Transgenderism, Mental Illness, and the Church

I recently read a post on the issue of transgenderism that made this statement:

No objective tests can prove that the transgender condition exists. No physical examination, blood test, bone marrow test, chromosome test, or brain test will show that a person has gender dysphoria. It is a condition revealed solely by the patient’s feelings.

I agree with that wholeheartedly.

But here’s the thing – that can be said about a plethora of conditions we collectively term “mental illness.” Things like ADHD, depression, anxiety, and even things like schizophrenia are also symptom diagnosed (as opposed to diagnosed via objective medical tests). You tell the doctor or therapist what’s going on with you, they ask additional questions  or observe your behavior over time and they give you a diagnosis. There are no blood tests or other objective medical tests involved. Sometimes there are medical exams to rule out other causes, such as substance abuse, but that’s different from a positive diagnosis via medical exam.

Unfortunately, the same church who wants to refute psychology on transgenderism, has largely bought into the psychological model for many other conditions equally unprovable.

For example, why do we accept this:

“I know what the Bible says about anxiety but I have a special situation.  The doctor says my brain doesn’t function the way others’ do in this regard. This is something I can’t help, something that must be treated medically.”

But not this:

“I know what the Bible says about gender but I have a special situation. The doctor says my brain doesn’t work the way others’ do in this regard. This is something I can’t help, something that must be treated medically.”

The Bible always treats destructive behaviors and inappropriate thoughts as sin, never as diseases. For example, it talks about the sin of drunkenness, not the disease of alcoholism. Yet the disease model of sin is widely accepted in many churches today, even many conservative ones, and I believe those chickens will come home to roost with the issues gender and sexuality.

For years the church has deferred to the discipline of psychology as an alternative authority or at least a coequal authority with scripture with regard to behavior and thinking. Rather than treating problems of thinking as opportunities to point people to scripture and encourage them to renew their minds, we’ve deferred to psychologists and psychiatrists. But now, when faced with transgenderism, we want to jump off that train and say (rightly) there’s no objective evidence that something in the brain determines  gender independent of  anatomy.

If you have male anatomy and think you are a woman, you don’t have a problem with your brain, you have a problem with your thinking. You are engaging in sinful and warped thinking that needs to be brought in line with the teaching of the word of God. But because we don’t make that declaration in so many other areas, we may have our work cut out for us doing so in this one.

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