15 October 2025
30 September 2025
Autism May Be Related To Human Level Intelligence
Autism may be related to the human specific evolution of higher intelligence:
Researchers discovered that autism’s prevalence may be linked to human brain evolution. Specific neurons in the outer brain evolved rapidly, and autism-linked genes changed under natural selection. These shifts may have slowed brain development in children while boosting language and cognition. The findings suggest autism is part of the trade-off that made humans so cognitively advanced.
23 May 2023
Brain Injury Is Behind Many Of Society's Worst Problems
[N]early two-thirds of those experiencing chronic homelessness in metro Denver suffer from some kind of brain injury[.]
24 April 2023
Addiction Is Genetic Predisposition Plus
Most people who try drugs don’t get addicted, even to opioids or methamphetamine, which suggests that factors other than simply being exposed to a drug can contribute to addiction. The majority of people who do get hooked have other psychiatric disorders, traumatic childhoods or both — only 7 percent report no history of mental illness. Nearly 75 percent of women with heroin addiction were sexually abused as children — and most people with any type of addiction have suffered at least one and often many forms of childhood trauma.
Chandra Sripada, professor of psychiatry and philosophy at the University of Michigan, argues that distorted thinking is more important in addictive behavior than overwhelming desire, leading to what he calls “unreliable” control over use. . . . During addiction . . . despairing thoughts about oneself and the future — not just thoughts about how good the drug is — predominate. At the same time, thoughts about negative consequences of use are minimized, as are those about alternative ways of coping. Drugs are overvalued as a way to mitigate distress; everything else is undervalued. The result is an unstable balance, which, more often than not, tips toward getting high.This theory is helpful for explaining who is most likely to get addicted and what is most likely to generate recovery. Risk factors like poverty, a traumatic childhood and mental illness generate excess stress while tending to produce negative thoughts about oneself. In my case, I was depressed and isolated because of what I later learned was undiagnosed autism spectrum disorder — and hated myself for my inability to connect. The result was a mental climate conducive to relying on drugs, even when they no longer provided relief.Factors linked to recovery — like social support and employment — can offset distorted thoughts and inflated valuation of drug use. Essentially, people make better choices when they recognize and have access to better options. If you are locked in a room with an escape route unknown to you hidden under the carpet, you are just as trapped as if that exit didn’t exist. My recovery began when I saw that there was a bearable way out.This is why punitive approaches so often backfire: Causing more pain to people who view drugs as their only way to cope drives desire to use even more. Punishment doesn’t teach new skills that can allow better decisions.
From the New York Times.
09 April 2023
Dog IQ
Researchers from the University of Helsinki assessed the cognitive abilities of over 1,000 dogs from 13 breeds with ten tests. Border Collies scored at or near the top in social cognition, inhibitory control, and spatial problem-solving ability, while Labrador Retrievers scored near the bottom. While prior research has shown that a dog's breed isn't as predictive of its personality and behavior as many think, the present study suggests that there are noteworthy differences in certain cognitive abilities.Researchers at the University of Helsinki in Finland put over 1,000 dogs from 13 distinct breeds through a battery of cognitive tests in perhaps the largest laboratory study of canine intelligence ever conducted.Their findings were recently published in the journal Scientific Reports.
(Source)
The paper and its abstract are as follows:
The extraordinary genetic and behavioural diversity of dog breeds provides a unique opportunity for investigating the heritability of cognitive traits, such as problem-solving ability, social cognition, inhibitory control, and memory. Previous studies have mainly investigated cognitive differences between breed groups, and information on individual dog breeds is scarce. As a result, findings are often contradictory and inconsistent. The aim of this study was to provide more clarity on between-breed differences of cognitive traits in dogs.
We examined the performance of 13 dog breeds (N = 1002 dogs) in a standardized test battery. Significant breed differences were found for understanding of human communicative gestures, following a human’s misleading gesture, spatial problem-solving ability in a V-detour task, inhibitory control in a cylinder test, and persistence and human-directed behaviour during an unsolvable task. Breeds also differed significantly in their behaviour towards an unfamiliar person, activity level, and exploration of a novel environment. No significant differences were identified in tasks measuring memory or logical reasoning.
Breed differences thus emerged mainly in tasks measuring social cognition, problem-solving, and inhibitory control. Our results suggest that these traits may have come under diversifying artificial selection in different breeds. These results provide a deeper understanding on breed-specific traits in dogs.
27 November 2022
Quote Of The Day
I distinguish four types. There are clever, hardworking, stupid, and lazy officers. Usually two characteristics are combined. Some are clever and hardworking; their place is the General Staff. The next ones are stupid and lazy; they make up 90 percent of every army and are suited to routine duties. Anyone who is both clever and lazy is qualified for the highest leadership duties, because he possesses the mental clarity and strength of nerve necessary for difficult decisions. One must beware of anyone who is both stupid and hardworking; he must not be entrusted with any responsibility because he will always only cause damage.
28 September 2022
The Genetics Of Autism and ADHD
Attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) are highly heritable neurodevelopmental conditions, with considerable overlap in their genetic etiology. We dissected their shared and distinct genetic etiology by cross-disorder analyses of large datasets.
We identified seven loci shared by the disorders and five loci differentiating them. All five differentiating loci showed opposite allelic directions in the two disorders and significant associations with other traits, including educational attainment, neuroticism and regional brain volume.
Integration with brain transcriptome data enabled us to identify and prioritize several significantly associated genes. The shared genomic fraction contributing to both disorders was strongly correlated with other psychiatric phenotypes, whereas the differentiating portion was correlated most strongly with cognitive traits. Additional analyses revealed that individuals diagnosed with both ASD and ADHD were double-loaded with genetic predispositions for both disorders and showed distinctive patterns of genetic association with other traits compared with the ASD-only and ADHD-only subgroups.
These results provide insights into the biological foundation of the development of one or both conditions and of the factors driving psychopathology discriminatively toward either ADHD or ASD.
Controls were randomly selected from the full control cohort to roughly match a 1:4 ratio in cases and controls. . . . we excluded individuals with a moderate to severe mental retardation (ICD10: F71-F79) from both the case and control cohort.
Autism spectrum disorder cases were further categoried into four subtypes: childhood autism (cha, ICD10 F84.0); atypical autism (ata, ICD10 F84.1); Asperger’s syndrome (asp, ICD10 F84.5); and pervasive disorders, unspecified and others (pdm, ICD10 F84.8+9).
It appears that ADHD cases were not subtyped, which is something of a shame. There is good reasons to think that the genetic basis of ADHD predominantly inattentive type (i.e. without hyperactivity), has a different genetic basis than ADHD combined type (and ADHD predominately hyperactive which probably overlaps heavily with the combined type). This level of information ought to have been available although empirically efforts to further subtype ADHD probably wouldn't have been available in the data. See, e.g, prior posts at this blog from September 8, 2012, April 3, 2012, and October 18, 2017 (Genetics of ADHD hyperactivity/impulsivity and inattention dimensions are quite different),
A Key Figure From The Paper
A serious limitation of this study is that the design relies on the common psychiatric nosology that in particular for ASD and ADHD has been problematic, surely in the past when only one of both diagnosis was allowed. Given the high comorbidity between ADHD and ASD, and among other psychiatric disorders in general, plus the fact that recent research shows that ‘genes do not respect diagnostic classifications’ (see CDG publications) I would rather see a focus on the shared genetic findings for ADHD and ASD, in aiming to find general genetic/biological vulnerabilities for trans diagnostic neurodevelopmental problems, instead of relying on a classification system that has surely proven its value in clinical practice but does not seem to guide biological underpinnings of those disorders.
and
Concerning the used sample, I would appreciate getting some more details on the assessment of comorbid ASD and ADHD in the respective cohort. While some of the individuals might have been diagnosed under DSM-IV, which did not allow a comorbid diagnosis of ADHD, I wonder if and how this was accounted for in the datasets. In light of the cited Meta-study 25-32% of ASD individuals do fulfill the criteria for ADHD. In this study, the comorbid cohort accounts for 10% of the sample (assuming they were from both the ASD and the ADHD cohorts).
The responses gave rise to a table regarding the shared risk genes:
02 March 2021
Queer Self-Identification And Age
07 July 2020
Brain Scans Lend Insight Into Six Common Psychiatric Conditions
"We found that 4 major psychiatric disorders -- major depression, bipolar disorder, schizophrenia, and obsessive-compulsive disorder -- show a surprisingly high level of similarity in their brain structural abnormalities," said Dr. Opel. The shared brain areas showing structural aberrations were mainly in cortical areas associated with cognitive processing, memory and self-awareness.
On the flipside, Dr. Opel added, "we were able to identify regional abnormalities with high specificity for certain disorders." Interestingly, these distinct structural differences sometimes appeared in the same area for two disorders, but in opposite directions from the norm.
In contrast, attention-deficit/hyperactivity disorder and autism spectrum disorder did not share brain structural signatures with any other disorders. That may be because those disorders are considered developmental diseases with a distinct etiology from the other psychiatric conditions, which have more in common.
The researchers do not yet understand the mechanisms behind the shared structural elements, but a growing body of evidence shows that these psychiatric disorders also share common genetic as well as environmental influences, which might underlie the current findings.From Science Daily. The paper and its abstract are as follows:
Background
Neuroimaging studies have consistently reported similar brain structural abnormalities across different psychiatric disorders. Yet, the extent and regional distribution of shared morphometric abnormalities between disorders remains unknown.
Methods
Here, we conducted a cross-disorder analysis of brain structural abnormalities in 6 psychiatric disorders based on effect size estimates for cortical thickness and subcortical volume differences between healthy control subjects and psychiatric patients from 11 mega- and meta-analyses from the ENIGMA (Enhancing Neuro Imaging Genetics Through Meta Analysis) consortium. Correlational and exploratory factor analyses were used to quantify the relative overlap in brain structural effect sizes between disorders and to identify brain regions with disorder-specific abnormalities.
Results
Brain structural abnormalities in major depressive disorder, bipolar disorder, schizophrenia, and obsessive-compulsive disorder were highly correlated ( r = .443 to r = .782), and one shared latent underlying factor explained between 42.3% and 88.7% of the brain structural variance of each disorder. The observed shared morphometric signature of these disorders showed little similarity with brain structural patterns related to physiological aging. In contrast, patterns of brain structural abnormalities independent of all other disorders were observed in both attention-deficit/hyperactivity disorder and autism spectrum disorder. Brain regions showing high proportions of independent variance were identified for each disorder to locate disorder-specific morphometric abnormalities.
Conclusions
Taken together, these results offer novel insights into transdiagnostic as well as disorder-specific brain structural abnormalities across 6 major psychiatric disorders. Limitations comprise the uncertain contribution of risk factors, comorbidities, and medication effects to the observed pattern of results that should be clarified by future research.
02 March 2020
Lots Of People Are Spiritual But Not Religious
Today's question of the day comes from an elderly friend: Do you believe that there are spiritual beings that interact in some ways in human lives?My answer was as follows:
No. But, I like the way the your friend asked the question. The definition of what most people think of as "god" or the "divine" is something beyond mankind and smart ordinary Earth animals that intervenes with moral purpose in the universe.
Where Is Religion Headed In The Modern Western/Globalist World?
The author's study found that many young people believe in several moral statutes not exclusive to any of the major world religions. It is not a new religion or theology as such, but identified as a set of commonly held spiritual beliefs. It is this combination of beliefs that they label moralistic therapeutic deism:
1. A God exists who created and ordered the world and watches over human life on earth.
2. God wants people to be good, nice, and fair to each other, as taught in the Bible and by most world religions.
3. The central goal of life is to be happy and to feel good about oneself.
4. God does not need to be particularly involved in one's life except when God is needed to resolve a problem.
5. Good people go to heaven when they die.
05 February 2020
Alone In The Wild
03 February 2020
Study: Autism Basically The Inverse of M.S.
On the bright side, we are much further along in finding medical treatments for M.S., than for autism for which treatment has been basically intractable, and the new understanding of autism may shed light on how to treat it derived from M.S. research.
13 January 2020
Musings On "Fruits Basket"
The snotty, spoiled and immature, but smart young family member Hiro Soma, routinely abuses his authority and tries to manipulate situations and rules to his favor. He exemplifies and demonstrates the perceived flaws in Eastern legal and political thinking of a narrow Western style system of "rule of law" that can be manipulated in so many ways and ignores the pervasive inequalities found in so many socially and legally important interactions. These are flaws relative to an Eastern legal and political philosophy oriented system focused on putting in place moral and wise people to administer society at every level and clear understandings about the appropriate ways to act interpersonally towards others who are in unequal relationships with each other, in which the focus is on nurturing well socialized people for leadership positions in which their own innate morality rather than formal rules of law are the primary guiding force in their actions. In Western legal and political thinking, the natural response to something that isn't working well is to adopt better laws and policies. In Eastern legal and political thinking, the natural response to something that isn't working well is to put in place more virtuous leaders.
It isn't wrong to observe that the Western narrow incident oriented approach does have flaws. Punishing someone for hitting, even when they do so only after extreme and inappropriate anti-social provocation, doesn't do complete justice or solve the problem entirely. Treating a girl who kills a man that has been keeping her as a sex slave and repeatedly raping her when she gets a chance because legally authorized self-defense in the moment is futile, isn't culpable to the same extent as a pre-meditated killing of a weak stranger. Many bullies start out as victims of other bullies until a vicious cycle builds up that treating each incident in isolation as an act to be punished with stiff consequences can't break.
27 October 2019
Narrow Thinking As MPD
I develop an approach, which I term narrow thinking, to break the decision-maker’s ability to perfectly coordinate her multiple decisions. For a narrow thinker, different decisions are based on different, non-nested, information. The narrow thinker then makes each decision with an imperfect understanding of the others. Formally, it is as if the decision-maker is a collection of multiple selves playing an incomplete-information game. The friction effectively attenuates the degree of interaction across decisions and can translate into either over- or under-reaction depending on the environment.
29 July 2019
Beyond Stereotypes About Liberal Takes On Genetic Differences
“In the past few years, genetic evidence on human differences has become more obvious. The reaction, in the West, is to declare even more strongly that no differences exist, or even could exist.”
This is something of a straw man argument. The more common and more refined argument is that the genetic differences that exist are not (or more elastically should not be considered) morally or socially or legally significant differences.
Obviously, no informed person disputes, for example, that genetics cause visible differences in phenotype like eye color, hair color, skin color, height (interacting with environment) and stuff like epicanthic folds, and also that there a specific micro scale differences like sickle cell gene based malaria resistance.
But, the notion is that those differences are not differences that are significant enough to discriminate against someone or treat them differently and don’t give rise to group differences that are meaningful in terms of policy or validating stereotypes. This also has a notion buried in it that physical differences are less important than differences in who a person is.
For example, an illustration of this argument is the aphorism that you shouldn’t fault a turtle for not been fast at winning sprinting competitions. Sometimes this gets generalized to neurodiversity as well.
This isn’t to say that this belief doesn’t have difficulties. At the individual level, there is strong evidence that traits like individual cognitive traits like IQ, personality and temperament have a significant hereditary component.
Likewise, many Western liberals will acknowledge that small populations (e.g. communities of South Asians who recently immigrated to the U.S. on work related tech industry and medical profession visa available only to the most elite individuals) do exhibit group level average differences on certain work related IQ and spatial aptitude type abilities until diluted with other populations or the passage of time with a reversion to the mean.
But, those belief holders presume (as an axiom not an empirically driven fact), while conceding this point, that the measured differences in traits like these that we do care about, in large representative samples of continental scale populations (e.g. Africans or South Asians generally) or large random samples of historically old caste or racial minorities, are almost entirely due to environmental effects as evidenced, for example, by the Flynn effect and by the apparent positive impacts of the reducing of lead poisoning rates in the U.S. This presumption is, at a minimum, difficult to test rigorously, and tends to support policy decisions that are hard to resolve empirically that Western liberals tend to think are good policies which promote a just society and emphasize individual merit over group stereotype based decision making.
The truer description of the mainstream intellectual viewpoint of Western liberals is a close cousin of the idea that while culture differences absolutely exist (and indeed, should be respected) that all cultures are equal. More sophisticated individuals may qualify this position by saying that all cultures are equal in dignity and in a platonic sense, but that particular cultures may be better adapted to one set of circumstances in a given time and place than another, and that we nonetheless have a moral obligation to respect cultures not optimally adapted to current conditions in the present time and place.This is a reprint with minor reformatting and editing of my comment to a post at Brown Pundits.
This said:
* Smart and well informed people of all political stripes have more nuanced views on these topics than less intelligence and less well informed people. Liberals tend to have more nuanced views on these topics than conservatives and conservatives tend to be oblivious to many of the nuances in hte views on these topics commonly held by liberals.
13 May 2019
Autism Diagnosis Stable By Fourteen Months Of Age
The findings suggest that an ASD diagnosis becomes stable starting at 14 months of age and overall is more stable than other diagnostic categories, including language or developmental delay.
Importance Universal early screening for autism spectrum disorder (ASD) in primary care is becoming increasingly common and is believed to be a pivotal step toward early treatment. However, the diagnostic stability of ASD in large cohorts from the general population, particularly in those younger than 18 months, is unknown. Changes in the phenotypic expression of ASD across early development compared with toddlers with other delays are also unknown.
Objectives To examine the diagnostic stability of ASD in a large cohort of toddlers starting at 12 months of age and to compare this stability with that of toddlers with other disorders, such as developmental delay.
Design, Setting, and Participants In this prospective cohort study performed from January 1, 2006, to December 31, 2018, a total of 2241 toddlers were referred from the general population through a universal screening program in primary care or community referral. Eligible toddlers received their first diagnostic evaluation between 12 and 36 months of age and had at least 1 subsequent evaluation.
Exposures Diagnosis was denoted after each evaluation visit as ASD, ASD features, language delay, developmental delay, other developmental issue, typical sibling of an ASD proband, or typical development.
Main Outcomes and Measures Diagnostic stability coefficients were calculated within 2-month age bands, and logistic regression models were used to explore the associations of sex, age, diagnosis at first visit, and interval between first and last diagnosis with stability. Toddlers with a non-ASD diagnosis at their first visit diagnosed with ASD at their last were designated as having late-identified ASD.
Results Among the 1269 toddlers included in the study (918 [72.3%] male; median age at first evaluation, 17.6 months [interquartile range, 14.0-24.4 months]; median age at final evaluation, 36.2 months [interquartile range, 33.4-40.9 months]), the overall diagnostic stability for ASD was 0.84 (95% CI, 0.80-0.87), which was higher than any other diagnostic group. Only 7 toddlers (1.8%) initially considered to have ASD transitioned into a final diagnosis of typical development. Diagnostic stability of ASD within the youngest age band (12-13 months) was lowest at 0.50 (95% CI, 0.32-0.69) but increased to 0.79 by 14 months and 0.83 by 16 months (age bands of 12 vs 14 and 16 years; odds ratio, 4.25; 95% CI, 1.59-11.74). A total of 105 toddlers (23.8%) were not designated as having ASD at their first visit but were identified at a later visit.
Conclusions and Relevance The findings suggest that an ASD diagnosis becomes stable starting at 14 months of age and overall is more stable than other diagnostic categories, including language or developmental delay. After a toddler is identified as having ASD, there may be a low chance that he or she will test within typical levels at 3 years of age. This finding opens the opportunity to test the impact of very early-age treatment of ASD.
22 June 2018
The Genetics Of Mental Health
The final results indicated widespread genetic overlap across different types of psychiatric disorders, particularly between attention-deficit/hyperactivity disorder (ADHD), bipolar disorder, major depressive disorder, and schizophrenia. The data also indicated strong overlap between anorexia nervosa and obsessive-compulsive disorder (OCD), as well as between OCD and Tourette syndrome.
In contrast, neurological disorders such as Parkinson's and multiple sclerosis appeared more distinct from one another and from the psychiatric disorders -- except for migraine, which was genetically correlated to ADHD, major depressive disorder, and Tourette syndrome.From here.
A full set of abstracts from the article appear below the fold.
27 December 2017
Psychopathy And Gender
[I]n typically-developing boys, the volume of the anterior insula -- a brain region implicated in recognizing emotions in others and empathy -- is larger in those with higher levels of callous-unemotional traits. This variation in brain structure was only seen in boys, but not in girls with the same personality traits.From here.
26 July 2017
Are There Really 15,500 Transgender Individuals In Current Military Service?
Transgender people are banned from the military, yet an estimated 15,500 are serving.
The Denver Post's estimate is based upon this report from the Williams Institute, which clarifies that this is out of activity duty, reserves and national guard. This is broken out as:
7,300 Active Duty (assigned male)
1,300 Active Duty (assigned female)
5,300 Guard/Reserves (assigned male)
1,400 Guard/Reserves (assigned female).
As I noted in a previous post on the topic (relying on data cited here):
The DSM-IV (1994) quotes prevalence of roughly 1 in 30,000 assigned males and 1 in 100,000 assigned females seek sex reassignment surgery in the USA. The most reliable population based estimate of the incidence occurrence is from the Amsterdam Gender Dysphoria Clinic. The data, spanning more than four decades in which the clinic has treated roughly 95% of Dutch transsexuals, gives figures of 1:10,000 assigned males and 1:30,000 assigned females.
In September 2007 however, Olyslager and Conway presented a paper at the WPATH 20th International Symposium demonstrating that the data from this and similar studies actually implies much higher prevalence rates, with minimum lower bounds of 1:4,500 assigned males and 1:8,000 assigned females across a number of countries worldwide. They also present other evidence suggesting the actual prevalence might be as high as 1:500 births overall.My source has been updated since my last post to add this point:
The most recent (2016) systematic review of prevalence, leading to a meta-analysis of 27 studies, found estimates per 100,000 population of 9.2 (95% CI = 4.9–13.6) for surgical or hormonal gender affirmation therapy and 6.8 (95% CI = 4.6–9.1) for transgender-related diagnoses. Of studies assessing self-reported transgender identity, prevalence was 871 (95% CI = 519–1,224); however, this result was influenced by a single outlier study. After removal of that study, the figure dropped to 355 (95% CI = 144–566). Significant heterogeneity was observed in most analyses.This is 1 per 114 people with the outlier study, and one per 288 people without the outlier study, and with the self-reported surveys producing much higher estimates than estimates based upon therapy or third-party diagnostic related estimates.
Estimates of the size of the transgender population from national population-based surveys do not exist. This estimate is based on two state-level population-based surveys in which questions regarding transgender status implied a gender transition or at least discordance between sex at birth and current gender presentation.
The primary data source for the estimates of transgender military service is the NationalTransgender Discrimination Survey (NTDS), which was conducted by the National Gay and Lesbian Task Force and the National Center for Transgender Equality. This 70-item survey was distributed in cooperation with over 900 organizations across the United States and also was announced through listservs and online communities. It was made available both online and on paper in English and Spanish. The survey was fielded over six months beginning in fall 2008 and resulted in 6,546 valid responses, which is the largest sample of transgender people in the US to date. . . .
As a purposive sample of transgender adults in the US, estimates derived directly from the NTDS could be biased if the true demographic characteristics of the transgender population differ from the characteristics of transgender respondents to the survey. For example, relative to the US population, NTDS respondents are younger and report higher levels of education. Both factors would be associated with lower levels of lifetime military service. Given the lack of demographic data on the transgender population derived from population-based sources, it is not possible to determine if the age and educational attainment levels of NTDS respondents are different from the general US population because younger and more educated transgender individuals were more likely than others to have completed the survey (known as selection bias) or if transgender individuals are, in fact, younger and more likely to have higher levels of education compared to the general population.
More than 93% of NTDS respondents provided information using an online web-based survey.The primary risk is that survey respondents to a 70 question online survey announced on listservs and online communities in the fall of 2008 overstates has a higher proportion of LGBT respondents than the general public. Indeed, this is almost certainly the case.
The report goes on to state that:
In the US, approximately 5.8% of all adults who have ever served in the armed forces are currently on active duty and 4.4% are now serving in the Guard or Reserve. An estimated 86.8% are veterans who served on active duty in the past and 3.0% are retired from Guard or Reserve service.
The number of transgender adults in each category is estimated by applying these same proportions to the estimated number of transgender individuals who report any service in the armed forces.
Transgender military service
Analyses of the unadjusted NTDS data show that 29.6% of respondents assigned male at birth reported that they have served in the armed forces along with 6.0% of those assigned female at birth. In total, 20% of NTDS respondents reported some type of military service. Assuming NTDS reported rates of military service are true of the transgender population in the US, Figure 2 shows adjusted estimates of military service for the transgender population (separated by sex assigned at birth) and for adult men and women in the US. When figures are adjusted such that the age and educational patterns of the US adult male and female population are applied to the NTDS sample, an estimated 21.4% of transgender individuals have served in the military. The adjusted estimates suggest that 32.0% of those assigned male at birth and 5.5% of those assigned female at birth have served.
There is other evidence that transgender individuals represent a larger portion of those in the military than their proportion among adults in the US population. In a survey of transgender people assigned male at birth, Shipherd et al. found that 30 percent had served in the military, which is similar to military service among transgender people assigned male at birth in the NTDS. A recent study by Blosnich et al. reviewed all health records of veterans receiving health care through the Veterans Health Administration (VHA) from 2000 through 2011 and found a prevalence of Gender Identity Disorder (GID) five times that of the US general population. Though individuals with GID diagnoses may or may not identify as transgender, the substantially higher prevalence of GID among veterans in the VHA system provides further evidence that transgender people are overrepresented in the US military.But, even if the enlistment rate is much higher for transgender individuals than for non-transgender individuals, the estimated prevalence of transgender individuals in the general population from Gates (2011) is almost surely an overestimate.




