How does any first year resident edit books like this? He/they checked all the boxes.

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She. This deluded and perverted person is a woman who has mutilated herself.

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Apr 18·edited Apr 18Liked by Gerald Posner

This "textbook" sounds like outrageous stuff screaming with unworldly 'American World Series Syndrome," as I call it, the belief that humanity is shaped the way Americans see it. I've written on the "third sex" of hijras of India, I'm writing about the caste system as we speak; ain't nothing White supremacist about it.

It's a shame Dr. Goetz has hijacked 'neurodivergent.' I have raging ADHD and I prefer to use that term: just because my brain filters and couldn't focus on unimportant crap that was lazily stuffed into the standardized, rickety Victorian education system doesn't mean I was deficient in attention; nobody who has experienced my "Eye of Sauron" hyperfocus would think that. And it's not a "disorder," which I define as something that can be reordered after being disturbed. It really is a different kind of brain, but only neurodivergents can see that. Neurotypicals see us as disordered because they're the vast majority and usually have the ability to focus on the unimportant and the critical equally if instructed to.

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Apr 18Liked by Gerald Posner

Sanity finally prevails

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Many excellent replies to this topic. IMHO this is a part of the same DEI language bandied about. This trans stuff as it is now didn’t exist in 20 years ago. Clearly the lunatics are running this insane asylum. Think about what caused this shift. @geraldposner has shed a lot of light on it. Now throw politics (not discussed here) & voila!

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Genital mutilation

Why don’t “wokes” denounce FGM (female genital mutilation) practised in many Arab countries?1 Going against genital mutilation would go against the transgender ideology which is precisely based on mutilating the genitals of children! Those "feminists" are just mercenaries of the mason-money imposing the gender ideology to corrupt and infertilize the population.

Most agree that children shouldn’t be mutilated because of transitioning: irreversibility is not compatible with informed consent, especially if under 21, when the prefrontal cortex in charge of risk assessment and decision making is not yet fully formed

It’s unconscionable that a kid would be defined as trans by asking which flag they prefer. Of course most little children have no idea that by picking colors, they would end up in surgery!

Even LGTBs resent that the movement has been hijacked towards child abuse. Even the original rainbow flag has been hijacked adding brown and black. 2

The most popular pronouns are them/they. Is it that the system is forming children incapable of objective rational thought? Or is it that by choosing that, they make sure they are likeable by every other category and don’t offend anyone by being all of them, proving how vulnerable they are to peer and teacher pressure?

“Having a transgender child is like having a vegan cat. We all know who is making the decisions.”

All this is deliberate. The more confused the kids are, the lower the population growth. More castration = less population. It's all about depopulation, extermination and destroying people's lives.

Depopulation or EXTERMINATION? (finest quotes):


What’s your best way to wake-up those who don’t want to open their eyes?

Please share your most effective wake-up strategies.

The more the awakened, the sooner this nightmare will be over!

The most effective strategy is asking about the person’s opinion on some of these topics:

I start with the 20 million dollar question, while showing videos of baby seizures (money or babies always get attention):


If the person doesn’t want to discuss injections, then food is a good start:

Why is food poisoning legal?

How Rumsfeld forced the approval of Aspartame.

Artificial sweeteners, MSG, PFAS, Glyphosate ... go organic!


Then I’d follow with "Are you opened to see if the actual data matches your opinion?"

Then I start showing some of the shortcomings of the Pharma industry:


Then, show that every single person in the planet should be suing Pfizer and Moderna for deliberately hiding human DNA in their vacicnes, and Pfizer, for injecting an undisclosed carcinogenic monkey virus (SV40) sequence into the cell nucleus of the clueless biohacked, as officially recognized by Health Canada !!!

If he doesn’t like the topic, I’d show this video (all you need is 10 secs in the middle, who doesn’t have 10 seconds for you):


(caveat about the beginning: pot destroys your brain + “Raises Risk of Heart Attack and Stroke”)

9/11: two "planes", yet the third tower (WTC7) imploded, free falling on its footprint like in a controlled demolition. It was out of reach, and all 7 World Trade Center towers needed to be rebuilt, not the closer towers not belonging to World Trade Center... and the “owner” took an insurance policy for the WTC against terrorism, just months before, when no one was taking them … he didn’t show up for work precisely on 9/11 … just as his 2 grown up siblings (they never skipped work before). The inside information about the FUTURE 9/11 event helped masons make trillions by shorting the stock exchange: the records were deleted by the SEC so they wouldn't be prosecuted !!!

Watch amazing short and more evidence here:


Please watch all of this! Your life depends on it, because there's a plan to murder 95% of the global population by 2050… written on the masonic Georgia guide-stones: “Maintain humanity under 500,000,000 … ”:


- J6: The false flag operation of the fake riot was planned, incited and guided by FBI agents, who broke into the Capitol !!! The same mason-plot was copy-pasted to disband the insurrection against the stolen elections in Brazil! All intel agencies (CIA, FBI, NSA) were founded by masons and are run by them for their own nefarious goals.


It's such a mason manual that they organized the same J6 play in Brazil when it was proven that the voting machines owned by mason Soros, were rigged:



All political parties are compromised/infiltrated. For example, Italy supports vax pass and WHO Pandemic Treaty !!! Meloni's Government! People voted her for being against that!


- At least since the 90s, vaccines are weaponized to reduce the population, for example:

1. Adding hCG to infertilize women: lab detected in 30 countries

2. Overpassing the FDA 10 ng limit to human DNA “contamination” by 2000%, thus causing neuro-damage (autism, asperger, tics, dyslexia in 29% of kids, etc.) and childhood cancer epidemic (n.b. leukemia, non-Hodgkin’s lymphomas)

Check soundchoice.org or videos at bottom after this page:

Free 100 redpill movies and documentaries:

(don't miss the 1st one, 10 min at 2x, an amazing tool to start a discussion):


- COVID was designed as a primer for even more lethal COVID haccines:




- You’ll go nowhere and you’ll be happy:


Elon's top secret: EVs cause cancer

Go green with gasoline!


- It's genocide for depopulation:


- Their main source of power apart from sin-empowered demons? NOT a coincidence that the USA left dollar convertibility to gold in 1971, precisely triggering the exponential government deficit coupled with the trade deficit and inflation.

This is the Achilles’ heel of all nations: masonic and satanic secret societies counterfeit paper money and launder trillions with which they buy Banks, seats in the Federal Reserve (the only private run Central Bank in the world), political careers and parties, puppeticians, listed corporations, media, healthcare corporations and organizations, universities, foundations, judges, etc.:

Depopulation or EXTERMINATION? (finest quotes):


Confessions of illuminati, David Rockefeller (finest quotes):


Ex illuminati Ronald Bernard: how the world REALLY works


Attali illuminati (“finest” quotes)


The way out of this mess:

1. Create an easy system for real money: private currencies/warrants based on real assets, goods, services, etc. (gold, corn, oil, distance/volume/weight transportation, labor human hour/minute, etc.)

2. Ban legal tender. Let the free markets decide which real-currencies/valuables/warrants they prefer to trade with

3. Ban paper-backed currencies (unlike real-backed ones of point 1.)

4. Enforce a Legal Banking Reserve of 100% of deposits (so banks don't create money based on air) and therefore there's no excuse for a Central Bank, because there would be no risk of bank-runs since all their loans are fully backed with deposits

Anything else you might think of?

Now, are you really ready for this?:

The full PLAN exposed:


16 laws we need to exit Prison Planet


President John Quincy Adams: “Masonry ought forever to be abolished. It is wrong - essentially wrong - a seed of evil, which can never produce any good.”

If you are a mason or know a mason, ask him to ask his 33° master to put in writing and sign it, who is "the great architect" and that he is not Lucifer. If he refuses, then he’ll know who he is really serving, Satan: tell him to get out of masonry NOW. Sooner or later he’ll be required to trample on a cross to get to a higher degree.

Confessions of a former mason (Serge Abad-Gallardo):


Confession of 33rd degree master mason - Masons worship deities/demons


Masonry's Satanic Connection


Masonry's Satanic Doctrine | From Their Own Books


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You seem unconcerned with the young people who will be harmed by not being able to access gender-affirming care. How many trans people or parents of trans children have you talked with about their own experiences?

Many studies have shown a small fraction of people regret receiving this care. Here's a new peer-reviewed study, which showed only 1 percent detransitioned "following initiation of puberty suppression or gender-affirming hormone treatment."


I don't understand why you would rather force 99 percent to go untreated, even if that increases their suicidal ideation, depression, or other serious issues.

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Apr 18Liked by Gerald Posner

None of these treatments are shown to reduce suicide risk.

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Apr 18Liked by Gerald Posner

Something like 80% of all kids, who are gaslit into thinking they are the opposite sex, grow out of it in 6 to 12 months. The rest simply grow up to be gay. Completing puberty is a highly successful solution to this artificial problem.


Gay people are furious that transgender advocacy groups suppressed research showing that puberty blockers and cross-sex hormones are unproven, untested, and may hurt and not help trans-identifying children and that most of them will end up perfectly normal gay people, not mutilated trans people. Is this the turning of the tide?


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Apr 18Liked by Gerald Posner

Oh dear Lord, you have swallowed the Kool-aid.

Why not invest an evening researching what an utter and dangerous failure gender-affirming healthcare (ie, mutilation, sterilization) is? Orwell would be impressed by "gender-affirming care."

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Apr 18Liked by Gerald Posner

Yes, people on puberty blockers almost all go on to hormones. That's a problem. They're supposed to be time to think. Maybe you can look at Hannah Barnes' talk on SEGM's YouTube.

But puberty blockers haven't been shown to improve mental health, gender dysphoria or quality of life. And they pose harm to many things. Ready the cass review summary or the NHS one.

So they are just the first step to hormones. They don't have benefits and pose health risks.

How many stop hormones?

Almost 30% stop lifetime hormones in the most complete us follow up study by Roberts et Al (2022).

Read the cass review or the summary by abbasi in bmj.

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How is it not unethical to treat a psychological issue with invasive/harmful treatments? It’s medicalizing people who are in mental distress and gaslighting them into believing self-harm is the only way to treat their distress.

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There is no study that follows trans teens into adulthood beyond a year or two. 80% of kids that claim to be trans grow out of it if they are not transitioned. Usually they are gay and/or on the autism spectrum. Children cannot consent to medical interventions so the parents are manipulated by telling them their child will unalive themself if they don’t start on blockers etc. A complete lie and gaslighting at its worst. What other illnesses do we allow kids to diagnose themselves with where the doctor simply agrees?

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Cass Review suggests otherwise.

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From your report: Longitudinal follow-up studies, including qualitative self-report, are required to understand different pathways of gender identity experience.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Disclosures: Prof Lin reported being the president of the Australian Professional Association for Trans Health. No other disclosures were reported.

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Gender mutilation care is not supported by any studies. As to the "lack" of regret, here's the skinny, minnie: When you cut off your breasts, you have gone past the point of regret. If you regret cutting off your tits, you have to come to the realization that you are an extremely stupid person who has mutilated herself. This is very hard to do, since mutilation is a lifetime regret. So, few regret. We need to ignore this, and stop the mutilations.

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First off, I am post op mtf trans.

Here's my question. WHY

Why does affirming a person's belief in their gender, HAVE TO INCLUDE MEDICAL TREATMENTS, SHOT, PILLS AND SURGERIES?

Why? Because doctors only have pills and surgery to fix shit. And don't know anything about the causes of gender confusion to offer any real solution.

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The drugs and surgeries don’t fix anything. They make one’s superficial appearance different; they don’t change one’s sex.

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Surgeries pay the surgeon. The costs for these surgeries are huge.

Shots and pills pay the endocrinologist.

The market for mutilation and sterilization is big and growing.

Follow the money. The perverts who promote this mutilation make billions.

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Virtually every mystery surrounding this horror show can be solved by searching ARCUS Foundation, TAWANI Foundation, and Tides Nexus at influencewatch.org

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Is this title just extreme clickbait? Freud was not a psychiatrist and nobody has transed him, so it makes no sense literally or figuratively.

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This piece was mind blowing. How can any self respecting psychiatrist take Goetz seriously?

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Why are you, Firesign Theater joke, being a bigot about trans? Posner is wrong but you come in disgracefully and reject everything and then insult Dr Sapolsky. You’re simply a MAGA level jerk bigot. Why are you so afraid of evidence backed research? Trans humans exist.

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Trans is a massive fraud. There are no persons who are born in the wrong body. All trannies are deluded psychotics.

There are people who are deluded by the Trans Industrial Complex, which makes billions by mutilating children. People like you, who push trans, belong on the sex offender list.

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Serious question: why don’t these people brush their teeth?

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These decisions about what is or is not a mental illness have rarely been grounded in science. To some degree it’s because the NIH has no interest in funding science that answers important real world impact. They are mostly funding the research and development of profitable drugs.

There has been great reporting done on how homosexuality was removed from the list of mental illnesses in the 70s. This is a fine example of a broken clock being correct twice a day. Yes it was correct to normalize homosexuality. But that decision was not made based on rigorous application of the scientific method. It was grounded in the fact that the some of the people in power were gay.

Much of what is or is not considered a mental illness is socially constructed and would be preferable if the psychiatrists stopped pretending this was about science.

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The document termed the DSM (Diagnostic and Statistics Manual) which defines diagnoses is not a scientific document. It is written by a committee, and has a scientific direction. But the trannie normalization involved a politicized procedure in which trans wack activists pushed the interpretation that they wanted. Essentially, the trans state was defined as a normal state. Of course, this means that if you are trans there is nothing wrong with you (false). For the insurance perspective this is a problem - how then could treatment be covered, if it was normal? The solution is to define DISTRESS as the state needing treatment. This opened the door for the insanity of the treatment situation - there is no objective evaluation going on, it's all about distress and anxiety and depression.

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Apr 18·edited Apr 18

Why are you being such an anti trans bigot? Describing gender affirming care as mutilation and searching out bigoted articles to support your prejudice? And justifying your bigotry by fearmongering. We now know there are real neuronal differences in trans people, though it can only be examined after death. Transmen show the presence of male neurons (visibly larger) and transwomen display female neurons (smaller visibly), despite genital differences. Trans brains are physically different from non trans. This isn't imaginary. See Robert Sapolsky. Trans humans exist and they are people. You refuse to understand that which is why I can’t give you $ for your Substack. Can’t support a bigot.

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That's false. The brain studies are all garbage. The sample sizes are way too small (very low power) and they use cherry-picked regions which never replicate. Robert Sapolsky is a known crank.

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Remember the APA brought us Abu Ghraib torture techniques now they promote trans gender torture of children and their entire families. Truly scientific if they say so, anointed by self interest.

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