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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.
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:
This is a hilariously absurd take. You're just shit-stirring.
It applies to me. All transgenders are wrong about a very obvious and easily verifiable fact. That is, literally, the definition of transgender. They confront proof of this wrongness every time they take a shower or use the toilet- hopefully, multiple times a day. They are, in other words, delusional, and playing along for the sake of their mental health is not actually any sort of obligation, except perhaps occasionally for actual mental health professionals, and not for the sake of increasing their comfort with their delusion but only for that of getting at and treating the underlying issues.
Now there are many lumped into the category of transgender who believe themselves to be something other than male and female, who identify as 'queer' or 'nonbinary'. I don't know what these categories are because these categories are not real, and while these people are wrong they're wrong about metaphysics- claiming to be something that isn't real on nonexistent philosophical grounds isn't falsifiable, it can't be delusional. But these people are not transgenders proper.
This stance does not, incidentally, actually determine whether people should be banned from transition. Not least, transition is sufficiently difficult to define as to make that hard.
I don’t understand what’s the delusion? The vast majority of trans people are acutely aware of the reality of their biological sex, otherwise they would not be taking hormones and having surgery.
Being trans is about wanting to be the opposite sex, or at least being distressed by your own biological sex and sexual characteristics. What are they wrong about?
It’s like thinking overweight people who take GLP-1 antagonists are delusional about thinking they’re actually skinny. That seems… completely backwards? There’s anorexic people who take Ozempic but the delusion is thinking they’re being fat - the equivalent would be a cis woman taking estrogen because she has a delusion that she’s biologically male. A trans woman is 100% correct about not being biologically female, which is why she’d want medical interventions instead of doing nothing!
There’s an ontological debate over the definition of the words “woman” and “man” and the whole gender vs sex kerfuffle, and some activists’ definition of “woman” is circular to the point of uselessness, but that’s a separate issue and more of a debate around values, not facts.
The delusion is in insisting that wanting to be something is exactly the same thing as being that something, which is obviously ridiculous. Honestly you are starting to sound wilfully ignorant which makes me think you are trans-identified yourself, because consistently denying reality and pretending not to understand things that have been explained to you ad nauseam is a key characteristic of trans-identified people and their allies.
But I'll bite and explain once more. According to mainstream gender ideology:
To apply this analogy, it would be like thinking that overweight people become skinny merely by expressing the desire to become skinny. And moreover, not only are they now skinny (even though they are objectively still fat), they have retroactively always been skinny, and if you deny this, you are a bigot and you will get banned for misweighting a stunning and brave transskinny person.
The fact that nobody actually thinks like this when it comes to fat people shows how ridiculous gender ideology is.
And sure, there is a type of trans person who actually tries to transition. They will take cross sex hormones, change out their wardrobe, change their behavior, and so on. Those people have at least some valid claim to be treated as the opposite sex. But importantly, gender ideology doesn't require anyone to do anything like that (claiming someone needs to transitions to be “valid” as a transgender makes you truscum which is practically as bad as being a TERF) and even if you go through all that trouble, obviously it doesn't change who you were before your transition, although gender ideologues will insist that who you were in the past depends entirely on what you identify as today.
My understanding of the matter is more:
The premise that gender is merely a separate thing from sex was used as a foot in the door twenty years ago. No modern gender ideologue operates on the basis that biological sex is real and important today.
If you disagree, I will ask you the same thing as I asked Rae: go ahead edit the fact that Imane Khelif is male and that Elliot Page is female into their respective Wikipedia pages. If you manage to do that, I will concede that gender ideologues in the real world separate sex from gender identity.
Sure, that's what gender ideologues believe, but why shouldn't it be? Especially if they use their false claim to get special privileges, like Imane Khelif falsely claiming to be a woman to compete in the women's boxing tournament.
Again, that's perfectly reasonable up to the point where they make false claims to access resources they shouldn't have access to. The analogy fails because people with embarassing skin conditions or missing limbs don't generally claim to have flawless complexions or complete bodies.
The closest case I can think of is someone like Oscar Pistorius who is a sprinter with artifical legs who was eventually banned from competing against natural humans because he had an advantage over regular athletes. If we can ban Pistorius from men's sports, why can't we ban Khelif from women's sports?
Also, the euphemistic "should" in "should keep that to yourself" is playing the part of a motte. I have no problem with the idea that it's just as impolite to point out that a transwoman looks ridiculous as it is to call attention to somebody's missing arm (although I would hope the transwoman had someone in their life who was honest with them). The actual bailey is "you MUST keep that to yourself, or you are a declared Enemy and we will publicly advocate for doxxing you, getting you fired, and (in the UK, at least) jailing you".
I agree. Part of the problem with the skin condition analogy is that the issue doesn't normally come up in ordinary life. The way you address a person isn't normally based on whether the person has clear skin. By contrast, you normally call a person "sir" or "ma'am" based on whether they are male or female. Similarly, people don't use a particular locker room based on whether or not they have a skin condition.
I think A better analogy would be if people with serious skin conditions were given access to special resources, for example more convenient parking spaces during the summer months so that they wouldn't have to spend as much time walking outdoors. And if a person with perfectly healthy skin was permitted to identify as having a skin condition and take advantage of this special access. And if anyone who complained about the situation (or who didn't go along with pretending that the person had a skin condition) were ostracized.
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