Dr. Randi Ettner, the chief psychologist at the Chicago Gender Center, describes the standard of care treatment plan promoted by transgender activists, otherwise known as the “Affirmative Care Model“:
• Changes in gender expression and role, consistent with one’s gender identity (also referred to as social role transition).
• Psychotherapy for purposes such as addressing the negative impact of stigma, alleviating internalized transphobia, enhancing social and peer support, improving body image, promoting resiliency, etc.
• Hormone therapy to feminize or masculinize the body.
• Surgery to alter primary and/or secondary sex characteristics.1“Declaration of Randi Ettner, Ph.D., U.S. District Court, Middle District of North Carolina, Case 1:16-cv-236-TDS-JEP, p. 5.”
This plan is often called “transitioning” but some transgender activists regard that term as stigmatizing and inaccurate. From the perspective of the transgender person they are simply engaged in a process of “settling in to themselves” or “coming home” to what they always were inside.2“PFLAG, Our Trans Loved Ones: Questions and Answers for Parents, Families, and Friends of People Who Are Transgender and Gender Expansive (2008, 2015), p. 9, https://www.pflag.org/ourtranslovedones.”
A similar linguistic jujitsu is at work when activists prefer to speak of gender-affirming therapies instead of sex reassignment therapies. (Since when did it become the primary job of doctors to affirm?). For women these affirming therapies mean life-long testosterone, double mastectomies and the creation of a penis (phalloplasty). For men, life-long estrogen, gonadectomy, penectomy, and the creation of a vagina (vaginoplasty). Here are some affirming treatment details:
“Sex reassignment surgeries available to the MTF3male to female transsexual persons consist of gonadectomy, penectomy, and creation of a vagina. The skin of the penis is often inverted to form the wall of the vagina. The scrotum becomes the labia majora. Cosmetic surgery is used to fashion the clitoris and its hood, preserving the neurovascular bundle at the tip of the penis as the neurosensory supply to the clitoris. Most recently, plastic surgeons have developed techniques to fashion labia minora. Endocrinologists should encourage the transsexual person to use their tampon dilators to maintain the depth and width of the vagina throughout the postoperative period until the neovagina is being used frequently in intercourse. Genital sexual responsivity and other aspects of sexual function should be preserved after genital sex reassignment surgery…. Another major effort is the removal of facial and masculine-appearing body hair using either electrolysis or laser treatments. Other feminizing surgery, such as that to feminize the face, is now becoming more popular.
Sex reassignment surgeries available to the FTM4female to male transsexual persons have been less satisfactory. The cosmetic appearance of a neopenis is now very good, but the surgery is multistage and very expensive. Neopenile erection can be achieved only if some mechanical device is imbedded in the penis, e.g. a rod or some inflatable apparatus. Many choose a metaidoioplasty that exteriorizes or brings forward the clitoris and allows for voiding while standing. The scrotum is created from the labia majora with a good cosmetic effect, and testicular prostheses can be implanted. These procedures, as well as oophorectomy, vaginectomy, and complete hysterectomy, are undertaken after a few years of androgen therapy and can be safely performed vaginally with laparoscopy.
The ancillary surgery for the FTM transition that is extremely important is the mastectomy. Breast size only partially regresses with androgen therapy. In adults, discussion about mastectomy usually takes place after androgen therapy is begun. Because some FTM transsexual adolescents present after significant breast development has occurred, mastectomy may be considered before age 18.”5“Hembree et al., “Endocrine Treatment of Transsexual Persons,” 3149.”
Again, like I did in a previous post I must ask, who is engaged in conversion therapy here?
Is it the one who is trying to help a person align their thoughts and feelings with the body they were given at birth or the professional who disregards the body and proposes irreversible radical surgeries combined with life-long hormone treatments in hopes of aligning the outer body with a patient’s inner desires?
Who is the conversion therapist?Gender Identity Ideologues pin that label on those clinicians and pastors who try to help an individual become more comfortable with their immutable biological sex. These concerned professionals and pastors counsel them not to transition away from their birth sex. It’s called Talk Therapy. And it is very effective, especially for children with gender dysphoria. Trans Activists and Gender Identity Ideologues regard these efforts as immoral and professional clinicians are forbidden in some states and other countries from steering individuals toward accepting their birth sex.
Leveling the charge of “conversion therapist” packs quite a rhetorical punch because these therapeutic techniques are said to be just like some of the therapies used in the past to “convert” homosexuals. That’s not true. It’s Talk Therapy! And also, as I’ve said before homosexuals don’t deny their biological sex. This is different. Helping someone align their thoughts and desires with the indisputable facts of their body is not converting them into someone different. Leveling the charge of “conversion therapist” on those professionals or pastors who don’t “affirm” is Orwellian doublespeak. Don’t believe it. And push back. Firmly. Even if you are called a bigot. Do it anyway.
+++
I’m a Classic Christian and regard Gender Ideology as anti-creational to the core. This blog is about “God’s Good Creation.” That’s why I’m writing about Gender Ideology. And “speaking up” as I’m confident Jesus would.
"Have you not read that the one who made them at the beginning 'made them male and female.'" [Matt 19:4]
If you would like more detail on how my Christian worldview informs my understanding of Sex and today’s Gender Ideology please read the following posts.
This post is primarily for my Christian Brothers and Sisters. Obviously all are welcomed to read.
From my Classic Christian point of view let me briefly lay out the big picture. This will give theological context to my writings about today’s Gender Identity Moment. You can find more detail about this big picture in my previous posts. Especially, “But, I Love That Body.” And “He Told The Women to Go Away.”
God created a bi-natured world of these constitutive parts, Heaven & Earth, Spirit and Matter, Soul (mind) and Body, Male and Female.
[I’m not forgetting all the other beautiful creatures great and small, nor the sun and the moon, or the land and the sea, but these are the major categories.]
It may seem counter-intuitive, but, yes, Heaven was created too. Classic Christianity maintains that the Triune God existed before the creation of Heaven and Earth.
Before going further, let me clear up what may be puzzling to some. By juxtaposing Heaven and Earth, Spirit and Matter, Male and Female, Soul and Body, as I have done am I not saying that maleness corresponds with Heaven, Spirit and Soul and that femaleness corresponds with Earth, Matter and Body and isn’t that dichotomy more than slightly demeaning? Some might say, objectifying?
Well, first of all, the main point is the union of each pairing, or the complementarity of each pair and not the correspondence between the different pairings. For example, both males and females are a mysterious unity of spirit and matter, or if you prefer, soul and body.
Second let me question a further assumption that many make here, an assumption made especially by disciples of Plato (It’s possible to be a disciple of Plato and not know it!) That assumption is something I’ve called, unequal dualism. Unequal dualism regards the second place position in each pairing as inferior to the first. For example, Plato linked the irrational and physical with the female sex, and the rational and spiritual with the male sex. Making males superior to females in his mind. And only in his mind! Unfortunately his was a very influential mind.120th Century Mathematician & Philosopher, Alfred North Whitehead, once said the safest way to characterize Western Philosophy “is that it consists of a series of footnotes to Plato.”
But with respect to the great Plato, I reject unequal dualism on biblical grounds. And also from the personal experience of knowing my wife and all the other great women in my life. (Not to mentioned throughout history).
***
I maintain that both parts of God’s bi-natured world were created EQUAL. But equal does not mean same. In the beginning Earth was created equal to Heaven and likewise Matter was created equal to Spirit. Just like God’s earthly family, humans, were created equal to God’s heavenly family, angels.2Revelation 22:8–9 (NRSV): I, John, am the one who heard and saw these things. And when I heard and saw them, I fell down to worship at the feet of the angel who showed them to me; but he said to me, “You must not do that! I am a fellow servant with you and your comrades the prophets, and with those who keep the words of this book. Worship God!” Maybe you’ve not thought of God’s two families before, but according to Scripture, God created two Image-Bearing families. Equal yet different. One family of spiritual beings, (angels) and another one of embodied souls (humans).
I view Equal Dualism as a crucial interpretive key in Christian Theology.
For example, you can think of heaven as being another dimension of God’s created order. Don’t be thrown off by spacial metaphors, though the scriptures sometimes suggest those metaphors. Heaven is simply another dimension where God “resides” for the time being. Which means heaven, like our God, is not far off, but very near.
Because of “The Fall” the bi-natured world has been separated, first from God, but also from intended creational integration. However, here comes the Good News, God’s Big Picture plan is to bring the two parts of the created cosmos back together again in a holy marriage. At the center of the original cosmological marriage was a Garden, Eden, in the book of Genesis. At the center of the future cosmological marriage, is a Garden City, New Jerusalem, found in the book of Revelation. These are the Two Garden bookends of Holy Scripture.
I know what I’m writing sounds Freudian. But I don’t care. This is the biblical witness. And it preceded Siggy Freud by thousands of years. God’s interlocking and overlapping bi-natured world has, at its united center, a Garden of Life. A place where life happens. And the Living God dwells.
Gardens in the Ancient Near East were often regarded as Temples. That’s the case here. The temple garden is the place where heaven and earth overlap, interlock and come together. Hopefully forever. The living God meets with the people of God in that sacred area of overlap. It might help to think of a simple Venn diagram to picture what I mean. As one would expect, the Garden-Temple is a place where life happens. From this Garden Center the dominion mandate of scripture to “be fruitful and multiply” and “take dominion” i.e. spread the rule and reign of God’s kingdom to the rest of the planet is inaugurated.
The first commandment in scripture was to have sex and make babies. The objective was to spread God’s kingdom rule by multiplying God’s Earthly Image-Bearers, God’s representatives, across the entire planet. This Big Picture, bi-natured fruit-producing forward-looking existence makes abundant sense to me. Anthropologically. Cosmologically. Soteriologically. Eschatologically. It all fits together as part of The Big Picture design and plan of God.
How about you? Does that make sense to you? Given what you know of the biblical story? Of God’s creation?
Unfortunately down through the ages, Christians have gotten themselves into trouble by disregarding the importance of either side of God’s bi-natured creation. God created both the invisible world and the visible world and called both of them “good.”
Visit my post “But I Love That Body” to get more detail on how and why Christians have gone off track. Hint: Plato and other Plato-like worldviews, unequal dualisms that elevate the spiritual and denigrate the material realm.
In the story handed down to us, when human’s came along, especially after the ladies arrived, God declared that what he had just done was “very good.” Up to this point in the story, after creating different parts of the bi-natured world, the biblical text said: “And God saw that it was good.” But then after the crowning achievement of earthly creation, the creation of male and female humans, the text for the first time says: “God saw everything that he had made, and indeed, it was very good.”3Genesis 1:31
***
The Expulsion of Adam and Eve from Paradise – Benjamin West – 1791 Courtesy of TheMetropolitan Museum of Art
But as you know disobedience crept in and a breach occurred between God and God’s Image-Bearers. This resulted in the bi-natured parts being separated, parts that were originally designed by God to harmoniously overlap and interlock. Everyone is somewhat familiar with what Theologians call “The Fall.” There was also a fall in heaven as well as one on earth. A fall before the human fall. This explains the crafty evil serpent in the story, who was more than just a serpent. We know much more about the human fall, but according to Scripture both Image-Bearing families fell. Creational brokenness, pain and misery have been the sad result. But because of the Risen Christ, who was broken on our behalf, wholeness will finally return to God’s good creation.
Our job now is to align ourselves with God’s plan for creational wholeness.
***
The trouble is that some on the Theological “Right” and the Theological “Left” have been tricked into abandoning God’s bi-natured creational intent. They do this by denying one part, the material part, of God’s good creation. It is an “overspiritualized” anti-creational theology.
On the Right you often encounter the “I’ll Fly Away” mentality. This ol world is not my home, they say and sing. One day Jesus will come and rapture us from this earthly coil and we will live with God eternally in heaven. This view sometimes reduces Christian witness to the “saving of souls.” Less care for the rest of God’s earthly order, ecological life, cultural life, etc., naturally results from this reduced theology. Why polish brass on a sinking ship, some say. Rescuing souls, that’s our business.
On the Theological Left you often find a disregard of one particular bit of matter, the most important human body ever created, and then recreated, the Risen Body of our Lord and Saviour. Many on the Theological Left deny the central event of our Faith, the risen body of Jesus. For various modern reasons they “spiritualize” the event. Jesus and what he stands for has been “raised” in our consciousness, they say. But the apostle Paul is clear on this point, if Jesus’ body remained in the tomb then we are pitiable fools to believe the Gospel message that “Jesus is Lord” for he has not conquered Sin and Death if his body did not rise. Since only the body dies, if the body remains dead, then death has not been defeated, only accepted. And Jesus is NOT LORD.
To “overspiritualize” in this way is to preach a false Gospel.
1 Corinthians 15:16–19 (NRSV): If Christ has not been raised, your faith is futile and you are still in your sins. Then those also who have died in Christ have perished. If for this life only we have hoped in Christ, we are of all people most to be pitied.
We might as well become hedonists. Eat, drink, and be merry, for tomorrow we die, Paul says, if Jesus’s body stayed in the ground.
Also the denial of bodily resurrection means bodily life has no Transcendent meaning.
But that’s not what the Scriptures teach or the Church Historic.
My friends on the Theological Left who are willing to discard the bodily resurrection of Jesus and view the Christian Faith in more “spiritual” terms have grossly misconstrued Biblical Spirituality. True Biblical Spirituality, holistic spirituality includes the rescue and reconciliation of God’s bi-natured creation.
Heaven and Earth. Soul and Body. All of it. Rejoined in an unbroken state of holy matrimony.
Jesus’s bodily resurrection was “the first fruit” of a new creation begun on Easter morning.41 Cor 15:20 (NRSV) But in fact Christ has been raised from the dead, the first fruits of those who have died. A new creation, a new Eden, to be fully consummated at the reconciliation of all things when Heaven and Earth are finally remarried. “I saw a new heaven and a new earth.”5Revelation 21:1
This is the Big Picture celebration that is in our future. And marriage between God’s bi-natured creation is the interpretive key to understanding our past, present & future.
***
Let me bring this post back to our current concerns. Some of my friends on the Theological Left, especially many members and leaders of the Episcopal Church USA, have jettisoned creational Truth and the transcendent value of our bodily life in favor of an unbiblical spirituality. When they affirm today’s various Gender Identities as just another expression of God’s diverse world they have opposed creational Truth. In so doing, they have “privileged” the invisible inner life over the visible life of the body, effectively separating body from soul. Never God’s intent. They do so ostensibly for the purpose of loving everyone and welcoming difference. A notable goal.
But it is our loving Lord who taught us we were created “male and female.” There are no other options. Not for those who confess a belief in a Creator.
"Have you not read that the one who made them at the beginning 'made them male and female,..for this reason a man shall leave his father and mother and be joined to his wife, and the two shall become one flesh'? So they are no longer two, but one flesh. Therefore what God has joined together, let no one separate." [Matt 19:4-6]
Analogous to this is the marriage of Soul & Body. I believe Jesus would also say about this marriage “what God has joined together, let no one separate.”
Episcopalian “affirming love” which seeks to affirm the self-assertion of confused individuals, individuals who regard their biological sex, their God-given body, as a material mistake, a mistake that must be corrected and remade in their preconceived image, is a direct consequence of having deemphasized, doubted, & disbelieved for decades the essential doctrinal truths of the Historic Faith: Creation. Incarnation. Bodily Resurrection of Jesus. Bodily Ascension of Jesus. Bodily Return of Jesus. And Bodily Resurrection of Believers.
It is all there in The Ancient Creed’s that most Episcopalian’s still affirm every Sunday. But do they still believe them? If our affirmations of difference don’t align with Truth they won’t be loving. They can’t be.
Because these theological errors have led many on the Theological Left to believe that bodily life has no Transcendent value, they are uniquely susceptible to the arguments of today’s Gender Identity Moment.
Do you see how someone with my theology simply cannot in good conscience disregard bodily life? I can’t accept that only my internal disposition, will or desire, my invisible nature, determines who I am as God’s created being. For God made me body and soul. Today’s Gender Identity Moment runs afoul of God’s creational design. Therefore it must be rejected.
***
God’s creational design and plan to rescue the creation from its fallen disordered state must be our loving message to anyone who doesn’t identify with their biological sex. (People with gender-dysphoria). And we must not be intimidated into silence because of a spurious understanding of what it means to love my broken neighbor. Love divorced from Truth will be fruitless.
And I must also lovingly say, for I know many Episcopalian brothers and sisters, the affirming stance of your denomination on this issue is one reason why the Episcopal Church USA is dying. A recent report by your denomination reveals that if current trends continue then by 2050 there will be no one sitting in your pews. No one. That’s just 29 years from now. [This survey was conducted in pre-Covid 2019.]
Marriages and baptisms have dwindled well below replacement levels. Other mainline denominations show similar trajectories. One Episcopal priest called the results “dire.”
“The overall picture is dire – not one of decline as much as demise within the next generation unless trends change significantly,” said the Rev. Dwight Zscheile, an expert in denominational decline and renewal. An Episcopal priest, Zscheile is vice president of innovation and associate professor of congregational mission and leadership at Luther Seminary in St. Paul, Minnesota. “At this rate, there will be no one in worship by around 2050 in the entire denomination,” Zscheile told Episcopal News Service.
Hollowed out places of worship could be the result, if changes don’t happen quick. The Flight from Orthodoxy coupled with a desire to follow “the fresh winds of the Spirit” are the culprits here. Proclaiming “inclusion” as an organizing principal has led, ironically, to including fewer people in the life of Episcopal communities. Conceding to a culture of “personal autonomy” and “self-creation” such as we find in this current Gender Identity Moment will not end well for Episcopalians. Or any other Christian denomination that follows their lead.
