Abigail Shrier’s Irreversible Damage is a brilliant exploration of the steep rise of transgender identity among adolescent girls, and the damage it is doing.
Gender dysphoria, the acute discomfort in one’s biological sex, was, until about five years ago, extremely rare. It was diagnosed in less than 0.01 per cent of the population. But for many of us who have conducted academic research or written about gender dysphoria — and its previous incarnation, gender-identity disorder — we have noted the huge increase in the numbers of those identifying as transgender over the past decade.
In particular, there has been a huge increase among teenage girls and female university students, most notably in the US, the UK and Scandinavia. Transgenderism is certainly no longer the preserve of adult males, as it once had been.
However, it is clear from the introduction to Irreversible Damage that critiquing trans ideology is a risky business. The threat of censorship is omnipresent. Just last month, Shrier’s publisher, Regnery, was told by Amazon that it would not run any sponsored ads for Irreversible Damage. Amazon explained that it ‘contains elements that may not be appropriate for all audiences, which may include ad copy/book content that infers or claims to diagnose, treat, or question sexual orientation’. Amazon stated this even though Irreversible Damage does not question sexual orientation. Still, at least it remains for sale on Amazon.
Trans activists have also predictably attacked Shrier. But in many ways, the pushback to Irreversible Damage is a testament to the strength of its research and the power of its case. Indeed, Shrier conducted almost 200 interviews and spoke to over four-dozen families of adolescents, as well as many doctors, psychologists and researchers.
The chapter ‘Girls’ is a case in point. It presents a mixture of personal stories against a broader statistical analysis, in order to illustrate just how much time adolescents today are spending online, instead of socialising with their peers. It also looks at the ways kids now relate to each other through the tick-box categories of hardship. Recording her observations at a young people’s weekend retreat, she noted how the youngsters would introduce themselves via approved identity categories: ‘I’m transgender, and I go by they/them’; ‘I’m depressed’; ‘I’m gay’.
She suggests that too many young people, seeking security in a label, are now missing out on crucial aspects of socialisation: ‘Many of the adolescent girls who adopt a transgender identity have never had a single sexual or romantic experience.’