April 29, 2021 (from www.rationaloptimist.wordpress.com)

Changing gender wasn’t even a thing till the 20th century. This new concept discombobulated many minds, with hostility toward trans people. But now, happily, they’ve won the argument over their right to be themselves. In fact we seem to have gone to the other extreme. Transgender issues have become a minefield of political correctness, with a pitiless orthodoxy one mustn’t question.

Here are the biological facts. Standard females — I use “standard” to describe most people, others reflecting naturally occurring differences — have two X chromosomes; males an X and a Y. Those genes guide development of an embryo’s sex characteristics. Male and female anatomies differ, as does the brain software accompanying each. Deploying all this in utero is a complex, tricky process, and glitches can occur.

Obviously, for reproduction’s sake, standard brain software tells men to mate with women, and vice versa. But sometimes variant software gives you same-sex attraction. It’s not a choice. (Try to imagine yourself choosing it.)

More rare is a mismatch between anatomy and brain software. A genetic and anatomical female can get a male brain, and feel male in their heads. This is called gender dysphoria. Not a psychological condition, it’s actually biological. It tends to show up quite early in life (because males and females are raised and acculturated differently), and no psychotherapy can talk it away. Though of course some people try to fight it or deny it, and to live with it.

But now it can be rectified. Such children are typically given puberty blocker medication, to delay sexual maturation until an age when they can make an informed choice to undergo sex change treatment. That at least is the idea. We’ll get back to this.

Previously, gender dysphoria did seem quite rare. Less so now, with all the attention and ready access to treatment. In fact, it’s acquired a kind of cachet, with transitioning not just accepted, but even made attractive.

So we’re seeing an epidemic of “late onset gender dysphoria,” showing up during puberty and adolescence. Mostly girls coming out as trans males. And today’s society is very supportive of their choice — indeed hostile toward any impediments. They’re often moved straightaway to puberty blockers and/or hormone treatments, on a path to surgery. In one Australian case, a child was removed from parents who resisted.

But hold on. These years are emotionally and psychologically tumultuous even for standard kids. Wrestling with their emerging sexuality and personal identities, especially sensitive to social pressures and their place in a peer group. Now bombard them with positive messages about transsexuality, the internet full of it, trans kids showered with affirmation, making it look hip, cool, chic. While standardhood is so . . . dull. Convincing yourself that your confusing sexual feelings mean you’re trans might seem a great way to get attention, cut through the fog, and assert an edgy personal identity. (We used to have the term “drama queen.”)

Parents who suspect something like this are dismissed as bigots. But they may be right. Seeing not true biologically based gender dysphoria, but a self-induced simulacrum. Which, with no medical interventions, many youngsters in due course get over. Studies indicate that between 61% and 98% of even early onset cases, once reaching adulthood, with all the life changes that entails, wind up accommodated with their genetic genders after all.

Another aspect is that a disproportionate number of these cases actually involve forms of autism, depression, or other psychological problems. Importantly, many of these kids, once they get a clearer fix on their sexuality, turn out simply to be gay. Which is indeed far more common than true gender dysphoria. And for which sex change is not a good answer.

But meantime many will already be on a one-way track, thanks to the trans-industrial-complex seizing them in its jaws to execute their previous choice to transition. Backing out can take more guts than coming out. Though blocking puberty is said to be reversible, that’s true only up to a point. It certainly creates a biological platform that’s not natural. And use of hormones and other chemicals, not to mention surgery, has lifelong impacts. Even just hormone treatments, writes The Economist, “cause myriad severe health problems,” including heart problems for trans men on testosterone. And many who undergo such treatments, who later regret it, can’t put the toothpaste back in the tube. A gal in Britain had her breasts removed before realizing she’s just a lesbian. Others are unable to orgasm. Or sire children. Some are left incompletely transitioned, in a limbo between genders. The psychological damage can be huge.

Trans activists refuse to hear any of this. I’m reminded of the Soviet Union’s “Stalin doctrine” — once a country is communist, no reversal could be countenanced. So extreme has the trans ideology become that its advocates often seem to insist this isn’t biological at all, that gender (unlike sexual orientation) is a personal choice. That anyone saying they’re a woman must be accepted as female in all respects. Penises be damned. In some places where “conversion therapy” for gays is (justifiably) outlawed, there are efforts to apply the same policy to gender identity — a very different matter. This could prohibit counseling to explore what’s really going on in a claimed case of late onset gender dysphoria, a sensible go-slow approach before jumping to medical intervention.

Unsurprisingly, there’s a backlash. Some states are moving toward outlawing transition medicine, an opposite craziness. Particularly fraught is the sports realm. Should trans women be allowed to race against standard ones? Men’s and women’s sports were made separate in the first place because of relevant physical differences. Allowing XY people to compete as women scrambles that. Trans athletes have rights but so do cis-gender women. This is a mess. I would solve it with a simple penis rule.

J.K. Rowling got denounced for insisting cis- and trans-women are not biologically identical. More recently Richard Dawkins (noting Rachel Dolezal condemned for posing as Black) wrote “Some men choose to identify as women and some women choose to identify as men. You will be vilified if you deny that they literally are what they identify as. Discuss.” Previously he’d deemed the issue “purely semantic,” saying he calls a trans woman “she” out of courtesy.

The American Humanist Association Board voted to revoke Dawkins’s 1996 “Humanist of the Year” award. Dawkins might really be the humanist of the epoch, having spent a lifetime as a top battler for science and rationalism. But none of that counts, for the trans Torquemadas who make the slightest nuance of deviation from their extremist orthodoxy a capital offense. The AHA has lost its mind and disgraced the humanist cause.

This should be a medical issue, not a political one. (Though in today’s polarized America, everything is political.) I salute the courage of transgender people who, in mature consideration, face up to their personal reality and take on the very great challenge of changing gender. But I also feel sorry for immature youngsters who, during a time of stress and confusion, make a dubious choice and find themselves locked into it by adults who should know better. Who should act with caution and thorough analysis before irrevocable action, violating the most fundamental of medical precepts — first, do no harm. But who are too scared of being pilloried as transphobic bigots.

As I will surely be.*

* This essay owes much to an in-depth analytical piece, and accompanying editorial, in The Economist:https://www.economist.com/international/2020/12/12/an-english-ruling-on-transgender-teens-could-have-global-repercussions