Gender Clinicians Should Take the Family's Input Into Account, with Marieke den Ouden | Episode 203

Sasha and Stella welcome Dr. Marieke den Ouden, a medical biologist and psychologist, about pediatric gender medicine in the Netherlands. While the Dutch Protocol is believed to ensure thorough mental health evaluations, Marieke reveals inconsistencies in its application. She discusses a new survey gathering input from extended family on a child’s mental health and gender identity, raising questions about bias in reporting. The conversation also explores the clinical foundations of gender medicine, examining how early researchers with backgrounds in disorders of sexual development (DSDs) shaped the field. Their search for a biological basis of gender identity—whether in hormones, chromosomes, or brain structures—led to a medicalized approach to gender distress. This framing has contributed to the widespread push for medical interventions, fast-tracking youth into irreversible treatments despite a lack of clear biological justification. This episode presents fresh debates and critical insights into the ethical dilemmas surrounding pediatric gender transition and the protocols involved. For links and resources relevant to this episode, access the full show notes at https://www.widerlenspod.com/p/episod... - - @DrMariekedOuden on X: https://x.com/DrMariekedOuden - - Join this channel to get access to additional bonus content:    / @widerlenspod   Buy Our Book – When Kids Say They’re Trans: A Guide for Thoughtful Parents at https://whenkidssaytheyretrans.com/ Join Our Listener Community to Access Exclusive Content at https://www.widerlenspod.com/  Support the Show at https://www.widerlenspod.com/p/suppor... - - For more information about Sasha’s & Stella’s parent coaching membership groups, visit: Sasha Ayad: https://sashaayad.com/parenting-coach... @SashaLPC Stella O’Malley: http://www.stellaomalley.com/parent-c... @stellaomalleypsychotherapist - - To learn more about our sponsors, visit: Therapy First at https://www.therapyfirst.org/ Genspect at https://genspect.org/