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The Guardian - UK
The Guardian - UK
Entertainment
Rachel Cooke

Time to Think by Hannah Barnes review – what went wrong at Gids?

A pedestrian crossing with trans flag colours in central London.
A pedestrian crossing with trans flag colours in central London. Photograph: SOPA Images/LightRocket/Getty Images

Hannah Barnes’s book about the rise and calamitous fall of the Gender Identity Development Service for children (Gids), a nationally commissioned unit at the Tavistock and Portman NHS Foundation Trust in north London, is the result of intensive work, carried out across several years. A journalist at the BBC’s Newsnight, Barnes has based her account on more than 100 hours of interviews with Gids’ clinicians, former patients, and other experts, many of whom are quoted by name. It comes with 59 pages of notes, plentiful well-scrutinised statistics, and it is scrupulous and fair-minded. Several of her interviewees say they are happy either with the treatment they received at Gids, or with its practices – and she, in turn, is content to let them speak.

Such a book cannot easily be dismissed. To do so, a person would not only have to be wilfully ignorant, they would also – to use the popular language of the day – need to be appallingly unkind. This is the story of the hurt caused to potentially hundreds of children since 2011, and perhaps before that. To shrug in the face of that story – to refuse to listen to the young transgender people whose treatment caused, among other things, severe depression, sexual dysfunction, osteoporosis and stunted growth, and whose many other problems were simply ignored – requires a callousness that would be far beyond my imagination were it not for the fact that, thanks to social media, I already know such stony-heartedness to be out there.

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