[00:00:00] Stella O’Malley: Susie Green and her presence. She’s like, she was like a presence throughout the book and I was dying to know what you thought about her? She’s just like this omnipresent, at one point you actually say the word omnipresent, Susie Green, who phoned up at one point to kind of discuss some clients, um, basically didn’t get on puberty blockers and should have, so her, her, her, impact. Was she very good friends with Polly Carmichael what was going down?
[00:00:32] Sasha Ayad: Just for, for listeners who dunno who Susie Green (crosstalk) is, sorry, can, can you explain Hannah, just for context who is Susie Green and, and why would it be perhaps odd that she was so involved with the Tavistock?
[00:00:47] Hannah Barnes: Susie Green was until very recently the the head of a charity called Mermaids, which works with gender nonconforming and transgender young people and their families. It’s been going for over 25 years, and Mermaids as a charity was really interesting because, they grew up with GIDS. So it started as a group of parents whose children were all being seen by GIDS in the ’90s
[00:01:16] and to start with, they had a really positive relationship and sort of the outlooks of both mermaids and GIDS itself were quite similar. So, um, you know, some of their early writings sort of said that only the minority or of young people who have gender distress and chil in childhood would, would, would probably transition as adults.
[00:01:35] Um, there can be loads of complicating factors and different ways into someone’s gender related distress and, and probably different outcomes as well. So they started off and those people that were there in the early years found them actually, you know, really positive to work with. And, and, and certainly in Domenico de Ceglie’s writings in the early 2000s, um, and the ’90s it was, you know, all, all, all very positive.
[00:01:58] Um, Mermaids were involved along with another group called GIRES in, in really pushing for GIDS to, bring in puberty blockers at younger ages. Um, um, but, but although so were other clinicians and so were endocrinologists. So I think it’s really too simplistic to say it was all pressure from these groups and that’s why they did it.
[00:02:18] But they were part of it. And then over time, um, so, so Polly Carmichael would’ve known Susie Green since the early 2000s when she herself joined GIDS because all GIDS members went to the AGM and, and Polly Carmichael and Domenico de Ceglie would, would go to quite regular meetings. I, I have no idea if they’re friends or not, but they, you know, I, I wouldn’t feel at all comfortable saying that, but they, they, they, you know, they knew each other for a long time.
[00:02:45] Um, In a professional setting at least. And over time, Mermaids’ influence at GIDS was certainly felt by everyone that worked there. You know, one, one clinician based in Leeds just said we were answering to Mermaids, and Anastassis Spiliadis explains that, you know, on occasion, I don’t know how often it happened, but it certainly happened more than once, Susie Green would request that a young person and their family’s clinicians be changed because they weren’t getting what they wanted. And, and he says that that was, um, you know, accepted and, and those clinicians were changed. Now GIDS absolutely dispute that any clinical decisions were influenced by Mermaids.
[00:03:37] But what we do know is that, that she, she, you know, she, she, she would write, she felt perfectly comfortable writing directly to Polly Carmichael and making those requests. We know that she, she wrote to Polly Carmichael. There was a big email leak of, um, Mermaids emails. Um, and she wrote to, to other very senior board, she wrote to the chief executive and the chair of the trust as well.
[00:04:01] And there’s, there’s an email with another board member saying, oh, Susie, we should think about, oh, you know, we’d really like your input on our website so that they’re, they’re, they’re consistent both the GIDS website and the Mermaids website. Now, it might be that that’s not unusual to, you know, patient groups, but clinicians felt that, you know, even if Mermaids were not in the building, which they were sometimes in the waiting room, that they were in, they were in the room with them because so, such was the, such was the influence.
[00:04:31] And I think, I think it’s more subtle than, you know, I’ve had this so many times over the last few weeks or, you know, it was all about Mermaids, and they’re running the show. I think it’s much more subtle than that because, you know, they didn’t get everything that they. You know, for, for years they, they lobbied to have the age of cross-sex hormones lowered to much lower.
[00:04:50] I mean, it, it is just under 16. You there, there’s evidence of sort of 15 years and eight months and stuff going on. But, but you know, they wanted much younger ages and they never got that. But I think it was more subtle, I think. I think they were , they were present in, in clinicians’ minds. And also I think it probably stopped GIDS changing direction.
[00:05:10] Like the, the, the sort of, I don’t know, the fear, if you like, of Mermaids. When, when they could have. And, and maybe it explains why there was such a reluctance to put things on paper that we discussed earlier as well because of the way, um, that, that certain groups might react. Yeah. And, and, but, but I mean, the, the relationship started to sour probably from about sort of 2018-19 onwards.
[00:05:32] So they’re not, they’re not in influential now, and they’re, they’re highly critical of GIDS. They, they think they’re too conservative, so .
[00:05:37] Sasha Ayad: Yeah. But I mean, I think to, to Stella’s point earlier, um, about like what is the model being used within the GIDS service, if they were closely aligned in any way with Mermaids.
[00:05:50] The Mermaids perspective is that early intervention is good. I mean, maybe in the early years they were a little more nuanced as as you’re describing. But where Mermaids came to stand was that early intervention is good, child led, give the child the interventions they feel is best. And there was really very little scrutiny of these kinds of medical interventions from Mermaids’ perspective.
[00:06:13] So if they were in some ways kind of like intertwined, with Tavistock at any level, I can imagine that at least indicates something about the theoretical background that the Tavistock might have been using.