Regardless of the question of whether he has
had his genitals amputated, Cox is not a woman, but an effigy of a
woman. Sex is a biological reality, and it is not subordinate to
subjective impressions, no matter how intense those impressions are, how
sincerely they are held, or how painful they make facing the biological
facts of life. No hormone injection or surgical mutilation is
sufficient to change that.
Genital amputation and mutilation is the
extreme expression of the phenomenon, but it is hardly outside the
mainstream of contemporary medical practice. The trans self-conception,
if the autobiographical literature is any guide, is partly a feeling
that one should be living one’s life as a member of the opposite sex and
partly a delusion that one is in fact a member of the opposite sex at
some level of reality that transcends the biological facts in question.
There are many possible therapeutic responses to that condition, but the
offer to amputate healthy organs in the service of a delusional
tendency is the moral equivalent of meeting a man who believes he is
Jesus and inquiring as to whether his insurance plan covers crucifixion. Continue at Gospel Coalition
