What does this have to do with the evolution of gender identity?
Please read Dr. Cantor's article. There is a third way, you know: fully supporting a child's gender atypicality but not endorsing the notion they are "really" the opposite sex. Comparing that kind of loving support to Tuskegee is absurd.
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I'm commenting on your suggested "control" group. Control groups do not spontaneously exist in research. Youth would have to be randomized to a "wait and watch" control group. (1)
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Indeed, a RCT would be difficult. However, no one is bothering to study dysphoric youth who ARE supported in gender atypicality but not endorsed as opposite sex. Why? That's what's lopsided. Full disclosure: Our group includes such families. Some have happily desisted.
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In order to avoid potential harm, all potential study participants would have to be okay with "waiting," which would ultimately bias the sample, making the results and findings completely meaningless. (2)
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Suggesting that we randomize youth to a "watch and wait" control group when, in truth, the effects of waiting could be much, much worse than reversible hormone therapy--that's absurd.
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