In TransVitae

A really comprehensive roundup:

In 2018, a physician and researcher named Lisa Littman published a paper in the journal PLOS One describing what she termed “rapid-onset gender dysphoria” (ROGD). She hypothesized that some young people—particularly those assigned female at birth—might claim a transgender identity after increasing their social media use or befriending trans peers. According to this perspective, online platforms supposedly “infect” teenagers with the idea that they are trans, creating clusters of youth who suddenly identify in new ways.

From the moment Littman’s paper appeared, researchers and advocacy groups criticized its methodology. Littman’s survey collected responses solely from parents recruited on three websites openly skeptical or critical of medical care for trans youth. These anti-trans or “trans-skeptical” forums—4thWaveNow, Transgender Trend, and Youth Trans Critical Professionals—advertised Littman’s survey to parents who already believed their child’s trans identity was misguided. Unsurprisingly, 76.5% of respondents felt their child was “incorrect” in identifying as transgender.

Critics also pointed out that the youth themselves were never surveyed. Parents who participated were asked to diagnose their children with gender dysphoria (a clinical term referring to distress due to a mismatch between one’s internal sense of gender and assigned sex at birth), even though most parents do not have training in psychology or medicine.

[…]

Although Littman’s original 2018 article used the term ROGD, many discussions in conservative blogs and online groups substituted or conflated it with “transgender social contagion.” This idea claims that trans identity spreads from teen to teen like a virus—an online trend rather than a real expression of self.

While the ROGD paper didn’t use the “social contagion” phrase outright, it alluded to the concept through references to “peer influence” and social media immersion. Almost immediately, these concepts were embraced by anti-trans activists, policymakers, and media personalities. The theory gave them a sort of “scientific” veneer to argue that trans kids are just “confused.” As a result, many now simply refer to both ROGD and “transgender social contagion” interchangeably, even though they are (at least in Littman’s framing) slightly different.

This:

It’s important to understand that hormones, surgeries, and other aspects of transition do not always result in the dramatic physical changes many of us hope for. HRT, in particular, is often seen as a miracle cure that will bring about rapid changes in fat distribution, breast development, and softening of facial features. While HRT can bring about incredible and affirming changes, it’s not a magic wand. The results can vary widely depending on factors such as age, genetics, and individual body characteristics.

At 55, my body doesn’t respond to HRT in the same way that a younger person’s might. The progress has been slow, and while I am grateful for every sign of change, the truth is that I may never fully meet the physical expectations that the world imposes on women. And that’s devastating—not because I want to conform to societal ideals of beauty, but because I want to feel comfortable in my own skin and be accepted for who I am.

The relentless pursuit of passing can also lead to harmful behaviors. Some transgender women may resort to extreme dieting, over-exercising, or engaging in risky procedures to try to achieve a more “feminine” appearance. The focus on passing can overshadow the actual goal of transitioning: to live authentically and find inner peace. Anxiety, depression, and a sense of failure can take the place of the joy of transition when the emphasis shifts from self-acceptance to meeting external standards.