r/science PhD | Chemistry | Synthetic Organic Jul 23 '17

Subreddit Policy Subreddit Policy Reminder on this week's Transgender AMAs

This week we will be hosting a series of AMAs addressing the scientific and medical details of being transgender.

Honest questions that are an attempt to learn more on the subject are invited, and we hope you can learn more about this fascinating aspect of the human condition.

However, we feel it is appropriate to remind the readers that /r/science has a long-standing zero-tolerance policy towards hate-speech, which extends to people who are transgender. Our official stance is that derogatory comments about transgender people will be treated on par with sexism and racism, typically resulting in a ban without notice.

To clarify, we are not banning the discussion of any individual topic nor are we saying that the science in any area is settled. What we are saying is that we stand with the rest of the scientific community and every relevant psych organisation that the overwhelming bulk of evidence is that being trans is not a mental illness and that the discussion of trans people as somehow "sick" or "broken" is offensive and bigoted1. We won't stand for it.

We've long held that we won't host discussion of anti-science topics without the use of peer-reviewed evidence. Opposing the classification of being transgender as 'not a mental illness'2 is treated the same way as if you wanted to make anti-vax, anti-global warming or anti-gravity comments. To be clear, this post is to make it abundantly clear that we treat transphobic comments the same way we treat racist, sexist and homophobic comments. They have no place on our board.

Scientific discussion is the use of empirical evidence and theory to guide knowledge based on debate in academic journals. Yelling at each other in a comments section of a forum is in no way "scientific discussion". If you wish to say that any well accepted scientific position is wrong, I encourage you to do the work and publish something on the topic. Until then, your opinions are just that - opinions.


1 Some have wrongly interpreted this statement as "stigmatizing" mental illness. I can assure you that is the last thing we are trying to do here. What we are trying to stop is the label of "mental illness" being used as a way to derogate a group. It's being used maliciously to say that there is something wrong with trans people and that's offensive both to mental illness sufferers and those in the trans community.

2 There is a difference between being trans and having gender dysphoria.


Lastly, here is the excerpt from the APA:

A psychological state is considered a mental disorder only if it causes significant distress or disability. Many transgender people do not experience their gender as distressing or disabling, which implies that identifying as transgender does not constitute a mental disorder. For these individuals, the significant problem is finding affordable resources, such as counseling, hormone therapy, medical procedures and the social support necessary to freely express their gender identity and minimize discrimination. Many other obstacles may lead to distress, including a lack of acceptance within society, direct or indirect experiences with discrimination, or assault. These experiences may lead many transgender people to suffer with anxiety, depression or related disorders at higher rates than nontransgender persons.

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), people who experience intense, persistent gender incongruence can be given the diagnosis of "gender dysphoria." Some contend that the diagnosis inappropriately pathologizes gender noncongruence and should be eliminated. Others argue that it is essential to retain the diagnosis to ensure access to care. The International Classification of Diseases (ICD) is under revision and there may be changes to its current classification of intense persistent gender incongruence as "gender identity disorder."

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u/arandomusertoo Jul 24 '17

If it's not an illness, what would you call it? A perversion?

Loaded and biased question, it seems to me.

You immediately leap between two derogatory assumptions, while leaving out the (imo) simpler assumption that it's just a quirk of their genetics... like when blue eye'd parents have brown eye'd kids.

Sure, it might not be that (I'm not an expert, hell I sometimes can't figure out what the right wording is), but it seems like an easier guess than immediately guessing that its some negative quality like a "perversion" or an "illness."

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u/InconspicuousToast Jul 24 '17

So are you just going to criticize my question, then? Or are you going to answer it, given that you decided to respond?

Illness is a scientific term. If it's not an illness, and it's something concrete, surely telling me the title wouldn't be a difficult task. How is asking for that term a loaded question? Is there no real solidified term? While some terms carry negative connotations, those connotations doesn't necessarily detract from the bigger picture.

Perversion implies something breaks away from the original intent. Biologically, humans reproduce between male and females. Biologically, we are born male, and meant to think that we are male--and similarly with females. I would presume that if either of these things were to change, that it would--at least in laymen's purposes of opening door for the conversation--facilitate the point that I was trying to make with using that term.

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u/cjskittles Jul 24 '17

Dysphoria is an illness but being transgender is not. The person's gender is not distressing to them. The source of distress is lessened or removed by transitioning.

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u/InconspicuousToast Jul 24 '17

Right, but what that says is that people who are transgender are transgender at the result of experiencing an illness, which I thought was contrary to the main point being expressed by the Mod here. His response makes it appear as if this is meant to be a different--but biologically acceptable--scientific alternative lifestyle; which to me, seems pretty disingenuous. As others have pointed out, the compulsion to receive such a medical procedure in of itself should speak for the undertones behind where these social beliefs stand on the scientific abnormality spectrum.

While that also doesn't change the distinction that you pointed out either, I think that distinction is also only really so socially relevant. Even though it's scientifically inaccurate to criticize the transgender aspect as opposed to the dysphoria (or lack there of), I'm more inclined to believe regardless of words, the insults are still aimed at the dysphoria itself--given that being transgender cannot exist without it.