Transgender healthcare faces a dilemma. On the one hand, access to certain medical interventions, including hormone treatments or surgeries, where desired, may be beneficial or even vital for some gender dysphoric trans people. But on the other hand, access to medical interventions typically requires a diagnosis, which, in turn, seems to imply the existence of a pathological state—something that many transgender people reject as a false and stigmatizing characterization of their experience or identity. In this paper we argue that developments (...) from the human enhancement debate can help clarify or resolve some of the conceptual and ethical entanglements arising from the apparent conflict between seeking medicine while not necessarily suffering from a pathology or disorder. Specifically, we focus on the welfarist account of human enhancement and argue it can provide a useful conceptual framework for thinking about some of the more contentious disagreements about access to transgender healthcare services. (shrink)

What is ethnicity and how does it inform the way we understand ethical and political issues involving ethnic change and ethnically conscious public policies? Jorge J. E. Gracia put forth what he calls his ‘Familial-Historical View’ of ethnicity in which Hispanic identity is understood in terms of history and family resemblances. He criticizes what he calls the ‘Common-Bundle View’ of ethnicity which understands ethnic belonging in terms of an essence. I defend two negative theses which lead to the outlines of (...) a positive thesis: (1) Gracia’s arguments against the Common-Bundle View are not effective; (2) the Familial-Historical View is inadequate because it downplays the essential role that cultural phenomena play in making Hispanic history ethnically relevant to Hispanic identity. As a way of building on the Common-Bundle View I sketch a reformulation that avoids Gracia’s criticisms and is more politically and ethically effective than his family resemblance view of ethnicity. (shrink)

This article discusses the ethics of the use of preimplantation genetic diagnosis to prevent the birth of children with intersex conditions/disorders of sex development , such as congenital adrenal hyperplasia and androgen insensitivity syndrome . While pediatric surgeries performed on children with ambiguous genitalia have been the topic of intense bioethical controversy, there has been almost no discussion to date of the ethics of the use of PGD to reduce the prevalence of these conditions. I suggest that PGD for those (...) conditions that involve serious medical risks for those born with them is morally permissible and that PGD for other “cosmetic” variations in sexual anatomy is more defensible than might first appear. However, importantly, the arguments that establish the latter claim have radical and disturbing implications for our attitude toward diversity more generally. (shrink)

What happens when we consider transformative experiences from the perspective of gender transitions? In this paper I suggest that at least two insights emerge. First, trans* persons’ experiences of gender transitions show some limitations to L.A. Paul’s (forthcoming) decision theoretic account of transformative decisions. This will involve exploring some of the phenomenology of coming to know that one is trans, and in coming to decide to transition. Second, what epistemological effects are there to undergoing a transformative experience? By connecting some (...) experiences of gender transitions to feminist standpoint epistemology, I argue that radical changes in one’s identity and social location also radically affects one’s access to knowledge in ways not widely appreciated in contemporary epistemology. (shrink)

Transracialism, defined as both experiencing oneself as, and being, a race other than the race assigned to one by society, does not exist. Translated into hermeneutics, transracialism is an unintelligible phenomenon in the specific sociocultural context of the United States in the early twenty-first century. Within this context, race is a function of ancestry, and is therefore defined in terms of something that is external to the self and unchangeable. Since transracialism does not exist, the question of whether transracialism would (...) be ethically advisable if it did exist is inapposite. Nonetheless, at a minimum we can say that racial transition (defined as attempting to change one’s race through artificial and/or associative changes, and living life as a race other than the race assigned to one by society, etc.) is possible, but is very likely unethical, since it is the same as racial passing. (shrink)

Transracialism, defined as both experiencing oneself as, and being, a race other than the race assigned to one by society, does not exist. Translated into hermeneutics, transracialism is an unintelligible phenomenon in the specific sociocultural context of the United States in the early twenty-first century. Within this context, race is a function of ancestry, and is therefore defined in terms of something that is external to the self and unchangeable. Since transracialism does not exist, the question of whether transracialism would (...) be ethically advisable if it did exist is inapposite. Nonetheless, at a minimum we can say that racial transition (defined as attempting to change one’s race through artificial and/or associative changes, and living life as a race other than the race assigned to one by society, etc.) is possible, but is very likely unethical, since it is the same as racial passing. (shrink)

This article discusses the acquisition of a physical impairment/disability through voluntary body modification, or transability. From the perspectives of critical genealogy and feminist intersectional analysis, the article considers the ability and cis*/trans* axes in order to question the boundaries between trans and transabled experience and examines two assumptions impeding the conceptualization of their placement on the same continuum: 1) trans studies assumes an able-bodied trans identity and able-bodied trans subject of analysis; and 2) disability studies assumes a cis* disabled identity. (...) The perception of transsexuality and transability as mutually exclusive phenomena results from a nonintersectional analysis of transsexuality as an issue of sex/gender, but not of ability, and of transability as an issue of ability, but not of sex/gender. Difficulty recognizing continuities between these phenomena thus stems from an ableist interpretation of sex/gender and a cisnormative* interpretation of ability. This article aims to: 1) enrich intersectional analysis in trans and disability studies and transability scholarship; 2) complicate disability studies, in which disabilities are often presumed to be “involuntary,” and encourage the decentering of a cis* subject; 3) encourage trans studies to decenter an able-bodied subject; and 4) advocate for increased dialogue and the creation of alliances between trans and disability studies and movements. (shrink)