• The hospital was caught in a scandal over the age for gender transition surgeries
• Critics characterize this acceptance of gender ideology a 'social contagion'
• The hospital denies that minors were allowed to undergo irreversible surgeries
In a now-deleted video, the Boston Children's Hospital suggested an even larger number of minors know 'as soon as they can talk'.
Critics told DailyMail.com the claim was was not based on science and suggested medics at the clinic are unwilling to question children who are often vulnerable.
The hospital, part of the Harvard University medical system, also faces claims it rushed under-18s into life-altering sex change surgery.
In the clip posted to the Boston hospital's official YouTube page in August, psychologist Dr Kerry McGregor explains the type of patients she sees.
She says: 'So most of the patients we have in the clinic actually know their gender, usually around the age of puberty.
'But a good portion of children do know as early as - seemingly - from the womb.
'And they will usually express their gender identity as very young children, some as soon as they can talk... kids know very, very early.'
It comes as several states begin to clamp down on puberty blockers being prescribed to children. Texas Gov. Greg Abbott has previously likened it to 'child abuse'.
Dr Jay Richards, from the right-wing Heritage Foundation, told the DailyMail.com: 'The claim that children “know their gender identity … seemingly from the womb” is a claim with no basis in science or data.
'It’s simply a concept imposed on the actions of kids by gender ideologues.'
Dr Richards said it was another sign of a 'social contagion' that is increasingly creeping into medicine.
'I think even 25 years ago, this would have been unthinkable,' he told DailyMail.
The Boston clinic sees children as young as two and three. New patients are given counseling before exploring pharmaceutical options.
The clinic also offers that child 'space and support' to explore their gender.
Stella O'Malley, a psychotherapist who specializes in gender issues, told DailyMail.com: 'When distressed and vulnerable young people are offered an option to be somebody different, it's very, very alluring and gender ideology does offer that.'
Dr Richards said: 'Based on a series of events that I think, mostly due to social contagion plus the kind of ideological commitment, many now consider these the proper standard of care for kids with gender dysphoria and Boston Children's Hospital is just one of the first ones to do it.'
He added: 'Some kids conform more or less closely to gender stereotypes.
'This tells us nothing about their 'gender identity,' a concept that no child has on his or her own, that no one had until recently, and that doesn’t even have a stable definition.'
Boston Children's Hospital is also embroiled in scandal over accusations that it permitted minors to to undergo irreversible gender transition surgery.
In now-deleted guidance, the hospital had written that in order to be eligible for vaginoplasty, or the surgical construction of female reproductive genitalia on a boy the patient had to be 'between 17 and 35 years of age at the time of surgery.'
Hospital staff, meanwhile, have said that hasn't happened because no 17-year-old has met the required legal and other criteria.
The hospital has also come under fire for offering young adults hysterectomies and permitting people as young as 15 to under go 'top surgery', an operation that changes the look of a trans person's chest.
Within about a week following public uproar in the realm of right-wing social media accounts, the hospital scrubbed that information from its page on gender affirming care, altering it to say, 'To qualify for gender affirmation at Boston Children's Hospital, you must be at least 18 years old for phalloplasty or metoidioplasty and for vaginoplasty.'
Boston Children's meanwhile, refuted the allegations as transphobic misinformation.
'Age 18 is used to reflect the standard age of majority for medical decision-making,' the hospital stated. 'Boston Children's does not — and will not — perform a hysterectomy as part of gender-affirming care on a patient under the age of 18.'
Dr Richards said that contagion had resulted in a historic rate of young people coming out as trans or non-binary, an umbrella term that people use to describe genders that don't fall into one of these two categories, male or female.
An expansive report from the UCLA Williams Institute, relying on government health surveys spanning from 2017 to 2020, estimated that 1.4 per cent of 13- to 17-year-olds and 1.3 per cent of 18- to 24-year-olds are now transgender, compared with about 0.5 per cent of all adults.
In the UK, meanwhile, referrals for girls to be treated for gender dysphoria, or the distress that arises from a perceived mismatch between the gender someone identifies with vs the gender they were born into, have shot up more than 4,000 per cent over the past decade.
The exponential growth in rates of young people coming out as nonbinary is not surprising to social scientists who have documented incidents of 'social contagion' in the past.
Dr O'Malley told DailyMail: 'It's very well known that there's a lot of social contagion, for example, with suicide and with eating disorders and self harm.'
'It's particularly common among adolescent girls because they have a tendency to co-ruminate together, to over identify with each other to kind of endlessly talk about their problems in a very sympathetic way to each other, but it can lead a kind of over- identification with each other's problems,' she added.
In the wake of scandals at Boston Children's, the hospital has been subject to a harassment campaign and have been inundated with bomb scares and threats.
Other children's hospitals where gender-affirming care is offered, such as the Children's Hospital of Pittsburgh, the Vanderbilt Medical Center's Clinic for Transgender Health, and Lurie Children's Hospital in Chicago have been forced to severely curtail services or shift all appointments to telehealth platforms in response to the hostility.
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