Many of us have been struck by the rapid rise in clinical interest and reported studies on transgender persons. The main clinical indication for gender change medication and or surgery is gender dysphoria. This means that individuals are afflicted with a syndrome in which they are not happy with their natural gender from birth. While changing biological gender the opposite is associated with a modest improvement in gender dysphoria scores, one may wonder if there is a price to pay for such a substantial and and relatively permanent intervention for a psychiatric illness?
Jackson et al, recently reported on the outcomes of total of 1951 British transfeminine (male at birth) (mean [SE] age, 36.90 [0.34] years; 1801 White [92.3%]) and 1364 transmasculine (female at birth) (mean [SE] age, 29.20 [0.36] years. The normal control group was matched to 68,165 cisgender men (59 136 White [86.8%]) and 68,004 cisgender women (57 762 White [84.9%]). Compared with cisgender men, there was an increased risk of overall mortality for transfeminine (MRR, 1.34; 95%CI, 1.06-1.68). Compared with cisgender women, there was an increased risk of overall mortality for transmasculine (MRR, 1.75; 95%CI, 1.08-2.83) adults.
The most notable relative risks for those who changed genders was suicide and homicide as shown in the table. These data suggest that psychiatric and behavioral determinants arising from background gender dysphoria and the transgender process contribute to death at a relatively young age among those who have chosen to change from their original biological gender to the opposite.
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Via https://petermcculloughmd.substack.com/p/analysis-of-mortality-among-transgender
I have been waiting for this, but it took a while. Obviously, it’s part of the phychological warfare that has been going on for some years. Messing with young peoples minds makes them harmless in the future, if they still are alive then, that is …
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I share your concerns, Sasjal, about indoctrinating children as young as 5 that gender identity is simply a matter of personal choice.
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The author/s identify TG as a “psychiatric illness” but is this really the case? Applying the same criteria, homosexuality could also be defined as a psychiatric illness. Confusing, though an unconscious rejection of a patriarchal/misogynist culture could also be the reason for the uptick in TG, hence I suppose this could be psychological?
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Dr McCullough is talking about gender dysphoria, Bill, not transgenderism. The American Psychiatric Association classifies gender dysphoria as a psychiatric disorder. Homosexuality refers to gender orientation, not gender identity. Based on current research, homosexuality is biologically based. Researchers have yet to identify a biological basis for gender identity – which I agree most likely has social determinants.
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Hmmm… gender dysphoria or transgenderism the issue is about whether it’s a ‘choice’ or innate, ie genetic versus social, nature or nurture? Undoubtedly, there is a very tiny percentage of individuals who truly believe they inhabit the body of the opposite sex, these people invariably exhibit this very early in their lives, I’ve known a few males and I’ve known even fewer females, I’ve no idea why there is such a disparity in numbers but the fact is, so-called gender dysphoria is predominately a male thing. Then there are the increasing number of again, mostly males, who seem to be ‘choosing’ to ‘change sex’ (or is it gender?). I truly believe this a social/political/ cultural/economic issue. And what is the role of the medical industry in this phenomenon? I also believe (though I can’t prove it) that it reflects a growing rejection of our patriarchal/masculinist/mysognist society and the focus on the feminine as superior, if you like, a tendency for male and female to ‘split’ into virtually two different ‘species’, with the female form elevated, female relationships elevated, ie the focus of female relationships being more intimate and superior to male, a phenomenon that seems to be enhanced by the advertising/ marketing industries. Frankly, I don’t believe that males can change sex, the best they can do is emulate, down to the tiniest detail so-called female behaviour and characteristics such that they can ‘pass’. Connected to this, is the role that men play in determining female behaviour, in other words, to what degree is being ‘female’ determined by the ‘male gaze’? Why for example, do we accept females dressing in male clothee but not the reverse, why is one aceptable and the other not?
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I worked with transexuals for nearly 20 years when I practiced in Seattle. I agree that the percentage of people who truly believe they inhabit the wrong body is tiny. I saw a lot people with borderline personality and Asperger’s disorder who thought a sex change would make them happier. Their lives got a lot more difficult as they struggled with the side effects of cross-sex hormones.
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I’m not sure I agree with this, see my other response. Why can’t gender dysphoria be genetic like homosexuality especaiily given that it’s exhibited very early in life, sometimes within a couple of years of birth? So, I think there are two strands to this issue and inevitably, in our binary culture, they get conflated.
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PS: This is in response to your comment:
“Dr McCullough is talking about gender dysphoria, Bill, not transgenderism. The American Psychiatric Association classifies gender dysphoria as a psychiatric disorder…”
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Homosexuality isn’t genetic. The best evidence I’ve seen is that it’s mainly congenital although neurologists report that a change in sexual orientation can occur with traumatic brain injury. The best evidence I’ve seen is that some women produce antibodies during pregnancy that react on the brain centers that control sexual orientation. If the fetus is male, it’s more common if the woman has already had one boy.
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Yes, perhaps I meant to say that a change occurs during pregnancy though how this is measured seems a bit hit and miss.
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