Last week, I posted about five of the most common myths spread about transgender people. Misinformation sells – media has always benefited from spreading fake news, but current politics have heightened its spread. Here’s five more common myths spread about transgender people.
Myth #6: Transgender women are a threat to women’s spaces.
That’s a broad generalization that isn’t backed by any research. Transgender women are no more a threat to women than cisgender lesbians “threaten” fragile heterosexuality. Due to stereotypes and stigma, most transgender women already enter spaces rather timidly because they don’t want to push that narrative. Women’s bathrooms? Transgender women are just there to do their business and be on their way like any other woman. Domestic and sexual violence shelters? Maybe it sounds unbelievable, but transgender women are actually harassed more often than their cisgender counterparts – and they’re just looking for safe resources when at those centers.
At its core, this myth relies on the belief that transgender women are predators. Homophobes have labeled LGBTQIA+ people as dangerous for decades despite more accurate allegations against stereotypically conservative professions like law enforcement and religious officials. The myth centers transgender women as inherently masculine, often taking it a step further to imply that masculinity is always dangerous and transgender women are unable to lose this status due to being assigned male at birth. It also works on the flip side, since individuals who advocate for this myth don’t view transgender men as threats – due to being assigned female at birth, transgender men are unable to hold the same predatory status and are therefore welcomed in women’s spaces. It asserts that biological sex and mythical masculine-born energy dictate one’s ability to harm others.
Myth #7: All gender-affirming care is medical. All transgender people seek surgery, and children are being pushed into getting serious operations.
Medical care is essential when discussing transgender issues, and access is literally a matter of life or death for many transgender people. HRT and other gender-affirming care have been proven to be safe, effective, and the best treatment for gender dysphoria. But there is more to gender-affirming care than medical treatments.
“Gender-affirming care” refers to any service that benefits transgender people, especially if that service helps to affirm our chosen gender identity. Medical services like hormone replacement therapy and surgery are classified as such, but so do non-medical services like binders, gaffs, haircuts, clothing style, pronouns, names, etc. There is not a single transgender person out there who engages with medical gender-affirming care before being well-acquainted with non-medical services. Before the normalization of informed consent, it was legally required to socially transition to access HRT – but it is still required for some transgender Americans who have insurance coverage that dictates letter approval as a prerequisite for HRT. Beyond HRT, individuals have to prove they’ve been on HRT for several years in addition to being socially transitioned to have surgical procedures, and many states require certain surgeries, usage of HRT, or documentation to allow transgender folks to legally change their gender documents.
Many transgender people do seek surgical procedures (often referred to as top or bottom surgery), but there is no single “one-size-fits-all” surgery for us. Not all transgender people can undergo or afford surgery, especially if they are disabled, live in a hostile or rural area, or have medical coverage that purposely doesn’t include transgender care. Lastly, not all transgender people want surgery, and that doesn’t make them less transgender. Anyone who identifies as a gender identity other than the one assigned to them at birth qualifies as transgender, but the label does not require folks to feel a certain way about their body. Most often, transgender people forgo bottom/genital surgeries since they have high complication rates and can have less-than-satisfactory results. And as mentioned above, it takes a lot of work to access these surgeries compared to other aspects of gender-affirming care.
Regarding any stories on minors being pushed into serious transgender procedures, I would kindly ask you to reconsider the validity of their publishers. It is already difficult enough for transgender adults to access surgeries or for transgender minors to be prescribed puberty blockers. The possibility of a transgender minor accessing surgery before age 18 is nearly zero. Minors have numerous barriers to gender-affirming care in addition to the ones transgender adults face – even the international WPATH guidelines require minors to have multiple healthcare providers recommend services. The only trans-related surgery minors can have feasible access to is transmasculine top surgery, since any other procedure would be paused until the individual turns 18. And I say feasible because transgender minors cannot reliably access top surgery since it’s extremely barred.
Myth #8: Transgender people are mentally ill.
In my previous post, I wrote about how cisgender people struggle to understand transgender experiences. Since they have never had to think critically about their relationship with either gender identity or sexuality, cisgender people come to the assumption that rebelling against their natural worldview means transgender people must hate their bodies, since anything else wouldn’t make sense. This assumption fueled and twisted research on transgender identity for decades – and it accompanied many other problematic ideas.
When the field of psychology was young, anyone who identified as transgender was classified as mentally ill. However, anyone who failed to conform to traditional and conservative notions was labeled as mentally ill during this time – white cisgender straight men like Freud used hair-brained ideas to explain how people could be different from the socially appropriate norm. These ideas were never based on reality or founded on scientific research, but the masses ate them up because pseudoscience uplifted their beliefs.
For reference, during these early years, you would also be labeled as mentally ill if you were a woman who cried too much, refused to be a servant to her husband, or stood firm that women ought to be equal to men. Queer individuals were also considered mentally ill, as were anyone else that failed to conform. Calling transgender people mentally ill purely based on their identity is as faulty as saying women still experience hysteria because they’re unwed.
Today, it’s a bit complicated: transgender identity itself was internationally removed as a mental illness in 2018 via the World Health Organization, and the current psychiatric diagnosis is gender dysphoria. The disconnect between one’s biological sex and internal gender identity is the only part of transgender identity classified as a mental illness today. There’s still stigma with that association, but mental illness does not hold any inherent goodness or badness to it. Before the classification change, transgender identity itself was labeled as illness, whereas today only the distress experienced from being misgendered, unaffirmed, and otherwise not respected as ourselves is classified as illness, and that distress can be a lot.
By making that move, the World Health Organization, American Psychiatric Association, and DSM also links gender-affirming care as a cure for gender dysphoria as a mental disorder: it has been well-documented that gender-affirming care eliminates gender dysphoria, and such care is internationally recommended as the best practice for transgender patients. Once a transgender person is affirmed as their gender, they generally experience little distress due to their sex assigned at birth – and that lack of distress qualifies as a lack of illness.
There is one more reason why gender dysphoria is still classified as a mental illness, and it essentially boils down to capitalism. Due to the American health insurance industry, individuals must have a diagnosis that qualifies care as “medically necessary” for companies to cover services. Without any diagnosis, American corporations would be quick to deny transgender Americans access to gender-affirming care unless they were willing to pay out-of-pocket, which is why WHO, the APA, and the DSM left gender dysphoria in the DSM rather than removing it entirely. However, it is predicted this might change – the field of psychology is leaning into classifying gender dysphoria as a medical condition rather than a psychiatric one, similar to how obesity was classified as predominantly a medical issue. This would remove some of the leftover stigma of being a “mental disorder” and allow transgender individuals to continue accessing gender-affirming care via health insurance coverage, since it would be diagnosed by a medical professional. The only potential issue with this route is that few medical professionals are adequately trained on transgender issues, similar to their lack of training on mental health as a whole. Unless folks live in a region with plentiful trans-friendly and knowledgeable providers, they may be further limited since doctors are generally unwilling to diagnose if they feel unconfident.
Myth #9: There are only two genders/sexes.
Gender is real, but it’s still a social construct. Social constructs are ideas that affect us as humans because of their perceived importance, but have little to no impact naturally.
The two comparisons I commonly use as alternative social constructs are money and race, since they are, in fact, social constructs. Without money, you wouldn’t be able to convince someone to build you housing or be paid for work, so money is real, but it doesn’t have any natural value since you’re not going to commonly find wild animals trading currency. Race matters because it identifies groups of people with each other (for better and worse), but it doesn’t have any natural meaning since, again, you’re not going to find animals identifying based on fur patterns, skin textures, or any other feature.
Gender roles, expression, and identity are all socially real but lack actual natural value. Western society traditionally emphasizes two genders, but that’s just one among thousands that have existed across human history. Other societies have held three or more genders for centuries, and western society is rapidly moving to a three gender system as nonbinary identities become socially accepted and legally recognized.
Stating there are only two sexes is more accurate than claiming there are only two genders, but it’s still not fully true. Frankly, it’s over simplistic: sex is complicated, which is why we’re taught there are two sexes while early in our educational journeys, but that view expands if you continue to learn about biology. Biological sex is composed of chromosomes, gonads, hormone levels, internal genitalia, external genitalia, and a mess of “secondary sex characteristics” like body hair distribution, breast tissue, vocal pitch, body fat, bone structure, muscle mass, etc. Most people align with one end of the sex spectrum, but intersex people can be born anywhere along it – and there are countless ways intersex conditions are expressed, meaning there are vastly more than just two sexes if you account for each possible intersex condition.
Myth #10: All transgender people are a little gay, and it’s at least a little bit gay to be attracted to a transgender person.
Statistically, transgender people are more likely to identify as queer compared to cisgender people – but that’s more attributed to the fact transgender people have already critically thought about their relationship with gender, so they’ve very likely thought about their sexuality. While cisgender heterosexual people hate to consider it, most people float somewhere along the straight-gay binary – but unless they have taken the time to reflect on their sexuality, few identify as queer when it is more convenient to be straight.
Still, there are straight people – and that means there are undeniably transgender straight people. 9.3% of Americans identify as queer while 90.7% identify as straight; 77% of transgender Americans identify as queer and 23% identify as straight. Being straight means you are attracted to the gender traditionally associated as opposite to your own – so a straight transgender woman is attracted to men, and a straight transgender man is attracted to women. A transgender woman attracted to a transgender man is still straight since she’s attracted to men, and vice versa.
The other half of this myth is a lot to get into. Attraction is complicated, and sexual anatomy matters in some relationships – but I’ve always been of the opinion that gender and identity labels need to matter more. If you are a woman dating a transgender man, you are in a straight relationship; you can be bisexual and date him, but you’re not in a lesbian relationship. Stating otherwise demeans that partner of his gender for your own comfort – and people being obsessed with the comfort of previous sexuality labels is the most common I’ve come across. Hearing your partner call themselves a lesbian while they’re dating you as a man hurts, even if they don’t think it’s harmful, since it devalues your gender. A cisgender man dating a transgender man is a gay relationship, and it’s messed up how many times I’ve come across men who say transgender people are the nice little stepping stone between being gay and straight.
A cisgender woman dating a transgender woman is a lesbian relationship, and a cisgender man dating a transgender woman is a straight one. Doing mental gymnastics with this to defend your sexuality puts transgender people in danger – it is predominantly transgender women who are assaulted and murdered because straight men cannot bear being thought of as gay after being with a transgender woman, leveraging trans panic when brought to court – although it does happen the other way around, such as in the murder of Brandon Teena.
On one hand, labels shouldn’t have to matter that much – it’s why so many people just refer to themselves as queer since it avoids getting into a whole mess of other labels. But if your identity as a lesbian, gay man, or straight person matters that dearly to you, realize that our gender identity matters just as much to us as transgender people.