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Dear Editor,
As the authors of Gender Dysphoria: A Therapeutic Model for Working with Children, Adolescents and Young Adults, we are used to wild accusations of transphobia. Unfortunately, this is often the standard response to anyone not wholeheartedly agreeing with the current clinical ‘affirmation model’ for the treatment of patients with gender dysphoria, even though this approach lacks a solid evidence base. However, we were shocked to see the title of this book review and the choice the Quarterly made for the reviewer, whose approach to clinical treatment in this area would be well known. The provocative title reflects the significant bias of the entire article. Reviews are generally intended to be critically balanced and respectful. We do not expect Saketopolou to agree with our position. However, we would expect the journal to provide balance in their approach to this controversial area: For example, the discussion in the controversies section of The International Journal of Psychoanalysis1 between the author of your review and David Bell to explore this complex clinical issue from all angles.