2 Trans?

There is no one trans experience. Instead, it is best understood as an umbrella term for those who experience their gender identity differently to their biological sex. However, there is a great deal of confusion and ambiguity in our culture. Firstly, it is helpful to distinguish between intersex and transgender experiences. Those born with intersex conditions are diagnosed and treated separately from transgender, and the two should not be conflated. Secondly, trans is used to describe those with a medical condition – gender dysphoria – and those who are part of a wider ideological movement. We need to distinguish good intentions from bad ideas.

Gender dysphoria is a rare medical condition previously called gender identity disorder. It is recognised by the NHS where “a person experiences discomfort or distress because there’s a mismatch between their biological sex and gender identity.”iii Despite various claims about ‘scientific evidence’, there is no agreed understanding as to how or why gender dysphoria occurs, nor are there clear diagnostic criteria. There is debate as to how many people are affected however; there are approximately 15,000 gender identity patients in the UK – this equates to 0.02 per cent of the population.iv

Gender incongruence to a degree could be a short phase or last much longer, but the incongruence or mismatch is not sufficient to cause the level of distress required for a diagnosis of gender dysphoria. The person could present as transgender or maintain their birth sex. The transgender ideological movement is heavily influenced by queer theory and prior ideological commitments about the pliability of gender. One does not need to experience dysphoria or have any intention of permanently transitioning to call oneself trans. The movement is supported by people who are not trans, known as allies.The trans movement has fed into issues surrounding identity politics and led to the ‘no platforming’ of those who disagree.

As the movement grows it includes many contradictory ideas. For example, if a person has male genitalia but feels they are a woman, this mismatch only makes sense on a binary approach based on two distinct categories – male and female. However, a person who describes themselves as non-binary rejects the categories male and female and/or see gender as a spectrum. If gender is a spectrum, not a binary, then everyone is trans. Or alternatively, there are no trans people. There are those who identify as transgender who reject parts of the broader ideological movement.

The language used in trans conversations is incredibly important, it changes constantly, and the meaning varies and can be contested. We have brought together some of the key terms in a glossary on p 30.