After reading the recently published book by Hannah Barnes, Time to Think: The Inside Story of the Collapse of the Tavistock’s Gender Service for Children, our US Correspondent laments the fact that while several European countries are now urging caution in the treatment of children and teens with gender dysphoria, America remains divided, largely along...

Now aged 23, the then 15-year-old Keira, troubled and depressed throughout her adolescence, became convinced that she was really a boy in a girl’s body. That psychological trauma led ultimately to a double mastectomy and years of hormone treatments that have left her sterile.

What is the background to this case? Keira Bell is a 23 year old English woman who experienced gender dysphoria (GD) as a teenager. GD is a condition where “persons experience distress because of a mismatch between their perceived identity and their natal sex”, i.e. Keira Bell, who is a girl, wished to live as...