Published by Substack

In the days since [Charlie Kirk's] killing, the US right wing has fallen over itself to blame trans people or, as Alex Jones put it to his almost 5 million followers, “the tranny death cult”. Similar formulations can be found across social media. Trans people are terrorists, a death cult, like the Taliban, need to be socially ostracised and banned from transitioning. And we all know there is only one type of trans person most of these people are imagining when they call for us to be electroshocked, shunned, and – let’s be real – beaten and killed. And that’s trans women.

It's over. There and here in the UK. Today I doubt I will see another progressive measure (either in legislation or healthcare policy) put in place for trans people in my lifetime. Who knows what may yet be taken away. In the UK, the terf campaign groups make their goals quite clear: they would like transition banned before the age of 25 and for trans women to be compelled to carry male government ID in all contexts. Once the EHRC guidance banning us from all women’s groups and spaces across society is in place, they intend to sue organisations and service providers that don’t exclude us. Right now, I think it’s best to assume all these things are a likely prospect in the next ten years.

In the community itself there’s been a definite shift in the way we speak about the future. The middle-class trans micro-economy that boomed in the 2010s: Pride month corporate sponsorship, jobs at LGBT charities, DEI talks and panels, diversity modelling and ad campaigns, progressive theatre, educational books about being trans etc, which some of us used to make a living, has gone. A friend and I used to riff on the old Susan Stryker joke that as a trans woman you must commodify yourself one way or another: it’s either escorting or the diversity and inclusion panel. The friend (a sex worker) always said she found more dignity (and better money) in the former.

In this instance and this instance only, let’s take Michael Knowles at his word. Shortly after telling a roaring crowd he’d like to “eradicate transgenderism from public life entirely,” he began threatening legal action against media outlets that characterized his demand as aimed at transgender people.

[…]

Trump unveiled last month a sweeping plan to “end left-wing gender insanity,” ranging from bans on gender-affirming care, a Constitutional amendment legally defining “sex” and implicitly defining “transgender” out of existence, and the establishment of an accreditation agency that will require teachers to provide students a “positive education about the nuclear family” and threaten prosecution against any who refuse. Combined with the 2023 state legislative session thus far, defeating this “transgenderism” is no slight project, requiring a lot of persecution, censorship, and punishment aimed at controlling behavior and speech which flouts the anti-gender right’s standards for how good boys and girls are supposed to conduct themselves.

In truth, however, even this totalizing approach to gender nonconformity is still too narrow. As Knowles himself has acknowledged, the focus of conservatism’s construction of cisgender, heterosexual gender identities must be far more ambitious than simply taking the country back to the relatively recent time period when a frequently bipartisan consensus enforced transgender people’s absence from public life; the first mistake was, in his telling, failing to sufficiently oppose second wave feminism. 

[…]

The vagueness and ubiquity of gender norms leaves this project with no certain end point or rubric for victory. While transgender people flout more of these rules than cisgender people—revealing them for the construct they are—most people break them in one way or another, and even our elimination (were such a thing even possible) wouldn’t suffice. We are all gender non-conforming in ways big or small, ranging from our relationship to reproductive labor and capitalism to how we present ourselves to the world. A campaign enforcing gender conformity, then, will expand well past the relatively small fraction of the population that calls themselves “transgender.” Labeling the anti-gender right as genocidal against trans people is, believe it or not, letting them off too easy. 

[…]

The experience of defying gender norms for amusement, convenience, or survival is a universal one even as specific populations are forced to do so more frequently and punished more harshly for it. Thus, a war against gender nonconformity holds all the promise for the authoritarian personality as a “war on terror,” a “war on drugs,” or a “war on crime”—an endless excuse for policing, surveillance, censorship, and violence.

I emphatically reject the author's opinion that "it’s not ridiculous to suggest, for example, that a randomized trial of puberty blockers would be a good idea." (Why not a randomised trial of ambulances? We'll send half of emergency callers an Uber instead.) But he's certainly thorough, and excepts like this are astounding.

The Cass review was an interesting juxtaposition. Some of the scientific arguments were very reasonable, and the York team generally did a decent job with the systematic reviews that informed the document. However, the review itself often positioned bizarre theories about gender dysphoria alongside data and evidence. I’ve recounted quite a few examples of this during my pieces, but I thought I’d share one more that I found recently:

“Research commentators recommend more investigation into consumption of online pornography and gender dysphoria is needed. Some researchers (Nadrowski, 2023) suggest that exploration with gender-questioning youth should include consideration of their engagement with pornographic content.” (Cass review, page 110)

This paragraph suggests that porn can potentially turn children trans. If you look up the reference, it is to this opinion piece from a psychiatrist. The paper itself contains no data connecting gender dysphoria to pornography, but basically argues that teen girls may view porn and become so disgusted with being women that they choose to instead become men. The paper also notes that “Girls affected by autism might be at higher risk because of their reduced mentalization capacities.”, although it does not provide any evidence that this is true.

The author of this opinion piece is a psychiatric trainee who lists their affiliation as Therapy First. Therapy First is an explicitly anti-medication group which campaigns to prevent children from being given hormones or puberty blockers for gender dysphoria - instead, they recommend psychotherapy as the first and in many cases only option. This is not evidence. It’s barely even an opinion. There is no reasonable excuse for the Cass review having included such a completely bizarre and unsubstantiated theory, especially without noting that it is entirely unsupported by even the most vague of evidence.