Originally a comment by Artymorty on There’s no shame, no apology.
I have a sickening feeling that one reason the medical interference has been seen as okie doke is because so many people were doing it at the same time. Thereâs a âcommunityâ being built, and when thereâs a âcommunity,â well at least you wonât be lonely with your ruined body, youâll be able to find other people in the same boat. Once that stops being the case, the interference stops looking quite so progressive. What does this mean? That much of the fervid proselytizing for medical interference has been recruitment â so that people who have already trashed their bodies will have a pool of potential fellow-miserables. A circle of horror.
Thatâs the flawed premise at the heart of the Cass review: you canât really tell how well gender medicine âworksâ if you donât even try to address the mechanism through which it supposedly operates. Itâs not enough to just look at mental health outcomes over the short and medium term. (And the Cass report wasnât even able to do that, because the culprit clinicians banded together to withhold the follow-up data, which is where weâd expect to find the really incriminating evidence.) Thereâs no clear hypothesis to test!
I know that the subject of FGM is very sensitive to some because itâs so awful. But thereâs an apt comparison here. The practice is, per UNICEF (via Wikipedia):
usually initiated and carried out by women, who see it as a source of honour, and who fear that failing to have their daughters and granddaughters cut will expose the girls to social exclusion.
Is this not also a circle of horror? Compare that sentiment to this one about âgender medicine,â quoted in the Guardian, and cited here at B&W last week:
I would much rather my child was growing up in a way in which [she] wasnât sticking out like a sore thumb and potentially going to end up dead.
With the benefit of an outside perspective we can see very clearly that thereâs no direct medical necessity to remove parts of women & girlsâ clitorises and labia, and that whatever supposed mental health benefits this practice confers to such victims â I will never call them âpatientsâ or âsubjectsâ or any other word besides victims, no matter how âmedicalizedâ these atrocities are presented to be â itâs entirely dependent on the cultural/social landscape: the domain of social hierarchies and taboos and superstitions and rituals, and the foul effluvium of woman-hatred that enshrouds the senses of those within it.
Now, imagine there was a report that analyzed the efficacy of female genital mutilation strictly in terms of short-to-medium term self-reported mental health outcomes without ever addressing the question of why the practice had begun in the first place. Outrageous! To be clear, Iâm not trying to say that the Cass report is outrageous â far from it; I think itâs a powerful and necessary report, which is already proving to be greatly beneficial to the struggle to put this scandal behind us. But itâs a sign of how outrageous our current social climate is, how mired in the bog we are, that such a report canât be allowed to step all the way back to show us the true horror of the big picture.
No human female is born with an innate medical condition in which she is doomed to suffer unless otherwise healthy parts of her genitals are sliced off of her body. This is self-evident.
Likewise, no human of either sex is born with an innate medical condition in which they will suffer from such dire psychological distress they might die of suicide unless their otherwise healthy breasts and reproductive organs are removed, their puberty suppressed, a host of other cosmetic medical treatments are given, and all of society is compelled to band together and suppress all evidence of the sex of these poor innocents. Again, this is self-evident.
The gender mess is ultimately a battle on cultural grounds, and as much as systematic reviews of mental health outcomes are one piece of evidence we can use to put an end to it, they will never be the smoking gun, because the guilty party is the cultural climate that fosters mental distress in vulnerable people who donât medicalize their bodies, and which (at least temporarily) showers those who do go under the scalpel with praise and social rewards.
The supposedly âpositiveâ mental health outcomes of victims of gender medicine are as dubious and precarious as the supposedly âpositiveâ outcomes of the victims of FGM: if the circle of horror ever stops, the fog that dulls the senses will lift and the pain will be acute.
Hereâs a report about FGM in the Guardian from last month:
Reports have also emerged recently of resurgences in the central Kenya region of Murangâa, where women over 30 are opting to undergo the cut as a âreturn to cultureâ.
See again how clearly the Guardian is able to report on these âproceduresâ as a cultural phenomenon instead of medical treatment â and a tragic and terrible one â because Kenya is way over there.
If only they could see clearly enough to report that the resurgence of sex stereotypes, in large part due to the rise of social media, is why so many women â and men, too â are choosing to undergo their own version of âthe cutâ right here in the Guardian readershipâs own backyard, in Europe and North America.