I Aten’t Dead

You may have noticed that I’ve been around very little over the past several months. Actually, it’s more likely that you haven’t noticed – there are, after all, plenty of excellent blogs on this site and a regular stream of posts from all directions – but it’s still something I feel guilty about.

The reason for my near-absence is that, on top of all the other stuff involved in being a mother and part-time GP, as of this school year I’ve also had to start part-time homeschooling my son. (The other part of the time he’s with tutors.) This certainly has its benefits and has been an interesting experience, but it’s also a huge suck of time and energy that I didn’t really have to spare. So, at any time when I could potentially be sitting down to blog, invariably either I have stuff that genuinely is more important to do right then (getting son’s lessons ready for the next day, getting work letters done), or I’m just plain too exhausted to face getting my brain to string sentences together, or both. On top of that, there’s the whole thing where my brain keeps going “But.. terrible political situation in the US… I should be helping out by making incisive posts! But I have no incisive posts to make! So how can I post about anything less important when so much important stuff is going on!”. Which doesn’t help.

Anyway… all of that is still going on, so this isn’t exactly the ‘and now my problems are solved and I can return to normal blogging’ post. It’s just the ‘sod it, I’m fed up of working my way through endless to-do lists and want to do something for me for a change’ post. Yeah, maybe the stuff I blog about isn’t going to be terribly interesting or important. But I still have things I want to write about, and I think that taking a break from everything else to write about them is something I need to do right now.

By the way, if anyone wants to throw out a word of encouraging interest in any of my currently planned topics, that would be great. They are, in no particular order of priority:

  • Homeschooling
  • Whatever I happen to have been reading lately
  • A description of the first episode of 11.22.63. (That one may have to wait… writing a detailed description of something like that is a big time-consuming project that probably isn’t ideal to take on when I’m just trying to get back to blogging anything, but it’s still something I’d like to do eventually.)
  • Actually finishing the detailed breakdown I promised nine months ago of the many errors in Lenny Esposito’s ‘but we should stop transgender people transitioning because science!’ of which I have so far managed only two posts out of a planned four.
  • Counter-apologetics, including short series of posts on a) why I became an unbeliever and b) why, specifically, I concluded Christianity’s claims not to be true.

Obviously, you may not care as long as I write something/not care anyway, which is fine. But any of those did make you gasp in glee and say “Wow, that’s exactly what it’s always been my dream to read about!” or even just think “Hmm, that sounds kind of interesting”, then, y’know, leave a comment and tell me so.

Friday the 13th and advocacy for sex workers

So, there’s this thing I’ve been taking part in for the past few years where I and some other bloggers/Internet users make Friday the 13th a day for speaking up for sex workers’ rights and the abolition of restrictive laws that harm sex workers rather than helping them. I don’t want to miss doing so this year, but I’m afraid that time constraints and general exhaustion mean that this is going to have to be my shortest post so far on the subject.

Firstly, the above link is to the post I wrote for the last Friday the 13th, which in turn links back to a couple of others. If you read that, it’ll fill you in pretty well on my views.

Secondly, and more importantly, I’d like to take this opportunity to direct you to what our national prostitutes’ organisation, the English Collective of Prostitutes, have to say on the importance of decriminalisation of prostitution. This statement of theirs summarises the reasons for decriminalisation of sex work and provides two links with summaries of useful information on the harm done by current British sex work laws (the US ones, by the way, are even worse, as prostitution itself is illegal in nearly all of the US, which is an appallingly unjust and harmful law) and debunking of several myths about sex work.

So, once again; let’s put an end to laws that harm sex workers, listen to what sex workers want from the law, and look at how best to reform the law with the actual needs and opinions of sex workers in mind.

Well, f&*%

I don’t normally use the F-word on my blog even with asterisks (I’m not squeamish, but my mother reads this blog) but there’s simply no other response to the results at this point.

Last night, when the polls were suggesting Clinton would just squeak through, my husband told me something he’d read in Reason magazine; that it was worrying to realise that if a competent racist without a history of sexual assault allegations was running for president in America today, he’d win. It now seems that an incompetent racist with a history of sexual assault allegations can do so. It’s beyond terrifying to think how many voters may have found his racism a feature rather than a bug. Or how many disliked the idea of a woman as president so much that they would literally vote for any available alternative.

An article by my sister: the problem with the term ’empowerment’

Back when I was pregnant with each of my children and reading antenatal literature and forums, one thing that cropped up now and again and annoyed the hell out of me was the habit of some health care providers of claiming that they wanted to ’empower’ women to have better births. While I’m sure it was very well meant, I also recognised that anyone who talked about ’empowering’ me was implicitly assuming that a) I wasn’t really all that powerful already and b) I wasn’t capable of becoming so without their kind help.

I was reminded of this when I read my sister’s latest article (nothing to do with childbirth, by the way) on the way that the word ’empowerment’ is essentially a meaningless distraction: Empowerment’ is Warping Women’s View of Real Power.

You can safely assume that if an activity is described as “empowering,” no one in any actual position of authority will be going anywhere near it… Empowerment has become the sparkly pink consolation prize for the gender that continues to be excluded from actual power.

And good points about the sexism in how Clinton is viewed/portrayed by the media.

The FTB Ethics Committee Statement

So, I interrupt that thrilling if admittedly glacially slow trawl through the errors in one conservative Christian’s attempt to write about transgender therapy, to bring you this post on an entirely different topic.

In response to events of recent days, of which many of you will already have heard a great deal, there has been a very great deal of discussion on the FreeThoughtBlogs backchannel about the issue of how we should handle allegations of gross misconduct in one of our members. This is ongoing, and you will hear more about it with time (and can read more about it now on other blogs). For the moment, however, we have drawn up a statement which we are posting on our various blogs to make our feelings known about this topic. Herewith:

Freethought Blogs unequivocally condemns any behavior that threatens the safety of atheist community members, including particularly marginalized groups. Freethought Blogs also recognizes the role of sexual harassment as one of numerous barriers for women that limits access to and participation within atheist conferences and spaces.

When the recent allegations against Richard Carrier were made public, Freethought Blogs initiated a process to investigate these claims and formalize its policy concerning the conduct of its members. The FtB Ethics Committee received several reports of Carrier’s behavior and was in the process of reviewing them when Carrier chose to leave the network. A thorough review of the allegations against Carrier cannot be completed by Freethought Blogs without his cooperation.

As part of our commitment to equitable access to freethinking spaces for all, Freethought Blogs members who violate our commitment to social justice by creating or maintaining barriers to participation will be removed from the network as a matter of policy. All reports submitted to us in furtherance of this policy will be kept in the strictest of confidence, unless the accusation was made publicly or in the event we have express permission to reproduce the complaint.

-The FtB Ethics Committee

That is (for the moment) all. We now return you to your regularly scheduled mishmash of, well, all the stuff we blog about.

Fact-checking transgender treatment myths, Part 2 – the David Reimer fallacy

In my last post, while discussing an inaccurate claim about transgender treatment recently made by Lenny Esposito on the Come Reason blog, I promised to come back to his past post Today’s Snake Oil Includes A Scalpel: The Damaging Treatment of Transgenderism for some much-needed fact-checking. In that post, Esposito claims that gender reassignment therapy is ‘a dangerous falsehood that many times proves deadly to the patients that should have been helped’, and goes on to cite various pieces of evidence to make a superficially convincing case for this claim. However, this is extremely misleading; Esposito’s post not only contains several significant errors and fallacies, it also ignores all the research that actually shows gender reassignment therapy to be beneficial overall for nearly all the people who opt for it. Some proper fact-checking is clearly sorely needed here and, with apologies for the delay in getting back to it, here we go.

There’s quite a bit in his post to discuss, so I plan to break it down into several short posts dealing with each point separately. First up, his discussion of David Reimer’s story.

[I]n 1967 he [Dr John Money] sought to change a two-year-old boy whose genitals had been damaged by a botched circumcision into a girl, reassuring the parents that the child would grow up never knowing the difference. But, as the Los Angeles Times reported, “the gender conversion was far from successful. Money’s experiment was a disaster for Reimer that created psychological scars he ultimately could not overcome.” David Reimer committed suicide at the age of 38.

While it’s not clear to what extent Reimer’s suicide was a response to his history of gender surgery and to what extent it was related to other significant problems in his very troubled life, there is no doubt at all that the gender conversion attempts performed on Reimer were, indeed, psychologically disastrous for him and contributed hugely to the distress in his life, and it is very likely that they played at minimum a significant role in his final tragic end. However, there’s a big problem with using that as an anti-gender reassignment argument: Reimer wasn’t transgender.

As Esposito himself states, Reimer was a boy who was reassigned to be raised as female after a badly botched circumcision operation destroyed his penis and John Money (who was hugely influenced by his wish to prove his particular theory about gender fluidity) convinced his family that raising him as a girl was the best way to salvage the matter. There were never any claims that Reimer was transgender. From a very early stage he clearly knew he was male and wanted to be male.

Now, of course, Reimer’s situation was unique and there are limits to how much of a conclusion we should draw from that one story; but it does strike me as notable that what we have in Reimer’s story is the story of a person being raised as female who knew all the time, on some level, that he should actually be male.  In other words, the experience that a transgender man [a person born into a female body but with an inner gender of male] grows up with. And he found it devastating and destroying. That really doesn’t strike me as a good argument for trying to convince someone who identifies with one gender that they’re actually the other.

Of course, I have little doubt that Esposito and his followers would argue that a transgender man’s experience of distress over growing up in the wrong body shouldn’t be treated in the same way because he isn’t ‘really’ a male (by which they would mean that he’s not chromosomally male, or possibly that he wasn’t born with a penis – I’m not quite sure what, specifically, their criterion is). But, whichever way you look at it, it strikes me as pretty illogical to take an example of someone who found it deeply distressing to grow up with an assigned gender that his own inner certainty was telling him to be wrong, who could not refuse his need to live as the gender that matched his inner knowledge of himself – and use that to bolster your claim that people who are deeply distressed at growing up with an assigned gender that their inner certainty tells them is wrong should not be allowed to live as the gender that matches their own inner knowledge of themselves.

Misinformation about gender reassignment therapy (part 1)

One topic that’s shown up on Christian blogs a lot lately (because it’s been in the mainstream news a lot lately) is that of transgender people and gender reassignment surgery. I’ve been reading a lot of dubious claims from these sorts of articles, which have been ringing my Fact Check Alert bell big-time. I don’t know a great deal about transgender issues, but, as a GP, I do know that medical opinion supports the availability of gender reassignment as a treatment for gender dysphoria. So, when non-medical groups with a heavy religious-based agenda in the matter try to claim that gender reassignment is bad for transgender people and we should be banning it in their interests, that rings alarm bells for me and I want to look at the evidence.

The latest such post that I saw was Bloodletting and the Modern Trans Movement, on the Come Reason blog by Lenny Esposito. Esposito argues that because doctors once used to believe in treatments such as bloodletting which are now discredited we should therefore assume that medical advice to provide gender reassignment therapy for transgender people is similarly incorrect. Or something like that, anyway. That of course is just a logical fallacy (by the way, if anyone knows the official name for that logical fallacy feel free to shout out – I don’t keep track of logical fallacy names myself) but the bit that hit my Fact Check Alert button in this post was this:

I’ve pointed out before how we have fifty years of data under our collective medical belts on gender reassignment surgery and we know that the suicide rate for those suffering from gender dysphoria is as high after sexual reassignment surgery (SRS) as it is prior to transitioning.

The link Esposito gave there is to a post he wrote last year titled Today’s Snake Oil Includes a Scalpel: The Damaging Treatment of Transgenderism, which rang my Fact Check Alert bell several more times and needs a post or several of its own to discuss, which I fully plan to do. In the interest of speed and clarity, I’m going to leave that to further posts rather than try to cover everything here. What it did not do, even with the cherry-picked and misleading evidence it cites, was support Esposito’s statement that suicide rates are as high after gender reassignment therapy as before. The post cited one study showing much higher suicide rates among transgender people post-reassignment than in the general population (though without pointing out that these high suicide rates were seen a few decades ago when anti-transgender bias was worse than it is now, and that they don’t show up in recent years), but nothing comparing rates of suicide in transgender people pre- and post-gender reassignment. So, whatever Esposito may have convinced himself he ‘knows’, he hasn’t in fact demonstrated anything of the kind.

So, I did a bit of digging around to see whether any such statistics do exist, and, as far as I can find out, they don’t. I did find this report on rates of suicide attempts in the transgender population overall, which is frightening; transgender people were almost ten times as likely as the general population to have attempted suicide at some point. Not surprisingly, this was strongly linked with experience of discrimination, bullying, rejection by family, or even outright violence, making it clear that, for those of us concerned about suicide risk among transgender people, one of the most important things we can do is to work to increase transgender acceptance. (Which, frankly, doesn’t seem to be a strong point among conservative Christians such as Esposito.) And this article cited studies also indicating markedly increased suicide rates in the transgender population (and, again, cited evidence that showed this to be linked to experiences of discrimination and family rejection).

However, I couldn’t find anything giving comparative figures for suicide rates, or suicide attempt rates, in pre-transition and post-transition transgender people. Which isn’t too surprising, by the way, since it’s the sort of question on which it’s hard to get data; but it does mean that it is not correct to state that we ‘know’ the suicide rates to be as high after gender reassignment as before. We know nothing of the kind.

So what information is available on how gender reassignment affects transgender people? Looking, I found this article reviewing the existing evidence as to how gender reassignment affects the mental health and quality of life of transgender people overall. According to the abstract, the authors of this summary found 28 studies that followed transgender people through gender reassignment therapy (surgical and/or hormonal) comparing their mental health after the procedure with before. What they found was that, psychologically, the majority of people were better off after gender reassigment.

Pooling across studies shows that after sex reassignment, 80% of individuals with GID reported significant improvement in gender dysphoria (95% CI = 68–89%; 8 studies; I2 = 82%); 78% reported significant improvement in psychological symptoms (95% CI = 56–94%; 7 studies; I2 = 86%); 80% reported significant improvement in quality of life (95% CI = 72–88%; 16 studies; I2 = 78%); and 72% reported significant improvement in sexual function (95% CI = 60–81%; 15 studies; I2 = 78%).

So, no matter how hard conservative religious groups or other anti-transgender groups try to spin evidence to make it look as though it supports their cause, the evidence is in fact that the best thing to do to help transgender people is a) to eliminate prejudice and discrimination against them, and b) to make gender reassignment available for those who, after counselling, want it.

The Lighthouse Keeper’s Lunch

The Lighthouse Keeper’s Lunch, by Ronda Armitage, is a favourite of my eight-year-old daughter’s. This is partly because it’s a fun story, and partly because we enjoy going through pointing out all the problems with it.

My daughter is a huge fan of the CinemaSins YouTube channel. (Yes, this is probably a terrible idea and bad mothering on my part, but she’s only interested in the reviews of children’s films, so hopefully she isn’t going to end up watching extracts from some weird slasher film while my back’s turned.) Last night, while she was reading this book for the umpteenth time, she declared ‘We really need to make a list of all the things wrong with this book like the Sin Counter does!’

And so here I am. (And, Ronda Armitage, if you’re reading this – my daughter absolutely loves your book. Plot bizarreness and all.)

Basic plot (with spoilers)

Simple enough. Mr Grinling works in a lighthouse. Every day, his wife makes a detailed and delicious packed lunch for him, and sends it to him down a cable transport system (they live in a cottage on the nearby cliff). Some seagulls get wise to this and start eating the lunch on the way down, leaving poor Mr Grimling lunchless. Mr and Mrs Grinling try a couple of different things to discourage the seagulls, eventually winning the battle when Mrs Grinling comes up with the idea of putting mustard sandwiches in his lunch. The seagulls don’t like the mustard sandwiches, and after a couple of days of this head off to seek their lunch elsewhere. Success! Well, except for the unfortunate fisherman who’s having his lunch eaten by seagulls at the end. But success for Mr Grinling, who gets his lunch.

Problems with the plot

(As opposed to problems with the gender role portrayal, which are pretty obvious.)

  1. Why on earth does Mrs Grinling send the lunch down a cable every day? Surely it would be far simpler to make it the day before so that Mr Grinling can take it over in his boat each day when he commutes? What would happen if the cable jammed and left his lunch dangling fifty feet in the air over the sea? What if the basket tipped off in a storm? (It definitely doesn’t look too secure in the pictures.)
  2. How do the seagulls have time to finish the lunch in the time it takes to slide down a cable? Sure, they could probably peck at it somewhat, but apparently they’re supposed to have completely finished it in the time it takes to get down the line (and this is not a small lunch).
  3. Mrs Grinling’s first attempt at foiling the seagulls is to tie the napkin to the basket – cue picture of Mrs Grinling standing triumphantly next to a ribbon-bound basket. In which she appears to have added one ribbon totally for decoration, as it runs horizontally round the basket, under the other ribbons, contributing nothing whatsoever to the ribbon-induced security of the basket. What was the point of that?
  4. But what’s far worse is her next plan – with Mr Grinling’s full co-operation, she decides to send their cat down the cable as well in order to scare away the seagulls. Yup. We have a picture of a terrified cat being placed in a basket despite his struggles, and then one of him cowering in the basket in terrified misery as he travels down this insecure cable arrangement, at risk of toppling fifty feet into the sea below and getting dashed against the cliffs. The Grinlings are totally OK with doing this. Someone report this couple to the RSPCA.
  5. Mrs Grinling finally comes up with the mustard sandwich plan, and we have a full-page picture of the seagulls spitting the sandwiches out with cries of revulsion. And – kudos to my daughter for picking up this particular point – the falling sandwiches show human-shaped bite marks, rather than beak-shaped bite marks. How exactly did this happen? Did the seagulls’ beaks somehow magically metamorphosize into human mouths for just long enough to take those fateful bites, then change back again?


So… what’s the moral? Maybe it’s that you should prepare for work the night before, a la Flylady; maybe it’s that being cruel to animals brings you no benefit, but, hell, you’ll also apparently suffer no consequences from it so why not give it a try. (Nope. Let’s not go with that one.) On the whole, I think it’s that it’s probably not a good idea to overanalyse children’s books.