Not why hurting dysphoric people look to chemical and surgical rebirth, or why activists are pushing it, of a piece as it is with their larger vision for the world. The puzzling thing about this blitz for manufactured consensus is why people buy it. As Anderson observes, "The course of treatment promoted by transgender activists is, in short, self-reinforcing." But it is not just the course of treatment: a strategy of self-reinforcement is pursued on all fronts here, medical, legal, and social. Because of socialization and neuroplasticity, as well as irreversible chemical or surgical alterations, children who transition are less likely to find an alternate response to their dysphoria and reconcile with their biology. In order to promote transition as a healthy response to gender dysphoria, leading activist organizations ignore dissenting voices in the medical and even transgender communities, especially those who have detransitioned, and advocate and enable the social, chemical, and surgical transition of children. A conversation, and voting of any kind, is precisely what is not allowed. These two points are inverted in contemporary activism. A religious conservative, sure, Anderson is still a political liberal in the larger sense, and believes the circumstances of adults transitioning, bathroom accommodation for such adults, and other legal and social questions should be settled by normal democratic and market means-voting, with ballots or wallets, not by judicial fiat or bureaucratic regulation. His primary policy takeaway is that children experiencing gender dysphoria should be treated differently than adults are. This first point, that transition and transgender identity may not be the medically straightforward response to gender dysphoria we're told it is, leads Anderson to his second main point. That is, as a consequence of activists' desire to normalize and promote transgenderism, gender dysphoria has not received the same kind of careful scrutiny as other forms of psychiatric dysphoria or dysmorphia.
Anderson's research leads him to conclude, and shows, that there has been insufficient study of gender dysphoria and the effectiveness of what has rapidly become the standard treatment for it: social, then chemical, then surgical transition.
There are two main points, reciprocal to each other.
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