[The full post is ~5300 words and way way too long for the Motte's 20k character limit but I'm posting as much as I can fit.]
If you've ever been curious about the etymology of cis and trans as prefixes, just know they're Latin for "the same side of" and "the other side of", respectively. These prefixes are widely used in organic chemistry to distinguish between molecules that have the exact same atoms with a different spatial arrangement. Notice, for example, how in the cis isomer below on the left, chlorine atoms are oriented toward the "same side" as each other, but on the "other side" of each other in the trans isomer.
[chlorine on hydrogen action too hot for the motte]
The dashed line is just me simplifying the geometric comparison plane (the E-Z convention is much more precise in this respect), but regardless, this is meant only to illustrate how talk of cis or trans is necessarily one of *relative positioning. *A single solitary point floating in space cannot be described as the same or other "side" of anything when there is nothing else to contrast it against.
Now this is just organic chemistry, not real life, but the cis/trans convention is applied consistently elsewhere. In the context relevant to this post, "sex" and "gender" are the two anchor points --- the two chlorine atoms in the dichloroethene molecule of life --- and their relative resonance/dissonance relative to each other is the very definition of cis/trans gender identity. To avoid any ambiguity, I use sex to refer to one's biological role in reproduction (strictly binary), while gender is the fuzzy spectrum of sex-based societal expectations about how one is supposed to act. If your sex and gender identity "align", then you are considered cis; if they don't, then you are trans. Same side versus other side.
But what does it mean for sex and gender identity to "align"? There is an obvious answer to this question, but it is peculiarly difficult to encounter it transparently out in the wild. For reasons outlined below, I will argue that the elusiveness is completely intentional.
More than two years ago I wrote a post that got me put on a watch list, called Do Trans People Exist?. The question mark was barely a hedge and the theory I outlined remains straightforward:
I'm starting to think that trans people do not exist. What I mean by this is that I'm finding myself drawn towards an alternative theory that when someone identifies as trans, they've fallen prey to a gender conformity system that is too rigid.
Two years on and I maintain my assertion remains trivially true. One change I would make is avoiding the "fallen prey" language because I have no idea whether the rigidity is nascent to and incubated by the trans community (for whatever reasons), or if it's just an enduring consequence of society's extant gender conformity system (no matter how much liberal society tells itself otherwise). If you disagree with my assertion, it's actually super-duper easy to refute it; all anyone needs to do is offer up a coherent description of either cis or trans gender identity void of any reference to gender stereotypes. But I'd be asking for the impossible here, because the essence of these concepts is to describe the resonance or dissonance that exists between one's biological reality (sex) and the accordant societal expectations imposed (gender). Unless you internalize or assimilate society's gender expectations, unless you accede to them and capitulate that they're worth respecting and paying attention to as a guiding lodestar, concepts like "gender dysphoria" are fundamentally moot. A single point cannot resonate or clash with itself, as these dynamics necessitate interaction between distinct elements.
The position I'm arguing is nothing new. The Oxford philosopher Rebecca Reilly-Cooper had already established the incoherencies inherent within this framework conclusively and with impeccable clarity in this lecture she gave way back in 2016 (website form). It's wild how her arguments remain perfectly relevant today, and if anyone has attempted a refutation I have not encountered it. And yet this remains a controversial position to stake, but not because it's wrong. Rather, I believe, it's because of how insulting it is to be accused of reifying any system of stereotypes nowadays.
In case it needs to be said, stereotypes can occasionally offer useful shortcuts, but their inherent overgeneralization risks flattening reality into inaccuracy. The major risk relevant to this discussion is when stereotypes crystallize into concrete expectations, suffocating individual expression with either forced conformity due to perceived group membership, or feelings of alienation due to perceived incongruence. The indignation to my position is also understandable given how the foundational ethos of the queer liberation movement was a rejection of gender normativity's constraints.
You're not obligated to take my word for this, but I do tend to feel an immense discomfort whenever I hold a position that is purportedly controversial, and yet I'm unable to steelman any plausible refutations --- a sense of "I must be missing something, it can't be this obvious" type deal. I did try to bridge the chasm of inscrutability when I wrote What Boston Can Teach Us About What a Woman Is. My plea to everyone was to jettison the ambiguous semantic topography within this topic and replace it with concrete specifics:
To the extent that woman is a cluster of traits, I struggle to contemplate a scenario where communicating the cluster is a more efficient or more thoughtful method of communication than just communicating the specific pertinent trait. Just tell me what you want me to know directly. Use other words if need be.
Because right now it's a complete fucking riddle to me if someone discloses that they "identify as a woman" or whatever. What, exactly, am I supposed to do with this new information? Suggesting that stereotypes are the referent is met with umbrage and steadfast denials, but if not that, then what? Over the years I've tried earnestly to learn by asking questions and seeking out resources, and what I've repeatedly experienced is a marked reluctance to offer up anything more than the vaguest of details.
The ambiguity I'm referring to isn't absolute, however, and there are two notable exceptions worth briefly addressing: body modifications and preferred pronouns.
Sex does not only determine whether an individual produces large or small gametes --- an entire armory of secondary characteristics comes along for the ride, whether you like it or not. If a female happens to be distressed by their breasts and wants them removed, you could describe this scenario in two very different ways. One is that this person "identifies as a man" and their (very obviously female) breasts serve as a distressing monument that something is "off". The other way is that this person is simply distressed by their breasts, full stop, without any of the gender-related accoutrements. [These two options are not necessarily exhaustive, and I'm open to other potential interpretations.]
Is there any difference between these two approaches? The first framework adds a multitude of vexing, unanswerable questions (Does comfort with one's secondary sex characteristics require some sort of "affirmation gene" that trans people unfortunately lack? Is the problem some sort of mind/body misalignment? If so, why address one side of that equation only? Etc.) within an already overcomplicated framework. The other concern here is if the gender identity becomes prescriptive, where an individual pursues a body modification not for whatever inherent qualities it may have, but rather because of some felt obligation to "complete the set" for what their particular identity is supposed to look like.
The second framework (the one eschewing the gender identity component) would not dismiss the individual's concerns and would be part of a panoply of well-established phenomena of individuals inconsolably distressed with their body, such as body integrity dysphoria (BID), anorexia, or muscle dysphoria. The general remedies here tend to be a combination of counseling and medication to deal with the distress directly, and only in rare circumstances is permanent alteration even considered. I imagine there is some consternation that I've compared gender dysphoria with BID, but I see no reason to believe they are qualitatively different and welcome anyone to demonstrate otherwise. Regardless, I subscribe to maximum individual autonomy on these matters, and so it's not any of my business what people choose to do with their bodies. The point here is that preferences about one's body (either aesthetic or functional) exist without a reliance on paradigm shifts of one's "internal sense of self". If someone wants to, for example, bulk up and build muscle, they can just do it; it's nonsensical to say they first need to "identify" as their chosen aspiration before any changes can occur.
The other exception to the ambiguity around what gender identity* means* is pronoun preference. Chalk it up to [whatever]-privilege, but I concede I do not understand the fixation on pronouns. The closest parallel I can think of are nickname preferences, but unlike nicknames, pronouns almost never come up in two-party conversations, so it's difficult to see why they would be any more consequential. I personally accommodate pronoun preferences out of politeness (and I suspect almost everyone else does as well), the exact same way I would accommodate nicknames out of politeness. If I happen to refer to my friend using frog/frogs pronouns, it's not because I believe they're actually a frog; I'm just trying to be nice and avoid getting yelled at. Regardless of the intent behind them, pronoun preferences are a facile and woefully incomplete account for what we're warned are suicidal levels of distress around one's incongruent gender identity, so this can't be the whole story.
So on one extreme you have potentially invasive body modifications that are at least commensurate with the seriousness of the distress expressed, and on the other side you have the equivalent of a nickname preference that is relatively facile to accommodate. In between these two pillars, however, is a conspicuous vacuum of silence. My conclusion is that this missing middle is really just gendered stereotypes, but nobody wants to admit something so laughably antiquated out loud.
Well, almost nobody.
I've had this post sitting in my drafts for months largely because of an ever-present concern that I was unfairly shining a spotlight on the craziest examples from the trans-affirming community. My perennial goal with any subject is to avoid weakmanning, but with this issue I have no idea how to draw the contours and discern what arguments are representative and thus fair game to critique.
The lack of contours means I can't prove this next part conclusively, but I noticed a shift over time regarding which talking points were most common. The perennial challenge for this camp remains the logical impossibility of harmonizing the twin snakes of "trans people don't owe you passing" and "trans people will literally kill themselves if they don't pass". At least as late as 2018, there was more of an apparent comfort with leaning more toward openly reifying gendered roles and expectations. For example, in this Aeon magazine dialogue between trans philosopher Sophie Grace Chappell and gender-critical feminist Holly Lawford-Smith, Chappell uses the word script in her responses a whopping forty-one times.
But by far the most jaw-dropping example of this comfort comes from a lecture by Dr. Diane Ehrensaft, currently the head psychologist for the UCSF Benioff Children's Hospitals' gender clinic. When a parent asked how to know if a baby is trans, Dr. Ehrensaft literally said that a baby throwing out a barrette is a "gender signal" the baby might not really be a girl, the same way another baby opening their onesie is a signal they might be a girl. Seriously, watch this shit.
This is such a blatantly asinine thing to say that it depresses me to no end that the auditorium didn't erupt in raucous laughter at her answer. I don't even know how to respond to it. Maybe it bears repeating that babies are dumb. At any given moment, the entirety of a baby's cognitive load is already stressed over having to decide between shitting and vomiting. Dr. Ehrensaft conjures up this tale about how dumb babies are able to divinate the eternal message that "dresses are for women" out of thin air (or maybe directly from Allah), and that same dumb baby also has the ingenuity to cleverly repurpose their onesie into a jury-rigged "dress". I'm not claiming that it's impossible for young children to notice and even mirror societal expectations, including gender-related ones. Indeed, research indicates wisps of this awareness can start manifesting very early on, with children reaching "peak rigidity in their gender stereotypes at age 5 to 6" followed by a dramatic and continuing increase in flexibility. But it remains a jaw-dropping level of projection and tea leaf--reading on display here by Dr. Ehrensaft; the simple explanation that a baby might open their onesie because they're a dumb baby is apparently not worth consideration.
Dr. Ehrensaft is illustrative of the intellectual rigor that is apparently expected from the lead mental health professional in charge of the well-being of an entire clinic's worth of young patients. Matt Osborne wrote a devastating piece about her very long history of dangerous quackery. My mind was blown when I found out that Dr. Ehrensaft happened to be at the scene in 1992 desperately trying to whitewash the Daycare Satanic Panic and the unconscionable misery the "recovered memory" movement caused. In response to some highly suggestive interviews by therapists, preschool children alleged bizarre and horrific sexual abuse by staff involving drills, flying witches, underground tunnels, and hot-air balloons. The notorious McMartin case resulted in no convictions, with all charges finally dropped in 1990 after seven years of prosecutions. Two years later in an aftermath report of the similar Presidio case, Dr. Ehrensaft notes how the children's abuse narratives often contained fantasy elements, such as devilish pranks and hidden skeletons. This should normally be grounds for skepticism, but Dr. Ehrensaft stridently refuses to question the veracity of the accounts, and explains away the outlandish aspects as simply the result of trauma management --- the kids were using imaginative fears as a protective barrier for their (according to Dr. Ehrensaft) unquestionably real trauma. Given her general credulity, it's no surprise why her writing on the topic of gender identity is a murky soup of pseudo-religious nonsense about "gender ghosts" and "gender angels".
What exactly is the explanation for trans-affirming professionals like Chappell and Ehrensaft explicitly encouraging the necessity of adhering to gender scripts? Were they misled? Did they get the wrong bulletin? How? Why aren't their professional peers correcting them on such an elementary and foundational error? So many questions.
You can't keep drawing from the well of gender stereotypes so blatantly without anyone noticing. My general impression of the field is people realized how idiotic they sounded when their talking points were solidly anchored upon the veneration of (purportedly antiquated) gender roles and gender scripts. The response to this inescapable criticism has largely been to subtly pivot into the realm of empty rhetoric. But because of the necessity to cling onto strands of the initial assertions (for reasons I'll explain further), the result is a strenuous ballet of either constantly leaping between the two positions, or uncomfortably trying to straddle both.
Dr. Ehrensaft gives us an example of the vacuous. Her onesie/barrette poem of an answer above is from a video uploaded in 2018, but here's how her website explains gender nowadays, except with one particular word switched out:
This core aspect of one's identity comes from within each of us. Flibberdibber identity is an inherent aspect of a person's make-up. Individuals do not choose their flibberdibber, nor can they be made to change it. However, the words someone uses to communicate their flibberdibber identity may change over time; naming one's flibberdibber can be a complex and evolving matter. Because we are provided with limited language for flibberdibber, it may take a person quite some time to discover, or create, the language that best communicates their internal experience. Likewise, as language evolves, a person's name for their flibberdibber may also evolve. This does not mean their flibberdibber has changed, but rather that the words for it are shifting.
Can anyone reading this tell me what flibberdibber is beyond that it's something inexplicably very important?
It's probably too much to expect philosophy to throw us a lifeline here, but even with those low standards, the response from the trans-inclusionary philosophers has been a complete fucking mess and followed a similarly strenuous pivot. For example, in the 2018 paper Real Talk on the Metaphysics of Gender, Yale philosopher Robin Dembroff argues for a more "inclusive" understanding of gender. But in doing so, Dembroff explicitly acknowledges the glaring contradiction between decrying a category as oppressively exclusionary while simultaneously petitioning to be included within it. The apparent solution on page 44 to this conundrum is rather. . . something:
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Notes -
I’m a trans person and I’m honestly tired of how politicised this condition has become. I’m going all-in on the hypothesis that’s it’s a physical condition caused by an endocrine abnormality. I highly recommend reading this post or any of Dr Powers’ posts on his subreddit.
All of this philosophising on the nature of transgenderism is like trying to psychoanalyse the cause of stomach ulcers (which is something clinicians did until they were revealed to be caused by bacteria). There’s clearly something physically abnormal with transgender people and their brains, and one of the manifestations of that is gender dysphoria and behaviour atypical of the patient’s birth sex.
I don’t care one iota about my “gender identity”, following any gender scripts, or whether my interests are typical for men or women. I don’t “identify as a woman”, whatever that means. I would vastly prefer if pro-trans clinicians focused on actual clinical markers like improper methylation of testosterone, or the extremely high rates of PCOS in trans male patients, or MTHFR mutations. This is the kind of scientific research that would actually help our understanding of transgender people.
Instead we have this focus on babies turning their onesie into a dress. Anybody on both sides can write a lengthy essay full of navel gazing on the sociological basis of gendered behaviour that supports their pet theory, and turn being trans into a moral problem. You can debate endlessly about what is a woman, which is a philosophical problem. Or you can do DNA testing on trans patients and discover rates of certain mutations far in excess of the normal population, examine aromatase and sex hormone production, and look at correlations between gender dysphoria and other physical conditions.
Seems to be like the latter is far more useful. Plus, no one can have a political argument over DNA methylation patterns.
We've touched on it before but if it's a endocrine disorder and a simple and effective way to correct that disorder is found what are your thoughts on correction vs transition? I understand that it, as with all conditions that effect one's self conception, is touchy but I'm not actually sure how you'd answer it.
I’m fine with both transition and correction being available. I doubt there will be a 100% effective way to correct gender dysphoria at any age - from Dr. Power’s preliminary research, T suppression in potential FtMs works only if started in early adolescence (and there’s currently no pathway for MtFs), and the individuals still remain gender non-conforming.
I’m favouring the “mosaic brain” hypothesis of gender dysphoria where certain brain structures are improperly feminised/masculinised to varying degree, starting in the womb. So if you wanted to be sure to prevent gender dysphoria, you’d have to start monitoring foetal conditions. This is actually a promising path, there’s potential evidence that ties folate supplementation to increased estradiol production in the womb in certain mothers, which would be linked to increased rates of autism and gender variance. I wouldn’t have any opposition to this kind of “prevention”.
In my case I feel like trying to correct gender dysphoria at puberty might have already been too late - by the time male puberty arrived, my brain had developed enough to feel incredibly not only emotionally traumatised but intellectually against the very concept of growing up to be male. So transitioning needs to remain an option for those that wouldn’t be able to get the endocrine abnormalities treated in time.
As an aside, I find the idea of being unwillingly born into a sex that defines so much of your life, socially and physically, with no choice to opt out or change or try other options, to be morally abhorrent and the equivalent to a dystopian caste system. While dysphoria is an unfortunate condition, I’m actually very grateful for having had the opportunity to explore possibilities beyond straight and cis-gendered norms, and I think gender variance is a net positive for the world - the ideal human takes the best of both masculine and feminine traits, rather than rigidly adhere to either box.
I addressed this in my post at length. It sounds like the issue you have is with the societal expectations so I don't understand how transition "solves" the issue. How is your position distinguished from how Iran deals with gender noncomformity?
I can’t change society or social expectations for men, but by transitioning I can be perceived and treated as a woman and that certainly solves my problem. Plus, it alleviates my physical dysphoria - a topic which you didn’t really address in your post. Even in a perfect pansexual non-gendered utopia, the latter would still remain - I’m not transitioning because I want to wear a dress or put on make-up or any other superficial trappings of femininity. I’m transitioning because being physically male is psychologically painful for me and I couldn’t stand any further masculinisation. Now of course there’s social benefits which are a motivating factor, but again, I can’t change society, I can only change myself.
Some trans activists do encourage gender stereotypes - I assume this is why you brought up Iran’s approach, which has no room for gender non-conformity (or homosexuality) and just allows you to transition between two rigid boxes. I am very much against that, I believe you should be able to pick and choose which aspects of femininity and masculinity you want both in yourself and in a partner. I don’t even want to be a feminine woman; so I fail to see how my transitioning is enforcing gender roles.
I don't claim to have any unique insights into physical gender dysphoria, so there's not much more for me to say except to acknowledge the distress is real and to advocate treating the condition the same we treat other types of physical dysphoria. I've already conceded that body modifications are not necessarily reliant on stereotypes.
You're right that our ability to change society and its gendered expectations is virtually nil. But what you described as the equivalent of a "dystopian caste system" wasn't the caste system itself, but rather the inability to change castes (Imagine if we applied that standard to actual dystopian caste systems, like India's, where the first line of criticism is decrying the inability for Untouchables to self-identify as Brahmins).
Based on how you describe "opting out" of sex, it sounds like you're using 'sex' to mean 'gender role' rather than referring to gamete size like I am. Correct me if I'm wrong but if so then I would be very curious to know what exactly you mean when you say that you had "no choice to opt out or change or try other [gender role] options". What exactly did you want but were unable to have prior to transitioning? What exactly were you able to gain only after transitioning? I'm very curious to know!
While I am certainly unhappy about the enforcement of gender roles, I’m also unhappy about being born into a physical sex without having the ability to change it. There’s a number of physical differences between men and women, the biggest being the reproductive system and physical characteristics.
My primary motivation for transitioning was purely physical dysphoria; HRT is a tremendous help and it does let me be closer to the opposite sex hormonally and physically, even if it’s not magic. I assume you’re more interested in the non-physical motivations though?
So the biggest one would be relationships. I wasn’t comfortable dating gay men or masculine-attracted bisexual men; many didn’t understand my dysphoria and were attracted to parts of me I hated. I disliked the general “vibes” of the gay dating scene, the focus on casual sex and the lack of desire for romance and long-term commitment.
But as a trans woman, I’ve dated feminine-attracted bisexual men and get treated completely differently. I’ll admit I do enjoy the gender roles when it comes to relationships; I like masculine men who know how to flirt and seduce me, who take me out on dates, make me feel safe and protected, find me attractive as a feminine person, and want to have sex with me the way a straight man wants to have sex with a woman.
I did try to have that without transitioning, but it felt like swimming against the current; I actually was dating feminine attracted bisexual men before as a youth and discovered the gender roles I liked that way. But as a man, I felt inadequate, and knew the kind of man I wanted would be wayyy more attracted to me in if I was a woman.
I also like getting gendered female, and avoiding getting male stereotypes assigned to me; no one asks me to lift heavy objects, or assumes I have any interest in sports, cars, fighting, women, or other stereotypically manly things. Lazy perhaps, but a plus for me.
Ok? I'm unhappy that we can't fly, that we age, and that we can't eat and talk at the same time. In the context of decrying the sex-change limitation as "morally abhorrent and the equivalent to a dystopian caste system" you make it sound like an artificial man-made limitation rather than just a reflection of reality's limitation. I find this particular thread confusing.
I appreciate the insight into your experience here. I had a trans friend describe her motivation for physical transition as an exercise in signaling — the equivalent of a hat that says "please be patient I have autism" but for her it communicates something like "speak to me in a softer and less rowdy tone". It sounds very similar to what you're describing here. There are gender roles that you find yourself drawn to, but they're not adequately communicated to others if you presented as a man. Accordingly, your feminine appearance serves as a billboard-size instruction manual to others on how you prefer to be interacted with in the context of relationships.
Is that a fair paraphrasing? As a masculine presenting male, I can still empathize with this experience and the difficulties it may generate because I also prefer typical gender role dynamics. I enjoy being assertive and dominant in my dating relationships and tend to date feminine women. It's very easy to advertise my preferred approach given the way I look. I imagine if my preferences were more submissive I'd probably would want it reflected in my expression somehow (though that wouldn't explain to me wanting/needing to identify as a completely different gender).
Well, humans being upset that they couldn’t fly is what led to the invention of the airplane. And you should rightly be upset at ageing, there’s far too many people many excuses for what’s the #1 killer out there; if it can be even just slowed down, the quality of life of many would significantly improve. I find ageing abhorrent and cruel in the same way I find forced gender roles and sexual biology to be.
Fairly spot on assessment to be honest.
There’s no “rational” psychological motivation for the physical gender dysphoria, it’s more of a neurological/endocrinological problem from what I’ve been researching. There it’s more of a visceral reaction of disgust towards your own body; like if you saw yourself as physically deformed.
But on the social side, you can imagine that being a feminine male is inferior to being a normal woman, both in terms of personal safety, how others treat you, your dating options, and the very way you have sex. A lot of the thoughts can be “ah, if only I was a real woman, I wouldn’t have X issue”.
I don’t personally “identify” as a woman, I just like it when I happen to pass well enough that people assume I’m one. As I’ve said before, I don’t care about whatever an internal sense of gender identity means.
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