Quote (thesnipa @ Feb 14 2024 10:34am)
so, to dive in as a complete laymen:
being trans isn't a mental illness, ok i can work with that. but what is it? a mental state? a condition? is it simply that it is? its not normal, statistically i mean, it's rare even if we accept theories that the societal suppression drives down it's occurrence.
its, and correct me if i'm wrong, a condition of the brain in which a person feels their biological gender doesnt match their mental sex. it's a condition entirely in their head, i dont mean that negatively i mean it literally. it exists in the brain and brain alone. it is mental, and the state which theyre in that their body doesnt match their gender identity almost down to each individual causes them a sense of destress varying from minor to major.
it just sounds to me like we're carving out a new category to avoid the "mental illness" stigma. or we're defining the rule by the exceptions. we're pretending that the small percent of trans people who aren't at all bothered by the fact they have a body that doesnt match their identity, and therefore have no destress or depression that needs to be treated, should be what we base the definition on. rather than the majority who do need to be clinically treated for staple mental illnesses as a result of their mental state. it almost sounds to me like "no one dies of aids". "trans itself isnt a mental illness, its just that most trans people suffer from a mental illness".
im not exactly up on literature, dont pretend to be, and dont have my heels dug in the sand. im happy to change my mind if this opinion of mine isnt reality.
Given your legitimate curiosity, I'll give a legitimate answer. Firstly, it's not about avoiding a stigma of "mental health", but that it historically has been viewed as a mental illness and subsequently treated as such (a point that most people either want to ignore or are ignorant about), and it did not "work". A simplified explanation of "work" in the mental health field is the idea that the goal is an alleviation of symptoms and return to a statistically normalized baseline (ie. To go from depressed to not-depressed, psychotic to not-psychotic, etc.). The belief that most people have in this thread is that the experience of being transgender, or of having Gender Dysphoria, is a mental illness that needs mental health treatment-- but specifically in a way that would result in people being comfortable and identifying with their natal/assigned sex in exactly the same way that you and I do. They are unable, however, to explain the rationale for that other than "Well it just seems wrong", and they are unable to articulate what effective treatment would then look like that actually "works" from their perspective (ie. that the person would no longer experience dysphoria and identify with their natal/assigned sex). Again, we have tried approaching it from that perspective, and those forms of treatment did not "work" in the same way that approaches in which being gay was seen as a mental illness (and the goal was to make people straight) did not "work".
As a result, the field has two main ways it can go: Either we just haven't figured out the right way to treat it as a mental illness, or it is perhaps not a mental illness and should be understood in a different way via a different branch of medicine (ie. human development). The former has been tried many times without different results (and worse outcomes), so it is not simply because of a "woke invasion of the sciences" that explains why the latter is the path the field has chosen anymore than it was a "woke invasion of the sciences" that made being gay no longer designated as a mental illness. It also seems that people in this thread are of the opinion that the movement to move this out of the psychiatric literature and more into a human development literature is suggesting that "nothing is wrong", which is not the case. We have different fields of medicine for a reason, and just because we're saying that the way that this is "wrong" is not best understood as mental illness does not mean we're saying that therefore nothing is "wrong". There definitely is something "wrong", but this wrongness is better understood as a developmental incongruence that we don't fully understand yet but have enough research and information to securely arrive at this conclusion at this time. Just like we don't fully understand why some people are gay, but are secure in recognizing that being gay is not a mental illness.
This post was edited by Handcuffs on Feb 14 2024 01:14pm