Hoping I know the difference between a skeptic and an asshole: a personal reaction to Molly Cooney's "Transition: The Renaming of Hope"

Note: I first wrote this more than four years ago. Since then, I've been too afraid to publish it, partly because I thought it might invoke an angry response and partly because I wasn't sure I knew what I was talking about. By now, I think I'm reasonably sure nobody cares what I write enough to get angry about it, and while I'm still not sure I really know what I'm talking about, it seems that there is enough uncertainty, even among liberals, about some points advanced by pro-trans rights groups that it might be worth this effort to explain, even imperfectly, what some of those doubts are. The NYT's decision recently to publish an op-ed questioning gender-affirming care made me decide to go back in and dust this off. I may be wrong about everything, but at least this might serve as an expression of what the doubts of a thoughtful liberal might be. For those advocating trans rights, it might help them to refine their message to address these kinds of doubts. 

I've left most of the anachronisms below in place. Where I thought it necessary, I've added notes to make it clear that the statement was written years ago. For some reason, when I wrote this, I cited a bunch of articles from Medium as statements of what trans advocates claim. I've read better articles since, but I'll leave what I have in place. I feel like I should say that the reason I've revived this oft-abandoned project isn't because of the furor over Olympic boxer Imane Khelif, who I realize is not a trans woman. Imane is an example of many things, including how the public struggles to see differences between one issue that makes it uncomfortable and another, and also how TwitterX is poison, but she isn't a trans woman. It was mostly the NYT article, as well as another article I can't find now about how Democrats are split on trans issues, that made me think it might be worth putting this out.

I still feel the same empathy for Cooney's partner I did when I wrote this piece. I want a world where they can be safe and pursue happiness. That's more what I remember four years later than the questions I wrote about below. 

Here's the piece..

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When I blogged my way through the 2019 Pushcart Anthology last year, I only looked at the fiction. It's the only thing I can claim enough skill in to critique with some authority, so I passed over everything else. But my blogging pal Karen Carlson wrote about one of the non-fiction pieces from Pushcart in a way that intrigued me. I went in and read it, and was glad I did. I then wrote about it, sat on what I wrote for over a year, and am putting it out now in spite of strong doubts about the wisdom of publishing this. ((Note from present day Jake: I must have added that last sentence in 2021, a year after I originally wrote this, when I was considering publishing it belatedly before deciding not to. Obviously, I've been unsure about publishing this since the minute I wrote it.)) 

You see, I have a confession. I'm a bad liberal. I'm secretly not orthodox with some of the things all liberals are supposed to believe. I used to be; there was a time when most of the things you'd expect a liberal to believe were also things I believed. But the "T" in LGBTQIA+ has been a stumbling block for me. I mostly keep it to myself, because skepticism on certain points is just not something the people I hang around are expected to express. Curt Buckley wrote a piece on how skeptics of mainstream conclusions by the medical community about trans-gendered people are often just the same old bigotry masquerading as healthy skepticism. I'll try to be as acutely aware of Buckley's criticism as I can and to keep the line between skeptic and asshole clear.

I'd have continued keeping quiet about my reservations if not for two things. One is how moved I was by the piece that appeared in Puschart. Called "Transition: The Renaming of Hope," it is Molly Cooney's description of what it's like living with a partner who is about to transition from biological female to male. Her partner, Anne, is already taking testosterone, or "T" as Cooney calls it throughout the article. What makes Cooney's story so compelling is that there isn't a trace of sentimentalism, politicking, or whitewashing of the experience. It's uncomfortable. Cooney has profound misgivings about it. Although she loves her partner and wants what's best for her, her partner's transition poses challenges to Cooney's own identity. (I would ordinarily call Anne "him" to fit his identity, but Cooney is fluid about the pronouns she uses for Anne, mostly using "her" to speak of the person she has known so far, so I will do the same. "She/her" is the person Anne has been, and "he/him" is the person she will become, although I realize trans-advocates will say Anne has always been a man.)

I found myself genuinely pulling for this family. Cooney's story is almost magical in its ability to make me feel what her family is like. Not only is she a good writer, but she seems like an absolute gem of a spouse, because of how well she understands Anne. It was possible, in a way I've never experienced before, to understand the psyche of a person considering sex reassignment surgery, as well as the people around them.

The second reason is the current fuss about comments J.K. Rowling has made. ((Note from current Jake: Who knows which iteration of Rowling comments I was thinking of when I wrote that? There have been so many. God, I hate TwitterX.)) I'm not posting this  now to agree with Rowling. I simply want to say that there are some people like me, people who are generally on the same side of the political spectrum as trans-advocates, but still have questions. I believe trans-advocates should work to answer these questions without just trotting out "transphobia" as an attack. Before this is a political issue, it's an intellectual issue, and I'd like to be able to discuss it neutrally, outside the political implications, before making up my mind on how I'd like to align myself with those fighting for trans rights.

I felt such respect for the family in Cooney's essay, I've decided to make my long-held doubts public. When you respect someone, you're honest with them, the way Cooney was honest in her story. Before I launch into this, I want to reiterate that what motivated me to do this was how moved I was by what Cooney wrote.

I'm not any kind of expert on this subject. It's off-brand for me, you might say, to even talk about it. But maybe that's why it's worth thinking about what people like me might be thinking. I'm a reasonably intelligent, reasonably well educated non-specialist who has to make up his mind on an issue where much of the evidence is technical beyond his ken. I'm someone who's done a reasonable amount of research on this and who just can't get himself to come around to the view people in my normal political camp seem to want me to arrive at.

The doubts

Part One: Some history, both personal and cultural 

Back in the late 90s and early aughts, as an undergraduate and then graduate student in the humanities, I thought I understood the relationship between sex and gender. Sex was something nobody had control over. You got one or the other at birth. Yes, there were some exceptions, some people born with disorders of sex development, where the chromosomes said one thing, but the gonads said another. But at most, that was not quite 1% of people. For most of the world, sex was, I thought, a zero or a one. 

Gender, or the outward expression of sex-based characteristics, was once believed to be tied infallibly to sex. Men were "supposed" to hunt and try to have sex with women and fight. Women were "supposed" to be nurturing and supportive and knit. But we now know better: gender is not completely biological. It is a cultural construct. Men don't behave "like men" just because of testosterone and a Y chromosome. We're taught how to act like men. And what can be taught can be untaught, what can be learned can be unlearned. 

"Man" and "woman" referred to sex, as did "male" and "female." The terms "masculine" and "feminine" referred to gender. To quote Toril Moi, "It has long been an established practice among most feminists to use "feminine" (and "masculine") to represent social constructs (patterns of sexuality and behaviour imposed by cultural and social norms), and to reserve "female" and "male" for the purely biological aspects of sexual difference. Thus "feminine" represents nurture and "female" nature in this usage. "Femininity" is a cultural construct: one isn't born a woman, one becomes one, as Simone de Beauvoir puts it. Seen in this perspective, patriarchal oppression consists of imposing certain social standards of femininity on all biological women, in order precisely to make use believe that the chosen standards for "femininity" are natural."  

According to how I saw it back in grad school, challenging the cultural expression of man/woman and its necessary link to masculine/feminine--a process known as queering gender--was the project of those committed to re-thinking gender and society. It seemed to me back then that one of the most important projects of gender studies was to take the Venn diagram of what constituted male and female behavior, make both circles much larger, and then make the intersection between them so unpredictable and weird it would need the same math used in quantum calculations to figure out. Or, as Moi put it, to "disentangle this confusion (of femininity and femaleness)." I was on board with that. By that point, I'd experienced two versions of male culture out of control: high school football and the Marine Corps. Redefining what being a man and a woman meant seemed like a needed social project. 

A bit of an aside

Since I was in graduate school in the early 2000s, there has been some work in biology that questions whether the "purely biological" part of the sex/gender distinction is as clear as it seemed. That is to say, even "man" and "woman" aren't as simple as we once thought. Julia Serano, a transwoman biologist, has written a few articles and a book in which she tries to dismantle the idea that biological sex is as clear as we think it is. I don't have time to get into this fascinating idea. Serano is writing within a political environment in which some feminists do not accept transwomen as real women--the so-called "TERFs." Her arguments are often directed at those feminists. I will only say here that while Serano has some valid points, I think she makes too much of exceptions in nature and tries to use those to prove points in too general a sense. Sex might be more complicated than we thought, and nature always has surprises for us, but for now, I think these arguments lead more to a refinement of the definition of sex and not a revolutionary upturn. Arguments against Serano are here and here. ((Note from current Jake: Sorry I used Medium so much here. I'm sure you can find easier-to-access articles that will say the same things.)) 

Part Two: My doubts, as succinctly as I can put them

The first problem I have with the discourse from pro-trans advocates is that they seem to muddle sex and gender as much as their advocates do. Although when experts are explicitly making a difference between transsexual and transgender people, they more or less uphold the sex/gender distinction correctly, it is also very common for advocates and critics alike to call both simply "trans," which leads to all kinds of confusion. (I've often used "trans" in the same way in this essay, when I'm talking about the public face of trans rights.) This confusion leaks into almost everything anyone says, to where I can't even tell whether I agree or disagree with a statement. I believe the correct distinction is that transsexuals are those who have had sex reassignment surgery, while transgendered people are a large umbrella of those who challenge traditional notions of gender. Calling both "trans" muddies the waters greatly, and even when keeping a distinction, I'm not entirely sure that people consistently differentiate between biological and cultural concepts. So one huge problem I have is that the language all over is so imprecise, I don't even know what statement I'm being asked to agree or disagree with. 

As I understand it, transsexuals, those who have undergone sex reassignment surgery, are a subset of transgendered people, those who behave counter to cultural gender expectations for their given sex. 

Second, to take Cooney's description of Anne, is that Anne isn't really interested in queering gender. She's a rather gender normative man trapped in a woman's body. Her anguish comes about because her outward presentation of self to society doesn't match how she feels inside. She wants to change her voice, she wants to change her biceps. She spends a lot of time learning the "layers and layers of how to re-gender" herself: "It's not just new clothes and a new name. Not just wide stance and strong shoulders, nor just taking up space and talking loudly. For many transmen it's about how a guy props the door with his foot, that imperceptible difference in the kick of leg and tilt of hip." 

Anne isn't queer at all. She's not gender non-conforming. She's very gender conforming, just not to the social gender that's paired with her current biological sex. She's happy to accept gender normative standards, but not the ones that would be easier for her to pull off without drawing attention. She is, in a sense, transsexual but not transgender, as impossible as that sounds. If she were only a biological man, there would be no disagreement for her between how society expects her to act and how she feels.

This makes me wonder: do we need more men who take up space and talk loudly? More men who prop the door a certain way with their feet? Isn't this reinforcing traditional gender performance among men, albeit in a different package? Or is the project of queering gender more in need of biological women like Anne whose gender performance doesn't match what we expect? 

Cooney, a lesbian who had to fight to be seen, faces a loss with Anne's change. When she is seen with someone who passes for a man, she will no longer be seen as queer. Her identity, gained at great cost, will be taken from her. Anne's gain is Cooney's loss, although Cooney loves Anne enough that she is willing to support her.

Their decision how to balance their own gains and losses is personal, and I'm not here to question it. At the end of reading, I wished them only the best. But socially, I wonder if the eagerness to pass as a man by doing everything society expects a man to do and look like isn't undoing the project of queering gender. 

Ideally, it seems to me that society would accept that Anne's internal landscape aligns more with what we consider "masculine" than with "feminine," and that sometimes psychological masculinity can come in unexpected physical packages. Sometimes, the "masculine"--which is not a real thing, but something we culturally create--will have breasts and a vagina. Insisting on the importance of linking sex to gender seems like it's treating gender like it is a real thing. Anne seems to be saying, "I feel masculine, so naturally, I must need a male body to go with that." 

A biologist like Serano might suggest I'm making a body/mind dualism fallacy, because I think a masculine mind can exist in a female body, while Serano would say no, if someone is psychologically a man, he should also physically be one, since the mind is part of the body. I don't find that particularly compelling. If a body can demonstrate hermaphroditic qualities in two organs, such as body with both a penis and a vagina, why couldn't it also manifest a hermaphroditism that includes the brain as one of those organs? 

So my second misgiving is whether using medical remedies to make sex and gender match isn't an undoing of the whole project of queering gender. If everyone did this, there would be no gender rebels.

Third, it seems like a lot of Anne's concerns have to do with how she is perceived by random people in society, people she doesn't even know. She is happy when she is perceived as a man and called "sir," and then upset when someone hears her voice and stammers through an apology. She avoids going out in public a lot because of how people might view her. She hates being stared at. "She won't hold hands in public or walk by a group of men at night because no matter how much the queer community and academia discuss gender spectrum, the average American wants the binary boxes on forms to make sense and be absolute reality." (This sentence seems to me to be another muddling of sex and gender. When forms ask male or female, they want biological sex, not gender identity. This kind of thing happens all the time.) 

I'm sympathetic to Anne concerns for her own personal welfare. I hope everyone is. I especially felt for Anne going to the bathroom in public, where she lives her life "one safe pee at a time." 

It would be absurd for me to wish Anne would be braver, when I'm not half as brave as she is now. But I feel like Anne is taking T and considering surgery just to avoid dealing with the blowback from people she has no reason to care about. Her current spouse likes the way Anne is now, is ambivalent about the change. Cooney is willing to support Anne, because she knows how nerve-wracking it is for Anne to present herself authentically in accord with her self-identity in public. (Cooney, meanwhile, chides herself a bit too harshly for retreating into her privilege as an easily distinguishable woman.) But it's going to be hard on Cooney. She concludes her story with the words, "This is not what I signed on for." 

Cooney asserts that taking T or getting surgery do not change what Anne is. Those things "just let other people recognize her intentions when she walks down the street." 

I feel very torn about this. On the one hand, I genuinely sympathize with Anne. I hate going to public bathrooms now, and I have a beard and some lingering traces of biceps. I can't imagine what it's like for her. And nobody wants to feel unsafe. It's hard enough to go to a park for a walk and feel safe if you're an ugly bald guy. I'm sure it's a constant struggle for Anne. 

But doesn't this mean she's doing all this for other people? Just to get them to quit hassling her by making them more comfortable with how they read her? Wouldn't a more optimum state of society--not that it's Anne's responsibility to achieve this--be greater understanding that people like Anne exist and are entitled to space? All this altering of her body seems like a lot to require of Anne just to keep the peace in society. Her safety and freedom to move around unhassled shouldn't require her to have a beard and remove her breasts. 

Fourth, the subject that is most likely to be taken for bigotry. The surgery. The second I read something about Anne having "her hips shaved straight," I nearly quit reading. (One of the non-gender-conforming things about me is that I am squeamish. I also don't like snakes or spiders or rodents. Oh, and I have no interest in cars.)

Andrea Long-Chu wrote a thought-provoking article last year ((now many years ago--current Jake)) as she looked forward to her sex reassignment surgery. She wrote that she realized it was quite possible her new vagina wouldn't make her happy, but that this wasn't the point. "Left to their own devices, people will rarely pursue what makes them feel good in the long term. Desire and happiness are independent agents.” She's right. There must be some reason I keep writing, and it sure as hell isn't happiness.
 

She argued that the medical code of "first do no harm" actually turned doctors into gatekeepers of who should get surgery. Therefore, happiness shouldn't be the criterion for being able to get the surgery:

  

As long as transgender medicine retains the alleviation of pain as its benchmark of success, it will reserve for itself, with a dictator’s benevolence, the right to withhold care from those who want it.
But I also believe that surgery’s only prerequisite should be a simple demonstration of want. Beyond this, no amount of pain, anticipated or continuing, justifies its withholding.

That's a fascinating idea. It makes transsexual surgeries into something more like plastic surgery, something that doesn't require a justification beyond wanting it. If we take Anne as an example, the comparison to plastic surgery holds up fairly well. Anne wants surgery for many of the same reasons people who get plastic surgery want it: increased confidence and less social stigma. Those aren't frivolous goals, especially if you are thinking of plastic surgery less in terms of movie star nose jobs and more like burn victims getting restorative work. 

But society has justifiably mixed feelings about plastic surgery. Is it self-affirming or self-hating? A little of both? Feminists have criticized plastic surgery and the way unrealistic expectations about beauty for women have caused women to fork out money and endure pain to meet those standards. The practice is sometimes viewed by feminists as self-mutilation. 

Transsexuals see it as the opposite: self-revelation, a bringing forth of who they truly are. But I can't get past how much it must hurt. Yes, there's also the instinctive wince when I think of removing a penis, the thing many of the "pseudo-critics" Buckley talked about make a big deal out of. But beyond the shock factor, I just think surgery sounds terrible. At the very least, it has all the attendant risks of infection and pain cycles all surgeries involve.

If sex reassignment surgery resembles plastic surgery in some ways, then there seems to me to be a risk of the plastic surgery treadmill: always wanting just one more thing that will make you feel good enough. I can assure Anne, as a man who never, ever will be mistaken for anything other than what I am, that just passing won't be enough. There will always be something else you'll wish you had to make you feel more like a man. I wish I were taller. I wish I were more muscular. I wish I had a tougher sounding voice. I really wish I hadn't been born on the bottom end of average in the all-important organ size, and I really, really wish that organ hadn't started shrinking with age. I get that happiness shouldn't be the standard, and if someone is determined to get the surgery, I would stop trying to convince them otherwise. But I think it's important to be clear about how elusive contentment is no matter what body you're in. 

I'm not here to decide for others whether surgery is worse or living with present reality is worse. I will support anyone I know who makes the decision to get surgery. Once someone has crossed that line, it's stupid to question it, and from then on, the only sane thing to do is offer support for the person adapting to the new identity and new life. But I also don't want to gloss over questions about it. Without getting into the very contentious issue of how many people get the surgery and end up regretting it, because, as Long-Chu wrote, that's maybe not the point, I do think it's valid to raise similar objections that feminists raise to plastic surgery for people considering sex reassignment surgery. Yes, of course, do whatever you believe you must do to live a fulfilled life. If a woman knows what plastic surgery is and gets a giant boob job because she damn well wants to, more power to her. But at least consider that the problem isn't your body, it's how people look at your body. If society viewed a slender woman with breasts and a high voice wearing men's clothes as another embodiment of masculinity, there wouldn't be as acute a need to have a beard and biceps to match. 

Where there is actual disagreement

I think there is general agreement that trans people should not face violence. Even most conservatives agree with this. There is also general agreement that trans people should not face "discrimination," although I think there is a good deal of disagreement about what that means. Most people probably agree a trans person shouldn't be kept from a job, but there are things trans advocates want and claim would prevent discrimination that many find problematic. These include being able to use the public bathroom of their choice, allowing trans women to play women's sports, and forcing parents to provide gender-affirming care for their children under the age of eighteen. 

I'm at different places on some of these issues. The bathroom issue seems like the best argument, although it's going to take a long time for many cash-strapped organizations to refit everything to allow for single occupancy bathrooms. Nobody likes public bathrooms, although I doubt it's possible to put in 10,000 single-occupancy bathrooms at a football stadium, and I'm likely to bear the awkwardness of a public men's room rather than wait for a single occupancy room. Hopefully, most people will feel the same, so that will leave the few single occupancy rooms open to the people who really need them. 

I'm not sure how the other issues should play out or will play out. I would only offer the advice to trans advocates that playing down the issues isn't a good strategy. When someone objects to the advantage a trans woman who went through puberty as a boy has over other women in sports, or when someone points out how drastic a step removing a sexual organ is, these people shouldn't be gaslighted or shamed for even bringing up the objection. I've seen many arguments that the trans women in sports issue isn't really an issue, or that we only object to the extreme parts of sexual reassignment surgery because we are immature little children. I don't think talking past the sale is going to win long term. 

Sloppiness in use of language doesn't help, either. I know advocates can't control every person who posts on TwitterX, but part of their advocacy should be advocacy to their own ranks to use language correctly. 

Public and private

Whatever ends up happening with these issues, trans-gendered people have the unenviable fate of living a life that can never be truly private. Their very existence is being debated in the public sphere, so everything they do, no matter how private, can be used as fodder to feed one argument or another. Cooney's honesty, which I admire so much, could be used to say, "See! Sex reassignment is bad for the loved ones of those who get it!" I'm not saying that, and I hope Cooney doesn't live to regret the openness she wrote with.  

In political discourse, there is almost always an unfortunate shrinking of the truth. You've got some policy proposal, and it's got a lot of plusses and minuses, but overall, you think it's a marginal change for the good. So you pitch the proposal to the public, only when you pitch it, you don't talk about the negatives, or you downplay them, and you oversell the potential positives. You're not doing it to be dishonest, you just realize that honesty isn't going to get the proposal passed. 

Cooney's essay is so moving because it's unfailingly personal, not political, which means she's open to talking about the negatives as well as the positives. Because of this honesty, I was open to her reality in a way I haven't been before about the stories of trans-gendered people. 

Most of the decisions trans-gendered people make ought to be private ones. Whether someone takes T (or E) or gets something added or taken off isn't my concern. But somehow, it's an issue in public discourse now. Rather than attempting to immediately jump into legal remedies, I'd like to see society try first to focus on cultural ones. 

For example, one of Anne's chief concerns is how to use the bathroom safely and without harassment.  

A few of the things she's suffered in bathrooms:

-What are you?

-Prove it. (from a pack of hellish six-graders when Anne was in second grade)

-What the hell are you doing? You're in the wrong place.

Cooney says, "I've watched women enter the bathroom, see Anne at the sink, and step back to check the sign on the door." That actually sounds quite normal. That would be my reaction if I went into the men's room and saw someone in a dress at the sink. Going into the wrong bathroom by mistake sounds like something I'd do, because I'm an idiot. 

It would be nice if society could work on a system of signifiers to alleviate these situations. Something whereby one party could indicate that yes, I realize this isn't what you're used to, but this isn't a threat to you, and the other one could signal back, "Okay, carry on, then."

It would be nice if we had a language for Anne's experience. If we did, and she still wanted to live life as transsexual, not just transgendered, that would be fine. At least she could be sure that's what she wanted for herself, not wonder if she had been driven to the choice because it's so difficult living in society as something other than a zero or a one that she has to pick the one that will cause her the least trouble.