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Culture War Roundup for the week of June 22, 2026

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I said two months ago I would reply to a comment about this study on the mental health effects of gender transition. I have only now managed to find the time, so I'm going to post my reply as a top-level comment lest it get buried. You can find the previous discussion here.

To be honest, some of the statistical manipulation seems dubious, but that's above my pay grade, so I'm going to assume the study was conducted in good faith with no shenanigans.

In short, the study finds that, contrary to assumptions that transitioning should improve mental health, the share of people needing mental health treatment rises drastically after transition. Anti-trans people conclude that this means transition actually worsens mental health, and, hence, people should not be allowed to transition.

There's some nitpicking to be done here, for example, maybe the patients already needed mental health treatment and just found out they needed it at the same time as they found out they're transgender, or that just seeing a mental health professional regularly doesn't necessarily mean that your mental health is worse than it used to be.

But my fundamental objection is to the conclusion that no one should be allowed to transition. Suppose the anti-trans side is completely correct on the facts, that transitioning did, in fact, directly worsen the mental health of many or even most patients. There are still some patients who are better off. There are countless anecdotal reports online of people who are happier after transitioning. The most you can conclude is that the criteria for who should transition need to be changed. (If I'm interpreting the data right, the likelihood of needing mental health treatment after transitioning was higher in those born later, consistent with the rapid-onset gender dysphoria (ROGD)/social contagion hypothesis.) But if you care about people's happiness, some people should still be supported in transitioning.

Obviously if you believe all trans people are delusional and object to transition and treating people as their stated gender regardless of the effect on their mental health, this does not apply to you. But in that case the study isn't an argument you can use.

Speaking of ROGD, its rhetorical use by anti-trans people is a peculiar example of a self-contradictory motte-and-bailey: usually the bailey is a stronger version of the motte, and thus necessarily consistent with it, but here the bailey ("all trans people are delusional and none of them are their stated gender") contradicts the motte ("some trans people with a specific presentation – primarily adolescent girls – are not actually their stated gender") because the latter presupposes that some trans people are, in fact, their stated gender. If you believe all trans people are delusional, why do you care about the specific etiology of the transness of a specific subgroup of trans people? The treatment, whichever you prefer, should be the same.

I consider myself pro-trans, but I believe ROGD/social contagion may well be a real thing. If you agree about the possibility of social contagion, you should try to minimize the attention trans people receive, yet anti-trans activists have been the main publicists of transness for about a decade now – trans people really entered the mainstream with the North Carolina "bathroom bill". It used to be that you would only find information about transness if you went looking for it because you were questioning your gender, but now that trans people are everywhere (thanks to anti-trans activists), you get impressionable young people who were not predisposed to questioning their gender hearing about it and joining in for the standard reasons impressionable young people join trends. (Cf. media coverage of school shootings encouraging more school shootings – a common argument among anti-gun-control people.)

I highly doubt you're arguing in good faith here.

Obviously if you believe all trans people are delusional and object to transition and treating people as their stated gender regardless of the effect on their mental health, this does not apply to you. But in that case the study isn't an argument you can use.

Not sure who you're talking to, but that isn't the modal "anti-trans" view, and I doubt anyone has that strawman view on this forum. Sure, many trans people are delusional (the ones who merely declare they want to be treated as the other sex aren't, but the modern line that they are and always have been another sex is just obviously false). But adults are free to pursue happiness in their own way, including transitioning, and it's no big deal for me to be polite and play along with their preferences most of the time.

I suspect you know that most people's main objection is to forcing the rest of society to play along. That includes:

  • rewriting history and Wikipedia to avoid "deadnames" in a very Stalinesque/Orwellian way
  • policing of pronoun usage, with penalties ranging from loss of employment to jail
  • being forced to loudly affirm that trans people and ideologies are the bestest ever, with penalties ranging from loss of employment to jail
  • destroying the categories of "male" and "female" in all discourse
  • having no willingness to rein in (or even acknowledge) bad actors who are feigning transness as a way to invade women's spaces and sports

yet anti-trans activists have been the main publicists of transness for about a decade now

This is a hilariously absurd take. You're just shit-stirring.

rewriting history and Wikipedia to avoid "deadnames" in a very Stalinesque/Orwellian way

Wikipedia is a private organization and is allowed to set their policies as they please.

penalties ranging from loss of employment

Employers should have a right to free association and should be able to fire someone for any reason they please.

to jail

I am not aware of this ever happening in the US. There may be some other nations that have done so, but those nations also tend to be highly censorious in other areas too (like how the UK has effectively outlawed a lot of Palestine support) so it seems to be a general free speech issue with them.

being forced to loudly affirm that trans people and ideologies are the bestest ever, with penalties ranging from loss of employment to jail

Same thing with this. Employer right to free association is based, government compelling something is not.

destroying the categories of "male" and "female" in all discourse

https://slatestarcodex.com/2014/11/21/the-categories-were-made-for-man-not-man-for-the-categories/

having no willingness to rein in (or even acknowledge) bad actors who are feigning transness as a way to invade women's spaces and sports

The only instance I know of people actually trying to feign transness to enter sports was for the Daily Wire's movie LadyBallers in which they failed to get a man actually willing to undergo the transition requirements in joining the women's competitions.

Moreover, Shapiro notes that the male actors involved were not willing to undergo the necessary procedures to be able to participate on women's teams

Makes sense, nobody cares about women's sports to begin with so people aren't giving themselves hormones and surgeries for multiple years just to win in them. Every trans participant in women's sports I've heard of (the vanishingly few already) seem to have been transitioning for real and persisted even after they stopped participating.

Employers should have a right to free association and should be able to fire someone for any reason they please.

Bostock begs to differ.

Anti discrimination laws are largely bullshit and unnecessary (as any society that passes and maintains an anti discrimination law is one already broadly against discrimination) so they shouldn't really exist.

But in so much as they do exist, Bostock was a logical decision that discrimination against gay or trans employees is defacto discrimination against them for their sex, under the logic that allowing X from male employees (like certain names or clothes or medical treatments or spouses) but not female employees or vice versa requires sex discrimination.

They're not good, but it's not the court's job to decide what is and isn't good. It's to decide constitutionality and interpretation.

any society that passes and maintains an anti discrimination law is one already broadly against discrimination

Sometimes the broader society is against discrimination, while some areas within it are less enlightened. (This was approximately the case with the origin of anti-discrimination laws.)

A 'something sort of like left-libertarianism-ist' solution might be to have anti-discrimination laws, to establish non-discrimination as the baseline standard, but allow businesses to buy exemption from such, with the price going to an organisation rendering assistance to whichever group with which the business owner does not wish to associate; in a major city with fifty bakeries, forty-nine of whom will cater anyone's wedding as long as their money's good, the fiftieth would pay a purely nominal sum to an LGBTQWERTY+-*/ advocates' firm, and be allowed to have a 'one-man-one-woman weddings only' policy; in a small town with two bakeries, both of whose owners hope to attract customers who resent that gay people are permitted to keep their blood inside their bodies, the fee would be increased until either one of them yields, or someone opens a third bakery and undercuts them.