"I remember reading on the Press for Change website about they were pleased about the NHS case result (1990s?) but then almost on the next line saying they planned to de-medicalise the process. I couldn’t get my head around it"
There are two contradictory "demedicalisation" narratives in transactivism.
One contingent's "demedicalisation" means "remove medical gatekeeping by psychiatrists and give us the surgeries and drugs we want on demand".
This seems to be the more common meaning and it underpins the World Health Organisation reclassification of "gender dysphoria" from a psychiatric diagnosis to a sexual health diagnosis, although the official line is that it was "to reduce stigma".
The other contingent's "demedicalisation" means "trans is a natural human variation of gender identity, which has nothing to do with sex so we should not have to do anything to alter our physical appearance (or name or behaviour) in order to conform to sex-stereotypes. Therefore, "gender dysphoria" is not a medical condition, it is a psychological reaction to oppressive, patriarchal societal pressure to conform to sex stereotypes consistent with gender identity.".
I have come across this argument in academic papers but what it means in practice is:
- bog-standard blokes with male names claiming to be lesbians and infesting lesbian dating apps.
- bog-standard women harassing gay men for sex and calling them "weak f@ggots" when they are not interested in dating them as "gay men".
- evidence that at least one branch of transgender ideology relates to feminist theories about "gender" (rather than gender identity) being a social construct, based on culturally-determined sex stereotypes that are deployed by the patriarchy to control and oppress everyone, ie. by subjugating women to norms of femininity and men to masculinity. In this version, "man" and "woman" are biologically determined "gender identities" and sex is a "social construct".
The "privacy" issue is linked to the first "demedicalisation" narrative, which is based on the assumption that, with requisite surgical and chemical intervention, anyone who wished to could "go stealth" and successfully masquerade as the opposite sex. Or, as it is framed in the Gender Recognition Act 2004, "live in the acquired gender".