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Published: April 21, 2024, 5 p.m.

We begin by imagining a world where children are separated by sex at birth and raised without exposure to traditional gender norms. We debate whether gender incongruence is a result of nature or social conditioning. We discuss gender affirming care for children, highlighting the complexity of diagnosing gender dysphoria amidst co-occurring psychiatric conditions and the potential influence of social contagion. Key insights include questioning the lack of robust evidence for the efficacy of puberty blockers and cross-sex hormones, and the need for comprehensive psychosocial care before considering medical transition. The Cass Review was released after we recorded our conversation, but we address similar concerns.

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00:00 Introduction to the Thought Experiment

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00:10 Exploring Gender Segregation and Its Impacts

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02:22 Debating the Existence of Gender Incongruence

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03:28 The Social Construction of Gender and Its Medical Implications

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04:48 Sexual Orientation in a Segregated Society

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13:37 Challenging the Medicalization of Gender Diversity

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25:26 Transracialism and Personal Identity Choices

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31:41 Medical Risks and Ethical Dilemmas in Gender Transition

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41:38 Exploring the Regulation of Cross-Sex Hormones

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42:11 The Uncertainty of Medical Interventions and Autonomy

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44:49 The Complexities of Gender Dysphoria Treatment

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45:43 Evaluating the Risks and Benefits of Paediatric Transition

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48:39 The Debate on Consent and Medical Ethics

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51:38 Addressing Comorbidities in Gender Dysphoria Treatment

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58:45 The Role of Social Phenomena in Gender Dysphoria

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01:11:17 Examining the Evidence and Ethics of Puberty Blockers

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