the reasons for focussing on trans issues are, as Dr Cass highlights, that the numbers are increasing exponentially. There's no precedent for that. — Isaac
Is there any model aside from the social that can explain this increase?
A1 ) Surgical transition is permissible in some contexts, y/n?
A2 ) Hormone treatment is permissible in some contexts, y/n?
A3 ) Gender affirmation schooling (voice therapy) is permissible in some contexts, y/n?
A4 ) Therapy for gender dysphoria is permissible in some contexts, y/n?
A5 ) Counselling for trauma which has caused all this shame is permissible in some contexts, y/n? — fdrake
This all feels to me rather like the question of abortion.
Given social pressures, economic and normative, on women who become pregnant,
that we are not going to treat or try to change, should, abortion be legal? A reluctant yes, but removing the stigma and properly funding childcare and motherhood would be a better solution in almost every case.
To be honest, I don't have the expertise to answer, but it is clear to me that there is a need or desire to transition only to the extent that what one is, is, or is felt to be, "wrong". And that means it is a social artefact. And what is permissible is an artefact of the same society. So I suppose that what society says is wrong with an individual, it needs to facilitate them changing. But I don't have to like it.
B1 ) If identities are socially constructed, what stops shame from being an essential part of one?
B2 ) What general consequences does this "artificiality" of shame have for people who have it?
B3 ) Why can't people's characters be inherently shameful? We can be quiet or good at mathematics, but not shameful, why?
B4 ) Why is it appropriate to treat "character" as a state of nature, prior to social identity, whenever we observe someone their character's expression becomes identified? As much as socialisation builds character, it builds identity - that these two develop in tandem undermines treating one as a state of nature and the other as social artifice. — fdrake
B1. Shame is ubiquitous, but what stops it from being essential is that it can only arise from comparison.
B2. This is a huge question, that I could make a whole thread on. From shame one hides oneself and tries to be what one is not, leading to anxiety of being exposed as a fraud, and from being hidden comes the sense of isolation and loneliness. Think of anorexia for an example of how social pressure creates lethal misery through body-shaming.
B3. I don't understand the difference from B1.
B4. I distinguish character and identity by crude definition thus: character is what one is, and identity is the image one has of what one is. Both develop and change due to biology, socialisation, and other environmental influences. (No one becomes a pianist or comes to see themself as a pianist without a piano in the environment.) Does this make more clear how shame operates at the level of self-image, and not at the level of actual self? How it operates though is to divide the individual into inner and outer, and all the other conflicts within psyche. Hence, in this case 'I am outwardly male and inwardly female' or vice versa. So the division between state of nature and social artifice is indeed part of the same division in psyche, and of course the individual cannot
actually be divided, so some aspect must dominate and some aspect must be suppressed. Or some aspect acted out, and some aspect hidden away. and because we feel this division, we look for and cherish the imagined unity of 'authenticity', the great prize of therapy.
Speaking of anorexia, another body dysphoria, would we advocate liposuction as a treatment?