"WHEN ACCEPTANCE TURNS TO HARM: Psychiatrist Paul McHugh had an intriguing take on “accepting” transgendered individuals a few months back in the WSJ that may be worth re-reading in the wake of the Bruce/Caitlyn Jenner revelation:
[P]olicy makers and the media are doing no favors either to the public or the transgendered by treating their confusions as a right in need of defending rather than as a mental disorder that deserves understanding, treatment and prevention. This intensely felt sense of being transgendered constitutes a mental disorder in two respects. The first is that the idea of sex misalignment is simply mistaken—it does not correspond with physical reality. The second is that it can lead to grim psychological outcomes.
...At the heart of the problem is confusion over the nature of the transgendered. “Sex change” is biologically impossible. People who undergo sex-reassignment surgery do not change from men to women or vice versa. Rather, they become feminized men or masculinized women. Claiming that this is civil-rights matter and encouraging surgical intervention is in reality to collaborate with and promote a mental disorder.
"It’s an interesting question: If individuals who seek sex reassignment surgery are suffering from a treatable mental disorder–a form of body dysmorphic disorder–that could allow them to recover without invasive surgery, shouldn’t society encourage the less intrusive psychological therapy rather than the more intrusive (and irreversible) surgery?
Indeed, if the surgery does not improve–but amplifies–underlying psychological disorders such as depression, would not the surgery constitute an unethical harm?
Why is society so eager to lump “transgendered” individuals into the same category with homosexual or bisexual individuals?
I know LGBT makes a nice-sounding acronym and all, but is there a principled, medical reason to treat the LGBs differently from the Ts?
Where is the psychiatric community on this question?"
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