Transsexualism: Some Theological and Ethical Perspectives

Abstract : The debates in church and theological circles regarding sexuality have been dominated by the subject of homosexuality. There has been far less theological discussion and ethical reflection regarding transgendered people and transsexualism in particular. This article introduces readers to some basic facts about transsexualism and to a selection of theological and ethical responses to this phenomenon with particular attention to how the notion of “disordered sexuality” is a factor in both the debate over the ethical status of transsexualism and homosexual unions.     

Transsexualism and the Church

Abstract

Transsexualism raises many perplexing issues for Christians. This paper first reviews the scientific evidence, especially that relating to the biological aspects, and then issues relating to transsexualism as a social construct. It is suggested that it is wise to reject both the idea that transsexualism is completely determined by biological factors, and that it is nothing but a social construct. There are also intriguing issues about specifically religious attitudes to transsexualism, that are in some ways similar to those raised by eunuchs. Two recent Christian contributions to the Christian discussion of transsexualism are then reviewed—the scholarly work of Oliver O'Donovan, and the more popular report of the Evangelical Alliance. The latter raises interesting issues for discussion, but its negative attitude to transsexualism is not always justified by the arguments presented. Finally, practical issues facing the Church are considered, including those relating to transsexual clergy.     

Placing the mnemonic model in context: diagnostic, theoretical, and clinical considerations

The mnemonic model of posttraumatic stress disorder (PTSD) proposed by D. C. Rubin, D. Berntsen, and M. K. Bohni presents some provocative and potentially insightful ideas about this mental disorder. D. C. Rubin et al. suggested that PTSD is caused and maintained through a "pathogenic memory" (D. C. Rubin et al., 2008, p. 985) of a negative event rather than by exposure to a traumatic event per se. The present authors examine the mnemonic model in the context of relevant diagnostic, theoretical, and clinical considerations. Specifically, to evaluate the arguments and evidence provided in support of the mnemonic model of PTSD, the present authors focus on 4 issues: (a) problems inherent with comparing a theoretical model (i.e., the mnemonic model) with a diagnostic model (i.e., the DSM-IV-TR model), (b) problems with not comparing the mnemonic model with relevant cognitive and memory models of PTSD, (c) problems with the degree to which the research reviewed provides support for the mnemonic model, and (d) concerns that memory in PTSD is confounded with the basic disorder, rather than causing PTSD. The present authors conclude with suggestions for future theory and research to help differentiate between memory's role in the origins of PTSD and memory's role in the clinical course of the disorder.     

Power and Effectiveness: Envisioning an Alternate Paradigm

SUMMARY

Relational-Cultural Theory provides a straightforward and elegant definition of power; it is the capacity to produce change. The implication of this framework is that power is the energy of competence in everyday living. However, in a culture stratified along multiple dimensions-race, class, and sexual orientation to name a few–power is associated with hyper-competitiveness and deterministic control. The article begins by examining the “protective illusions” of the power-over paradigm, where humanity is rank ordered according to perceived cultural value and is stratified into groups of greater than and less than. In addition to exposing the false dichotomies of power-over arrangements, the article examines the destructive consequences of cultural disconnection, on both the putative winners and the losers. Examples from organizational practice, clinical relationships, and socio-political contexts are used to illustrate the Relational-Cultural Model in action. Specifically, scenarios are presented from the standpoint of the politically disempowered to demonstrate the relational competencies of empathic attunement, authenticity, and accountability that foster healing, resilience, and mutual empowerment. This article was originally presented at the 2002 Spring Training Institute sponsored by the Jean Baker Miller Training Institute at Wellesley College.     

Avoiding and Alternate Possibilities

Greg Janzen has recently criticised my defence of Frankfurt’s counterexample to the Principle of Alternate Possibilities by arguing that Jones avoids killing Smith in the counterfactual scenario. Janzen’s argument consists in introducing a new thought-experiment which is supposed to be analogous to Frankfurt’s and where the agent is supposed to avoid A-ing. Here I argue that Janzen’s argument fails on two counts, because his new scenario is not analogous to Frankfurt’s and because the agent in his new scenario does not avoid A-ing.     

Hypertension: Cognitive and behavioral considerations

This article reviews literature concerning functional changes resulting from elevated blood pressure, from reduction of blood pressure, and as a result of the medications used to treat high blood pressure. The research reviewed includes the areas of psychomotor speed, intelligence and cognitive processing, sensory and perceptual processes, and emotional and interpersonal behaviors. The conclusions reached are that the deficits noted to date in hypertensive individuals are not extreme nor are they specific. The greatest disadvantage, however, appears in the area of response speed.     

Eros: Classical and contemporary considerations

Abstract

The erotic in clinical treatment, deeply embedded as it is in the transference-countertransference matrix, is delineated and explored in this paper. As we journey through Eros' mythic tradition, to Plato's symposium, and on to Freud's “Observations on Transference Love”, we discover and rediscover Eros' essentially paradoxical essence as both provocateur, dangerous “mischief maker” to cohesive force—a source of universal cohesion. Struggling with Eros' fundamental dialectics, we experience the rich potential of translating its “disruptive” reverberations into relational-dynamics. What has remained in the realm of the dangerous, an enemy to insight, the dread of acting out, is brought to light. We talk in complex ways of the unique impact one human being can have on another. This impact includes the erotic: a world of desire, longing, surrender; the wish for penetration, merger, intimacy; the fear of engulfment and ultimate rejection.     

Shame and aggression: Theoretical considerations

Within the shame literature, anger and aggression are widely recognized as responses to shame. Recent findings on the affective neuroscience of social pain suggest multiple models by which social pain (e.g., shame) and anger/aggression may be linked. These models describe the mechanisms underlying the prominent role of shame in interpersonal aggression, a role revealed by many dozens of studies. Anger and aggression in response to shame may be viewed as emotion regulation, coping strategies, and evolutionary adaptations. Unfortunately, these attempts at coping with shame may be adaptive or maladaptive. Indeed, aggression may be an adaptive defensive response to physical pain and many physical threats that, through evolutionary processes, came to be linked to shame once social pain co-opted the affective response to physical pain. In a related article (Velotti, Elison, & Garofalo, 2014), we review the many contexts and populations in which aggression manifests, providing further evidence for the models proposed here. Thus, a more complete understanding of anger and violent behavior requires consideration of social pain, shame, and shame-regulation, for which physical pain serves as a useful model.