Note: Updated Monday 19th Oct with expanded response to suggestion of anorexia as an overvalued idea.
I have just come across a piece of written evidence submitted by the Evangelical Alliance to the recent Transgender Equality Inquiry held by the Womens and Equalities committee of the UK Government.
Unfortunately I do not have the time here to summarise and comment on the whole submission, but there are some points I consider really important to make and I’ll probably add to this over the next few days. So if you haven’t read it yet, I urge you to click on the link above and read it for yourself before continuing.
It is clear that the submission is intended to protect the rights of those the EA represents against any advancement in equality legislation that would amount to the granting of ‘special privileges’ to another group based on gender identity. However, the way the submission specifically undermines and devalues the experience of those suffering from gender dysphoria betrays a level of arrogance, ignorance and spite that is simply breathtaking.
The submission states ‘Our fundamental position is based on the reality that a person cannot change their sex’. Actually I agree with this point, they cannot. But the most clinically successful treatment for many people experiencing gender dysphoria (but many do not take this path) is to align their physical experience with the gender they identify with internally. This is a very different reality.
Unlike the EA, I can offer some credible, research based material to back up my point of view. The World Professional Association for Transgender Health (WPATH) is an international association devoted to the understanding and treatment of individuals with gender identity disorders. Founded in 1979, and currently with over 600 physician, psychologist, social scientist, and legal professional members, all of whom are engaged in research and/or clinical practice that affects the lives of transgender and transsexual people, WPATH is the oldest interdisciplinary professional association in the world concerned with this specialty. The NHS has adopted WPATH guidelines for the treatment of gender dysphoria. You can read what they have to say here.
The submission goes on to state:
Because we regard gender dysphoria as a psychological condition that can best be described by the category of ‘over-valued ideas’, akin to those who suffer from anorexia, dysmorphophobia and related expressions, we reject the moral acceptability of treating psychological conditions with surgery.
So anorexia is an ‘overvalued idea’. Really?
It’s interesting how the EA chooses to dismiss theories of gender dysphoria yet readily embrace a psychological theory that is best described as ‘niche’. Whilst an element of the condition is undoubtedly delusional, there are a number of contributory factors ranging from personality to genetics, and to distill these to a single cause is, frankly, bad science.
But let’s for a moment consider that the nature of gender dysphoria is delusional in nature and similar to anorexia. My daughter suffers from anorexia. Aside from the acute danger to her physical wellbeing this illness has led to deep depression and caused her to contemplate suicide on a number of occasions, most frequently when she is near or at a healthy weight. This experience is common with many people who experience gender dysphoria and are unable to reconcile their identity with their physical body.
Another point. “We are also seeing increasing numbers of cases of people unhappy about their transgender process and who have reverted to their birth gender and/or have sued those who encouraged them to transgender in the first place.” That’s interesting. I would very much like to see the citation. Bearing in mind that this is an ‘extremely rare condition’ I could cite two studies that draw this statement into question. The first (Pfafflin and Junge) looked at 70 previous studies on outcomes of sex reassignment surgery including 2000 individuals between 1961 and 1991. The second later study considered long term follow-up of 66 Male to Female transexual patients.
- Pfafflin F., Junge A. (1992) Sex Reassignment: 30 Years of International Follow-up Studies after SRS http://www.antijen.org/Articles/cohen.html
- Krege S., Bex A., Lummen G., et al. (2001). Male-to-female transsexualism: a technique, results and long-term follow-up in 66 patients. BJU International. 88:396-402. http://www.ncbi.nlm.nih.gov/pubmed/11564029
A quick Google search will surface a few dozen instances of people who have sought to reverse transition but these are still the overwhelming minority. The WPATH Standards of Care on which NHS treatment is based are, in fact, incredibly stringent and go to great lengths to ensure that the treatment provided to people experiencing gender dysphoria are right for them and not taken lightly. Most people accessing NHS services will actually tell you that the process is actually too stringent.
I have more to say but I’m leaving it there for now. Suffice to say I’m not a fan of this submission or the EA.
N.