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The Unspeakeasy With Meghan Daum

What Do We Mean By "Gender Affirming Care?" A Conversation with Dr. Laura Edwards-Leeper

The Unspeakeasy With Meghan Daum

Meghan Daum

Society & Culture

4.7855 Ratings

🗓️ 4 October 2021

⏱️ 64 minutes

🧾️ Download transcript

Summary

Part one of Gender Nuance, a three-part series for the week of October 4, 2021 Clinical psychologist Dr. Laura Edwards-Leeper has worked with transgender and gender questioning youth since 2007 and has helped facilitate many successful medical transitions in young people. She has also, in the last year or so, begun to publicly voice concerns that some clinicians in her field have adopted a philosophy that overlooks, even eschews, the importance of proper patient assessment. In this conversation, the first of a three-part series this week, Dr. Leeper talks with Meghan about the concept of "gender affirming care" and how lack of access to specialized care can lead young patients to providers who follow protocols for adult patients, which may or may not be appropriate. She describes how she works with her own patients and talks about why something as fundamental as proper assessment has become so controversial in her field. Guest Bio: Dr. Edwards-Leeper is an Associate Professor in the School of Graduate Psychology at Pacific University in Hillsboro, Oregon. She also works with clients through her private practice in Beaverton, Oregon. Dr. Edwards-Leeper was a member of the American Psychological Association Task Force that developed practice guidelines for working with transgender individuals. She is currently the Chair of the Child and Adolescent Committee for the World Professional Association for Transgender Health (WPATH) and is involved in the WPATH Standards of Care (SOC) 8 revision. She is an ally to the LGBTQ community and is considered an international expert in this field.

Transcript

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0:00.0

It just silenced the voices of these people who did not receive adequate care and to not

0:09.6

bring like start talking about like the problems in the field and start to figure out ways to

0:14.9

improve it.

0:16.3

I think is ridiculous and misguided.

0:19.3

You know, I think that that is not the solution to helping trans people.

0:22.5

I mean, my career is devoted to helping this population.

0:25.6

You know, it's like, this is my passion, this is all I do and my work.

0:28.4

And the last thing I want to do is hurt the community,

0:31.3

but I don't see having these conversations as hurting the community.

0:35.4

I think that this is the only way the field's going to move forward. Welcome to the unspeakable podcast. I'm your host, Megan Dome. Back in July, I did an

0:47.7

interview with two women calling themselves Jolene and Marie. The focus of that show had to do with something that is incredibly fraught,

0:56.7

the issue of kids identifying as transgender and what parents should do if those kids,

1:02.5

or the kids' therapist, advocate for a medicalized path. In other words, taking hormone blockers

1:08.8

or cross-sex hormones to begin a physical transition.

1:12.8

In the case of that interview, I was approached by a group of parents that knew I had covered

1:17.5

this sort of thing before and wanted to know if I would do an episode on an aspect of the

1:22.8

issue that had not been covered as much, and that is biological boys identifying as transgender in what

1:29.2

appears, at least to their parents, to be a rather sudden manner. Up until that point,

1:34.1

much of the discussion had been around biological girls. I did the interview with Jolene and

1:39.5

Marie, and those are pseudonyms, on the condition that I would follow it up relatively quickly

1:45.3

with interviews from people who might see things differently. Ideally, a therapist or a clinician

1:51.1

who works in the affirmative care model, and by affirmative care, we generally mean a clinician

...

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