Is Anon here looking for a debate? Because my argumentative ass wrote a 7 page paper on LGBT Rights that touches on how being trans isn’t a mental illness. If they want an argument I’ll give ‘em an argument. A two-part argument in fact. Part I will address the “mental disorder” claim, Part II will discuss dysphoria because those quotes imply transitioning isn’t a “real treatment.”
“In Beyond Bathrooms – Meeting the Health Needs of Transgender People, previous statements pertaining to health care are supported, as well as the fact that Gender Dysphoria, unlike Body Dysmorphia, is a legitimate problem where physically altering the body is not a cosmetic desire, but a medical need. Unlike Dysmorphia, Dysphoria is a result of trans individuals’ brains developing closer to that of a cis person of the same gender rather than the sex they were assigned at birth. Ergo, a female to male individual has a male brain, and the brain cannot connect with the physical body it is in because that body does not align with the gender the brain exhibits, and this disconnect is the root of Dysphoria.” -My own essay
(I wasn’t going to put this under a read more but man, it’s long.)
Part I
“In 2013, the American Psychiatric Association (APA) revised its guidelines to indicate that being transgender is not a mental disorder and that genderaffirming treatments are a valid focus of care for people who desire them; the APA has included gender dysphoria in its guidelines partly to cover people who have substantial distress or impairment and to ensure access to and coverage of desired medical interventions and treatments.” - Beyond Bathrooms, pg. 103 (Schuster, Mark A., et al. “Beyond Bathrooms–Meeting the Health Needs of Transgender People.” New England Journal of Medicine, vol. 375, no. 2, 14 July 2016, pp. 101-103. doi:10.1056/NEJMp1605912.)
Oh look, one source (note the doi) and anon’s claim falls flat. Is my work here finished? Hell no. Anybody with common sense knows better than to think that just because one source says something then it’s the absolute truth.
So fuck it, let’s find more sources- Academic Journals to be exact. We aren’t going to cite NatGeo here mate, we’re going to look at legitimate sources. And, since anon sounds like they’ve been stuck under a rock for a century, an Academic/Scholarly Article/Journal is an article written by experts (think PhD), peer reviewed by other experts, and published for the sake of spreading knowledge. They can usually be found through a Digital Object Identifier (doi) code. I’ll also provide links to the full articles, or where they can be purchased if the full text is not available for free. You’re welcome.
Vanderhorst, Blaise. “Whither Lies the Self: Intersex and Transgender Individuals and a Proposal for Brain-Based Legal Sex.” Harvard Law & Policy Review, vol. 9, no. 1, Jan. 2015, pp. 241-274.
“It is in the brain that individual identity lies, and indeed, gender identity. Scientists aided by powerful imaging technologies have discovered that that there are slight, but noticeable differences in brain structure between the male and female brain. Scientists have also discovered that transgender individuals, both before and after hormone therapy, have brains that correspond more to their identified gender than to their genetic or anatomic sex.” (pg. 244)
“A growing body of evidence demonstrates that gender identity is the result of neurological phenomena, and thus is an innate characteristic.” (pg. 245)
“Regardless, this article stands for the proposition that “neurological sex,” as expressed by the gender identity of the individual, is the only rational and humane criteria for legal sex, and that it would benefit intersex and transgender individuals if it was adopted as the universal standard.” (pg. 246)
Kreukels, Baudewijntje P.C. and Antonio Guillamon. “Neuroimaging Studies in People with Gender Incongruence.” International Review of Psychiatry, vol. 28, no. 1, Feb. 2016, pp. 120-128. doi:10.3109/09540261.2015.1113163.
“The current review gives an overview of brain studies in transgender people. First, we describe studies into the aetiology of feelings of gender incongruence, primarily addressing the sexual differentiation hypothesis: does the brain of transgender individuals resemble that of their natal sex, or that of their experienced gender? Findings from neuroimaging studies focusing on brain structure suggest that the brain phenotypes of trans women (MtF) and trans men (FtM) differ in various ways from control men and women with feminine, masculine, demasculinized and defeminized features.” (Abstract)
“Nevertheless, a brain phenotype becomes apparent from DTI and CTh in early onset androphilic MtF and gynephilic FtM. Their gross morphology is similar to their natal sex, but white matter microstructure is demasculinized in androphilic MtF and masculinized in gynephilic FtM.” (Discussion)
“A difference in brain phenotype of people with GI compared to natal sex controls in various brain measures suggests a sex-atypical development of the brain.” (Discussion)
“After no more than seven months of cross-sex hormone treatment, we see decreased intracranial brain volume in MtF compared to controls, a generalized decrease in CTh and an expansion of the ventricles. After androgenization, an increase in intracranial volume and hypothalamus volumes and increases in CTh have been found in FtM. Suppression of androgens and/or the deleterious effects of estradiol may induce the decreases in MtF, whereas increases in FtM may be the result of anabolic effects of testosterone. These ideas are, at least with respect to estradiol, supported by the detrimental effects on the morphology of the brain of post-menopausal substitution therapy.“ (Discussion)
Mueller, Sven C., et al. “Circulating Androgens Correlate with Resting-State MRI in Transgender Men.” Psychoneuroendocrinology, vol. 73, Nov. 2016, pp. 91-98. doi:10.1016/j.psyneuen.2016.07.212.
“Highlights
Lack of general information how cross-sex hormonal treatment impacts resting-state (rs) function.
[omitted]
rsfMRI was similar in transgender men and natal men relative to natal women in the cerebellum and frontal cortex.
The androgenization effect in transgender men in the cerebellum was associated with treatment duration.
Data provide first evidence for masculinization in rsMRI in cross sex hormone treated transgender men.” (Highlights)
“The results showed differences between transgender persons and non-transgender comparisons on both LFF and ReHo measures in the frontal cortex, medial temporal lobe, and cerebellum. More interestingly, circulating androgens correlated for TM in the cerebellum and regions of the frontal cortex, an effect that was associated with treatment duration in the cerebellum. By comparison, no associations were found for TW with estrogens. These data provide first evidence for a potential masculinization of local functional connectivity in hormonally-treated transgender men.” (Abstract)
Santarnecchi, E., et al. “Intrinsic Cerebral Connectivity Analysis in an Untreated Female-To-Male Transsexual Subject: A First Attempt Using Resting-State Fmri.” Neuroendocrinology, vol. 96, no. 3, Nov. 2012, pp. 188-193. doi:10.1159/000342001.
“Transsexualism is a gender identity disorder whose symptomatology could involve cognitive, neurobiological and psychological variance from biological sex standard. Several evidences support the hypothesis of a structural and functional brain reorganization in transgender subjects, with a different impact for male-to-female and female-to-male (FtM) subjects. Here we used resting-state fMRI to understand the similarities between the spontaneous brain connectivity of an untreated FtM subject and two male and female control groups.” (Abstract)
Note: this was published in 2012, before the APA changed the guidelines
Well, now we’re up to five Scholarly Articles. Five articles that can all be used to conclude that being trans is not a mental illness or disorder; the brain physically developed in a way that differs from what was expected. Just to be sure let’s check the APA’s transgender page:
Q: Is being transgender a mental disorder?
A: A psychological state is considered a mental disorder only if it causes significant distress or disability. Many transgender people do not experience their gender as distressing or disabling, which implies that identifying as transgender does not constitute a mental disorder. For these individuals, the significant problem is finding affordable resources, such as counseling, hormone therapy, medical procedures and the social support necessary to freely express their gender identity and minimize discrimination. Many other obstacles may lead to distress, including a lack of acceptance within society, direct or indirect experiences with discrimination, or assault. These experiences may lead many transgender people to suffer with anxiety, depression or related disorders at higher rates than nontransgender persons.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), people who experience intense, persistent gender incongruence can be given the diagnosis of “gender dysphoria.” Some contend that the diagnosis inappropriately pathologizes gender noncongruence and should be eliminated. Others argue that it is essential to retain the diagnosis to ensure access to care. The International Classification of Diseases (ICD) is under revision and there may be changes to its current classification of intense persistent gender incongruence as “gender identity disorder.”
Well, anon, the APA says being trans is not a mental disorder. Are you going to tell the APA they’re wrong?
Part II
Gender Dysphoria, here’s a definition, is a legitimate medical diagnosis. There are ways to lessen the symptoms, thus it is treatable. However, due to the nature of Gender Dysphoria it cannot be cured. Transitioning dulls the symptoms, therefore it is a treatment for people who experience dysphoria. Dysphoria is not synonymous with Body Dysmorphia, which is a mental illness and is treated through counseling/therapy.
Continuing off from “ the brain physically developed in a way that differs from what was expected.” Because the brain is physically different the only way to treat dysphoria is through altering everything else until the brain is comfortable with the body it’s in. Therapy cannot alter the physical makeup of the brain. Before I hear anyone try to suggest giving a trans man more estrogen or a trans woman more testosterone, consider the following: go read up about boys who had too much snipped off after birth and were forced into presenting as female. I’m not googling any for you, but I can say without a doubt that they don’t turn out okay. The same goes for trans people: things go south when you make them be something they aren’t. You can’t make a cis person be trans, and you can’t make a trans person be cis. Transitioning is a treatment, not a “treatment.”
Lastly, transitioning is not solely a medical process. It is a long social, legal, and medical process. It’s nothing like electroshock therapy and pills are the only thing between me and being a dysfunctional human being, so shut your trap. And it doesn’t make people happy; it allows them to live in comfort. Some people may derive joy from making strides in the process, but ultimately it only muffles the voices of dysphoria. Some people might feel as though they no longer experience dysphoria, others may still be haunted by it. There is no guarantee that transitioning will rid a person of their dysphoria.
Counterarguments will only be accepted if they include multiple academic sources.
hi, excuse me but, do you not believe that trans people have a mental disorder ???? it is scientifically proven... and you seem to take the words "mental disorder" as something horrible. it's not. and it can be helped. not in some freaky pill poppin electroshock way... but transitioning is what makes people with gender dysphoria happy. it is. a "treatment"?
Yeah and gay people were classified as “mentally ill” until the 80s you fuck, get this shit out of my inbox and stop demonizing trans people and the mentally ill.
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