Here are the publisher’s open-access, read-only links to each chapter of Anne A. Lawrence’s magisterial work, Men Trapped in Men’s Bodies: Narratives of Autogynephilic Transsexualism. The links are given in the next three tweets. Men Trapped, Chaps 1-4.
1. Men Trapped in Men's Bodies:

2. Theory and case histories:

3. Narratives by Autogynephilic Transsexuals:

4. Confronting Autogynephilia:
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<< Difference Between Old-Time (≈1970–1990) And Contemporary Transsexualism Specialists >>

1 of 4: Old-time clinicians did not adopt patients’ perceptions and viewpoints *as their own*. 2 of 4: Old-time clinicians understood that patients had some incommunicable sensation of “truly” belonging to the opposite sex, and they judged that certain severe, intractable cases would be happier approximating the appearance and social role of the opposite sex.

The reason I emphasize postoperative transsexuals’ access to washrooms is because the ability to void outside of private homes is important for participation in normal life, including work. 1/5 Gender-critical folk who do not want male-to-female transsexuals using women’s washrooms could simply argue that the necessity of urinating or defecating while in public is transsexuals’ problem, not women’s problem, and that it is up to transsexuals to cope as best they can. 2/5

This is a thread about the recent study by Jabbour et al., Robust evidence for bisexual orientation among men. PNAS, pnas.org/content/early/…. Phallometric testing was invented as a penile lie detector, and it is still used for the clinical diagnosis of pedophilia in sexual offenders against children, especially when diagnosis from the patient’s history alone is uncertain.

I’m going to stop tweeting about “reasonable compromise” after this thread, because it’s been unproductive. Here are my final thoughts, which pertain to adults only. 1/5 Compromise for women: I think that male-to-female (MTF) trans should be allowed in women’s rest rooms after vaginoplasty. 2/5

Here is my contribution to Autogynephilia Awareness Day. Shortly after I began assessing and researching men with paraphilias and gender identity disorders, I realized that empathy was not going to take me very far. Either one feels sexual excitement at the thought of putting on women’s underwear, or touching a young child’s genitals, or showing one’s penis in public to strangers, or being bound and gagged - or one does not.

Something I read recently on Twitter prompted me to write this thread. It concerns the days when gender identity clinics were generally associated with university hospitals (roughly, 1970’s and 80’s), and when these clinics operated on the “gatekeeper” model. 1/7 One sometimes hears or reads transsexuals brag that they “told the clinicians what they wanted to hear” and so manipulated clinical staff into writing prescriptions for sex hormones or letters of approval for sex reassignment surgery. 2/7

Why would a male-to-female gender dysphoric present as female, use “she, her, hers” as pronouns, adopt a female name, dress and groom as a woman, change the sex designation on documents to “female,” and use facilities set aside for women - but NOT pursue vaginoplasty? 1/4 1. She is not fully certain about transition and wants to leave the door open to detransition?
2. She lacks the funds (around $20,000 USD) for vaginoplasty?
3. She is afraid of hospitals and surgery? 2/4

JA Brown (@jaybeebrtweets) asked me and @MCSeto, “What is a ‘sexual orientation’, anyway?” Here is my answer. Mike Seto’s might be somewhat different. #humansexresearch 1/9 The term sexual orientation is used by human sexuality researchers in two different ways, depending on their intended meaning of “sexual.” 2/9

The word transgender does not have the same meaning as transsexual, and it cannot be used interchangeably with the word transsexual. 1/7 The word transsexual has become a dirty word for unclear reasons. The word transgender has supplanted it as partly a matter of fashion, partly as a signifier of the speaker’s youth or wokeness, & partly from the preference of trans activists for blurring all distinctions. 2/7

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.

My detractors like to call me a dinosaur. I agree with them, and I offer three lines of evidence in support of our (shared) position. 1/4 The more I dislike someone, the more polite I become. 2/4

The political and journalistic practice of treating LGBT groups as people with something in common implicitly acknowledges the large overlap between variant sexuality and gender identity disorder. 1/4 Similarities in the childhood histories of transsexual and nontranssexual homosexuals probably reflect etiological similarities. Differences between these groups might reflect a dosage effect or additional cofactors for the trans subjects. 2/4