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Culture War Roundup for the week of December 12, 2022

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I just came across a word that I feel could be very useful in the trans debate: signalment. Specifically, I'm inspired by the way the term is used in verterinary medicine.

Signalment is a complete description of the patient including species, breed, age and date of birth, sex and reproductive status, whether the animal is neutered or intact.

I feel like this term captures an important point I've seen brought up in a few contexts - that a person's status as transgender might matter to their doctor, and their sexual partners, but it doesn't matter much to their social interactions in ~90% of cases. "Signalment" seems to capture the idea of "medically necessary information needed by a physician to narrow down their search space and provide quality care." Just as it might be important to know that dalmations are more prone to bladder stones than other breeds, it might be important to know that a patient is "Female, with a hysterectomy, and on testosterone for the last 3 years" because that might provide unique medical information that could be useful to the proper treatment of a patient.

I think it also bypasses some of the issues people take with terms like "biological sex" or "gametic sex."

Instead of saying, "Your biological sex is still male though", to a transwoman, you could instead say, "Your sex signalment is 'male, orchiectomy, testosterone blockers and estrogen for 5 years.'"

Then we could have the following distinction:

  • Signalment: All the medically relevant information about a patient.

  • Courtesy title (honorific), personal pronouns and gender identity: All of the social information that will make interacting with the patient easier.

So a patient might be Miss Tiffany Lewis [she/her, woman], with a sex signalment of "male, orchiectomy, testosterone blockers and estrogen for 5 years."

While I applaud the attempt, I don't think you can solve anything this way. At its core, the trans debate is a values debate, not a confusion of terminology. The left-ish side (as I understand it, not trying to strawman) is that you need to do whatever you can to respect people's feelings, and that this stuff is all socially constructed anyway. So if John says he's Jane now, then you owe it to Jane to try to be courteous by respecting her decision. The right-ish side is that while respecting people's feelings is important, recognizing objective reality is more important. And if John says he's Jane now, yeah no he can't become John just by fiat. He's a man who wears dresses and got his genitals removed, not actually a woman (which is something we simply do not have the medical technology to grant at this time).

There's nuance to this, and it's basically impossible to boil everything down to a simple "this vs that" idea. I have no doubt that there are many people on both sides of the trans debate whose positions I didn't capture. In fact, I know there's a religious argument I didn't touch on and really is kind of orthogonal to the "anti" perspective I gave. But the point is, even though many different values exist in this soup, the fundamental issue is one of values. If it were a terminology issue, then it would've been resolved ages ago. So as much as I think your post is well-intentioned, I think it's also fundamentally incapable of actually resolving anything.

A large part of the anti-trans side, such as the religious people you mentioned, wouldn't accept Jane as a woman even if we had magical-level medical technology.

As for those who do accept that medical technology currently cannot make Jane "actually a woman", but it might be able to do so in the future – and I am assuming you belong to this group – I have to ask: what is a woman? What medical procedure would Jane need to "actually" become a woman?

Is it about external appearance? In that case, Jane can already easily get very convincing breasts, and it is my understanding that a convincing neovagina can also be created, though this is more complicated than breasts. The neovagina wouldn't be able to provide lubrication for sex, but we're talking about appearance.

Is it about reproduction? Medicine isn't very close to allowing trans women to get pregnant, but if this is needed for a woman to be "actually a woman", then plenty of cisgender women who are unable to get pregnant would also be excluded.

Is it about genetics and chromosomes? Now we get into various intersex conditions, and again we risk excluding cisgender women, or even including cisgender men.


P.S. Note the complete absence of trans men in your comment, and their near-total absence in the broader debate. To me this indicates that concerns about trans women are not fundamentally rational, but that they are the result of some sort of deep-seated emotional concern about purity, or about women's safety (the latter indicative of a misandrist view that men are inherently dangerous). If there are people here who believe trans men aren't actually men, I kindly ask that they also provide the criteria for distinguishing men from non-men.

The religious acceptance thing isn't as clear cut as you think. Christians for instance have a long history with intersex people.

...Emperor Justinian's Digest of Roman law incorporated the statement of Ulpian, "The question has been asked:—according to which sex are hermaphrodites to be treated? but I should say on the whole that they ought to be treated as having the sex which predominates in them."

...The theologians of the School of Salamanca consider the case of a predominantly male hermaphrodite who has been ordained to the priesthood, licitly or illicitly, in whom the female sex has begun to predominate on account of ageing. They say "by reason of the changed sex" this person could no longer validly consecrate the Eucharist; the priestly character would remain in the soul, but would now be in the soul of a person not capable of exercising orders, just as a priest who has died can no longer consecrate the Eucharist. Considering the case of a woman who, "nature itself breaking out," is spontaneously transformed into a man, which they say Pliny the Elder testifies is not only possible but has in fact happened, the Salmanticenses say this man could be validly ordained, but unless the matter can be hidden, it cannot be done on account of the astonishment and scandal to those who would see someone they had known as a woman ministering at the altar.

So there is some discussion where someone who can perform the male role in sex can be a priest, even if they haven't always been able to perform the male role in intercourse.

However, that's a natural development of an intersex person's body. It's interesting that they talk about "nature itself breaking out." I don't think Christians will ever encourage someone to artificially change their sex, or believe that artificial changes are sufficient to actually change sex.

The reason for this is the steelmanned definition of sex. A woman is a member of the species homo sapien who, if her body develops in a healthy manner, will be able to conceive and bear children between adolescence and menopause. In this definition I do not even go into chromosomes, someone with a Y chromosome can also sometimes become pregnant without medical intervention. The definition also acknowledges that women may not always be able to conceive, there are many reasons for a women to be infertile. These are either due to a natural cycle of fertility/infertility, or due to some sort of disease.

This published gender philosopher provides a very good explanation of what people mean when they say female or male, and how that relates to woman/man. Quoting the most relevant part:

In all these very mundane statements in biology - the heart pumps blood, the kidneys filter waste - there's an implicit 'when functioning properly' qualifier in the statement.. And the same thing goes for biological sex. To say that a male produces sperm isn't to say that producing sperm is actually necessary to be a male. It just says that "when functioning properly" at least in the adult form, at some level of maturation, we are going to get sperm production.

A woman is someone who, if she cannot become pregnant during any part of her lifecycle, has a medical problem. Her inability to become pregnant needs an explanation. A man's inability to become pregnant needs no explanation.

I don’t think theological speculation as to the treatment of people with rare birth defects is a helpful compendium to Christian views on sex and gender more broadly.

I think looking at edge cases are helpful when trying to determine underlying principles. The very rare birth defect category shows us what questions Christians were asking, what details were being considered and weighed, how these details were applied.