Category Archives: Commentary

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.

Ryan T. Anderson lectures on marriage and why it matters

Does government provide incentives for people to get married?
What is marriage, and what is the essential public purpose of marriage?

Here’s the lecture:

About the speaker:

Ryan T. Anderson researches and writes about marriage and religious liberty as the William E. Simon Fellow at The Heritage Foundation. He also focuses on justice and moral principles in economic thought, health care and education, and has expertise in bioethics and natural law theory.

Anderson, who joined the leading Washington think tank’s DeVos Center for Religion and Civil Society in 2012, also is the editor of Public Discourse, the online journal of the Witherspoon Institute of Princeton, N.J.

Anderson’s recent work at Heritage focuses on the constitutional questions surrounding same-sex “marriage.” He is the co-author with Princeton’s Robert P. George and Sherif Girgis of the acclaimed book “What Is Marriage? Man and Woman: A Defense” (Encounter Books, December 2012).

The lecture starts at 7:20 in. The lecture ends at 49:35. There are 32 minutes of Q&A.

Introduction:

  • When talking about marriage in public, we should talk about philosophy, sociology and public policy
  • Gay marriage proponents need to be pressed to define what marriage is, on their view
  • Every definition of marriage is going to include some relationships, and exclude others
  • It’s meaningless to portray one side as nice and the other mean
  • Typically, marriage redefiners view marriage as a more intense emotional relationship
  • Marriage redefiners should be challenged in three ways:
  • 1) Does the redefined version of marriage have a public policy reason to prefer only two people?
  • 2) Does the redefined version of marriage have a reason to prefer permanence?
  • 3) Does the redefined version of marriage have a reason to prefer sexual exclusivity?
  • Also, if marriage is just about romance, then why is the state getting involved in recognizing it?
  • The talk: 1) What marriage is, 2) Why marriage matters, 3) What are the consequences of redefining marriage?

What marriage is:

  • Marriage unites spouses – hearts, minds and bodies
  • Marriage unites spouses to perform a good: creating a human being and raising that human being
  • Marriage is a commitment: permanent and exclusive
  • Male and female natures are distinct and complementary

The public purpose of marriage:

  • to attach men and women to each other
  • to attach mothers and fathers to their children
  • there is no such thing as parenting, there is only mothering and fathering
  • the evidence shows that children benefit from mothering and fathering
  • boys who grow up without fathers are more likely to commit crimes
  • girls who grow up without fathers are more likely to have sex earlier
  • Children benefit from having a mother and a father
  • can’t say that fathers are essential for children if we support gay marriage, which makes fathers optional
  • without marriage: child poverty increases, crime increases, social mobility decreases, welfare spending increases
  • when government encourages marriage, then government has less do to – stays smaller, spends less
  • if we promote marriage as an idea, we are not excluding gay relationships or even partner benefits
  • finally, gay marriage has shown itself to be hostile to religious liberty

Consequences redefining marriage:

  • it undermines the norm in public like that kids deserve a mom and a dad – moms and dads are interchangeable
  • it changes the institution of marriage away from the needs of children, and towards the needs of adults
  • it undermines the norm of permanence
  • we learned what happens when marriage is redefined before: with no-fault divorce
  • no-fault divorce: after this became law, divorce rates doubled – the law changed society
  • gay marriage would teach society that mothers and fathers are optional when raising children
  • if marriage is what people with intense feelings do, then how can you rationally limit marriage to only two people?
  • if marriage is what people with intense feelings do, then if other people cause intense feelings, there’s no fidelity
  • if marriage is what people with intense feelings do, then if the feelings go away, there is no permanence
  • the public policy consequences to undermining the norms of exclusivity and permanence = fatherless children and fragmented families
  • a final consequences is the decline and elimination of religious liberty – e.g. – adoption agencies closing, businesses being sued

We’re doing very well on abortion, but we need to get better at knowing how to discuss marriage. If you’re looking for something short to read, click here. If you want to read a long paper that his book is based on.

Related posts

Why don’t men talk to women about commitment and marriage any more?

Painting:
Painting: “Courtship”, by Edmund Blair Leighton (1888)

I saw this essay from a young woman named Jordana Narin who is explaining how she feels about not being able to talk seriously to a man she had sex with. She is a radical feminist and has a useless, easy degree in creative writing.

The essay was published in the radically leftist New York Times.

First kiss:

I met [a guy] at summer camp in the Poconos at 14, playing pickup basketball by day and talking in the mess hall late into the night. Back home we lived only 30 minutes apart, but I didn’t see him again until 11th grade, when we ran into each other at a Halloween party in a Lower Manhattan warehouse.

[…]Under the muted flashes of a strobe light, we shared our first kiss.

She spent her first kiss on a guy she barely knew at a party, with no relationship context.

And this is how they talked:

We stayed in touch for the rest of high school, mostly by text message.

[…]Every time his name popped up on my phone, my heart raced.

Still, we were never more than semiaffiliated, two people who spoke and loved to speak and kissed and loved to kiss and connected and were scared of connecting.

Where is this relationship going? This boy has no job and no savings and no proven record of steady work – and therefore he cannot marry anyone.

More:

Two years after our first kiss, we were exchanging “I’ve missed you” messages again. It was a brisk Friday evening in our first semesters of college when I stepped off a train and into his comfortable arms.

He had texted weeks earlier on Halloween (technically our anniversary) to ask if I would visit. We had not talked since summer, and I was trying to forget him. We had graduated from high school into the same inexpressive void we first entered in costume, where an “I’ve missed you” was as emotive as one got.

Long gaps in between text messages – they have nothing to talk about, and there is no goal. Nevertheless, they are away from their parents, and so she had sex with him, losing her virginity to a man she was not married to.

And then:

Naïvely, I had expected to gain clarity, to finally admit my feelings and ask if he felt the same. But I couldn’t confess, couldn’t probe. Periodically I opened my mouth to ask: “What are we doing? Who am I to you?” He stopped me with a smile, a wink or a handhold, gestures that persuaded me to shut my mouth or risk jeopardizing what we already had.

On the Saturday-night train back to Manhattan, I cried. Back in my dorm room, buried under the covers so my roommates wouldn’t hear, I fell asleep with a wet pillow and puffy eyes.

The next morning I awoke to a string of texts from him: “You get back OK?” “Let’s do it again soon :)”

Yes. She had sex with him because of text messages, Facebook comments and because he “missed her”. Not because he had presented his resume and balance sheet to her father, dated her for many months, bought her an engagement ring, courted her for more months, bought her a wedding ring, then walked down the aisle with her.

Why is this happening?

There’s an interview that goes with it on the radically leftist NPR web site, but I saved a copy of the MP3 file here in case it disappears.

Moderate Christian Rod Dreher comments on the interview:

I wouldn’t have understood the full scope of what this young woman is saying in her essay without the interview, which is short. In the segment, Narin says that men and women in her generation don’t have actual romantic relationships anymore. It’s all casual, non-committal sex. “Nobody knows whether their own feelings are real,” she says.

[..]She tells the interviewer that there’s lots of making out and sex, but nobody wants to be emotionally vulnerable to anybody else.

[…]“Everyone in college uses Tinder,” she said, referring to the wildly popular dating and hook-up app. “You can literally swipe right and find someone just to hang out for the night. There’s no commitments required, and I think that makes committing to someone even harder, because it’s so normal, and so expected even, to not want to commit.”

In a different time, my grandparents, my great grandparents, they might have thought they were missing out on casual sex,” she says. “But since my generation has been saddled down with that, we kind of look to the past and say well, wasn’t that nice. I think both are optimal. I’m a huge feminist, and I think women should be able to do whatever they want to do. If a woman wants to have tons of casual sex, she totally should. But I think that there should be the option. And they shouldn’t be gendered, women and men. But there should be the option of being in a relationship.”

Right. Young women like her who have swallowed radical feminism hook, line and sinker don’t want to “miss out” on casual sex right now, but they want to get married “some day” – after they have a lot of fun traveling and doing exciting, fun things.

But what do they think marriage is?

This:

Look at the lyrics:

You got that 9 to 5
But, baby, so do I
So don’t be thinking I’ll be home and baking apple pies
I never learned to cook

After every fight
Just apologize
And maybe then I’ll let you try and rock my body right
Even if I was wrong
You know I’m never wrong

And know we’ll never see your family more than mine

Even when I’m acting crazy
Tell me everything’s alright

This is what women today understand marriage to be. They expect to be pursuing their own careers, not supporting their husbands and raising children. Most feminists view the roles of wife and mother as demeaning. They aren’t interested in supporting or respecting a man who provides for them – they just want him to say yes to whatever they feel like doing – fun and thrills.

The woman singing expects to win every disagreement because, like the song says, she is never wrong. The lyrics also say that sex is conditional on whether the woman feels happy. When it comes to visiting family and holidays, she lets us know that her family is more important than his. And she is allowed to act crazy, which could involve a whole host of selfish, wasteful, narcissistic behaviors, (e.g. – skydiving, ziplining, surfing), and he is just supposed to celebrate and maybe pay for it. For the rest of his life.

How do men respond to these radical feminists?

Most men are not interested in committing to, or discussing commitment with, radical feminists. Men will have sex with a radical feminist, (not me, but other men), but they will never commit to them. Why not? If a man’s role is just to please the “huge feminist”, then there is no reason to commit to her. Radical feminists believe that relationships are about their plans and their needs. They are not interested in responsibilities, expectations or obligations to men or to children. But men, even secular men, understand that they must not marry a woman who thinks that relationships should impose no obligations on her. Men play dumb with women to keep the sex coming, but there is no way they would commit to such women.

Now there is one exception to this rule, and that’s young, naive men. If a woman is a “huge feminist” then she might be able to get attention from a doormat man without having to give him sex. Typically, these men have no work experience, no savings, are much younger, and are so desperate for attention that they do what Meghan Trainor says in the song: apologize, grovel, condone craziness and selfishness, etc. Although a woman may think she wants a man like that in the short-term, in the long-term, those men prove unattractive and unsatisfactory.

In order to be masculine, a man needs to be a good moral leader and a good spiritual leader. And that means that he needs to call a woman higher, away from her self-centeredness, so she can serve God and serve other people. He cannot just agree with whatever crazy, emotional thing that she thinks up that is fun, thrilling and bound to fail. A good leader has experience as a provider, protector and leader that he brings to bear on decision-making, and proven ability achieving and leading others to greatness. I think women with low self-esteem will be interested in men who are doormats, but that is not the solution to the commitment problem. A doormat man does not have what it takes to provide and lead a family.