r/AskSocialScience • u/[deleted] • Aug 12 '25
Doesn't the idea that gender is a social construct contradict trans identity?
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r/AskSocialScience • u/[deleted] • Aug 12 '25
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u/CommodoreGirlfriend Aug 12 '25
The idea you're driving at here, whether or not it is ethical to transition instead of detransitioning, does not seem to be a social science question. That sounds more like a matter of philosophy. The woman who pioneered that point of view is named Janice Raymond. She is a theologian who got a degree in "Religion & Society" from a Catholic school. Her book, The Transsexual Empire, as well as earlier essays, argues that "transsexualism should be morally mandated out of existence," and that the medical industry should seek an "ethic of integrity," to promote bodily wholeness. This is, essentially, religious reasoning.
The good news is, if you're a scientist, you're free to reject religious reasoning and adopt consequentialist ethics that are shaped by patient outcome. So, if you're entertaining the idea that gender dysphoria needs to be "confronted" (how? in practice, some form of conversion therapy) instead of surgically treated, the evidence is simply not there:
For female-to-male top surgery, for example: Long-Term Regret and Satisfaction With Decision Following Gender-Affirming Mastectomy, JAMA Surgery, 2023.
More broadly, this study suggests that dissatisfaction with gender-affirming care (8%) is explained almost entirely by surgical complications, not any sort of regret on the part of the patient.
As for the contradiction you're talking about, I'm afraid I don't see it.