Originally a comment by Your Name’s not Bruce? on However, these constructs exist along a spectrum.
Probably unlikely, but I wonder if this is another instance of activist interns taking over an organization’s coms? It’s quite a coup for gender ideology to capture a prestigious, authoritative journal such as The Lancet, despite the fact that its surrender to them diminishes and devalues the very prestige and authority they coveted it for in the first place.
And what have they won? what do these guidelines do? From the excerpt here in the original post, The Lancet is now endorsing several key goals and concepts of gender ideology, but in a very slippery way. It doesn’t come straight out and say that sex is a social construct, but makes this claim by sidling up to it through elision:
Sex and gender are often incorrectly portrayed as binary (female/male or woman/man), concordant, and static. However, these constructs exist along a spectrum that includes additional sex categorisations and gender identities, such as people who are intersex/have differences of sex development
(DSD), or identify as non-binary. (my bolding)
Here, sex has been slyly lumped together with gender as a social construct, without having argued for or providing any evidence to support this claim in its listing of the definitions of sex at the beginning of the paragraph. And look what else they slip into this sneaky little paragraph. They claim that sex is “incorrectly portrayed” as “binary,” and “static.” But sex is binary: there are only two sexes. And sex is static; humans can’t change sex.
It’s interesting that this guidance uses both “intersex” and “DSD”: the former offers the possibility of a continuum between the poles of male and female (which is why I believe it was included, despite the persistant requests of people with DSDs not to use “intersex”), while the latter does not. Sex is not a spectrum. “People who are intersex/have differences of sex development” no more prove that sex is a “spectrum” than polydactyly or oligodactyly prove that the number of fingers or toes on humans is a “spectrum.” Yet DSDs are not halfway houses “between” the two sexes. These conditions are, in terms of normal development, dead ends. They are mistakes made by errors in the growth program which is normally supposed to produce a male or female body. They are result of a process that has in some way gone wrong, not an additional, expected pathway of development as usual. They aren’t stable, desired outcomes. They are not additional “colours” on a “spectrum”, they are the equivalent of typographical errors in a text, or incorrectly assembled components on an assembly line; outcomes that were never intended, but which occurred nonetheless. They are the rare, particular outcomes of particular disorders specific to each sex, not some sort of amorphous no-man’s-land between the conditions of male and female.
You’d think that something called a “spectrum” would exhibit a larger percentage of members at places other than the two “ends” of its supposed “range.” Compared to the expected “male” and “female” bodies that normal growth and development produce, the numbers of people with DSDs is very small; certainly not enough to merit their deployment to argue that sex is a “spectrum.” Using DSD conditions in this way to argue against the sex binary is dishonest and deceptive. They do not prove or support the claim they are making. They must know this. This is not an error or mistake. This is an ideologically driven position, not a medical or physiologically mandated one. It is politics, not medicine. There is no science that disproves the binary, immutable nature of sex in humans, otherwise the discoverers of any such disproof would have won Nobel Prizes for medicine. Until the writers of this guidance for The Lancet show up in Stockholm to collect their awards, I will count them as liars.
*”Concordant” doesn’t really enter the picture if “gender” does not exist. Interestingly, there is no claim in this excerpt for “gender” being the “inner sense of identity” that can be “born in the wrong body.”