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Transgenderism, transsexualism,
gender dysphoria, & gender identity

Causes of, & cures for, transexuality
according to
the Catholic Church

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Background:

As noted elsewhere in this section a transgendered individual is a person who experiences sustained Gender Identity Disorder (a.k.a. GID, Gender Dysphoria), Their genetic gender is different from their perceived gender. Some describe themselves as a woman trapped in a man's body, or vice versa. Others view themselves as having a male brain in a female body, or vice versa.

There are two obvious ways to resolve this conflict:

  1. Change the person's thoughts so that the accept their genetic gender: Our scientific knowledge of the workings of the human brain are not developed to the point where this is possible; it may never be. A full range of therapies have been tried in an attempt to cure GID.

    There has allegedly been not a single cure during many decades of attempts. What there has been is a massive suicide rate, claimed by some to be about 50%.
     
  2. Change the person's physical appearance to match their perceived gender. In this way, a woman who felt trapped in a man's body can be altered to appear to be female through hormone therapy and perhaps gender reassignment surgery. Their perceived gender and their physical appearance become harmonized. The vast majority are pleased with the changes.

This second approach is forbidden by the Roman Catholic Church, because of their system of morality, ironically called the "Culture of Life."

Response by Fr. William P. Saunders:

A reader of the Catholic Herald from Roseville, CA asked Father Saunders -- a columnist from the magazine:

"I know a man who had a 'sex change' operation and is now a 'woman.' What moral teaching does the Church give on this subject?" 1,2

Father Saunders quoted a Vatican II document titled: "Pastoral Constitution on the Church in the Modern World." It stated that:

"Man, though made of body and soul, is a unity. Through his very bodily condition he sums up in himself the elements of the material world. Through him they are thus brought to their highest perfection and can raise their voice in praise freely given to the Creator. For this reason man may not despise his bodily life. Rather he is obliged to regard his body as good and to hold it in honor since God has created it and will raise it up on the last day."

When applied to transsexuality, the document implies that a person with GID must accept their body as it is. Surgically modifying one's body would be a sin.

He also quotes Paul in 1 Corinthians 6:19:

"What? know ye not that your body is the temple of the Holy Ghost which is in you, which ye have of God, and ye are not your own?"

The implication is that one's body is not one's own to be changed at will.

Finally, he quotes the Catholic Catechism, item 2297:

"Except when performed for strictly therapeutic medical reason, directly intended amputations, mutilations, and sterilizations performed on innocent persons are against the moral law."

The process of sexual reassignment involves major changes to the persons body. For a male-to-female (MTF) transsexual, this involves removal of the penis, testicles, and scrotum. It involves hormone treatment and perhaps surgery to enlarge the breasts, removing part of the Adam's apple, and/or changing the shape of her face. For a female-to-male (FTM) transsexual it involves the surgical removal of the breasts, uterus, ovaries, and hormone treatment,  Fr. Sanders refers to this as:

"... a radical and grotesque mutilation of the body....To destroy organs purposefully that are healthy and functioning, and to try to create imitation organs which will never have the genuineness and functioning of authentic organs is gross and lacks charity. Such surgery which purposefully destroys the bodily integrity of the person must be condemned."

For matters like marriage and ordination, the church considers only the genetic gender of the individual. Thus a MTF transsexual could not marry a man, even if they were able to obtain a marriage license, because the church would regard this as a same-sex marriage of two males. A MTF transexual might not be able to marry a woman even though the church considered them as an opposite-sex couple. The church has refused to marry some couples in the past who cannot conceive children. Similarly a FTM transsexual would not be eligible for consideration for ordination, no matter what his appearance, personality, talents or knowledge are.

Fr. Saunders notes that transsexualism appears to stem from psychological development, and thus should be treated by psychotherapy. He may not be aware that this has been tried countless thousands of times, apparently without a single successful outcome.

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Is there any wiggle room that would allow a Catholic to undergo SRS?

If one accepts the teaching of the church that sex reassignment surgery (SRS) and hormone treatments distort the God-designed and God-created human body to the extent that it is a very serious sin, one might ask if there are extenuating circumstances which would make the procedures acceptable to the church.

There is a widespread belief called the "50% Rule:" that 50% of all transsexuals die before the age of 30, usually by suicide. This was apparently true decades ago when SRS was generally unavailable. It is presumably much lower today since SRS has become more widely available, and are close to 100% successful in their goal of minimizing GID.

In most ethical systems, an act that is sinful by itself can sometimes be justified if it results in a greater good. For example, during pregnancy situations can arise where an abortion is needed to prevent the death of the woman. If no abortion is performed, both the fetus and the woman will die. Faced with the alternatives of one death or two, most ethical system would consider the abortion very regrettable, but morally justified.

In the case of transsexuals, one could argue that to make SRS unavailable would significantly increase the number of suicides within that population. Assuming that the incidence of transsexuals is 1 in every 5,000, they total perhaps 60,000 in the U.S. For every 100 SRS procedures performed, the lives of perhaps 25 transsexuals could be saved from suicide. Could those 25 lives saved outweigh the sin of 100 SRS procedures?

The answer is no. A prime directive of Catholic moral teaching is that one cannot morally commit an evil act even if the end result would be a major benefit. In the previously cited case of a pregnancy gone bad, no abortion is morally possible. The physician can only provide comfort care. Both the woman and fetus must die. In the case of transsexuals, no SRS procedure is permissible, even if one life might be saved for every four procedures performed.

Fortunately, the Church offers a way to resolve this dilemma: confession. A transsexual might elect to undergo SRS, and later confess their sin to a priest with genuine sorrow during the sacrament of penance. They could promise to not undergo any further reassignment surgery, and receive absolution.

Unfortunately, this path would not allow continuation of hormone treatments, which we assume the Church also considers a sin. That is  because one of the principles of confession is the person's intent to not repeat the sin in the future.

References used:

The following information sources were used to prepare and update the above essay. The hyperlinks are not necessarily still active today.

  1. "Straight Answers: The Morality of 'Sex Change' Operations," The Catholic Herald, 2005-OCT-19, at: http://www.catholicherald.com/
  2. "Straight Answers: Surgery That Destroys Bodily Integrity," The Catholic Herald, 2001-JAN-10, at: http://www.catholicherald.com/

Copyright © 2007 & 2009 by Ontario Consultants on Religious Tolerance
Original posting: 2009-JAN-06
Latest update: 2009-FEB-01
Author: B.A. Robinson

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