Guest post: Horrible nonsense behind a respectable veneer

Originally a comment by Nullius in Verba on The pressure continues.

By “gender-affirming healthcare” he means puberty blockers, cross-sex hormones, and amputation of breasts or genitals. It’s at least debatable whether those items are healthcare at all.

TRA language games hide horrible nonsense behind a respectable veneer. There’s a difference between affirmative care and gender-affirmative “care”. The former is when the therapist affirms that the client/patient is, in fact, experiencing something. The latter is when the therapist affirms that the experience is veridical or that beliefs based on that experience are correct. Denying the patient’s phenomenological experience is unhelpful, while accepting it can build the trust required for progress.

Affirming the patient’s disordered belief structure, however, is not just unhelpful, it is bizarre and obviously so. In response to what other psychological condition can you imagine the suggested reaction would be affirmation? Pick a disorder at random and say, “Yes, …” Patient presenting with anorexia? Yes, you are a fat fatty. Grandiose delusional identity? Yes, you are the King of Spain. Agoraphobia? Yes, something terrible will happen if you go outside. Social anxiety? Yes, they’re all going to laugh at you. Depression? Yes, everything is terrible and terrible and will never get better, and so are you. Schizophrenia? Yes, the voices are real and you should do whatever they tell you. And so on and so forth.

Gender-affirmative healthcare is not healthcare at all. It solves nothing and instead feeds the disorder, perpetuates the illness, exacerbates the pain. In short, it is the opposite and antithesis of healthcare.

21 Responses to “Guest post: Horrible nonsense behind a respectable veneer”