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Trans feminist writer, researcher, and activist. Creator of Gender Analysis. Florida. She/her.
(printeraction/Alex Crease)

Origin and scope of the “rapid-onset gender dysphoria” (ROGD) pseudo-diagnosis of trans youth

Rapid-onset gender dysphoria (ROGD) is an alleged new social phenomenon of inauthentic gender dysphoria suddenly appearing among cisgender adolescents in growing numbers and in social clusters, unlike other currently known forms of gender dysphoria already seen among trans people. This claimed syndrome was first named by Dr. Lisa Littman of Brown University in an abstract (Littman, 2017) and later study (Littman, 2018) based on sampling readers of three prominent anti-trans communities which featured claims throughout 2016 of a growing trend of “sudden onset” of this false gender dysphoria in cis adolescents.

The proposed condition of ROGD thus suggests that, as…

Originally published November 30, 2017.

UnnHappy, sad, mad, Unnspeakable blue red Unnsunshining and hot and cool and red hot and ice cold

Nicole Maines, age seven

Detransitioning — undergoing a social or medical gender transition, and later choosing to reverse this — is a subject of perennial media attention and widespread public fascination. Although systematic studies have found that regret over transitioning occurs at a rate of 2% or less (Dhejne et al., 2014; Johansson et al., …

“Where have all the lesbians gone?”

This is the line of inquiry recently asserted by a spate of anti-trans commentators in the wake of Elliot Page’s coming out as a nonbinary trans man: that the number of cisgender lesbians is diminishing, being siphoned away as more trans men come out and transition. Each adds their own repellent flavor to the mix:

  • Andrew Sullivan, asserting that “so many” lesbians “are now becoming men”, appears to believe that this population of women serves as role models characterized by an unusual capacity for commitment and aversion to hedonism, with their proper role being…

It’s fantastic news by any measure: Gallup’s latest poll reports that 5.6% of U.S. adults now identify as gay, lesbian, bisexual, or transgender, compared to only 4.5% just a few years ago.

And Gen Z (defined here as those born from 1997 to 2002) has emerged as the least heterosexual, least cisgender generation ever recorded, with 15.9% identifying as LGBT compared to 9.1% of Millennials (born 1981–1996) and 3.8% of Gen X.

Specifically, Gen Z adults are vastly more likely than Millennials to be gay, more likely to be lesbian, more likely to be bisexual, and more likely to be…

Disclaimer: I am not a medical professional and this is not medical advice. The COVID-19 pandemic and investigations into the Oxford-AstraZeneca vaccine and blood clots are rapidly evolving situations. This information may be superseded by later findings. This article was last updated on March 31, 2021.

Over the past month, several European nations have halted, resumed, then once again halted their use of the Oxford-AstraZeneca COVID-19 vaccine upon several reports of serious and fatal blood clots in those who received the shot. Initial responses to these reports focused on comparing the rates of occurrence of blood clots as a broad…

Previously: Rapid onset gender dysphoria study misunderstands trans depersonalization; My letter to the Brown Daily Herald, and Lisa Littman’s response

I was recently consulted on an op-ed in the Wall Street Journal about the dispute over Lisa Littman’s study of a supposed new “rapid onset gender dysphoria” condition said to be contagiously spreading among youth. Jillian Kay Melchior describes my involvement in this controversy:

Ideologues try to suppress a study on the increasing prevalence of ‘rapid onset gender dysphoria.’ …

Dr. Littman’s detractors also accuse her of bigotry. Her work “negates the experience of many transgender youth,” according to Diane…

Previously: “Rapid onset gender dysphoria” study misunderstands trans depersonalization

The Sleep of Reason Producers Monsters (Francisco Goya, 1799)

This weekend, I wrote in to the Brown Daily Herald on the controversy over a recent study on “rapid onset gender dysphoria” by Brown assistant professor Lisa Littman:

I am writing in reference to a Herald article, “Gender dysphoria study criticism,” published Sept. 4. Much of the backlash following the removal of a press release on Assistant Professor of the Practice of Behavioral and Social Sciences Lisa Littman’s “rapid onset gender dysphoria” study has focused on questions of academic freedom and institutional support for faculty who conduct controversial research. In these…

Previously: Fresh trans myths of 2017: “rapid onset gender dysphoria”; “Rapid onset gender dysphoria”: What a hoax diagnosis looks like; Depersonalization in gender dysphoria: widespread and widely unrecognized

Lisa Littman’s long-awaited “rapid onset gender dysphoria” (ROGD) study was finally published in full on August 16 in PLOS One (Littman, 2018), and its findings have turned out to be just as underwhelming and tenuous as suggested by her 2017 poster abstract (Littman, 2017). The paper has offered new insight into the full scope of incompetence, logical leaps, and sheer guesswork tying this hypothesis together. Its methodological issues alone — using anti-trans…

Disclaimer: I am not a doctor, and this is not medical advice. Do not take any medication without appropriate medical supervision.

(Previously: How to find doctors for HRT, Myths about youth transition, Ethics of treatment for trans youth)

Puberty suppression for transgender youth, developed in the 1990s, is one of the most important advances in the history of transition treatment. With the use of fully reversible GnRH analogue medications to halt natural puberty in appropriately diagnosed adolescents, and the later addition of cross-sex hormones, these youth are largely spared the development of gender-inappropriate sex characteristics: facial and body hair growth…

“…I was a dispassionate observer of my own life. The person who went through the motions wasn’t the observer-me. Whenever the acting-me felt any emotions, the observer-me recognized the emotions but didn’t feel them herself.”


Chronic depersonalization is a distressing dissociative condition characterized by feelings of “unreality” or “no self”, and it occurs at an elevated rate among trans people. Also known as depersonalization disorder or depersonalization-derealization syndrome, sufferers of this condition perceive themselves as emotionally distanced and separated from their experience of self and their perception of the world [1]. While their grasp of reality is intact, they perceive…

Zinnia Jones

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