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 to be respected, without compromising the ends of medicine.

Name dc:type.qualificationname

d_ph

Level dc:type.qualificationlevel

d_ph

Grantor dc:publisher.institution

University of Birmingham

Year dc:date.issued

2009

Author dc:creator

• Evans, Richard Neil

• HV Social pathology. Social and public welfare
• RA Public aspects of medicine