A May 2021 video on child gender transitions from the Boston Children’s Hospital (BCH) that has been making the rounds in conservative Internet circles is a particularly stark example of how the benign-sounding language of medical expertise — “adolescents” who are “coming to the realization that they might be trans or gender diverse” can now be “treated,” BCH’s Dr. Jeremi Carswell informs viewers — can mask an ideology with serious consequences for gender-confused youth. But it’s also an unwitting testament to the contradictions sewn into that ideology, which often go unchallenged amid the zealous enforcement of trans orthodoxy in medical circles.
In the one-minute clip — “When does a child know they’re transgender?” — Dr. Carswell, the director of BCH’s “Gender Multispecialty Service,” justifies sex changes for young children on the grounds that “a child will often know that they are transgender from the moment that they have any ability to express themselves.” She goes on:
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