this is a gross misrepresentation of the source.

On a related note, In August 2023, a PRISMA systematic review into rapid- or adolescent-onset gender dysphoria (AOGD) found an absence of literature is not only misrepresenting the review's scope, it's painting a misleading picture of the relevant dates. They found an absence of literature years before the publish date, hence why they researched something else. They didn't find an absence in August 2023, as the study did not take anything in 2023 into account.

To try and clear this up a final time, gender dysphoria in adolescence (the subject of the review) does not equal rapid-/adolescent-onset gender dysphoria (explicitly not the subject). The same way a systematic review of homosexuality in adolescence wouldn't transubstantiate into a review of adolescent-onset homosexuality just because the authors said we wanted to study adolescent-onset homosexuality and couldn't find enough literature so we reviewed homosexuality in adolescence instead, also there's a debate whether adolescent-onset homosexuality is even a thing.

Additionally, including the review in the article would have no effect on the lead, since "we have no data on this and aren't even sure it's real" doesn't mean "scientifically unsupported" is incorrect. And it would not outweigh dozens of medical organizations coming together to say "there is no evidence this exists, the study proposing it was irredeemably flawed and the very premise is pathologizing". Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 01:19, 11 March 2024 (UTC)

Right, and the response to that addition, rather than to change it in line with what you're suggesting, was to call for self-reversion to eliminate it entirely on the grounds that there was already a consensus against including this. Which I think this discussion has made clear there wasn't, there was seeming consensus for a one-sentence inclusion. So why not improve the sentence?

If it is actually just the accuracy of the wording that is at issue, I'm happy with something like:

In August 2023 a PRISMA systematic review into adolescent gender dysphoria literature noted that rapid- or adolescent-onset dysphoria continued to be a subject of debate.

Ideally with a quote. I don't think it needed removal, and I maintain it is relevant and significant.

it would not outweigh dozens of medical organizations coming together to say "there is no evidence this exists

It would sit on a par in terms of MEDRS, and is more recent than the 2021 CAAPS statement. This has to be weighed against different position statements from different medical organisations around the world (Eg. the European Academy of Paediatrics last month).

One controversial suggestion ascribes the increase in sudden onset GD in adolescence to a social phenomenon termed rapid onset gender dysphoria (ROGD). The argument, initially emerging from interviews with parents of transgender youths, effectively runs that a social contagion fuelled by social media leads to peer group-GD, reflecting a social coping mechanism for other issues. The polarisation of the subsequent debate will be familiar to all, with many experts and scientific bodies critical of the research and concept. However, others recognise the need to thoroughly investigate one of the few offered explanations for the recent demographic changes.

[...] Indeed, the role of social media in not just ROGD but more broadly in GD and perhaps separately in the increase in childhood mental health problems is overdue serious academic exploration.

We should not go beyond noting it is a debate, and a controversial, polarising one. "Scientifically unsupported", "discredited" etc are far too strong. In addition, the second line of the lede implies that there is unanimity among medical associations that the term should not be used, which is clearly false.

Frankly this - from a body which represents 52 national paediatric societies across Europe - is a significant and recent statement which should be added to the section "Professional commentary", highlighting that it is an ongoing controversy. Void if removed (talk) 09:59, 11 March 2024 (UTC)

The "debate" only exists to ROGD supporters. Scientifically there is no actual backing for the existence of it. There is no reason we should be giving credence to this. — The Hand That Feeds You:^Bite 10:30, 11 March 2024 (UTC)

Void, you are galloping further into WP:IDHT territory. [You] put in a limited - one-sentence - mention that calls a review explicitly not about ROGD a PRISMA systematic review into rapid- or adolescent-onset gender dysphoria (AOGD). Multiple editors are trying to point out this is a gross misrepresentation of the source.

However, if in Void's addition, “into” were replaced with “that originally set out to study the phenomenon of,” the sentence would be undeniably true.

On a related note, In August 2023, a PRISMA systematic review into rapid- or adolescent-onset gender dysphoria (AOGD) found an absence of literature is not only misrepresenting the review's scope, it's painting a misleading picture of the relevant dates. They found an absence of literature years before the publish date, hence why they researched something else. They didn't find an absence in August 2023, as the study did not take anything in 2023 into account.

This criticism could no longer be made if “found” were replaced by “announced a finding of.” This lag in the reporting of scientific findings, vis-à-vis the data on which a study is based, is common to all scientific studies and readers do not need to have it pointed out to them every time the findings of a study are discussed.

To try and clear this up a final time, gender dysphoria in adolescence (the subject of the review) does not equal rapid-/adolescent-onset gender dysphoria (explicitly not the subject).

The authors reported that, “We originally set out to study the phenomenon of adolescent- or rapid-onset GD (AOGD) and found an absence of literature, leading to our broader search strategy.” Are you saying that disclosing this to the reader misrepresents the study? In what way? This is a statement about adolescent-onset gender GD (specifically, the amount of scholarly literature on the subject) which is definitely the subject of this article. What is the misrepresentation? Are you saying that the fact that the authors addressed a subject “broader” than “adolescent- or rapid-onset GD,” this invalidates observations they also made on the original, narrower, subject?

The same way a systematic review of homosexuality in adolescence wouldn't transubstantiate into a review of adolescent-onset homosexuality just because the authors said we wanted to study adolescent-onset homosexuality and couldn't find enough literature so we reviewed homosexuality in adolescence instead

If the authors, in a general study of homosexuality in adolescence, made a specific statement concerning the amount of scholarly literature on the subject of “adolescent-onset homosexuality” this would be relevant to a Wikipedia article on the subject of adolescent-onset homosexuality. If you think it would not, please explain why not.

also there's a debate whether adolescent-onset homosexuality is even a thing.

A debate as to whether adolescent-onset GD is even a thing is one of the observations of the study, and as such it deserves to be reported.

Additionally, including the review in the article would have no effect on the lead, since "we have no data on this and aren't even sure it's real" doesn't mean "scientifically unsupported" is incorrect.

It does, however, conflict with “scientifically discredited.”

And it would not outweigh dozens of medical organizations coming together to say "there is no evidence this exists, the study proposing it was irredeemably flawed and the very premise is pathologizing".

Reporting that this study found insufficient scholarly literature on the subject of adolescent-onset GD is not intended to “outweigh” the reporting of other studies as well. Perhaps another study did not find insufficient scholarly literature. Each study gets reported. This study also found that, “It is unclear whether the research literature on adolescent gender dysphoria (GD) provides sufficient evidence to adequately inform clinical decision making.” The fact that this may conflict with the findings of another study is not a reason to exclude it.

The "debate" only exists to ROGD supporters. Scientifically there is no actual backing for the existence of it. There is no reason we should be giving credence to this.

The Thompson study questions whether the available scientific literature on adolescent gender dysphoria provides sufficient evidence to adequately inform clinical decision making. That’s what should be reported. Swood100 (talk) 02:05, 12 March 2024 (UTC)

The Thompson study questions whether the available scientific literature on adolescent gender dysphoria provides sufficient evidence to adequately inform clinical decision making.

That's some pretzel logic to justify the claim that ROGD has any evidence whatsoever to support it. "We should do more studies about gender dysphoria" does not equal ROGD having any scientific basis at all. You're really pushing here. — The Hand That Feeds You:^Bite 11:35, 12 March 2024 (UTC)

The Thompson study reports that, "There continues debate as to whether AOGD is a genuine phenomenon... It is clear that we simply do not know enough about the observed phenomenon referred to as AOGD, nor do we fully understand the huge increase in numbers of adolescents (and especially NF) presenting for GD intervention in recent years, nor the comorbidities and long-term outcomes." Keeping in mind that according to this study both adolescent- and rapid-onset GD are included within the descriptor "AOGD," it is clear that in the view of this study (a) a legitimate debate exists as to whether ROGD has a scientific basis, and (b) there is insufficient evidence to form a conclusion either way. Swood100 (talk) 16:40, 12 March 2024 (UTC)

These aren't conclusions of that paper but a general call for more research into the topic. Further that particular moment of discourse is already covered in the 'further research' section of the article—blindlynx 19:21, 12 March 2024 (UTC)

These aren't conclusions of that paper but a general call for more research into the topic.

This study announced that (a) a legitimate debate exists as to whether ROGD has a scientific basis, and (b) there is insufficient evidence to form a conclusion either way. The information imparted by these observations would not be accurately represented by saying that the authors of the study made a general call for more research into the topic.

Further that particular moment of discourse is already covered in the 'further research' section of the article

I didn’t see a reference to this study or to these observations in the ‘further research’ section of the article. Swood100 (talk) 01:17, 13 March 2024 (UTC)

The issue is it's a study about something else and using it as an authoritative source about something it is not looking into---even if it initially set out to---is wp:undue.

We already have the Bauer (and teh Ferrara et.al.) papers and Sinai and Littman's letters cited, i really don't see what the Thompson paper adds given it's about something else—blindlynx 15:21, 13 March 2024 (UTC)

I agree entirely with @Mathglot. This is a clear instance of editorial bias overruling the expected neutrality of Wikipedia articles. Especially in light of the Cass Review, which demonstrated that many of the supposed articles relied upon by the very authors cited in order to claim that this original paper was incorrect were in fact themselves deeply disreputable and without any scientific validity, this is a moment that the editors here should review this article.

It's not my area of expertise, but I've contributed many times to Wikipedia and am very familiar with the rules, and think the editors need to rethink this. KronosAlight (talk) 20:54, 26 May 2024 (UTC)

Especially in light of the Cass Review, which demonstrated that many of the supposed articles relied upon by the very authors cited in order to claim that this original paper was incorrect were in fact themselves deeply disreputable and without any scientific validity, this is a moment that the editors here should review this article.

Please cite the relevant material. If it's in the Cass Review final report, provide a page number. Flounder fillet (talk) 23:08, 26 May 2024 (UTC)

The issue is it's a study about something else and using it as an authoritative source about something it is not looking into---even if it initially set out to---is wp:undue.

If a study puts in extensive effort to find all the scientific literature concerning ROGD and reports that a legitimate debate exists as to whether ROGD has a scientific basis but that there is insufficient evidence to form a conclusion either way, then this cannot be described as reporting something it was not looking into. Are you saying that the authors were not qualified to make these observations or that with respect to these remarks this study is not a reliable source?

We already have the Bauer (and teh Ferrara et.al.) papers and Sinai and Littman's letters cited, i really don't see what the Thompson paper adds given it's about something else

Thompson adds a different perspective. It set out to examine and report on all the available scientific literature on ROGD, something the other studies did not attempt to do. Swood100 (talk) 16:22, 13 March 2024 (UTC)

The only thing that study says about ROGD is that there isn't enough research to do a systemic review, so the authors did something else. That's it, the paper is not about this topic. You are putting way to much weight on one paragraph in this paper—blindlynx 16:38, 13 March 2024 (UTC)

The only thing that study says about ROGD is that there isn't enough research to do a systemic review, so the authors did something else.

Thompson doesn’t just say that there is not enough research to do a systemic review. It questions “whether the literature on adolescent gender dysphoria (GD) provides evidence to inform clinical decision making adequately.” See the first sentence in the abstract. You said this article is not about ROGD but if the literature is inadequate to inform clinical decision making concerning gender dysphoria in adolescence (the subject of the paper), then it is inadequate to inform clinical decision making concerning ROGD, which is claimed to be a type of gender dysphoria in adolescence. The study affirms this in the discussion section, which says, “It is clear that we simply do not know enough about the observed phenomenon referred to as AOGD...”

In addition, we report in the opening paragraph of this article that ROGD is “scientifically unsupported.” We don’t explain to the reader whether this is the result of extensive research that failed to validate RODG or the result of insufficient research. The Thompson study addresses that question.

We also report in the opening paragraph that ROGD “is not recognized as a valid mental health diagnosis by any major professional association, which discourage its use due to a lack of reputable scientific evidence for the concept...” Major professional associations would not adopt this stance unless they found the scientific literature on adolescent gender dysphoria adequate to inform clinical decision making, but this is drawn into question by the Thompson study.

Furthermore, Thompson found that a legitimate debate exists as to whether ROGD is “a genuine phenomenon,” and spoke of “the observed phenomenon referred to as AOGD.” These references conflict with the contrary implication in the article.

Finally, Thompson mentions, in connection with AOGD, “the huge increase in numbers of adolescents (and especially NF) presenting for GD intervention in recent years...” as a real phenomenon that needs to be explained. Littman pointed to this as evidence that gender dysphoria in adolescence can have a social cause. I’m not sure what reasons have been given for excluding from the article this recent increase in the number of adolescents with gender dysphoria.

That's it, the paper is not about this topic. You are putting way to much weight on one paragraph in this paper

You speak of this as if the subject of the paper (gender dysphoria in adolescence) has nothing to do with ROGD, and as if this one paragraph (which constitutes about one-third of the discussion section of the paper) is so unrelated to the rest of the paper that it can be ignored. But this paragraph merely addresses a subset of the topic of the rest of the paper. Please explain in what way quoting from that paragraph will cause the reader to be given an impression that is unintended by the authors of the study. Swood100 (talk) 01:42, 14 March 2024 (UTC)

Are there any objections to adding the following:

Thompson was a three-part study that originally set out to do a systematic review of the scientific literature concerning "adolescent- or rapid-onset gender dysphoria," which it characterized as "the observed phenomenon referred to as AOGD," but found insufficient literature and so broadened the scope of the study. It noted that there is a debate in the scientific community as to whether "rapid-onset gender dysphoria" is a genuine phenomenon, and questioned whether the literature on adolescent gender dysphoria provides evidence to inform clinical decision making adequately. The study also noted that we do not understand "the huge increase in numbers of adolescents (and especially [natal females]) presenting for [gender dysphoria] intervention in recent years, nor the comorbidities and long-term outcomes."

Swood100 (talk) 21:33, 17 March 2024 (UTC)

1) concerning "adolescent- or rapid-onset gender dysphoria," which it characterized as "the observed phenomenon referred to as AOGD," is tautological (it's basically the term, which they define as the thing defined by the term)

2) questioned whether the literature on adolescent gender dysphoria provides evidence to inform clinical decision making adequately is not related to ROGD and is irrelevant.

3) the footnote in d This increase is cited by Littman and others in support of the thesis that a social cause could be involved continues to be WP:OR, and the second source cited there doesn't even support it.

Additionallly, the second sentence of the footnote On the other hand, studies such as Rosenthal conclude that the increase does not represent a real rise in the number of cases, but is the result of those with gender dysphoria being now more willing to come forward, because of greater societal acceptance ignores that Rosenthal is a review, not a study.

4) There is no mention of the main finding relevant to ROGD, which was that they couldn't report on the age of onset.

5) overall, this is wayyyyy too much article space for something that should be Thompson et al. 2023 initially sought to examine "adolescent- or rapid-onset gender dysphoria AOGD)" but found insufficient literature, leading them to review research on gender dysphoria in adolescence published prior to November 2, 2020. They found insufficient data to report on the age of onset of dysphoria and stated there is debate as to whether AOGD is a genuine phenomenon. Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 23:11, 17 March 2024 (UTC)

1) concerning "adolescent- or rapid-onset gender dysphoria," which it characterized as "the observed phenomenon referred to as AOGD," is tautological (it's basically the term, which they define as the thing defined by the term)

It’s not tautological because by referring to ROGD as an “observed phenomenon” they are saying that in the opinion of the authors there is a phenomenon that is actually being observed, as opposed to one that exists only in the imagination of some people.

2) questioned whether the literature on adolescent gender dysphoria provides evidence to inform clinical decision making adequately is not related to ROGD and is irrelevant.

If the literature on adolescent gender dysphoria is inadequate to inform clinical decision making then it is inadequate to inform clinical decision making concerning ROGD.

3) the footnote in d This increase is cited by Littman and others in support of the thesis that a social cause could be involved continues to be WP:OR, and the second source cited there doesn't even support it.

The Littman piece references, "the substantial change in the demographics of patients presenting for care" in support of her ROGD thesis. The second source is a press release by the French National Academy of Medicine which refers to an "epidemic-like phenomenon," indicates that it may have a social cause: "overuse of social networks, greater social acceptability, or example in the entourage," and refers to it as "This primarily social problem." Swood100 (talk) 03:08, 18 March 2024 (UTC)

I agree with YFNS. Swood's version is too long and gives WP:UNDUE weight to a study that didn't actually investigate ROGD. It's unclear that this study should even be here, because, again, despite their original research intentions they didn't actually investigate ROGD. Loki (talk) 06:49, 18 March 2024 (UTC)

I agree with YFNS. Swood's version is too long and gives WP:UNDUE weight to a study that didn't actually investigate ROGD.

They did an exhaustive investigation looking for all the literature on ROGD, sufficient to determine that there is a debate in the scientific literature as to whether ROGD is a genuine phenomenon, citing Bauer who says it is not but Littman and Sinai who say that it is, thereby asserting that all three sources are credible.

They assert that there has been a huge increase in the number of adolescents (and especially NF) presenting for GD intervention in recent years. This is relevant to ROGD since it is cited in support of ROGD as an explanation; this increase is expressly linked, by the French National Academy of Medicine, to Littman’s corrected study in defense of ROGD, and to the possibility of a social cause, thereby asserting both that Littman’s corrected study is credible and the possibility that the referenced increase is real. This latter source would be independently citable.

The above two items alone are relevant to this article. Swood100 (talk) 16:53, 18 March 2024 (UTC)

Sources are clear that the initial study was deeply flawed so can't be seen as evidence and that subsequent studies haven't been able to find evidence for it being a thing, 'scientifically unsupported' was my attempt at summarizing the sate of the academic literature. I'm open to other wording.

Previous versions used 'unevidenced' which is admittedly awkward but would avoid your concerns about scientific method.

Obviously i would prefer to see some sort of descriptor establishing it as unsupported in the first sentence but the rest of the lead being dedicated to establishing this to readers is fine.

Also, we should make sure the short description matches with the lead—blindlynx 16:34, 4 March 2024 (UTC)

I think it's important to emphasize that there is some evidence for the existence of ROGD, and that it hasn't been conclusively demonstrated to be true or false, which this proposal does not do. Partofthemachine (talk) 21:35, 8 March 2024 (UTC)

Completely disagree. The only "evidence" is from a self-selected group of parents on anti-trans websites & their allies. It's not accurate to say there's any evidence. — The Hand That Feeds You:^Bite 22:05, 8 March 2024 (UTC)

It is not our role as Wikipedia editors to disagree with reliable sources, it is our role to summarize and point out when they are majority, minority, fringe, discredited, or not science at all according to what secondary sources say, not according to what we say on some Talk page somewhere. The evidence using a self-selected group of parents on anti-trans websites (you forgot to mention Littman neglected to survey the children themselves) may be crappy methodology, the evidence may be tainted, the results may be erroneous, the conclusions may be contradicted by other evidence, but it was nevertheless published in a generally recognized reliable scientific publication, and it is evidence whether we like it or not. Our role is to point out how it stacks up against other papers (i.e, fails miserably) as this article already does.

Also, take care about where the locus of "evidence" lies: it is in the paper, as analyzed (correctly, or not) by the paper's author. There is no "evidence" from a self-selected group of parents up or down about ROGD; the parent opinions are merely data points, not evidence of anything; the evidence comes from the statistical analysis by a researcher compiling the data in order to say something about a hypothesis. But the main point is that we (editors) simply cannot be the ones who say there is no evidence; that role is forbidden to us. This is just the way science works: papers are published, giving the evidence they compile and assess from experiment or survey; more papers come out, supporting it or rejecting it: logic dictates they can't all be right, but we don't decide that. The preponderance of scientific evidence used to say that reducing butter and egg consumption reduced your rate of heart attack; now it does not. The conclusions of the majority of earlier scientists has changed over time on that point; the earlier evidence is merely evidence; there are a hundred reasons why opinion may have shifted. Littman's evidence is undoubtedly low quality; nevertheless, if it's published in a reliable journal, then it's still evidence. A Wikipedia editor saying it isn't evidence carries no weight. Mathglot (talk) 22:30, 8 March 2024 (UTC)

I disagree. It's not even "evidence" in her own paper. It's anecdotal reports from the parents. That may sound nitpicky, but I think it's an important point. Being published in the journal does not change the nature of her research, it's anecdotal not evidentiary. — The Hand That Feeds You:^Bite 22:51, 8 March 2024 (UTC)

Mathglot, I feel there are two important points to bring up here:

1) "There's no evidence this exists" is the key takeway of the CAAPS statement (which says there is no evidence that ROGD aligns with the lived experiences of transgender children and adolescents., Despite the lack of evidence for ROGD and its significant potential for creating harm, Terms, such as ROGD, that further stigmatize and limit access to gender-affirming and evidence-based care, CAAPS supports eliminating the use of ROGD and similar concepts for clinical and diagnostic application given the lack of empirical support for its existence, and the lack of reputable scientific evidence to support its clinical utility) and even the paper's correction which made a large point of highlighting that the diagnosis is not clinically validated.

2) I think you might be getting somewhat confused by the distinction between the original paper and correction (per the line if it's published in a reliable journal, then it's still evidence. The original paper said "ROGD is a real phenomenon because these parents said so", the university publicly apologized for how bad the methodology was, how unsupported the claims were, and the fact it passed peer-review in the first place. The correction came after a post-publication review, which forced the paper to change it's entire premise from "this is real" to "it may be real but it is not clinically validated this is real". Importantly, a lot of the sources on misinformation about ROGD highlight that those citing the paper to claim it's definitely real tend to cite the original, not the correction. While the correction is peer-reviewed scientific evidence that some parents think ROGD is real, the original paper was considered very explicitly by major health bodies and the journal itself to not be evidence that ROGD is real. Your Friendly Neighborhood Sociologist ⚧ Ⓐ (talk) 22:51, 8 March 2024 (UTC)

Why not simply rip of this page from wikipedia then? Nolieonlytruth (talk) 19:26, 11 March 2024 (UTC)

Wikipedia covers things that are notable, not things that are true. We have pages on astrology, Ayurveda, the luminiferous aether, phlogiston, creationism, crystal healing, etc etc etc. Loki (talk) 23:22, 11 March 2024 (UTC)

In the revised version of Littman’s 2018 paper she pointed out a “controversy over whether what is described as rapid onset of gender dysphoria, particularly in natal females, falls under the existing definition of late-onset or adolescent-onset gender dysphoria or whether it represents a new kind of development or presentation.” Abbruzzese, Levine & Mason describe the landscape this way, “This now-ubiquitous presentation of gender dysphoria in troubled adolescents with previously gender-normative childhoods lacks a DSM-5-TR descriptor (American Psychiatric Association [APA], 2022), leaving clinicians to refer to it by many names, including adolescent-onset gender dysphoria; postpuberty adolescent-onset transgender history; and rapid-onset gender dysphoria (ROGD).” The Elkadi study clearly uses the terms “rapid-onset” and “adolescent-onset” GD synonymously, as do the Thompson study and the Sinai letter. It was pointed out that Elkadi was criticized but such disagreement is common and doesn’t establish which source is more credible. To say that Elkadi is shown to be fringe when it is cited by a source asserted to be fringe is not a serious criticism. It is cited in a peer-reviewed study, which gives it the same respect as every other source cited by that study.

Thompson is a review of other studies and has the indicia of a reliable source. I haven’t seen a consensus against including Thompson. What would the reasons be? The claim is made that Thompson is “a review of adolescent gender dysphoria in general, not of studies of ROGD.” The argument seems to be that when Thompson discussed “the phenomenon of adolescent- or rapid-onset GD (AOGD)” this did not indicate that in the view of the authors of the study both “adolescent-onset” and “rapid-onset” gender dysphoria were subsumed under the term “AOGD” and could be referenced by using this single descriptor. Is that the gist of the position being taken? How many are in that camp? Or is it the gist of the objection to Thompson that the authors are not qualified to make this observation? By my reckoning there are at least five sources affirming that “rapid-onset” and “adolescent-onset” GD are terms used by some sources to refer to the same phenomenon. This seems to be worthy of a mention.

Furthermore, if a substantial study like Thompson set out to study “adolescent- or rapid-onset GD (AOGD)” and found both an “absence of literature” and a “debate as to whether AOGD is a genuine phenomenon,” this would seem to conflict with an assertion that that same literature concludes that ROGD is “discredited.” Swood100 (talk) 02:39, 9 March 2024 (UTC)

Notes

References

Controversy

The following discussion is closed. Please do not modify it. Subsequent comments should be made on the appropriate discussion page. No further edits should be made to this discussion.

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In the recent changes to the lead, the word controversy was dropped. Controversy is the defining characteristic of ROGD, without which we wouldn't have this article. I've added it back to the lead sentence with a couple of pre-existing refs that directly support it. This created a bit of cite clutter given the two refs already there, so I've boldly bundled them for better flow. Thanks, Mathglot (talk) 18:01, 12 March 2024 (UTC)

Why does it seem like you're trying to use controversy in a manner implicating legitimacy to a fringe topic? The controversy on this topic was about the suggestion of the fringe pseudoscience in question and the public furor that created. The controversy was not about whether the topic is actually being questioned in the scientific community. Because it's not, as every study investigating it has shown. We shouldn't be propping up fringe topics with wording that implies potential legitimacy. Silverseren^C 01:55, 14 March 2024 (UTC)

I cannot for the life of me imagine how one goes from 'controversial', which the topic clearly is as stated by multiple reliable sources already in the refs, to this:

you [are] trying to use controversy in a manner implicating legitimacy to a fringe topic

I mean, what the actual fuck? That is a screaming accusation of bad faith on my part. First, this is not the place for such a discussion; if that is what you sincerely believe, then please place the accusation on my Talk page, with diffs. If it is not, then please <s>strike your comment</s> above.

Secondly, the irony here is deafening; one can hardly change a comma in the article without causing strife; the controversy amply described by reliable sources about the topic, is perfectly mirrored by the controversy on this Talk page; just scroll up. And now, it seems that the word controversial is controversial. Oh, the irony! This may be very well be one of the most controversial gender-related articles in Wikipedia; just read this page, and the archives. You said:

The controversy was not about whether the topic is actually being questioned in the scientific community.

Nobody said so; that is a straw man. What the controversy is about is explained by highly reliable sources footnoted in the article. The very first sentence of the Science journal article linked from lead sentence begins: "Controversy is exploding..." If you doubt the controversial nature of this topic, I suggest you read the sources. Mathglot (talk) 09:48, 14 March 2024 (UTC)

The issue here is that the actual status of ROGD in purely scientific terms is better described as "unsupported" or, bluntly, "bogus" rather than "controversial". There's no support for it other than Littman's paper and WPATH has said outright that Littman's correction essentially disproves it.

Or in other words, while I don't think you're trying to give WP:UNDUE legitimacy to a fringe topic, I think that you are doing that in practice. In a battle of sources between Lisa Littman and WPATH on a WP:MEDRS topic, WPATH wins easily. Loki (talk) 22:27, 18 March 2024 (UTC)

Numerous substantive discussions have taken place on this talk page, which have been archived over several years, concerning the application of WP:FRINGE to ROGD in this article. I support the position taken by @Mathglot: it is correct to take a critical view of edits that minimize or eliminate Wikipedia's encyclopedic coverage of an actual controversy, which is in fact the basis of the article. Lwarrenwiki (talk) 01:34, 4 April 2024 (UTC)

We need to be clear that that there is no scientific evidence for this. Calling it 'controversial' without qualifying that further sounds like there is evidence for it---which there is not—blindlynx 18:10, 27 May 2024 (UTC)

The discussion above is closed. Please do not modify it. Subsequent comments should be made on the appropriate discussion page. No further edits should be made to this discussion.