Earlier today I wrote this thread in response to a follower who asked me, “What is your actual position on transgender people?” It looks like my reply has not been delivered to a single person besides the original inquirer, so I am reposting it here.
My beliefs include the following 6 elements: (1) Transsexualism and milder forms of gender dysphoria are types of mental disorder, which may leave the individual with average or even above-average functioning in unrelated areas of life.
(2) Sex change surgery is still the best treatment for carefully screened, adult patients, whose gender dysphoria has proven resistant to other forms of treatment.
(3) Sex change surgery should not be considered for any patient until that patient has reached the age of 21 years and has lived for at least two years in the desired gender role.
(4) Gender dysphoria is not a sexual orientation, but it is virtually always preceded or accompanied by an atypical sexual orientation – in males, either homosexuality (sexual arousal by members of one’s own biological sex) . . .
or autogynephilia (sexual arousal at the thought or image of oneself as a female).
(5) There are two main types of gender dysphoria in males, one associated with homosexuality and one associated with autogynephilia. Traditionally, the great bulk of female-to-male transsexuals has been homosexual in erotic object choice.
(6) The sex of a postoperative transsexual should be analogous to a legal fiction. This legal fiction would apply to some things (e.g., sex designation on a driver’s license) but not to others (entering a sports competition as one’s adopted sex).
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