In this podcast, now in its fourth year, therapists Stella O'Malley and Sasha Ayad take a deep dive into the psychological and cultural forces impacting the social changes around "gender." Through interviews with researchers, doctors, therapists, parents, detransitioners, and others, Sasha and Stella's podcast is a "must listen" for anyone trying to navigate the current gender landscape. With their sharp analytical minds and deep compassionate hearts, Stella and Sasha have also become known throughout many parent networks as lighthouses in the midst of some very stormy seas. Previous guests include Helen Joyce, Jesse Singal, Leor Sapir, Kathleen Stock, Jamie Reed, Peter Boghossian and more.
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This is the last episode in our pioneers series and the second interview with Dr. Paul Vasey. If you haven’t heard our conversation with Paul in episode 57, I recommend you go back and listen to that one first, as we build upon many of the ideas we introduced there. Today we continue reflecting on the way Western activism interacts with research and the interpretation of the fa’afafine, the muxe, and other third-gender individuals from different countries. We talk about the implications of the f...
Dr. Anne Lawrence is a physician, sex researcher, and academic writer. She is also a postoperative male-to-female transsexual who underwent gender transition in 1996. Since early childhood, she had experienced an intense desire to have a female body, but she had been unable to find any scientific or popular descriptions of transsexualism that spoke to her experience. This changed in the early 1990s when she discovered Dr. Ray Blanchard’s writings about the concept of autogynephilia, which he def...
The reason this interview is so important is bc the concept of puberty blockers originated with these two researchers (along w/ cohen kettenis.) We talk about patient zero and the 22 year follow up w/ this person. We get into the nitty gritty details about the 2 studies on which all puberty blocker treatment is based: we ask why they selected certain methods, talked about eligibility criteria, and the 15 participants who didn’t make it into the final study. We even touch on Jazz Jennings, social...
Susan Bradley is Professor Emerita at the University of Toronto. She graduated with her medical degree in 1966 and completed her residency in Psychiatry U of Toronto from 1968 to 1972. In 1975 she became the Founder of Gender Identity Clinic for Children and Adolescents at Clarke Institute of Psychiatry. In 1985 dr bradley handed over the head position to Dr Kenneth Zucker (who we interviewed in ep 59). She is the author or co-author of over 50 articles on various forms of psychopathology includ...
Dr. Az Hakeem was born and brought up in North Wales and has lived and worked in London since studying medicine. He is a Consultant Psychiatrist who previously trained in forensic Psychotherapy, Mentalization-Based Therapy and is a Group Analyst. He previously worked within the NHS in Forensic Psychotherapy specializing in Analytic Psychotherapy for conditions relating to sex, gender, sexual perversion, and violence at The Portman Clinic, part of The Tavistock & Portman Clinics. Dr. Az Hakee...
Sasha and Stella sit down to discuss their thoughts and reflections on the Pioneer interviews they’ve conducted so far in the series. This analysis attempts to synthesize what they’ve learned, what differences in perspective they hold compared to their previous guests, and reiterate the importance of these discussions within the wider context of childhood transition, scientific inquiry, and deep exploration of all things gender. Links: Butch Identity Development Extended Notes Sasha and Stella g...
Riittakerttu Kaltiala, M.D., Ph.D., BSc, is a professor of adolescent psychiatry in Tampere University and chief psychiatrist in the Department of Adolescent Psychiatry at Tampere University Hospital. She is a specialist in psychiatry, adolescent psychiatry, and forensic psychiatry. She has been clinically involved in carrying out research on adolescent gender identity issues since 2011 when one of the two nationally centralized gender identity services for minors was opened in Finland, in Tampe...
Ray Blanchard was the psychologist in the Adult Gender Identity Clinic at the Clarke Institute of Psychiatry 1980–1995. Much of his research in those 15 years concerned transsexualism and milder forms of gender identity disorders. In 1995, he was appointed Head of the newly created Clinical Sexology Services at the CAMH. This unit comprised the Adult Gender Identity Clinic and the Kurt Freund Laboratory, the latter being the oldest laboratory in North America for the psychophysiological assessme...
Dr. Steve Levine is Clinical Professor of Psychiatry at Case Western Reserve University School of Medicine. He is the sole author of several books: Sex Is Not Simple in 1989 (translated to German in 1992 and reissued in English in 1997 as Solving Common Sexual Problems ); Sexual Life: A clinician’s Guide in 1992; Sexuality in Mid-Life in 1998 and Demystifying Love: Plain Talk for the Mental Health Professional in 2006; Barriers to Loving: A Clinician’s Perspective in 2013; Psychotherapeutic Appr...
Dr. Zucker is a registered clinical psychologist in Ontario. He received his Ph.D. at the University of Toronto in Developmental Psychology in 1982. He is a Professor (Status Only) in the Department of Psychiatry, University of Toronto, and in private practice. He was the Chair of the 2013 DSM-5 Work Group on Sexual and Gender Identity Disorders. He is a past President of the International Academy of Sex Research and has been the Editor of Archives of Sexual Behavior since 2002. Since 1976, Dr. ...
Dr. Michael Bailey is an American psychologist , behavioral geneticist , and professor at Northwestern University best known for his work on the etiology , or origins, of sexual orientation . He maintains that sexual orientation is heavily influenced by biology and male homosexuality is most likely inborn. Dr. Bailey’s 2003 book, The Man Who Would Be Queen , gave an accessible, intimate, and compassionate account of male sexuality, with a focus on gender-nonconforming boys, gay men, and male-to-...
Recent theories about gender often describe “third gender” categories found in other cultures. Prof Paul Vasey is one of the world’s leading academic experts on the Fa’fafine. These individuals are feminine males who live “in the manner of a woman” in Samoa. Sasha and Stella have a spellbinding discussion with Paul about how our Western constructs can sometimes completely misinterpret well-researched phenomena in other societies. This conversation actually highlights the universal truths of sex ...
For Sasha and Stella’s last episode of the year, they introduce a very exciting series that will be coming up in 2022. In the “Pioneers Series,” they will be interviewing experienced clinicians, researchers, and other professionals whose contributions to our understanding of gender dysphoria and sexuality are foundational. Consider this a back-to-basics 101 course on gender and sexuality. Stella and Sasha also talk about their own personal goals and priorities for the new year. They offer up 10 ...
Lisa Selin Davis is the essayist, journalist, and author of Tomboy: The Surprising History and Future of Girls Who Dare to Be Different. Like many other open-minded, liberal Americans, she has undergone a familiar arc in her understanding of gender issues. She has experienced, first-hand, the current trend of silencing those who seek a deeper understanding of childhood gender nonconformity. In this conversation, Lisa describes how she came to write her book, examines the current state of journal...
This episode addresses the common challenge of teens isolating themselves in their rooms, often online. It explores strategies for parents to manage screen time and engage adolescents, including setting technology boundaries like shared device spaces and family screen-free times. The hosts emphasize creating a positive, low-pressure environment to encourage children to leave their rooms and foster genuine connection.
In this conversation, Lisa joins the show to talk about the difficult task of finding appropriate therapy for a gender-questioning teen or loved one. What is it like working with indoctrinated clients or those under the influence of a partner, belief system, or ideology? Lisa highlights the parental expectations of what therapy should look like, contrasted against the complex and subtle relational dynamics between therapist and client. Stella, Sasha, and Lisa examine some of the common traps the...
Sometimes parents come to realize that the affirmative approach hasn’t worked out for their gender-distressed child and they could benefit from alternative approaches. In this episode, Sasha and Stella discuss the many complicated reasons some parents reluctantly affirm their child’s gender and how difficult and brave it can be to rethink the strategy. Parenting styles are explored, and Sasha and Stella point out the importance of finding your confident voice and parenting authority. They also o...
