140 Comments

Bravo! Thank you for helping us to articulate the nuances here. I need to read this over and over again

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I actually think it's doing these individuals a disservice even if it may end up being protective of their physical bodies. (And maybe this is more important - given how clear the literature is that most teens are comfortable in their sexed bodies if allowed to proceed through their genetic puberty.)

However - for those who aren't, I think therapy helping them learn to be ok with their bodies is important. Nobody would encourage an anorexic to skip meals and lose more weight because she sees herself as fat. (Purposefully using feminine pronouns as most anorexics are female.) Nobody seriously proposes severing the spinal cord of someone who can walk because they identify as a quadrapalegic. And yet somehow when it comes to the basic parts of the human body, they're fine to just chop them off or turn them inside out? Give me a break.

Trans should be treated no differently than anorexia or other types of body dysmorphia. Just because someone feels a certain way doesn't make it true. Provide them with psychological supports to become ok with the facts of their situation - it's the most kind and caring course of action.

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I hope your optimism is warranted but I think the gender predators will find a way around this by pathologising the body itself, e.g. I've heard that some surgeons in the US have referred, officially, to breasts that a patient wants to be rid of as "abnormal structures" that need to be removed and from what I gathered, the insurance company went along with this. Other activist doctors, at least in Australia, have referred to unwanted body parts as "birth defects". It's a scary world when science loses its mind.

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Wow - "...no disease, but there is diagnosis and treatment." I hope the pendulum continues to swing in our direction and that this nightmare will soon stop! "It's just a way of being. It's not a problem." Perhaps because there is so much confusion in the medical field that that is the problem! Clearly one hand does not seem to know what the other hand is doing just like the trusted physiologists and the revered surgeons as neither "expert" has the correct solution. Why can we all see this as a severe social contagion, and they cannot? Oh, I forgot that it is really about the money! Why else would anyone want to harm a healthy child's mind and body with drugs and surgeries?

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MENTAL "Condition"

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'Gender dysphoria' are just 2 words fueling all sorts of industry. Those in charge could care less about people's distress. They have made believers out of a society though and found plenty of minions to do the job of fueling the 'gender' craze. It seems there is a migration from healthcare to corporate ventures. Take Neuralink as an example. Removing sex opens doors. Replacing 'gate keeping' with 'bodily autonomy' is key for business ventures. How they justify payment is anyone's guess. Humans cannot be removed from their nature though. It all seems destined to ultimately fail but they will not go lightly into the night. In the process, many more will be hurt.

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It is my opinion that the change is financial, not because the medical community is more thoughtful.

Lawsuits are coming about now from the de-transitioning young adults. Insurance companies aren’t willing to take the hot for this tragedy we have implemented on our children. Yes for cosmetic reasons.

On another note someone mentioned California and our awful laws related to transitioning children and being a sanctuary state, shame on us.

I am a Licensed Marriage & Family Therapist in San Diego and just wrote a Substack on what my professional organization is doing here in California.

You can find it under Nonie Levi’s Substack titled “Fox in the Hen House”

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The author made the key point, which is a bridge too far for many because the Overton window has already moved. The trans disorder social evolution is following the same path as the homosexuality disorder evolution. Homosexuality never became not a disorder in the natural ethos. It became not a disorder in social consciousness because of political pressure and threats of violence. It is still a disorder. Gender dysphoria will never become not a disorder in the natural ethos.

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Gender dysphoria (in the clinical sense) has always reminded me of Body Integrity Disorder (BID), where seemingly healthy people wish for a part of their body to be amputated. And then, they feel relieved. I personally don’t mind people doing it, and it seems to be the case that they do feel better mentally after all, but I’d definitely consider it pathological. “Gender dysphoria” replaced the term “Gender identity disorder”, which is still consider a better fit.

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I have read so much and listened to so many podcasts about this issue, that I cannot recall the source, but I remember somebody (maybe Eliza Mondegreen?) mentioning that, to get treatments and procedures covered by health care that were NOT covered, doctors made up codes. That is, they would make sure that the "patient" would get a procedure by writing down the code for something that they, and the patient, knew was made-up.

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I totally balk when I see any even vaguely medical organization use that incorrect phrase "assigned at birth". When a baby is born, assumptions are made; no one assigns us a species at birth because this is determined by parentage. Same goes for sex; there is a "choice" of two, but it's an easy pick that no one needs any training for. Gender in its current context is immaterial and irrelevant until puberty.

One thing you can be sure of. The trans lobby will fight tooth and nail to walk that increasingly fine line between "mental health condition" and "hey, we're just normal folx who expect you to bow down before us". As long as they can find a way to get others to pay for their self-harming habit, they're good. https://lucyleader.substack.com/p/sticks-and-stone-can-break-my-bones

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You have superb logic! No disease, no problem. Nothing to cure, nothing to code.

What I have found curious is this- if there is incongruity between one’s mind and body, why do they always look to “fix” the body and not the mind?

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There is no such thing really as "gender dysphoria" because humans do not have gender.

The feeling that one is "in the wrong body" or should have been born the opposite sex is a delusion. This is a symptom, an indication of a deeper problem. A symptom is not a condition or identity on its own.

In males it can be autogynephilia, pornography addiction, schizophrenia, etc. In females, it can be past childhood sexual abuse, autism, depression, etc. It's not the same for every single person, and there can be overlap.

It's not a "way of being." It's a delusion and a symptom of a deeper problem. The medical industry today is fueled by profit and controlled by subversive billionaires. Their opinions are generally worthless. They used to push lobotomies, cigarettes for health, and opioids for anyone and everyone. Meaningless sheep for the most part.

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This!!!

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Thank you very much for this thoughtful essay. Although, I fundamentally agree with you, much of what's driving this issue is a basic misunderstanding of biological psychology. There is, of course, no distinction between "body" and "mind", and the subjective psychological perceptions of oneself have a complex set of (biological) causes which differ from individual to individual. https://everythingisbiology.substack.com/p/there-is-biological-evidence-for

Let's be frank: Some people actually think they're lizards. It doesn't make a difference what the DSM says, or what anybody else thinks about lizard people.

https://everythingisbiology.substack.com/p/hallucinating-your-inner-trans-reptile

The key question is this: Should we be hormonally and surgically altering our children because they have a reptile fantasy (real or imagined)? Or, should we (let parents) shepherd them into adulthood unharmed and unmutilated until they can make a wise and informed decision about their self-perceptions? All of the other psychological mumbo-jumbo — and I say this as a biological psychologist — doesn't matter, no matter who spouts the baloney. And, quite frankly, many of the opinions on BOTH sides of the issue are based on misunderstandings of the biology. Dueling points of view are not what's needed. We need simple, pragmatic, compassionate and ethical behavior on everybody's part. Trying to find supporting points of view (for anyone's particular opinion) in the psychological literature is fruitless. You can find studies that will support virtually anything. That's because much of the psychological literature is five decades behind the field of neuroscience. No amount of "logical" argumentation will solve this problem. The solution will only come when people apply loving compassion and thoughtfulness to the *sincere* distresses in which others find themselves without thought for their own narcissistic or ideological points of view. Again, thank you very much for this great essay. Sincerely, Frederick

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