Ein absolut starker Text von Abigail Thorn ("Philosophy Tube“), warum pathologisierende Systeme wie der britische NHS grundsätzlich der falsche Ansatz für die Bedarfe von trans Personen sind.
"The NHS ... view transition as a response to a medical problem they call ‘gender dysphoria’ or ‘gender incongruence.’ From this starting point it seems appropriate that trans people have to get permission to transition: transness is a medical matter with inherent risks that ought to be controlled by “specialists.” Sometimes those specialists delay or deny permission, but that’s just part of the job. It also makes sense to ask which treatments are “most effective at treating dysphoria” and explore alternative treatments through trials, reviews, consultations, etc. I call this view ‘Pathologization.’"
Gilt auch für unser System hier.
Abigail arbeitet detailliert heraus, warum diese Systeme strukturell bösartig sind und nicht von innen heraus verändert werden können, selbst wenn alle darin Arbeitenden gut und wohlwollend wären, inklusive der Chefs. Sie können nur durch etwas neues ersetzt werden, das mit grundlegend anderen Ansätzen arbeitet:
"We need an informed consent system in which we control our own bodies without needing permission from anybody.“
Das bedeutet auch für uns eine grundlegend andere Denkweise: „If someone wants to transition, that’s their business“
„I refuse to believe trans people must always live in a world where someone else controls our bodies. We will not always be second-class citizens. We can start by refusing to internalise Pathologization and insisting on the abolition of systems that produce it. We can grasp the determination necessary to go around those systems.„The road ahead is long, but we have never been stronger. For the first time ever we are seeing the emergence of a global collective trans subjectivity. We have always been here, but often isolated and in hiding. Now in the early years of the 21st Century we have made an astonishing discovery:“
„There are a lot more of us than anyone thought!“
„Trans people in the UK, France, Germany, Eastern Europe, North America, Brazil, Taiwan, India, Russia, Australia, North Africa, South Africa, New Zealand- more places every day- are thinking and talking about ourselves in similar terms, and making similar demands. This has never happened before. Moreover, cis people are slowly realising they are cis. We really have reached a “tipping point,” no doubt in part thanks to the internet. The bodily autonomy of trans people is bound up with the bodily autonomy of all people, particularly cis women who have also suffered for far too long under the paternalistic medicalising gaze. That’s why I think the Colonel Korns of this world are doomed to fail: they are trying to do medicine and management on a civil rights movement.“
Mehr zum strukturellen Fail solcher Institutionen und warum soetwas über Regularien, Anweisungsbefugnisse und Verantwortungsdiffusion entstehen kann in Abigails Video von 2022, youtube.com/watch?v=v1eWIshUzr…, dass der Anlass dieses Artikels war.
#trans #nonbinary #PhilosophyTube masto.ai/@transworld/113712458…
RE: masto.ai/users/transworld/stat…
Okay.... Before this discourse goes into that direction id like to ask a critical question:
if transitioning is not there to treat a medical condition called dysphoria anymore, but instead is a life choice you can freely make.... Then why should a third party (goverent, NHS) pay for it at all anymore?
@Neon @transworld Firstly, this is not a choice anyone makes lightly. Everyone of the 200+ people I know who transitioned have thought intensely about the consequences. Long before any surgeries were on their list or any mandatory session about risks with doctors. Their concerns were about how they would be treated by their families, loved ones, kids, colleagues, jobs, sports clubs, church communities. That is social transition. New name, new pronouns, different presentation.
Secondly, third parties like NHS, insurances, etc are required to pay for a lot of life choices. Even life style choices, like the consequences and diseases of smoking, alcohol, bad diets, risky sports, dangerous driving, etc. These things cost literally billions per year in every european country. Transitions are, in comparison, some minor numbers behind the decimal point. (HRT is especially cheap. Hundreds of millions of women get the same hormones, millions of men get their testosterone at older age).
So, the first topic makes it clear, that "choice" doesn't mean "out of thin air" or “because I was in the mood" or whatever. There's something more substantial behind it. Abigails argument is, that people are competent enough to decide for themselves, and if they decide so, all the "specialists" have to do is to help them achieving their goals. With information and good medication.
The second topic is a question of equal treatment. If a public health care system has to pay for someone who made the choice to ruin their health by smoking or excessive fast food, then it should also have to pay for a treatment that (as studies show) greatly improves the wellbeing of those who want it.