Psychiatrist Paul McHugh explains the troubles with transgender activism

In the Wall Street Journal.

Excerpt:

The transgendered suffer a disorder of “assumption” like those in other disorders familiar to psychiatrists. With the transgendered, the disordered assumption is that the individual differs from what seems given in nature—namely one’s maleness or femaleness. Other kinds of disordered assumptions are held by those who suffer from anorexia and bulimia nervosa, where the assumption that departs from physical reality is the belief by the dangerously thin that they are overweight.

With body dysmorphic disorder, an often socially crippling condition, the individual is consumed by the assumption “I’m ugly.” These disorders occur in subjects who have come to believe that some of their psycho-social conflicts or problems will be resolved if they can change the way that they appear to others. Such ideas work like ruling passions in their subjects’ minds and tend to be accompanied by a solipsistic argument.

For the transgendered, this argument holds that one’s feeling of “gender” is a conscious, subjective sense that, being in one’s mind, cannot be questioned by others. The individual often seeks not just society’s tolerance of this “personal truth” but affirmation of it. Here rests the support for “transgender equality,” the demands for government payment for medical and surgical treatments, and for access to all sex-based public roles and privileges.

With this argument, advocates for the transgendered have persuaded several states—including California, New Jersey and Massachusetts—to pass laws barring psychiatrists, even with parental permission, from striving to restore natural gender feelings to a transgender minor. That government can intrude into parents’ rights to seek help in guiding their children indicates how powerful these advocates have become.

How to respond? Psychiatrists obviously must challenge the solipsistic concept that what is in the mind cannot be questioned. Disorders of consciousness, after all, represent psychiatry’s domain; declaring them off-limits would eliminate the field. Many will recall how, in the 1990s, an accusation of parental sex abuse of children was deemed unquestionable by the solipsists of the “recovered memory” craze.

You won’t hear it from those championing transgender equality, but controlled and follow-up studies reveal fundamental problems with this movement. When children who reported transgender feelings were tracked without medical or surgical treatment at both Vanderbilt University and London’s Portman Clinic, 70%-80% of them spontaneously lost those feelings. Some 25% did have persisting feelings; what differentiates those individuals remains to be discerned.

We at Johns Hopkins University—which in the 1960s was the first American medical center to venture into “sex-reassignment surgery”—launched a study in the 1970s comparing the outcomes of transgendered people who had the surgery with the outcomes of those who did not. Most of the surgically treated patients described themselves as “satisfied” by the results, but their subsequent psycho-social adjustments were no better than those who didn’t have the surgery. And so at Hopkins we stopped doing sex-reassignment surgery, since producing a “satisfied” but still troubled patient seemed an inadequate reason for surgically amputating normal organs.

It now appears that our long-ago decision was a wise one. A 2011 study at the Karolinska Institute in Sweden produced the most illuminating results yet regarding the transgendered, evidence that should give advocates pause. The long-term study—up to 30 years—followed 324 people who had sex-reassignment surgery. The study revealed that beginning about 10 years after having the surgery, the transgendered began to experience increasing mental difficulties. Most shockingly, their suicide mortality rose almost 20-fold above the comparable nontransgender population. This disturbing result has as yet no explanation but probably reflects the growing sense of isolation reported by the aging transgendered after surgery. The high suicide rate certainly challenges the surgery prescription.

We seem to have this popular idea in our culture now that the loving thing to do in every case is to just affirm whatever anyone feels like doing. Want to have sex-reassignment surgery? No problem. Want to be surgically altered to look like a cat? No problem. Want to have an amputation because you don’t like your arm? No problem. Want to have taxpayer-provided heroine injected by nurses? No problem. Want to adopt a lifestyle that involves having risky sex with hundreds of unprotected partners? We’ll wave a rainbow flag for you. Want to get drunk and have sex before you (and they) have even graduated high school? Here are free condoms and free abortions to fix anything that might go wrong.

The really, really bad thing that we must never, ever do, apparently, is to tell someone “it’s wrong”.

I am really struggling to understand why telling people NOT to do things that are bad for them is a bad thing. I set boundaries on myself to keep myself out of trouble. Why can’t I let other people know what they are? Why do I have to pay taxes so that other people can afford to do risky and/or immoral things that I would never do?

William Lane Craig posts full Vilenkin e-mail misrepresented by Krauss in their debate

First, Dr. Craig posted the e-mail from Vilenkin to Krauss, which Krauss used in his debate with Craig, with the parts Krauss omitted in bold:

Hi Lawrence,

Any theorem is only as good as its assumptions. The BGV theorem says that if the universe is on average expanding along a given worldline, this worldline cannot be infinite to the past.

A possible loophole is that there might be an epoch of contraction prior to the expansion. Models of this sort have been discussed by Aguirre & Gratton and by Carroll & Chen. They had to assume though that the minimum of entropy was reached at the bounce and offered no mechanism to enforce this condition. It seems to me that it is essentially equivalent to a beginning.

On the other hand, Jaume Garriga and I are now exploring a picture of the multiverse where the BGV theorem may not apply. In bubbles of negative vacuum energy, expansion is followed by cocntraction, and it is usually assumed that this ends in a big crunch singularity. However, it is conceivable (and many people think likely) that singularities will be resolved in the theory of quantum gravity, so the internal collapse of the bubbles will be followed by an expansion. In this scenario, a typical worldline will go through a succession of expanding and contracting regions, and it is not at all clear that the BGV assumption (expansion on average) will be satisfied.

I suspect that the theorem can be extended to this case, maybe with some additional assumptions. But of course there is no such thing as absolute certainty in science, especially in matters like the creation of the universe. Note for example that the BGV theorem uses a classical picture of spacetime. In the regime where gravity becomes essentially quantum, we may not even know the right questions to ask.

Alex

Now recall that Krauss excuses the selective editing of the e-mail in the debate by saying that it was “too technical” to include. Judge for yourself if the omitted lines are “too technical” or whether they were omitted in order to mislead people about the evidence for the beginning of the universe.

Dr. Craig comments:

Whoa! That puts a very different face on the matter, doesn’t it? Why didn’t Krauss read the sentence, “It seems to me that it is essentially equivalent to a beginning”? Because it was too technical? Is this the transparency, honesty, and forthrightness that Krauss extols? (By the way, Vilenkin’s criticism of these models is the same one that Vilenkin makes in his Cambridge paper: far from showing an eternal past, these models actually feature a universe with a common beginning point for two arrows of time.)

And why did Krauss delete Vilenkin’s caveat that the BGV theorem can, in his estimation, be extended to cover the case of an expanding and contracting model such as Garriga and Vilenkin are exploring? And why delete the remark that such a model is usually assumed to be incorrect? It’s evident that Vilenkin’s email was selectively edited to give it the spin Krauss wanted.

Some people told me that they thought that Dr. Craig needed to be a little less gracious with Krauss in the debate, but that comment takes Krauss on directly. Too bad most of the people who watch the debate will never know unless they see the original e-mail from Vilenkin that Craig posted.

Dr. Craig then wrote to Dr. Vilenkin about this misrepresentation and here is part of the reply:

The Aguirre-Gratton model can avoide singularities by postulating a small “initial” closed universe and then allowing it to evolve in both directions of time. I put “initial” in quotation marks, because Aguirre and Gratton do not think of it that way. But this model requires that a very special condition is enforced at some moment in the history of the universe. At that moment, the universe should be very small and have very low entropy. Aguirre and Gratton do not specify a physical mechanism that could enforce such a condition.

Carroll and Chen claim that the universe did not have to be small at that special moment. But in my recent paper I show that in this case singularities are unavoidable.

[…]I think you represented what I wrote about the BGV theorem in my papers and to you personally very accurately.

Now I don’t want anyone to get the idea that all atheists are like Krauss. I distinctly remember another atheist named Anthony Flew debating Dr. Craig and a questioner from the audience asked him why not prefer speculative cosmologies like the eternally oscillating model. Dr. Flew (unlike Dr. Krauss) was honest – he said that we have to accept the science we have today based on the evidence we have today. Dr. Krauss is not willing to accept the science we have today and the evidence we have today. That’s the difference. This is a failing of Dr. Krauss’ will and intellect. He simply cannot bring himself to accept what science has shown, if it impacts his autonomy in any way. He would rather mislead himself and others with speculations rather than face reality.

Watch the whole debate – see for yourself

I’ll re-state the relevant part of my Craig-Krauss debate summary below. The summary has the full video.

The segment from 52:18 to 57:12 about the Vilenkin e-mail on the BVG theorem is a must-see. Krauss is standing up and gesticulating while Craig is calmly trying to quote a paper by Vilenkin that shows that Krauss is misrepresenting Vilenkin. Krauss constantly interrupts him. After a while, when Craig exposes him as having misrepresented Vilenkin and gets him to admit that all current eternal models of the universe are probably wrong, he quietens down and can’t even look at Craig in the face.

Cosmological argument:

  • Craig: The e-mail says any universe that is expanding, on average, requires a beginning
  • Craig: There are two models – Aguirre & Gratton and Carroll & Chen – where there is a period of contraction before the expansion
  • Craig: The two models are the ones cited in the e-mail that Dr. Krauss showed
  • Craig: In the very paper by Vilenkin that I cited, he says that both of those models don’t work
  • Krauss: (agitated and interrupting) Vilenkin said that they have to make an assumption about entropy that they have no rationale for
  • (as Craig starts to talk Krauss makes an exaggerated, disrespectful gesture and sits down in a huff)
  • Craig: Yes, an unwarranted assumption means that they don’t have EVIDENCE for their theories being correct
  • Krauss: (agitated and interrupting) “All the evidence suggests that the universe had a beginning but WE DON’T KNOW!!!!!!!” (raising his voice)
  • Craig: I’m not saying that we know that the universe had a beginning with certainty
  • Craig: I am saying that the beginning of the universe is more probably true than false based on the evidence we have
  • Craig: And you  agree with me about that – you think the universe had a beginning
  • Krauss: (agitated and interrupting) (Unintelligible)
  • Moderator: One at a time
  • Craig: In your Vilenkin e-mail slide, at the end of the paragraph where the two models are mentioned that Vilenkin specifically shows…
  • (I am guessing that Craig is going to ask why so much of what Vilenkin wrote has been cut out of the e-mail that Krauss showed)
  • Krauss: (agitated and interrupting) Because it was technical…
  • Moderator: Lawrence! Hang on a sec!
  • Craig: He specifically shows that these models are not past eternal, and that they require a beginning just like the others…
  • Krauss: (agitated and interrupting) We can do the math if you want
  • Craig: Now wait. I couldn’t help notice that there on your slide there was a series of ellipsis points indicating missing text…
  • Krauss: (agitated and interrupting) “Yeah, because it was technical!”
  • Craig: “I wonder what you deleted from the original letter”
  • Krauss: (agitated and interrupting) “I just told you!”
  • Craig: “Now wait. Could it have been something like this:  (reads a quote from Vilenkin) ‘You can evade the theorem by postulating that the universe was contracting prior to some time. This sounds as if there is nothing wrong with having contraction prior to expansion. But the problem is that a contracting universe is highly unstable. Small perturbations would cause it to develop all sorts of messy singularities, so it would never make it to the expanding phase.’
  • Craig: “That’s Vilenkin.”
  • Krauss: “In this paper, that’s absolutely right”
  • Krauss: But it’s ok for theories to assume things that we know are wrong – they are still good theories – it’s unknown
  • (Craig turns away and looks through his papers)
  • Craig: “Isn’t it true that the only viable quantum gravity models on order today involve a beginning – have a finite past?”
  • Krauss: “No”
  • Craig: “Well, can you give us one then”
  • Krauss: (talks about a variety of possible eternal models) “In my experience in science, all of them are probably wrong”
  • Krauss: “You know most theories are wrong, which is why, you know, it’s hard”
  • Craig: “Right”

Krauss accused Dr. Craig of misrepresenting science many times in his three Australia debates, but now we know the truth about who misrepresented science.

UPDATE: This whole episode made me think of a lecture by famous physicist Richard Feynman.

Excerpt:

The first principle is that you must not fool yourself–and you are the easiest person to fool. So you have to be very careful about that. After you’ve not fooled yourself, it’s easy not to fool other scientists. You just have to be honest in a conventional way after that.

I would like to add something that’s not essential to the science, but something I kind of believe, which is that you should not fool the layman when you’re talking as a scientist. I am not trying to tell you what to do about cheating on your wife, or fooling your girlfriend, or something like that, when you’re not trying to be a scientist, but just trying to be an ordinary human being. We’ll leave those problems up to you and your rabbi.  I’m talking about a specific, extra type of integrity that is not lying, but bending over backwards to show how you are maybe wrong, that you ought to have when acting as a scientist. And this is our responsibility as scientists, certainly to other scientists, and I think to laymen.

Now given what Krauss did in the debate, it seems to me that he is not in agreement with Feynman.

UPDATE: Dr. Craig reports that Dr. Krauss refused to let the organizers live-stream the three Australia debates, as well as refusing to let the Australian Broadcasting Corporation live-broadcast the three debates.

Are you training your replacement?

I saw this post on Pastor Matt’s blog (H/T Truthbomb Apologetics), in which he talked about how William Lane Craig, the foremost Christian evangelist today, was inspiring a generation of young Christians to study hard subjects and to have an influence.

Pastor Matt then describes his own efforts with the Alliance Defense Fund, where he serves as Director of Development.

He writes:

My primary job is to serve the Christian legal ministry Alliance Defending Freedom.  Other than winning approximately 80% of our cases, we have committed to training the next generation of Christian lawyers (yes, there is such a thing).  Alliance Defending Freedom (or ADF) instituted The Blackstone Legal Fellowship to impact future generations.  We pick the top Christian law students from across the country, train them and place them in a paid internship with attorneys already fighting everyday for life, marriage and religious liberty across the globe.  The results have been tremendous.  After all, think about the impact an Ivy League law student committed to following Christ would have if properly trained in Constitutional law and given real world experience in defending the 1st Amendment? Such students go on to become federal law clerks, U.S Attorneys and federal judges.

The Blackstone program inspired me to think about applying the same to rising Christian apologists.  After all, if we lost significant ground in the culture war because we ceded academia to the left, what would happen if we identified the best and brightest committed Christians studying philosophy or science and helped them to rise to the top of their fields via a training program including internships and networking opportunities?

For example, let’s say a grad student at Houston Baptist University or the Talbot School of Theology has been accepted to study philosophy of science at Cambridge or physics at Cal Tech.  Wouldn’t it make a difference if he or she were given a chance over their summer break to spend time learning about the latest in New Testament studies from N.T. Wright and intelligent design from Stephen Meyer followed by a paid internship with the Discovery Institute or RZIM? Then think of the possibilities of linking all of these men and women through an online network and regular get togethers where they could support one another through prayer and commenting on each others’ writings. The benefits could be not only better writing but friendships that help avoid unnecessary divisions as well as maintaining the momentum Dr. Craig and others have initiated.

I’m definitely a huge fan of the ADF and Blackstone Legal Fellowship, but I have my own plan to train my replacements.

For some time now, I have been getting to know young Christians who want to make a difference for Christ and his Kingdom, and I have been encouraging them. Sometimes, that encouragement means sending money, sometimes it means sending books, sometimes it means sending care and encouragement, sometimes it means picking college courses and sometimes it means helping with homework or technical issues. Sometimes it means listening as they get through a bad break-up or deal with doubts. Sometimes it means giving them advice on courting and marriage. It could mean anything – but the goal is to build them up to have an influence.

I am a single man and have been careful to study difficult subjects and move around as necessary to find good-paying work. That leaves me in a position where I am able to spend my free time caring for these younger Christians as they grow their skills, build their resumes and get their ministries set up. I expect them all to surpass me in their achievements and influence. So although I have been able to escape my upbringing and reach some measure of success, my hope for them is that they will reach even higher than I was able to. But that’s not going to happen unless they have a vision for their lives and are supplied in order to reach their goals.

So, do you have a plan to develop influential and effective Christians who will replace you?