Philosophical exploration of transsexuality
This thesis has two aims: First, to demonstrate that there is in the current medical model of transsexuality conceptual incoherence. Second, to establish an alternative model for understanding transsexuality: the model of authenticity. The current medical model is based on an assumption that the sexed body and gender identity are distinct, so that gender is different to sex, which forms the basis of transsexuality. The tension in transsexuality between sex and gender gives rise to suffering. Surgery unifies sex and gender and is offered as the humane response. It is this move from separation to unification of sex and gender that constitutes the conceptual incoherence in the current medical model. Suffering is then explored as a potential justification for surgery. It is argued that it is not obvious that suffering must be alleviated. Indeed, suffering may be valuable, and where this is the case there is no moral imperative to remove it. So, whilst there is a serious moral duty to respond to suffering there is no absolute duty to alleviate it. An alternative model is then explored. A model of authenticity, which can replace the medical model, better enables the freely chosen identity and goals of the transsexual
Evans, Richard Neil
HV Social pathology. Social and public welfare ; RA Public aspects of medicine
Philosophical exploration of transsexuality. This thesis has two aims: First, to demonstrate that there is in the current medical model of transsexuality conceptual incoherence. Second, to establish an alternative model for understanding transsexuality: the model of authenticity. The current medical model is based on an assumption that the sexed body and gender identity are distinct, so that gender is different to sex, which forms the basis of transsexuality. The tension in transsexuality between sex and gender gives rise to suffering. Surgery unifies sex and gender and is offered as the humane response. It is this move from separation to unification of sex and gender that constitutes the conceptual incoherence in the current medical model. Suffering is then explored as a potential justification for surgery. It is argued that it is not obvious that suffering must be alleviated. Indeed, suffering may be valuable, and where this is the case there is no moral imperative to remove it. So, whilst there is a serious moral duty to respond to suffering there is no absolute duty to alleviate it. An alternative model is then explored. A model of authenticity, which can replace the medical model, better enables the freely chosen identity and goals of the transsexual
philosophical exploration two_aim first current medical model conceptual incoherence second establish alternative_model model authenticity current medical model_base assumption sex body gender_identity distinct gender different sex forms basis tension sex_gender give_rise suffering surgery unifies sex_gender offer response move separation unification sex_gender constitute conceptual incoherence current medical model suffering explore_potential justification surgery argued obvious suffer must indeed suffer may valuable case moral imperative remove whilst serious moral duty respond suffer absolute duty alternative_model explore model authenticity replace medical model good enables freely choose identity goal