Bruce/Caitlyn Jenner refers to his/her state as “the new normal,” but transgenderism is actually quite unusual in the statistical sense, and it’s a poorly understood phenomenon as well. Some people think transgendered people are mentally disturbed, and some think they are just people trapped in the wrong body who need a body correction. But either way, it’s a phenomenon that’s neither average nor unremarkable.
I’ve written before about my view on the phenomenon of transgendered people, but I’ll recap here:
You know, I’ve got nothing against transgendered people. Based on the fairly extensive research I’ve read, both pro and con, I think the evidence indicates that transgenderism is a real issue that causes real suffering for a relatively small percentage of the population, and that for many of those it is probably something they were born with, perhaps having to do with hormonal glitches affecting fetal brain development in utero.
But I don’t think that’s always the case. I don’t think transgendered people represent a unitary phenomenon at all. Some seem to make an excellent adjustment, with or without surgery, but some are acting out rather serious problems, and the problems are hardly limited to gender dysphoria. But what percentage of the whole each group represents I don’t know; I don’t think experts know, either.
Sexual reassignment surgery is a big, big step, one that Jenner hasn’t taken yet and one that many transgendered people never take—some because of lack of money, but some because they don’t want it.
A number of people writing about Jenner have brought up the story of Mike Penner. Not only did Penner’s last name rhyme with Jenner’s, but there were certain other parallels: a life in sports (although Penner was a sports writer for the LA Times rather than a star athlete), a marriage that ended in divorce, a great deal of publicity, and even a Vanity Fair photo shoot as part of the process of coming out. But Penner’s tale, although happy at the beginning of his coming-out, went sour pretty quickly, and he ended up changing his mind about sex assignment surgery and ultimately going into a deep depression and committing suicide.
Note that I use the pronoun “he” for Penner. That’s because, some time after deciding against the surgery, he also stopped taking female hormones and asked friends to call him “Mike” again.
Penner’s end was tragic but I’m not sure how much it tells as about any other transgendered people but him, although it is certainly a warning that some transgendered people may have very serious problems that are not being properly addressed, and that all is not necessarily sweetness and light once they achieve what they believe to be their dream. One of the many catalysts for Penner’s suicide was apparently the loss of his wife, whom he had somehow believed would consent to remain in a relationship with him, and about whom a friend heard him say with deep regret, “I had the perfect life with Lisa, and I threw it all away.”
One thing that seems undeniable is that transgendered people are at very high risk for suicide attempts and for completed suicides, and this appears to be true whether they have sexual assignment surgery or not:
A whopping 41% of people who are transgender or gender-nonconforming have attempted suicide sometime in their lives, nearly nine times the national average, according to a sweeping survey released three years ago…
Nearly two-thirds of respondents who were the victims of domestic violence at the hands of a family member had attempted suicide, the study also showed. Suicide attempts were less common among transgender and gender-nonconforming people who said their family ties had remained strong after they came out…
Being “out” as transgender was also tied to steeper risk, the study showed: People who tell everyone that they are transgender or gender-nonconforming, or who said that other people could always or usually tell that they were transgender, were more likely to have attempted suicide.
The study didn’t say whether these rates decreased after sex-reassignment surgery. That’s because such statistics are hard to come by. But they are not necessarily encouraging:
[A] review warns that the results of many gender reassignment studies are unsound because researchers lost track of more than half of the participants. For example, in a five-year study of 727 post-operative transsexuals published last year, 495 people dropped out for unknown reasons. Dr Hyde said the high drop out rate could reflect high levels of dissatisfaction or even suicide among post-operative transsexuals. He called for the causes of their deaths to be tracked to provide more evidence.
Dr Hyde said: “The bottom line is that although it’s clear that some people do well with gender reassignment surgery, the available research does little to reassure about how many patients do badly and, if so, how badly.”…
Research from the US and Holland suggests that up to a fifth of patients regret changing sex. A 1998 review by the Research and Development Directorate of the NHS Executive found attempted suicide rates of up to 18% noted in some medical studies of gender reassignment.
It is a sobering development in the transgender world, too, that Johns Hopkins—the hospital that pioneered sex reassignment surgery in the US—has ceased doing the surgery because doctors there found the results to be unrewarding on average:
We at Johns Hopkins University””which in the 1960s was the first American medical center to venture into “sex-reassignment surgery”””launched a study in the 1970s comparing the outcomes of transgendered people who had the surgery with the outcomes of those who did not. Most of the surgically treated patients described themselves as “satisfied” by the results, but their subsequent psycho-social adjustments were no better than those who didn’t have the surgery. And so at Hopkins we stopped doing sex-reassignment surgery, since producing a “satisfied” but still troubled patient seemed an inadequate reason for surgically amputating normal organs.
It now appears that our long-ago decision was a wise one. A 2011 study at the Karolinska Institute in Sweden produced the most illuminating results yet regarding the transgendered, evidence that should give advocates pause. The long-term study””up to 30 years””followed 324 people who had sex-reassignment surgery. The study revealed that beginning about 10 years after having the surgery, the transgendered began to experience increasing mental difficulties. Most shockingly, their suicide mortality rose almost 20-fold above the comparable nontransgender population.
The question, however, is whether it rose about the comparable transgender population that didn’t have surgery.
I do know that some transgendered people are extremely happy with their surgery and remain so. The problem is that medical science can’t seem to differentiate all that well, ahead of time, between those whom the surgery helps, those it does not, and those it ultimately harms. Another problem is that the intense politicization of the entire issue has made it hard for scientists to study it and publish findings with anything like the objectivity it deserves.
[NOTE: And this is just a horrendous, tragic story. It also indicates that Belgium has embarked on a very bad path.]