Based on my reading of both academic papers on the topic and several books, particularly the ones recently published by Helen Joyce (the best one IMO) and Kathleen Stock, I wrote the article The Transgender Mirage which provides a relatively compact summary of the concept of transgenderism and its implications. In this piece, I will just reiterate the essential points I laid out in that article in a short, easy-to-read question-and-answer form.
1. What is transgenderism?
Transgenderism is a label for a mental disorder called “transsexualism” or “gender identity disorder” (GID). GID is a severe psychiatric condition where a person develops the subjective belief of being of another gender than his/her biological gender (which can be the opposite sex or something entirely fictional like “nonbinary”). That is, a “transwoman” is man who thinks he is a woman, and a “transman” is a woman who thinks she is a man. It is a mental disorder because it obviously causes issues if a person believes he or she is something he or she is not: if you convince yourself you are actually Napoleon in the year 1812 that is not going to make your life easier.
2. What causes gender identity disorder?
Social influences cause gender identity disorder: before the 1950s, gender identity disorder did not exist, and even today, it only exists in some industrialized countries. GID was created in the mid-20th-century by a few sexist American doctors (Harry Benjamin in particular) who said that men who transgress gender stereotypes, such as men who like to dress in a feminine manner (“crossdressing”), are not real men but instead “women trapped in a male body.” These doctors concluded that it would be a natural form of treatment to castrate these gender-non-conforming men and surgically change their genitals to attempt to make them look like vaginas. As a result, some men began to believe that they really changed sex, so the idea that people can switch from one sex to another was born. Belief in the idea of switching sex is underlying all cases of gender identity disorder or gender dysphoria.
Typically, there were two main groups of males who developed GID: very feminine gay men and heterosexual men with crossdressing fetishism (also called autogynephilia), as these two groups tend to transgress gender stereotypes related to masculinity and aided by the transgender ideology that says congruence with gender stereotypes determine a person’s sex, some of these men develop the belief that maybe they are not really men but “women on the inside.” Among females, GID only tended to occur in masculine lesbians but, in recent decades there has been an explosion in cases among both homosexual and heterosexual teenager girls. The reason is simple: teenager girls are the demographic group that is most easily influenced by social fads and the current transgender fad is converting a lot of these girls into young cases of GID.
3. What is the “cure” for gender identity disorder/gender dysphoria?
GID is a by-product of the essentially religious ideology that claims a person’s sex is determined by congruence to sex-related stereotypes instead of the person’s actual biological sex. People develop GID when they are told or convince themselves that maybe they are not real members of their sex for essentially any reason (typically because they transgress sex-related stereotypes such as heterosexual men who like to crossdress). Awareness that anything a man (woman) might do is, by definition, something done by a man (woman) instantly annihilates this concept and thus prevents the development of GID. Thus, GID is one of the easiest disorders to “cure” as it is something that is artificially induced in the first place.
4. How effective are the so-called gender affirmation treatments?
These so-called “treatments” are not really treatments but rather extreme forms of cosmetic treatment that incur massive costs in terms of both physical and mental health. This should be self-evident to any person who knows a little bit of medicine: a person’s endocrine and reproductive system are essential parts of that person, and thus, destroying these parts will only damage that person in body and mind (as the mind and the body are two dimensions of the same person).
The current state of research indicates that people who are subjected to a full “sex-change treatment,” including surgeries and hormones, have a mortality rate 180% higher than the general population, which illustrates how destructive such “treatments” actually are (see Long-term follow-up of transsexual persons undergoing sex reassignment surgery). These studies show that people “treated” with cross-sex hormones for only a few years tend to die from cancer, cardiovascular, and infectious diseases at multiple times the rate of the general population.
5. Does pornography or autogynephilia/autoandrophilia turn people trans?
In an environment where people believe that congruence with gender stereotypes determines a person’s sex, then yes, it can influence the minds of gullible young people that switching their sex will bring sexual gratification. But that is based only on the sexist misconception that stereotypes of behavior and presentation define a “man” or a “woman.”
In reality, a man who develops the fetish of having his penis surgically inverted to look like a vagina can just accept the fact that he is a man with a fetish and understand that if he actually had surgery on his penis, his turn-on is not going to work out since his sexual function would be permanently damaged. It is conceivable that he still can decide to go on and surgically invert his penis even if he understands that he is just becoming a man with an inverted penis (although I suspect there might never have been such a case). There is no need for anyone to pretend that “inverted penis-guy” is a woman, he is just a fetishist, and that is ok.
6. Why do you deny the existence of trans people, you bigot!?
Pointing out that nobody is born with gender identity disorder is not bigotry; it is just stating a fact that is self-evident if you think about it: that is so because recognizing that a person with a penis is not a woman is not harder than recognizing that a table is not a car and denial of this blatant reality only occurs if the person in question is under heavy ideological influence.
The massive problems with inducing a severe mental disorder in a population of people and the fact this mental disorder is artificially constructed will bring any rational person to a logical conclusion: this situation is not good, and we should stop feeding delusions to gullible people who are going to destroy themselves and hurt their families. Therefore, any rational person should easily conclude that the concept of gender identity disorder should be abandoned.
I don't see anything that you've written to be untrue and yet we all know it is unacceptable now to say this out loud without expecting to be tarred and feathered. Is there anything comparable in the history of medicine? Any other condition/mental illness/what have you, where you could not talk about it factually? Answering my own question, because this is thought of as similar to being LGB, the well-meaning but ignorant masses view this as bigotry, so won't look any deeper than that. I can understand how this would look to someone with that viewpoint — that those of us critical of the ideology are just so beyond wrong. Seems like the real work is getting people to understand the stark differences. At the very least, there is no medical treatment to make sure kids who say they're gay aren't mistaken for straight.