A closer look at gender-reassignment surgery and psychological disorders

Lets take a closer look at a puzzle
Lets take a closer look at a puzzle

This article on The Public Discourse by Walt Heyer (H/T Katy), a form transgender woman, was tweeted to me multiple times, so I have to write something about it. It talks about the research on transgender people and the outcomes of gender-reassignment surgery.

Here is the part I thought captures the theme of the article:

Studies show that the majority of transgender people have other co-occurring, or comorbid, psychological disorders.

A 2014 study found 62.7% of patients diagnosed with gender dysphoria had at least one co-occurring disorder, and 33% were found to have major depressive disorders, which are linked to suicide ideation. Another 2014 study of four European countries found that almost 70% of participants showed one or more Axis I disorders, mainly affective (mood) disorders and anxiety.

In 2007, the Department of Psychiatry at Case Western Reserve University in Cleveland, Ohio, committed to a clinical review of the comorbid disorders of the last 10 patients interviewed at their Gender Identity Clinic. They found that “90% of these diverse patients had at least one other significant form of psychopathology . . . [including] problems of mood and anxiety regulation and adapting in the world. Two of the 10 have had persistent significant regrets about their previous transitions.”

Yet in the name of “civil rights,” laws are being passed at all levels of government to prevent transgender patients from receiving therapies to diagnose and treat co-occurring mental disorders.

The authors of the Case Western Reserve University study seemed to see this legal wave coming when they said:

This finding seems to be in marked contrast to the public, forensic, and professional rhetoric of many who care for transgendered adults . . . Emphasis on civil rights is not a substitute for the recognition and treatment of associated psychopathology. Gender identity specialists, unlike the media, need to be concerned about the majority of patients, not just the ones who are apparently functioning well in transition.

As one who went through the surgery, I wholeheartedly agree. Politics doesn’t mix well with science. When politics forces itself on medicine, patients are the ones who suffer.

Let’s connect the dots. Transgender people report attempting suicide at a staggering rate—above 40%. According to Suicide.org, 90% of all suicides are the result of untreated mental disorders. Over 60% (and possibly up to 90% as shown at Case Western) of transgender people have comorbid psychiatric disorders, which often go wholly untreated.

Could treating the underlying psychiatric disorders prevent transgender suicides? I think the answer is a resounding “yes.”

The evidence is staring us in the face. Tragically high numbers of transgender people attempt suicide. Suicide is the result of untreated mental disorders. A majority of transgender people suffer from untreated comorbid disorders—yet against all reason, laws are being enacted to prevent their treatment.

The article looks at different research and different scholars to make the case that just granting the people gender-reassignment surgery without trying to see what else might need fixing first is a mistake. A mistake that often results in suicides. We are not helping people who need help when we just take their desires at face value, without asking other questions.

Articles on The Public Discourse tend to be long and detailed, but this one is a must-read, because the topic is timely, and we should all have some sort of response ready when this topic comes up.

Self-defense: 71-year-old woman uses legally-owned gun to fight off robber

Guns are for self-defense against criminals
Guns are for self-defense against criminals

This story is from the Washington Free Beacon, and it’s a good reminder why we should let law-abiding citizens own legally-purchased firearms.

Excerpt:

A 71-year-old woman was able to fight off a man who tried to steal her car on Sunday.

Janet Willis told a reporter a man entered her store around 5 a.m. and demanded she give him the keys to her car. “He said, ‘I want your car,’ I said, ‘so do I,’” she told the Morgan County Citizen.

Instead of handing over her keys Willis pressed a panic button under her counter. Unfortunately the assailant saw her press the button and became agitated. He then threatened to kill her.

When the man became distracted by a customer Willis was able to grab her 9mm handgun. “When he turned around I said ‘I’ll blow your guts all over this store,’” she told the paper. “Then I led him out.”

She kept her gun pointed at the attempted robber as he ran out and got into a car he had apparently stolen at another point. That car had a flat tire and the sparks created by driving on the rim caused the stolen car to be set ablaze. Shortly thereafter the suspect, 21-year-old Prince William Dennis, was arrested by police.

“I admire her for doing what she did to thwart the robbery,” Captain Chris Bish of the Morgan County Sheriff’s Office said of Willis. “I’m grateful for the outcome.”

Willis said this was not the first time she had defended herself with a firearm. Three decades ago a man had threatened her life but she was armed with her Colt .45. “I asked him, do you want this (the pistol) or do you want the door,” she said to the publication. “He chose the door.”

Indeed.

And notice that no shots were fired, in either of the cases she talked about. Guns are not owned by bloodthirsty people who are anxious to shoot other people. Guns are owned by normal law-abiding people who don’t want to be robbed, raped or murdered by criminals. It’s especially important for women and the elderly to own guns, because it equalizes the differences in physical strength between men and women, or younger people and the elderly. We have an entire political party that champions leniency for criminals. They want to let them out early, not punish them, let them do whatever they want. Law-abiding citizens have to have some way to defend themselves from the compassion of the pro-criminal party’s policies.

Learn about the issue

To find the about guns and self-defense, look in the academic literature. Here are two books I really like for that.

Both of those books make the case that permitting law-abiding citizens to own firearms for self-defense reduces the rate of violent crime.

Study by UCLA neuroscientist Jeffrey Schwartz falsifies materialist determinism

Apologetics and the progress of science
Apologetics and the progress of science

Here’s a summary of the research of UCLA professor Jeffrey Schwartz, authored by William Dembski.

Excerpt:

Schwartz provides a nonmaterialist interpretation of neuroscience and argues that this interpretation is more compelling than the standard materialist interpretation. He arrived at this position as a psychiatrist specializing in the treatment of obsessive-compulsive disorder (OCD). OCD sufferers recognize obsessive-compulsive thoughts and urges as separate from their intrinsic selves. For instance, after a few washings, the compulsive hand-washer realizes that his hands are clean and yet feels driven to keep washing them. It was reflection on this difference between the obvious truth (the hands are clean) and the irrational doubts (they might still be dirty) that prompted Schwartz to reassess the philosophical underpinnings of neuroscience.

From brain scans, Schwartz found that certain regions in the brain of OCD patients (the caudate nucleus in particular) exhibited abnormal patterns of activity. By itself this finding is consistent with a materialist view of mind (if, as materialism requires, the brain enables the mind, then abnormal patterns of brain activity are likely to be correlated with dysfunctional mental states). Nonetheless, having found abnormal patterns of brain activity, Schwartz then had OCD patients engage in intensive mental effort through what he called relabeling, reattributing, refocusing, and revaluing (the 4 Rs). In the case of compulsive hand-washing, this involved a patient acknowledging that his hands were in fact clean (relabeling); attributing anxieties and doubts about his hands being dirty to a misfunctioning brain (reattributing); directing his thoughts and actions away from handwashing and toward productive ends (refocusing); and, lastly, understanding at a deep level the senselessness of OCD messages (revaluing).

Schwartz documents not only that patients who undertook this therapy experienced considerable relief from OCD symptoms, but also that their brain scans indicated a lasting realignment of brain-activity patterns. Thus, without any intervention directly affecting their brains, OCD patients were able to reorganize their brains by intentionally modifying their thoughts and behaviors. The important point for Schwartz here is not simply that modified thoughts and behaviors permanently altered patterns of brain activity, but that such modifications resulted from, as he calls it, “mindful attention”-conscious and purposive thoughts or actions in which the agent adopts the stance of a detached observer.

So mind-brain interaction is not a one-way street. Everyone knows that you can alter your consciousness, beliefs, moods, sensations, etc. by changing your brain, e.g. – with drugs. But it turns out that you can also will to focus your thoughts on certain things in order to change your brain chemistry. So the causation is not just bottom-up, but also top-down.

Now mindfulness therapies – which are documented in the research papers published by Schwartz (like this one and this one and this one)- assume the existence of free will. Naturalists don’t like these scientific publications because naturalists don’t believe in free will, as the famous naturalist philosopher Alex Rosenberg explained in his debate with William Lane Craig.

This post from Uncommon Descent explains the naturalist conundrum.

Excerpt:

The issue, for Schwartz, turns on whether or not there is such a thing as free will. The assumption of free will is critical to mindfulness therapies for practical purposes.

Philosophies and religions have various opinions about ultimate free will. The therapist must ask, is my patient capable of carrying out a program that requires that he choose to focus his attention on A and not B? In practice, this turns out to be true for many patients, which makes the therapy useful. There is neuroscience evidence for brain reorganization as a result, showing that it is not merely an imagined effect.

Now, if someone wishes to claim, as many outspoken advocates of Darwinian evolution have, for example, that free will is impossible, the only thing that a mindfulness therapist can say is, go away. Either they are mistaken or the research results from mindfulness therapies are.

By the way, if you like this topic, and want a resource to show your friends, be sure and get a hold of the debate on mind vs. brain between Jeffrey M. Schwartz and Michael Shermer.