It's ironic that some people who criticized Littman for only surveying parents in her first study are now going after her for doing exactly what they said the first study lacked: Talking to 18-25 detransitioners/desisters who experienced onset of gender dysphoria at 12 or later.
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Very little is known about this cohort (consisting mostly but not entirely of young adult women). We don't know the persistence rate or much else about etiology or outcomes. Research is urgently needed, and then more research to replicate (or not) initial findings.
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