I’ve been a long time since I last replied (with my old blog) and I still feel out of my depth here but I’ll clarify my stance for my own peace of mind. I won’t be replying in a specific order, so the argument remains coherent.
Again, I agree with that. I do also believe that there is an element of dysphoria that exists separate to gender as a construct
That element is at least partly determined by what makes someone bi or gay. When a gay man or woman realizes that they are sexually attracted to same sex, they tend to encounter struggles arising from being ‘different’ than the norm. Dysphoric gay/bi people are encountering the same thing, from the same source in many cases. Testing on other primates has revealed that even though young monkeys may show a preference for ‘gendered toys’ (females prefer dolls to cars and vice versa), this doesn’t indicate that our own cultural construction of gender is innate. In the monkeys’ case, the males had slightly better spatial ability and therefore preferred toys that made good use of it.
We don’t tell someone who responds to the pheromones of the same sex as an opposite sex person would that they’re secretly a member of the opposite sex and that they need to conform to certain gender constructs on that basis alone. We should adopt the same view in relation to anyone who experiences gender dysphoria or wants to transition. Conversation always default on how messing with someone’s natural hormone production (which is not just unnecessary but potentially dangerous) is the answer to psychological distress. I do not agree with this view, nor with the normalization of hrt/transing. I do not see gender dysphoria as an individual problem, but the current method of ‘treating’ it serves to maintain a status quo that forces people into boxes, that perpetuates conformity to gender norms.
but that either way we should be working towards a society free of gender as a social category. If it does mean that physical dysphoria stops existing, that’d be great, and if it doesn’t, then that’s fine too and people would be able to access better researched and less stigmatised healthcare. It’s a win-win, in my view.
We’re not in living in a gender-free society yet, though so we can’t say for sure what that would accomplish. The growing trend of ‘gender queer’ ‘nonbinary’ etc etc, identified people reflects a belief in the steadfastness of gender binary- the notion that society cannot (or will not) be gender free, or free from the evils and legacy of male dominance in general.
[…]I would be happy with this implication, because despite possessing female biology and calling myself a woman, I do not consider myself a two-dimensional gender stereotype. I am not an ideal manifestation of the essence of womanhood, and so I am non-binary.
And here we have an irony about some people insisting that they and a handful of their fellow gender revolutionaries are non-binary: in doing so, they create a false binary between those who conform to the gender norms associated with their sex, and those who do not. In reality, everybody is non-binary. We all actively participate in some gender norms, passively acquiesce with others, and positively rail against others still. So to call oneself non-binary is in fact to create a new false binary.
I will say, I have a lot of insight and control in my own view. I’ve broken down my dysphoria into what’s mere preference or social expectations, versus what persists regardless of those things.
Good for you on exposing yourself to varying perspectives, at least. Most people find it challenging to seriously entertain anything that goes against confirmation bias in my experience. But I still don’t believe that we’re capable of truly objective self-reflection. One cannot undo the role culture, socialization or other people have had and continue to have in shaping our world-view, our perceptions.
Edit: Here’s @destroyyourbinder on gender dysphoria:
“Gender dysphoria” as a concept is sort of a trashbin of negative experiences, socially disruptive behaviors, and obsessive or non-functional life-altering beliefs and practices that psychiatry’s decided is a medical pathology because it permits them to stamp a diagnosis on a certain kind of person, allows them to treat certain kinds of people in certain ways, and gets certain kinds of people to stop bothering them with their distress. This seems to be the best way to understand how you’d go about asking as a psychiatrist whether someone has resolved their gender dysphoria.
And you say that transitioning serves a psychological need, but my attitude towards transition is like my attitude towards pain medication and I don’t have a psychological need for that. It’s something that will make me more comfortable.
But comfortable with what? If you acquiesce that it’s not necessary why do you still think you need it? What are you trying to achieve by using it?
A discomfort and wrongness I feel about certain characteristics - not necessarily about appearance, but particularly in a broader sensory way. A social discomfort at having those traits pointed out through the use of gendered language that has strong associations with those traits.
Arguably also the sense of people being plainly incorrect about how I experience gender. That is, of course, a purely social type.
You know yourself better than I do. But I still think you’re self-deceiving. You have the option to not do this, even though the alternative entails painful self-confrontations.
Further to this, I would like to ask how you propose to stop people medically transitioning? If it’s by deconstructing gender and increasing acceptance of gender non-conformity, then I’m 100% with you.
I’m all for denouncing and abolishing gender and gender stereotypes, even though I myself am not very hopeful that this is achievable on a large scale. I don’t know if enough people would even want to earnestly commit to it. I worry that it’d be seen as frivolous by the non-initiated.
that people are consenting to when they take them. The solution is not to make them less accessible, right?
Who’s making them less accessible?
I’m only going to focus on hrt here though I realize that anyone with dysphoria requires therapy and other medical care related to ‘transitioning’.
Hrt isn’t medically necessary in cases where it is used to ‘feminize’ or ‘masculinize’ the body. And that is what it is doing. Subtly altering fat distribution. A trans identified male cannot change the sex-specific bone growth that occurred during and after puberty through hrt alone.
And you linked to something titled “Transgender Hormone Therapy Is Safe When Monitored For Certain Risks”, which I’m wary about. The fact they feel the need to mention that it’s “safe if” monitored makes me wonder why we need to assure people of this when medical ‘transitioning’ is completely unnecessary, anyway?
Not to mention that forcing your body to contend with what it has not evolved to contend with carries significant risks, for some at least:
[…] A study involving 5,000 transgender patients found that transgender women, who are assigned the male sex at birth, were twice as likely as cisgender men or women to have the blood clot condition venous thromboembolism. Transgender women on hormone therapy were also found to be 80 to 90 percent more likely to have stroke or a heart attack than cisgender women.
In the past, studies measuring cardiovascular effects of estrogen therapy have been done on menopausal women and applied to transgender women. But the study of transgender women found significant differences, particularly for long-term use. Menopausal studies cited by the Kaiser researchers showed risks of cardiovascular illness declining over long-term use, but the Kaiser study found that risk increased for transgender women over time.
Still, Dr. Joshua Safer, another author of the study and executive director of the Transgender Medicine Center at Mount Sinai Hospital in New York, said that while the cardiovascular risk is higher for transgender women, it’s not that high. There were 148 cardiovascular events recorded out of the 2,842 transgender women in the eight-year period.
-https://www.nbcnews.com/health/health-news/study-finds-health-risks-transgender-women-hormone-therapy-n890031
In addition, some of the effects that sound scary just bring risks in line with cis folks. Estrogen can cause breast growth and as such obviously increases breast cancer risk (as cis women typically have).
…A male undergoing hrt is not comparable to women. We don’t know if a male’s chances for breast cancer increase as women’s do when exposed to the same risk factors. You’re making false equivalences between two things that are not comparable, in an effort to ‘normalize’ transing.
Here’s a quote from a well-researched post on reddit:
The HRT introduces unique traits, but predictably does not create actual female breasts. There are anatomical differences so strong that (1) even after 10+ years on HRT, transwomen are 'unlikely’ to reach Tanner Stage V breast development (which is why you usually see 'cone’ shapes in the MTF population) && the lobules remain like that of a 'prepubertal breast’ (2) 60% simply end up seeking breast augmentation due to being unable to achieve their dream of an actual female breast shape (3) the breast cancer risk in TIM patients remains only “slightly higher” than the cis male breast cancer risk.
First you note a lack of longitudinal studies, and then you point to ‘evidence’ of risk?
If you think we should remove gendered pronouns and titles from unnecessary everyday contexts, so being gendered right becomes less of an issue for trans folks who can’t transition, then I’d also agree.
I also think we should be accepting of trans folk without the expectation of medical transition to be cis “passing”.
If you replace “trans” with gender-nonconforming then yes. And I’m for the abolishing of gender, not for obfuscation. Pronouns serve a purpose. And they are neutral.
And this is all I have to say, really.