Five years later and they still haven’t read That Fucking Swedish Study


I couldn’t help but notice in the comments on BuzzFeed’s LGBTQ+ rights strategy in the United States that the mythical trans rapist trope came up yet again, citing what I’m starting to call That Fucking Swedish Study. The ire is not directed at the study itself, but dear dog is it ever misapprehended with reckless abandon by trans-antagonistic lobbies.

The 2011 study in question was lead by a Cecilia Dhejne and it found two points of revelation oft-repeated in these misrepresentations: The first being that gender affirmative healthcare did not reduce the rates of suicide among trans women to that of the general population; the second being that trans women exhibited a “male pattern of criminality” in one of the cohorts studied. The misinterpretation ensuing has been so widespread that Dhejne has been in a protracted campaign to challenge the many outlets that have distorted her study, to the point of having to give an interview telling these people to fuck off.

And still, 5 years later, these distortions persist despite the fact that the article has been cited by trans-antagonists so many times.


 

Error #1: The study found that gender affirmation increased/didn’t reduce rates of suicide, therefore gender affirmation is ineffective/harmful.

The overall mortality for sex-reassigned persons was higher during follow-up (aHR 2.8; 95% CI 1.8–4.3) than for controls of the same birth sex, particularly death from suicide (aHR 19.1; 95% CI 5.8–62.9). Sex-reassigned persons also had an increased risk for suicide attempts (aHR 4.9; 95% CI 2.9–8.5) and psychiatric inpatient care (aHR 2.8; 95% CI 2.0–3.9).

“For controls of the same birth sex” ought to be printed on a giant neon billboard, as that unfathomably important comparison is lost in this error.

In other words, this only supports that trans people, even if they access gender affirmative care, are a higher risk of suicide than cisgender controls. Indeed, the study itself points out that it is not a comparison between trans folk who have and haven’t received affirmation care:

It is therefore important to note that the current study is only informative with respect to transsexual persons health after sex reassignment; no inferences can be drawn as to the effectiveness of sex reassignment as a treatment for transsexualism. In other words, the results should not be interpreted such as sex reassignment per se increases morbidity and mortality. Things might have been even worse without sex reassignment. As an analogy, similar studies have found increased somatic morbidity, suicide rate, and overall mortality for patients treated for bipolar disorder and schizophrenia. This is important information, but it does not follow that mood stabilizing treatment or antipsychotic treatment is the culprit.

IT’S RIGHT THERE IN THE STUDY. AND PEOPLE STILL THINK THIS STUDY SUPPORTS THEIR CONCLUSION THAT GENDER AFFIRMATION IS HARMFUL OR INEFFECTIVE. A;RKEHAEKTH;ALJET;LJ

That’s it. There isn’t some elaborate maze to guide you through, a slog of logical fallacies to hack apart as if their argument were the untamed wilds of an inner Brazilian jungle. They. Literally. Didn’t. Finish. Reading. The. Paper.


Error #2: Trans women exhibit “male patterns of criminality,” which means they’re at least as likely as cis men to commit sexual assault.

Second, regarding any crime, male-to-females had a significantly increased risk for crime compared to female controls (aHR 6.6; 95% CI 4.1–10.8) but not compared to males (aHR 0.8; 95% CI 0.5–1.2). This indicates that they retained a male pattern regarding criminality. The same was true regarding violent crime. By contrast, female-to-males had higher crime rates than female controls (aHR 4.1; 95% CI 2.5–6.9) but did not differ from male controls. This indicates a shift to a male pattern regarding criminality and that sex reassignment is coupled to increased crime rate in female-to-males. The same was true regarding violent crime.

Dhejne clarifies in her interview with TransAdvocate:

As to the criminality metric itself, we were measuring and comparing the total number of convictions, not conviction type. We were not saying that cisgender males are convicted of crimes associated with marginalization and poverty. We didn’t control for that and we were certainly not saying that we found that trans women were a rape risk. What we were saying was that for the 1973 to 1988 cohort group and the cisgender male group, both experienced similar rates of convictions. As I said, this pattern is not observed in the 1989 to 2003 cohort group.

This is harder to fit on a billboard, as every word is important. At the very least, Dhejne didn’t anticipate this particular bit of fuckery, so it wasn’t included in the original study.

What the study found was merely that trans women were as likely as cis men to be charged and prosecuted for crime, in general. The study never at any point compared the types of crimes for which the two groups were arrested, meaning being arrested for prostitution contributes to the statistic in the same way that an arrest for sexual assault would. And on top of that, this is only true of the older cohort–1973 to 1988–and that this pattern disappeared in the later cohort, corresponding with better healthcare as well as improved legal and social climates.


 

The mythical trans rapist trope is unlikely to budge any time soon, but basic fact checking about That Fucking Swedish Study has been circulated for over a year now. Please link people to the TA interview and this post when you see them pulling this shit again.

-Shiv

Comments

  1. Johnny Vector says

    They. Literally. Didn’t. Finish. Reading. The. Paper.

    Paper? They didn’t finish reading the gorram sentence.

    What do you think about adding a category for “Debunking reference” or something like that? It would help make it easier to find this in a year when some fish-brained cloaca starts spouting and one of your readers needs a quick go-to link with a parfait of actual science and world-class snark. Maybe it (the category) would just end up being a subset of “Research article”, but it might still be useful.

  2. Siobhan says

    @Johnny

    That’s a great idea. I’ll make some “Fact Check” categories for various topics and retroactively assign them to similar posts.

  3. Silentbob says

    I finally got around to reading That Fucking Swedish Study and what you say here is not strictly true:

    What the study found was merely that trans women were as likely as cis men to be charged and prosecuted for crime, in general. The study never at any point compared the types of crimes for which the two groups were arrested, meaning being arrested for prostitution contributes to the statistic in the same way that an arrest for sexual assault would.

    They measured both convictions for any crime, and convictions for “violent crime”, and found the “male pattern of criminality” in both. They defined violent crime as “homicide and attempted homicide, aggravated assault and assault, robbery, threatening behaviour, harassment, arson, or any sexual offense”. I suppose prostitution counts as a sexual offense, so your conclusion is probably true.

    I want to emphasise again, the study says this result was “only significant in the group who underwent sex reassignment before 1989”.

    One thing I hadn’t realised, and that I find slightly amusing, is that this was a study of trans people who had had sex reassignment surgery. That is to say this study that TERFs love to pretend is evidence that trans women are as likely to be rapists as cis men, was a study of trans women without penises.

  4. Siobhan says

    @Silentbob

    That is to say this study that TERFs love to pretend is evidence that trans women are as likely to be rapists as cis men, was a study of trans women without penises.

    Given that virtually all forms of trans-antagonism stem from belief in some variety of sex essentialism, I don’t think this actually means anything to TERFs. If they think a trans woman is no different than a cis man in terms of violent tendencies then it doesn’t matter to them whether a trans woman still has a penis or not–their argument is some kind of hazy conclusion that the same genes to create penises correlate with aggression, so operative status is meaningless.