In this episode, Jamie Reed and Cori Cohn sit down with Mia Hughes to discuss REPATH, Genspect’s new campaign to restore a psychological approach to gender distress. The REPATH campaign can be found here.
In 2022, WPATH’s Standards of Care 8 finished a long shift in how gender distress is understood. It used to be treated as a psychological symptom to explore. Now it’s treated as an identity to affirm. Mia explains what “re-psychopathologization” means and what it doesn’t mean. REPATH isn’t about gender nonconforming people, who are not disordered. It’s about the drive toward hormonal and surgical body modification, and whether that drive should be assessed with real care, differential diagnosis, and psychological safeguards.
Mia Hughes is a researcher and writer focusing on the history and ethics of gender medicine, psychiatric trends, and the phenomenon of social contagion. She is Director of Policy and Research, the lead on Genspect’s Repath campaign, and Director of Genspect Canada. Mia has contributed extensively to public debate on gender-related healthcare practices and the wider cultural moment in the era of modern trans activism. She is also the author of The WPATH Files, an investigative report based on leaked internal communications from the World Professional Association for Transgender Health, which examines decision-making processes and standards of care within the field. In addition to her research, Mia engages in advocacy and public education, contributing articles and commentary across a range of media platforms. Her work has positioned her as a prominent voice in ongoing discussions about gender medicine, safeguarding, and clinical responsibility.
Find Mia : Mia Hughes
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