Beyond Gender
Beyond Gender
Podcast Description
What’s really going on with gender? Psychotherapist Stella O’Malley, researcher Mia Hughes, and psychologist Bret Alderman explore how gender fits into a much bigger cultural shift—and what that means for all of us.
Through conversations with researchers, doctors, therapists, parents, and detransitioners, they cut through the noise to get to the heart of the issue. No jargon, no agendas—just honest, thoughtful discussions about one of the most pressing topics of our time.
If you’ve ever felt like something bigger is happening but struggled to make sense of it, this podcast is for you.
Podcast Insights
Content Themes
The podcast delves into contemporary issues surrounding gender identity, societal shifts, and ideological movements, with episodes tackling topics such as the impact of transgender ideology on Western institutions and the realities of gender-affirming care, illustrated by discussions with figures like Lionel Shriver and Keira Bell.

What’s really going on with gender—and how does it connect to wider cultural shifts? Psychotherapist Stella O’Malley, researcher Mia Hughes, and psychologist Bret Alderman explore how debates around gender, identity, psychology, and medicine open up bigger questions about culture, society, and mental health. With guests ranging from doctors and therapists to parents and detransitioners, they offer honest, thoughtful discussions—no jargon, no ideology.
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How did transgender identification move out of psychiatry? REPATH Episode 3 traces the de-psychopathologization of gender dysphoria from WPATH's 2010 statement to the 2022 SOC8, and why the 2010s were the tipping point.
In this episode of the REPATH series, Mia Hughes and Stella O'Malley walk through the key milestones in the de-psychopathologization process: the WPATH 2010 statement, DSM-5's shift from ”Gender Identity Disorder” to ”Gender Dysphoria” (2013), ICD-11's move from ”dysphoria” to ”incongruence” (2018), WPATH's declaration of medical necessity (2016), and the release of the WPATH Standards of Care 8 (2022).
REPATH is a Genspect campaign calling for the restoration of psychiatric and psychological safeguards in the care of gender-related distress.
⏱️ CHAPTERS
(00:00) Introduction
(01:15) Recap of Episode 2
(11:07) WPATH De-Psychopathologization Statement (2010)
(13:20) WPATH SOC7 and Ehrensaft (2012)
(22:32) DSM-5: From Disorder to Dysphoria (2013)
(28:33) The Tipping Point (2014)
(36:45) Schools (2015)
(40:52) WPATH Declares Medical Necessity (2016)
(45:54) ICD-11: Dysphoria to Incongruence (2018)
(51:16) Littman ROGD Study (2018)
(01:00:07) WPATH SOC8: Eunuchs In, Ethics Out (2022)
(01:09:04) Technology
(01:12:21) Mia Introduced DePath, Albuquerque (2025)

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