Gender Identity Disorder

The “affirming” healthcare model for gender-distressed youth is endorsed by the medical establishment in the United States, but many European nations have retreated from it. This controversy would be expected to attract the interest of philosophers and bioethicists, with a diverse range of opinions appearing in academic articles. However, when philosophers and bioethicists have ventured into print, they have almost invariably endorsed the affirmative approach, which involves life-changing medical interventions on children with psychological problems. This is a sign that the (...) process of academic research and writing is not functioning as it should. -/- We recount the failure of philosophy and bioethics to address the issues raised by gender-affirming healthcare. We also offer an explanation of this failure, and in the final section make some recommendations for improving academic integrity. (shrink)

A Letter to the Editor about the origin of "gender identity" and deficiencies in its current definition.

At stake for this essay is the distinction between politics and war and the extent to which politics can survive war. Gender analysis reveals how high these stakes are by revealing the complexity of militarism. It also reveals the impossibility of gender identity as foundation for a more robust politics with respect to war. Instead, a non-ideal normative differentiation among kinds of violence is affirmed as that which politically cannot not be wanted.

There are two popular ways of explaining why a person has authority over her own gender identity: epistemic FPA and ethical FPA. Both have problems. Epistemic FPA attributes to the self-identifier an unrealistic degree of doxastic reliability. Ethical FPA implies the existence of an unqualified obligation not to reject which is too strong to be plausible. This essay offers a third explanation called “weak FPA” and investigates how far first-person authority reaches in terms of grounding rights and obligating others. Weak (...) FPA doesn’t obligate one not to reject but it implies that when self-identification can be satisfactorily defended against attempted defeaters, the self-identifier has the right to recognition, which entails the respect and all other legal and social rights any other self-identifier receives from her peers. (shrink)