Suppose I were to accept one of the common rallying cries of trans-antagonism: “Trans is a mental disorder.” I can completely sidestep the semantics of what should qualify as a “disorder” simply by replying “Sure. And then what?” There’s never any clear roadmap. “Therapy.” Well I went to therapy. That’s why I transitioned. >_>
It’s a simple and superficially appealing line of reasoning. It’s also completely wrong.
Those making this argument seek to apply the expertise of psychology and psychiatry – yet they wholly disregard the expert consensus of those fields on the treatment of gender dysphoria. The American Psychiatric Association, publisher of the DSM, stated in a 2012 report that “Overall, the evidence suggests that sex reassignment is associated with an improved sense of well-being in the majority of cases”, and “Gender transition can foster social adjustment, improve self-esteem, and relieve the anxiety and mood symptoms that can accompany gender dysphoria” (Byne et al., 2012). In a position statement, the APA concluded that transition is beneficial and medically necessary (Drescher, Haller, & APA Caucus of Lesbian, Gay and Bisexual Psychiatrists, 2012):
Zinnia Jones discusses more here.
-Shiv
Marcus Ranum says
One of the nice things about psychology is that it can support so many positions, having changed its mind so often – just pick whatever version of DSM suits. They used to say homosexuality was a moral flaw, then a disorder, now it’s a way of being – etc. That has vastly more to do with lobbying within the APA and nothing to do with there being some kind of identifiable and detectable state. (I am not saying there is not, but rather that there appears to be but psychologists don’t know any more about it than anyone else)
Steve Caldwell says
Marcus Ranum wrote:
Yes, some of this was due to lobbying the APA to change the DSM.
However, part of that lobbying included research from Dr. Evelyn Hooker:
Source — http://www.apa.org/monitor/2011/02/myth-buster.aspx
Siobhan says
@1 Marcus Ranum
For a former student in psychology, you do strike me as strangely unaware of inter-faction bickering within the field of psychology. Not all methodologies are created equal, and while true double-blind tests are unlikely to be approved by an ethics board, it’s not like we are completely without data. The APA, particularly the section on gender & sexuality, has been the victim of an extended chokehold by a bunch of crusty sexologists, whose research continues to crumble under examination and reproduction by less motivated thinkers. It’s not simply “lobbying,” it’s people outside of the pet research projects trying to put these methods to the test and reporting their findings (or lack thereof).
We can endeavour to improve the quality of that data, sure, but poo-pooing everything I post, simply because “it’s psychology,” isn’t really getting anywhere. I’m sure I don’t have to explain to you that a field of science adjusting its consensus to new evidence is how science is supposed to work. If that’s an indictment against psychology then, shit, dude, we can’t know anything.