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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.
How have I denied reality? I guess we can argue over the proportions of people with extreme beliefs about gender. I’m not even saying I agree with the mainstream pro trans position, I don’t, but I feel like you’re painting a straw man here.
Anyone who believes trans people literally become the opposite sex by self declaration is delusional and an idiot. That might be a big proportion of people arguing online about it, I don’t know, but I’ve thankfully never met anyone who believed that IRL.
That is so stupid it has so be a straw man or a minority of hardcore activists that don’t represent most trans people (which I have never encountered). Trans activists are all about separating gender from sex, and saying you being a man or a woman is different from you being male or female. That’s why there’s the whole “what is a woman” debate, otherwise how would that work, would they believe you can spontaneously manifest a uterus by believing you have one?
This is the vast majority of trans people I know, at least for hormones and wardrobe, behaviour is somewhat hit or miss.
Guess I’m as bad as a TERF then. If you make no attempt to present as a woman before going to the woman’s bathroom or locker room, obviously you might make people uncomfortable and they wouldn’t be out of bounds in asking you to leave.
What we're all is trying to drill into you is that the absurd things we describe are not strawmen. They are official policy and actual law in many places.
Yes! This makes you as bad as a TERF! Your common sense here is - and I want to emphasize that this is not hyperbole or exaggeration - against the law in California. You cannot ask a man not to use the women's shower, as this constitutes discrimination against their self-declared gender. The relevant law is the Unruh Civil Rights Act, which includes "gender identity and gender expression" as protected categories.
Here is one attempt to fix this with legislation. The site Trans Legislation Tracker declares that this is an anti-trans bill. Their own hostile summary includes this: "The Legislature finds and declares [...] Gender identity is fluid, and there is no ability for a commercial enterprise to determine if an individual's claim of a gender identity is sincere or is a pretext to obtain access to the opposite sex's intimate spaces." Which is absolutely correct! Just the acknowledgement that bad actors exist is treated as anti-trans!
You need to get your head out of the sand. Trans-aligned politics is absolutely bonkers. The vast majority of us allegedly "anti-trans" folks aren't being bigots; we're just trying to restore a measure of normalcy.
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