The first is trans identity. I think broadly construed that applies to people who've transitioned surgically, people who live as the opposite gender otherwise, and I'd guess people like the Nádleehi. To me this is a binary concept - someone has trans identity or they don't. People are cis or trans. — fdrake
Unlike your definition of gender dysphoria, this definition still seems too vague to work with. It's seems no more than saying people who are trans, are trans. What is it to be trans? Is it wanting to act like another gender to the one assigned to you at birth, or is it wanting a different sexual phenotype to the one you have? Or is it both?
If the former, then gender dysphoria must be construed as a solution, not a motive - it's something the mind has 'come up with' to pin it's hopes on. Like (in your sugar craving example) saying that the lack of cookie is the problem. It's not - the lack of sugar is the problem, the cookie was a solution, the lack of which now seems traumatic, but if offered a cake, the trauma of cookie-less-ness would go away.
If the latter, then why sexual characteristics? Why not arm length, or head size, or hair colour?
If both, then why would they be connected at all if gender is a social construct. If we want to say there's no such thing as a female brain, then the association between female body parts and female gender roles is nothing but coincidence (biologically), we'd expect a pathological desire for female body parts and a natural desire to play a woman's gender role to be completely unrelated.
Societal attitudes to gender roles seems to be essential (to come back to this later).
The proximal cause of the trauma seems to be having a tendency towards gender incongruous expression and people treating you like shit for not abiding to norms which forbid that expression. Compound event of what looks like an innate tendency with a social construction. — fdrake
I think this is a good broad assessment. So with regards to treatment -
How would you feel about skin-whitening being offered to black kids in neighbourhoods suffering from systemic racism in the police?
How would you feel about chemical castration of homosexuals in Islamic regimes?
If both of those make you feel a little icky, then what's the difference between them and gender re-assignment for people suffering the sort of trauma Fred Martinez experienced?
We mustn't lose sight here of the pro-trans movement's agenda. The campaign slogan is not "we must reluctantly use sex-change surgery, until society finally accepts us for who we are (which we're working on)", nor is it "the medical barriers ensuring sex-changes are only considered in cases where the level of trauma is sever enough to justify the risk - let's keep things just as they are". Organisations like Mermaids and Stonewall are campaigning for
easier access to sex-change drugs, and
more encouragement of trans children to seek out that option.
having a trans identity is biologically predisposed, but that gender expression is socially constructed, administering hormones would change the biology but also the interaction effect. To put it another way. body properties are gendered, gendering works through societal expectation, if you change the body to better fit the societal expectation of the body, you'd be making a social and bodily intervention at the same time. — fdrake
I think that works as far as avoiding the 'female brain' problem, but it lands us straight back into the idea that medication is only needed to better meet societal expectations. Again, would skin-whitening for black kids in racists communities be a good solution, something to promote? If not, then why sex changes for trans kids in gender-strict communities?
gender dysphoria isn't determinative of trans identity. — fdrake
Yes, I think we agree there, that's where I'd end up too. I can see a situation where there could be sufficient biological tendencies (through behaviours like imprinting) to explain universal gender preferences without resorting to notions like a 'female brain'.
There's a sub issue here about distinguishing NHS time for treatment (a resource question) and whether it's permissible to treat some body issues with surgical/drug interventions in a moral sense. — fdrake
Yes, that's the direction I was going in. There's all sorts of clashes between one's body and society's acceptance of it, between one's body and one's own desires for it. Why privilege sexual characteristics?