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Catherine Williamson vs. transgender people

Catherine Williamson is a British occupational therapist who is active in the “gender critical” movement.

Williamson is involved with anti-trans organization Society for Evidence-based Gender Medicine (SEGM).

Background

Williamson worked as Multi-Disciplinary Team Leader/Senior Practitioner at the Sheffield Gender Identity Clinic, an adult service in the UK. Williamson resigned in 2019 amid “clinical concerns” about the rapidly-changing demographics and increasing complexity of the patient population, and over the assessment process in NHS gender services.

Williams’ resignation stated in part:

Over the last eighteen months, I have repeatedly discussed my clinical concerns about the inadequacy of the assessment pathways at the clinic. I have also regularly highlighted the increasing vulnerability and complexity of people referred to the clinic. That is, that although a minority of people have gender identity concerns, for a majority, medical transition is the solution to difficulties separate from gender. This is supported by audits I have undertaken. These patients may meet the diagnostic criteria for gender dysphoria and transsexualism, but their primary difficulties are not about gender. These include autism, past trauma, significant childhood and adolescent bullying, personality disorder, mental illness, body dysmorphia and eating disorders. The clinic is wedded to a medically-focused pathway which does not adequately explore this context. The service fails to fully consider the psychological and social factors which might influence a person’s decision to transition. Wider political pressures and the demands of a lengthy waiting list have led to a focus on streamlining the service which has eclipsed clinical robustness. Similar concerns have been raised by clinicians working in gender services in other NHS Trusts.

References

Williamson C (2019). Resignation Letter to Senior Operational Manager Covering Sheffield Gender. Identity Service, Sheffield Health and Social Care NHS. cited in https://doi.org/10.1177/263440412110107