[QUOTE=Weirddave]
I’m gonna play devil’s advocate for a second here. Trans-gendered people have a mental identity that doesn’t match their physical reality, but why is it assumed that the physical gender is where the problem is? If “who you are” (a somewhat nebulous concept, but understandable) doesn’t match your genitals, why are the genitals assumed to be the problem and not the mental state that is denying the reality of your chromosomes? Why can’t the argument go the other way?
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The practical answer is, treating transexuality strictly through therapy just doesn’t work. The patient retains the feeling that they are the wrong gender, and the therapy does not make it any easier for the patient to live with that feeling of dissociation, which leads to a much higher incidence of depression, destructive behavior, and suicide, than is found among patients who have SRS.
The medical answer is, there’s growing (although not yet conclusive) evidence that transexuality is physiological in nature, not psychological. There are physical differences in the structure of the brain between men and women, and it appears that transexuality is caused when someone quite literally has the brain of the opposite gender from their body, and thus is no more treatable through therapy than a tumor. If the research ultimatly bears this out to be true, then changing a transexual’s mental gender to match their physical gender would require a surgical process at least as invasive (and probably significantly more invasive) than that involved in SRS.
The ethical answer is, what’s wrong with letting people decide for themselves what they want to be? If a man wants to become a woman, why should we expect him to change his mind to fit how the rest of us view him, instead of letting him change his body to fit how he views himself?
The philosophical answer is, people like to think of their sense of self - their identity - as being invioable. The idea that one could go into a doctor and have their psyche so radically altered that they identitfy as an entirely different gender than they did when they went in is rightly terrifying. That sort of deep-level alteration of one’s basic id opens all sorts of questions about the very nature of who and what we are. If a doctor could convince you, wierddave, that you’re really a woman, then he could just as easily convince you that you’re a communist, or a radical Islamist, or a violent racist, or any number of other factors that you consider essential to your conception of who you are as a person. Absent social pressures to conform, most people are much more comfortable with the idea of altering their body than they are with altering their fundamental view of who they are as a person.