The “affirming” healthcare model for gender-distressed youth is endorsed by the medical establishment in the United States, but many European nations have retreated from it. This controversy would be expected to attract the interest of philosophers and bioethicists, with a diverse range of opinions appearing in academic articles. However, when philosophers and bioethicists have ventured into print, they have almost invariably endorsed the affirmative approach, which involves life-changing medical interventions on children with psychological problems. This is a sign that the (...) process of academic research and writing is not functioning as it should. -/- We recount the failure of philosophy and bioethics to address the issues raised by gender-affirming healthcare. We also offer an explanation of this failure, and in the final section make some recommendations for improving academic integrity. (shrink)

This paper proposes a new account of gender identity on which for A to have gender G as part of their gender identity is for A to not take G not to fit them (or to positively take G to fit them). It argues that this subjective fit account of gender identity fits well with trans people’s testimony and both trans and cis people’s experiences of their genders. The subjective fit account also avoids the problems that existing accounts of gender (...) identity face. Existing accounts face broadly two types of problems. First, they seem to imply that trans people have gender identities different from those that they in fact have. For instance, they seem to imply that some trans women do not have a female gender identity or have not always had that gender identity, contrary to their testimony and experiences. I argue that the subjective fit account avoids this problem. Second, many existing accounts of gender identity seem to conflict with the idea that our gender identities merit respect. I argue that the subjective fit account avoids this problem because it understands gender identities to consist in normative experiences and judgments and normative experiences and judgments merit respect. (shrink)

Many feminists (e.g. T. Bettcher and B. R. George) argue for a principle of first person authority (FPA) about gender, i.e. that we should (at least) not disavow people's gender self-categorisations. However, there is a feminist tradition resistant to FPA about gender, which I call "radical feminism”. Feminists in this tradition define gender-categories via biological sex, thus denying non-binary and trans self-identifications. Using a taxonomy by B. R. George, I begin to demystify the concept of gender. We are also able (...) to use the taxonomy to model various feminist approaches. It becomes easier to see how conceptualisations ofgender which allow for FPA often do not allow for understanding female subjugation as being rooted in reproductive biology. I put forward a conceptual scheme: radical FPA feminism. If we accept FPA, but also radical feminist concerns, radical FPA feminism is an attractive way of conceptualising gender. (shrink)