Story: "Trans teen regrets his ‘Frankenstein’ transition."

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Thorolfr:
Surgery that most people believe does serve a legitimate medical purpose or need would not usually be called “mutilation.”
I think that’s open to debate. To cut off a perfectly normal and functioning limb because the person suffers from an overpowering belief that the limb is not his, or does not belong, is surely to mutilate the body, even if it serves to bring relief to the mind.
Maybe I should rephrase what I said. Surgery that most people believe is a good remedy for a legitimate medical purpose and need would not usually be called “mutilation.”
 
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I’m just saying that treating anxiety with surgical modification of the body implies that this is all a legitmate treatment, provided the patient is not sufficiently helped by taking medications. The patient became a reptile; the next stop is dragon:
Apples and oranges. You’re comparing body modification with transgenderism. Moreover, with the transgendered, anxiety is a symptom, when it is present, and not the underlying cause. It comes from fear of losing loved ones, losing employment, discrimination, fear of discovery, etc.

Folks should understand this: it is a true medical condition with a DSM-V diagnosis and ICD-9 and ICD-10 codes. It is a well-documented medical phenomenon for which WPATH has determined treatment protocols of varying intensity designed to help the patient cope with his or her situation. They have studied this phenomenon for decades, it is not something recent.

The diagnostic criteria and treatment protocols have been established by physicians, psychologists and scientists after years of studying the phenomenon and working directly with patients.

With all due respect to individuals and the Church leaders opining on the subject without adequate scientific or medical experience nor with direct contact with the transgendered, please lay off the discrimination.

The Church’s unfortunate statement about “gender ideology” has already ensured that my trans daughter will never set foot in a Catholic Church. I’m sure she’s not alone. It has also shaken my own faith in the infallibility of the magisterium. The Church’s job is to bring people closer to God, especially the suffering which the transgendered assuredly are. Not to drive them away from God. The Church should be a shepherd leading people to God.
 
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As far as I understand it, people who suffer from gender dysphoria are not just experiencing anxiety.
I think most anxiety comes from a real source. It may be disproportionate, but it is rarely imaginary. For instance, someone who has PTSD has had neurological changes in their brain in response to a psychological trauma. Serious problems like this are not “just” anxiety no matter who has it.
Did these people also feel a disconnect between their brain, which was telling them from early childhood that they were a dragon or a feline, and the rest of their body?
I don’t know; the dragon patient is also transsexual.

I am not accusing anyone of deliberate mutilation. I am just expressing doubt that telling patients to treat their discomfort with themselves by putting on a persona that is more comfortable is inherently problematic. Surgically removing healthy body parts to accomodate the new persona is problematic. It is “you can be whatever you want” taken to an extreme, because you are expecting everyone around you to also pretend that your “past identity”–which you can hide with surgery and drugs but you really cannot change–was/is false. You do surgery and say that your completely healthy body parts were wrong, were “not you,” and the whole plan depends on this being accepted as reality by all of society? The solution is spending your life trying to “pass”? You have to admit there were people of African ancestry who had much easier lives by living as if their European ancestry was their only ancestry. That’s living? That’s the solution–to pretend to be someone born with a body you most definitely were not born with? To pretend that the male aspect or the female aspect of yourself–which are concrete and physical–were not you? In a way, it amounts to treating self-disquiet with a quasi-suicide.

Of course it could be ethical to remove the hand of someone who seems very likely to die by trying a self-amputation. The life comes ahead of the limb. In that case, though, you have someone who is seriously disturbed. That’s when you accomodate a patient’s fantasy: that is, when the patient can’t distinguish their fantasy from reality. That’s not what we’re saying is happening here, though. If anyone says the patient has a reality issue with reality, well, you can’t say that. The patient knows reality and the reality everyone else knows is FALSE. Other people are the ones with no grasp on reality. Not only is the renunciation of reality being used as a treatment, but everyone else is supposed to deny their own sense of reality in order to accomodate it. Those who say that physical gender is an important reality are being denounced as bigots. We’re falling down Alice’s rabbit hole with this one.
 
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Apples and oranges. You’re comparing body modification with transgenderism.
People who have both gender dysphoria and species dysphoria don’t seem to make the distinction you’re making. Why is that? Why is someone who has another kind of body dysphoria wrong–say, if they have ethnic dysphoria, the general population is not directed to believe they belong to a different ethnic group than their merely biological ancestors did–but if it has to do with gender, the patient knows what’s right? Only people with gender dysphoria know their reality and other people with other kinds of dysphorias concerning their body or their identity don’t? There is no internal consistency, no reason to single out primary and secondary sexual characteristics as irrelevant parts of someone’s “true” identity. That’s a red flag.

Back to the point of the thread: the patient’s dysphoria was “treated” by using irreversible surgery to create a new persona. Now the patient, realizing the first persona was not false, really is stuck with two personas. What way is there to reverse an incorrect diagnosis? There isn’t one. Yet this is being done to teens, who are notorious for suffering from sexual confusions that do not last their entire lives and for having lifelong discomfort with some aspect of themselves come to a head? That is a huge problem.
 
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With all due respect if you insist on muddling the issue by equating it with other issues, I don’t think it’s possible for us to dialogue on this topic.

I suggest that for further discussion to be fruitful, we stick to the scientifically-identified issue of transgenderism, and leave things like extreme body modifications for another thread.
 
With all due respect if you insist on muddling the issue by equating it with other issues, I don’t think it’s possible for us to dialogue on this topic.

I suggest that for further discussion to be fruitful, we stick to the scientifically-identified issue of transgenderism, and leave things like extreme body modifications for another thread.
OK, I’m a scientist. I do not see a single reason to single out gender as being an exception to treatment options for body dysmorphia, excepting the political one: that is, gender dysmorphia has become a political issue and other forms of body dysmorphia have not.

That is what happens when a medical matter becomes a political “issue.”
This makes the process sound like actions taken on a whim. The impacted individuals see it as “actions necessary to cope”.
Did you read the introductory article: the one cited on the first post?

People who are having great difficulty coping are extremely vulnerable, and yet we’re suggesting that their inner sense of who they are is the gold standard of their identity–provided it is long-standing–whereas their healthy physical organs are “wrong” and people who see their physical body as relevant to their identity are ignorant and backward.

What other part of a person’s inner experience totally trumps physical reality, provided the inner sense is durable enough? If you feel you don’t belong to a European ethnic group for long enough, your ancestors become irrelevant? You get facial reconstruction and “voila! that’s’ not my granpa?” If you have never felt you belong to the human race, then maybe you don’t?
 
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This makes the process sound like actions taken on a whim.
Well, we’ve seen the evolution from cross-dressing to transgender to gender fluid, so yeah, I’d say there’s a good chance of actions being taken on a him.
 
Well, we’ve seen the evolution from cross-dressing to transgender to gender fluid, so yeah, I’d say there’s a good chance of actions being taken on a him.
Is it your considered opinion that serious surgery such as removal of genitals, (which cannot produce particularly genuine looking and functioning results) is undertaken on a whim? Like a fancy hair cut?
 
Did you read the introductory article: the one cited on the first post?
Yes of course. Is it your view that every case is the same? I am not making a case for surgery in general nor in any particular case, but I reject the idea that every case can be categorized as acting on a whim.
 
Yes of course. Is it your view that every case is the same? I am not making a case for surgery in general nor in any particular case, but I reject the idea that every case can be categorized as acting on a whim.
Whim is your word, not mine. I’m saying that wanting to be something or deeply feeling that you ought to be something for a long time does not mean that is truly who you are. There is such a thing as objective reality, even when it is not as simple as we think when we’re small. This is a complex issue, but that doesn’t mean that physical gender is a cosmetic accident or that society ought to view it that way. Secular society may believe that our sex is an irrelevant or arbitrary aspect of ourselves, but we don’t see it that way.
 
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People who are having great difficulty coping are extremely vulnerable, and yet we’re suggesting that their inner sense of who they are is the gold standard of their identity–provided it is long-standing–whereas their healthy physical organs are “wrong” and people who see their physical body as relevant to their identity are ignorant and backward.
I’m not suggesting anything. I think you are characterizing the situation in that way. If surgery is ever justified - it is for a pragmatic reason - it is to help the person cope with a situation that is of great distress when no less serious treatment option is available.
 
I’m saying that wanting to be something or deeply feeling that you ought to be something for a long time does not mean that is truly who you are. There is such a thing as objective reality,
You miss the point entirely. It’s not about denying reality - it’s about coping with an otherwise inescapable misery. And the means are horrendous. No one should go down that path, or be advised to go down that path, unless their circumstances are truly desperate.
 
In many cases, it’s a possibility. We’ve mentioned surgeons and pharm companies being more than willing to benefit off someone’s suffering by pumping them with drugs and hacking parts off. PetraG summed it up for my as I was writing with:
wanting to be something or deeply feeling that you ought to be something for a long time does not mean that is truly who you are. There is such a thing as objective reality
The sad irony is that people tout science and evidence, yet 400 years after Jim-became-Jill passes, an archeologist will analyze them and say, “It’s a dude.”

Is it your considered opinion that people don’t frequently do things on a whim? Things with no real benefit, which may be detrimental?
 
Is it your considered opinion that people don’t frequently do things on a whim? Things with no real benefit, which may be detrimental?
Do “things” on a whim? Sure. Cut off and mutilate genitals and other body parts on a whim? Not often. There may be exceptions.
 
Can we please remember the Church’s position that gender is not something that can be changed?

I do not understand how we so easily see that other kinds of bodily dysmorphia involve a deep-seated unease with one’s personal physical reality, but in this one case it is the body that is wrong, it is physical reality that is wrong, and it is the inner sense of identity that is correct. The repeated mantra is that the depth of the inner distress proves that the patient is correct and every other piece of physical evidence is wrong. This somehow becomes proof that what the patient needs is plastic surgery, removal of healthy organs and a lifetime of artificial hormones to be their “true self.”

Why isn’t it just possible that like every other kind of dysphoria this is a case where the patient feels a great deal of difficulty in adjusting to their actual physical body? Why is this made into the exception?

The answer is that those who have this kind of dysphoria have organized themselves into a political body that insists that it is society that needs to change to accomodate their inner sense of themselves, not their inner sense that needs to adjust itself to their own body.
 
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Do “things” on a whim? Sure. Cut off and mutilate genitals and other body parts on a whim? Not often. There may be exceptions.
OK, I’ll concede “whim” may not be the best word. However, I stand by my intent which was that people do things, for strange reasons, which we may not fully understand, and encouraging them to proceed with what they “feel” with make them “happy” may not be the best way to proceed.

Example: what is the difference between a transgender individual who believes he’s a she, wants to remove his penis, and someone who says they won’t feel “right” until an arm is lopped off? Now throw gender fluid (today I’m Jack, tomorrow I’m Jill) into the mix, and you’re asking for a disaster.
 
OK, I’m a scientist.
So am I.
I do not see a single reason to single out gender as being an exception to treatment options for body dysmorphia, excepting the political one: that is, gender dysmorphia has become a political issue and other forms of body dysmorphia have not.
Can you cite me a single peer-review paper that shows that gender dysphoria and other forms of body dysmorphia are equivalent?

I can on the other hand point to papers on twin studies, and on androgen take-up by the brain being related to gene variations, and to brain structural similarities between a transgendered person’s brain, compared to that of the gender opposite to the one assigned at birth.

Here’s one:


A quote and reference:
In a review of the evidence in 2006, Gooren confirmed the earlier research as supporting the concept of transsexuality as a sexual differentiation disorder of the sex dimorphic brain.
Did you read the introductory article: the one cited on the first post?
I did. And as a scientist, I am sure you understand the concept of an “anecdote”. This story is anecdotal, and falls into the small percentage of transgendered who regret their transition. The statistics paint a far different story.
 
I am not accusing anyone of deliberate mutilation. I am just expressing doubt that telling patients to treat their discomfort with themselves by putting on a persona that is more comfortable is inherently problematic. Surgically removing healthy body parts to accomodate the new persona is problematic. It is “you can be whatever you want” taken to an extreme, because you are expecting everyone around you to also pretend that your “past identity”–which you can hide with surgery and drugs but you really cannot change–was/is false. You do surgery and say that your completely healthy body parts were wrong, were “not you,” and the whole plan depends on this being accepted as reality by all of society? The solution is spending your life trying to “pass”? You have to admit there were people of African ancestry who had much easier lives by living as if their European ancestry was their only ancestry. That’s living? That’s the solution–to pretend to be someone born with a body you most definitely were not born with? To pretend that the male aspect or the female aspect of yourself–which are concrete and physical–were not you? In a way, it amounts to treating self-disquiet with a quasi-suicide.
To start, I’m not sure that all transgender people have a “past identity” and then transition to a completely “new identity,” i.e. a “past identity” as a woman who then transition to a “new identity” as a man, for example. Their past identity might have been someone who was anatomically female who nevertheless always felt that they were male. For example, Ben Barres, the neurobiologist, describes his own experience:
As early as I can remember, I thought that I was a boy. I wanted to play with boys’ toys, play with my brother and my brother’s friends, not my sister. I was always being given girls’ toys, like Barbie…I wanted to be in the Cub Scouts so bad, and Boy Scouts. Instead I was in the Brownies, and I hated that. We were baking cookies, and I wanted to go camping…I was remembering just the other day…the Girl Scout leader yelling at me, saying, “Why do you always have to be so different, Barbara?”
Barres describes the acute discomfort he felt after reaching puberty and developing breasts:
I had this feeling of just being in the wrong body. I just started to feel very uncomfortable and in fact became uncomfortable for the rest of my life, because you have to wear dresses. If you are a doctor, you have to wear a dress to go to the clinic. You have to wear a dress of funerals and wedding. Having to go to my sister’s wedding and wear this flowery dress. These are amongst the big traumatic experiences of my life!
So, what exactly was Barres “past identity”? It certainly wasn’t one of a normal girl and woman. It was more of someone who was male but with a visible body that looked female.
 
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You miss the point entirely. It’s not about denying reality - it’s about coping with an otherwise inescapable misery. And the means are horrendous. No one should go down that path, or be advised to go down that path, unless their circumstances are truly desperate.
OK…in what other case is body dysphoria treated as an “otherwise inescapable misery”? You’re calling the means horrendous, but I don’t think that is how gender transitioning is being sold at all–and it is being sold.
 
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