{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"You Must Be Some Kind of Therapist","title":"132. Colluding with Madness? Dr. Jillian Spencer on the Psychology of Gender-Affirming Clinicians","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/b0ee5bdf\"></iframe>","width":"100%","height":180,"duration":4108,"description":"In this episode, I sit down with Dr. Jillian Spencer, a child and adolescent psychiatrist from Brisbane, Australia, who has found herself at the center of a heated debate surrounding so-called “gender-affirming care” for children. After raising concerns about the practices at her hospital's gender clinic, Jillian was suspended and is now embroiled in legal battles that could redefine workplace protections for those with gender-critical beliefs. What led her to take such a bold stand, and what are the implications for mental health care?We explore the concepts in a not-yet-published paper Jillian recently co-authored with Dr. Roberto D’Angelo, analyzing the interpersonal dynamics between gender clinicians and their patients using psychodynamic theory. How do psychological dynamics such as repression, collusion, codependency, projection, and reaction formation play into relationships between distressed, vulnerable patients and the professionals who “affirm” them? And what are the risks involved in psychiatry’s shift away from psychodynamic thinking?We analyze the alarming trend of fast-tracking youth with suicidal ideation to gender clinics and the dangerous message this sends to vulnerable adolescents, potentially incentivizing personality disordered behavior and risking permanently entrenching vulnerable people into problematic problems for life that they could have grown out of in adolescence if only provided with the proper support.Jillian Spencer is a child and adolescent psychiatrist in Brisbane, Australia. In April 2023, she was stood down from her job at the Queensland Children’s Hospital for raising concerns about gender interventions for children. Since that time, she has spoken out in the Australian media about her concerns which has led to further allegations of breaching the employee Code of Conduct. She remains suspended from her job. Jillian has launched legal action claiming political discrimination in the workplace due to her belief in biological...","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}