I opened to the editorial page of the WSJ this morning and read some responses to Paul McHugh's anti-transgender op-ed piece which I included in post #1 of this thread. There was one letter of support and three opposed. I thought some of you would be interested in the responses so I've included them below: (Note: I deleted the names of the respondents for obvious reasons.)
Views About Transgendered That Are Stuck in the Past
In response to Paul McHugh's "Transgender Surgery Isn't the Solution," oped, June 13:
Dr. McHugh writes that the transgendered are delusional, suffering from "a mental disorder that deserves understanding, treatment and prevention." He goes on to argue that sex-reassignment surgery has not been demonstrated to improve the mental well-being of the transgendered. Therefore, so Dr. McHugh argues, being transgendered is a mental disorder to be treated by psychiatrists.
I believe Dr. McHugh dismisses the legitimate claims of the transgendered when he labels their condition a mental disorder -- and not a state of being. I wonder if he has considered the possibility that the mental well-being of the transgendered, both before and after sex-reassignment surgery, has little to do with transgender identity as a primary mental disorder, but rather as a consequence of the ignorance and bigotry confronting transgendered people on a daily basis.
[Name Deleted] Arlington, Va.
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Finally, a psychiatrist steps forward to question the rise of "trans gender civil rights." Where are the voices of other medical professionals who should have been questioning and exposing this trend over the past several years?
Why would the medical community be so amenable to performing sex reassignment surgeries based on one's "sense" of being the wrong gender? With recent reports of very young children being encouraged to believe their bodies are misaligned with their identity, it has become increasingly alarming to see medical, educational and social agencies simply fall in line, encouraging transgender restrooms in elementary schools and other such nonsense. Dr. McHugh's piece is long overdue. I hope it opens eyes.
[Name Deleted] Rochester, N.H.
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Dr. McHugh's attitude toward the transgendered doesn't seem to have advanced since the work he mentions at Johns Hopkins Hospital in the 1970s. It isn't surprising that the patients treated had subsequent psycho-social adjustments when the psychiatrists treating them believe they have a mental disorder.
His suggestion that the transgendered can be talked out of being who they are with counter-message therapy and devoted parenting is also reminiscent of old opinions that dominating mothers cause homosexuality.
Not being in favor of spending tax dollars for reassignment surgery may have merit. An assault on the transgendered is a disgrace.
[Name Deleted] Crystal Lake, Ill.
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Dr. McHugh writes about the study at Johns Hopkins in the 1970s showing poor outcomes from transgender surgeries, leading to Dr. McHugh shutting down Johns Hopkins's transgender program in 1979, and the Department of Health and Human Services declaring transgender surgery experimental, and therefore not covered. Two weeks ago HHS reversed its 1981 decision and removed transgender health exclusions from Medicare. Dr. McHugh ignores the work in transgender health in these last 30 years that led to this reversal by HHS.
Dr. McHugh also mischaracterizes the treatment of gender-nonconforming children. As he states, most gender-nonconforming children do not identify as transgender in adulthood. However, those who receive puberty-blocking drugs do not do so until puberty, when trans identity is likely to persist. These drugs allow adolescents and their parents to work with doctors to achieve the best outcome. This approach was demonstrated to be successful in research in the Netherlands before being adopted widely in the U.S.
The American Psychiatric Association and the World Professional Association for Transgender Health no longer view transgender identity as inherently pathological. Dr. McHugh's views are stuck in the past.
[Name Deleted], M.D.
Professor of Psychiatry University of California San Francisco
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Clara