{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"You Must Be Some Kind of Therapist","title":"235. How Gender Ideology Captured Psychiatry | Dr. Kristopher Kaliebe","html":"","width":"100%","height":180,"duration":5320,"description":"Dr. Kristopher Kaliebe returns to the podcast (his first visit was episode 158) to talk about the capture of psychiatry, and child and adolescent psychiatry in particular, by gender ideology. He is a child, general, and forensic psychiatrist at the University of South Florida, a former AACAP committee co-chair, one of the authors of the HHS review of pediatric gender medicine, and co-author of the first letter in the American Journal of Psychiatry to even mention the systematic reviews showing low-quality evidence for these interventions.\nWe start where so many of my parent coaching clients start: why is it nearly impossible to find a psychiatrist who won’t simply affirm a teenager’s declared gender identity? Dr. Kaliebe describes the spiral of silence, how taking over a single committee let activists speak for entire medical organizations, and why the same journals that discuss placebo effects for every other treatment refuse to mention them for gender medicine. We dig into the heuristics and biases driving clinicians (myside bias, availability bias, language manipulation), and I add a few from my own list: rationalizing versus being rational, the rescuer complex, and reaction formation.\nWe close on what good care would actually look like: treating somatic distress, recognizing OCD-style intrusive thoughts, and helping parents plan for the extinction burst that comes when they stop rewarding suicide threats.\n\nKristopher Kaliebe, MD, is a Professor of Psychiatry at the University of South Florida in Tampa, Florida. He is Board Certified in Psychiatry, Child and Adolescent Psychiatry, and Forensic Psychiatry. He is a Distinguished Fellow at the American Academy of Child and Adolescent Psychiatry (AACAP). His clinical work has been primarily in University clinics, Federally Qualified Health Centers and juvenile corrections. At USF, Dr. Kaliebe instructs medical students, psychiatry residents, child and adolescent psychiatry fellows, and forensic psychiatry fellows....","thumbnail_url":"https://img.transistorcdn.com/7R2fJL6ksh0-aqhZGIKVghpF0n5-RelfaD139dcIBCQ/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9zaG93/LzI1NzQ0LzE2NDQy/NzA3NjktYXJ0d29y/ay5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}