CC™ VideoSpective
Sunday
Saturday
Flashback: The Smoking Cellphone: A Fulani jihadist killer's phone has numbers of Nigerian police and Army arms dealers
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| This cell phone had the numbers of Nigeria Police/Army contacts |
Friday
Ten things we've learnt about identity politics in the United States
a) Racism is an institution not an event, statement or action, as evident by the silence and acquiescence of the Republican members of Congress to the dangerous and highly-charged statements, and actions of former President Donald Trump for 4 years, that ultimately culminated in the violent insurrection by White Supremacist supporters of his, against the Congress of the United States on January 6th, 2021. His rhetoric hasn’t changed since he left office, as despite being convicted by a U.S. Court on 34 counts among other legal hurdles he faces, he remains in pole position to regain office as the 47th President of the United States.
b) Former House Speaker Nancy Pelosi actually instigated the singling out (in 2019) of the women of color in the U.S. House by referring to them as "just four people with no following". That was all Donald Trump needed to strike at the time, against those women.
c) Donald Trump "is not a racist". The power structure that enabled him become the POTUS (still incredibly threatens to bring him back in 2024), and continues to facilitate his trampling upon the Constitution with impunity, is racist, and was set up to be that way by the founding fathers, who enslaved the Africans that were brought to America and saw them as less than human.
d) President Barack Obama would not have been elected to office if he had bragged about sexually assaulting women, and he would definitely have been impeached, and removed from office, if he had conducted himself in office as Trump did.
e) Imagine what would have happened if Barack Obama had asked those that criticized his administration to leave the country, if they did not like the way things were being done. Or worse still, if he (Obama) had threatened to unleash the U.S. military on American citizens, protesting in the streets. Lastly, I am confident Barack Obama would have been impeached and convicted within a week (at most) if he had instigated an insurrection against a co-equal branch of government. White privilege, an indulgent by-product of White Supremacy is responsible for Donald Trump’s ability to remain relevant in the American political landscape.
f) Gratitude is not a requirement of citizenship. Furthermore, all U.S. citizens (naturalized or natural born) have equal rights, or do they.......?
g) The old order of the Democratic party is completely out of touch and the treatment of the four women Representatives of color by former Speaker Pelosi four years ago, serves to buttress that point.
h) The Republican party has always had a playbook steeped in identity politics. Anyone remember the Willie Horton ads? Trump and his Harvard educated running mate are not doing anything new, with regard to the demonization of Haitian immigrants in Springfield, Ohio, they simply took a time-tested and proven page out of the Republican playbook of identity politics.
j) The palpable silence (and obvious acquiescence) of most top American CEOs and business leaders also tells you all you need to know about them and their organizations. The ones that have 'spoken out' are not only late to the game (they are still Trump’s biggest donors and supporters by the way), but are speaking out merely to 'sanitize' their brand, as well as clear whatever is left of their conscience (assuming most of them actually have one).
Thursday
Nigeria: The prophetic consequences of dining with the devil.....
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| President Buhari (L) and the late Chief Obafemi Awolowo (R) |
Shortly after overthrowing Muhammadu Buhari's military junta on August 27, 1985, Ibrahim Babangida set up what he called the Nigerian Political Bureau. The 17-member panel inaugurated on January 13, 1986, with Samuel Cookey, a professor of political science, as chairman was charged with the responsibility of refocusing Nigeria's political trajectory by chiseling out a new socio-political order.
With membership cutting across academia, business and labour - Abdullahi Augie, Bala Takaya, Dr. Edwin Madunagu, Prof. Oye Oyediran, Mrs. Hilda Adefarasin, Prof. Eme Awa, Prof. Tunde Adeniran, Prof. Sam Oyovbaire, Dr. Ola Balogun, Haroun Adamu, Comrade Paschal Bafyau - the bureau reached out to prominent Nigerians. At the end, it received well over 27,000 memoranda on issues ranging from religion to ethnicity and ideology from ever-willing and rambunctious Nigerians.
Wednesday
Pax Africana — Of Captain Ibrahim Traore and the eternal barnacles at the gate
CC™ Editor's Corner
The tragedy of the geopolitical dynamics of African politics is how the West (namely the European Union and the United States) consistently adopt the same template in their quest to destabilize and dislodge any semblance of structure, organization and development in Africa.
And they continue to adopt the same time-tested and proven approach of using an our own ‘organic infrastructure’ — institutions, groups and individuals, to demonize and then ultimately destroy their target. First, it was Kwame Nkrumah, then Patrice Lumumba, Muritala Mohammed, Thomas Sankara, and Muammar Gaddafi.
The latest target of these eternal barnacles — is the indefatigable and indomitable Lion of Africa, Captain Ibrahim Traore of Burkina Faso.
The usual suspects never retreat in their sanguineous quest for control of Africa’s resources. What makes this even more unfortunate is the debilitating dearth of visionary leadership on the African continent as a whole, save for a few like Traore. In addition to the threat posed by the West, an even greater and more potent threat is the one from within and right next door, from the so-called Middle-East, the Gulf states, to be precise. The Gulf states, particularly Saudi Arabia and the UAE, have indeed been accused of fueling sectarian violence and jihadist movements across Africa, often under the guise of religious or developmental aid, with the acquiescence of their western collaborators, namely France and the United States.
Traore’s rejection of Saudi Arabia’s mosque-building offer, a move widely interpreted as a soft-power push (by the Saudis) to expand Wahhabi influence, demonstrates a keen awareness of the ideological and geopolitical traps that have ensnared other African nations.
Africa is indeed at a crossroads and Ibrahim Traore is merely a precursor to the impending wave of African Nationalism. The spirit of Thomas Sankara, Patrice Lumumba and Kwame Nkrumah lives on, but their successors must learn from history, and NOT repeat it!
The rebirth of Africa, while being rooted in pragmatic revolution, one that arms itself with knowledge, economic independence, and unshakable cultural confidence, must also be spiritual. The latter is an unabashed call for cultural decolonization through pan-African unity and a return to pre-colonial value systems. Only then can Africa truly break the chains — both old and new.
© Boyejo Coker. All Rights Reserved
Tuesday
7 best practices to keep you ahead in the workplace
As a working adult, you spend more time at work than you do with your family, so it’s easy to then see your co-workers to an extent, as an extension of your family.
Always have this in mind though; since they are colleagues, try to draw a line between normal and intimate conversations which you might regret spilling later. How professional you want to keep your relationship all depends on you.
In order not to create problems for yourself professionally in the future, here are some things never to do with your colleagues.
1) Discussing your sex life. From experiences to escapades, it will land you in trouble if it gets to the wrong ears.
Monday
Nigeria was once an indisputable leader in Africa: What happened?
Our country is the largest single unit in Africa… we are not going to abdicate the position in which God Almighty has placed us. The whole black continent is looking up to this country to liberate it from thraldom.
Assuming a leadership role

Disappointments
What next?
Sunday
NGUGI WA THIONG'O: A COMPENDIUM OF A LITERARY LIFE WELL SPENT!
CC™ PersPective
The journey of reading is a perpetual one. And it's awe-inspiring to witness how a simple arrangement of words can evoke such deep feelings and an ejaculation of wisdom within us or our willing souls!" - Yahaya Balogun.
The continent of Africa has lost another cerebral literary juggernaut. As Wikipedia aptly described him, Ngugi wa Thiong'o, originally named James Ngugi, graced the world from January 5, 1938, until May 28, 2025. Renowned as the premier novelist of East Africa, he emerged as a pivotal voice in the landscape of contemporary African literature.
The passing of our illustrious African son, the literary giant and prolific writer Ngugi wa Thiong'o, has deeply affected our hearts. Ngugi wa Thiong'o, a gifted author and scholar, has now joined his contemporary African ancestors, just a few days before his 87th birthday celebration.
Ngugi wa Thiong'o, a prolific literary figure and author, has an impressive portfolio of more than 34 published works. Ngugi wa Thiong'o's fictional contributions include seven remarkable novels: "Weep Not, Child" (1964), "The River Between" (1965), "A Grain of Wheat" (1967, 1992), "Petals of Blood" (1977), "Caitaani Mutharaba-Ini" (also known as "Devil on the Cross," 1980), "Matigari ma Njiruungi" (1986), "Murogi wa Kagogo" (or "Wizard of the Crow," 2006), and "Kenda Muiyuru: Rugano Rwa Gikuyu na Mumbi" (2018), which was published in Gikuyu. Ngugi wa Thiong'o's talent is evident in two collections of short stories: "A Meeting in the Dark" (1974) and "Secret Lives and Other Stories" (1976).
Ngugi's memoirs are a testament to his unique journey, which includes four significant titles: "Detained: A Writer's Prison Diary" (1981), "Dreams in a Time of War: A Childhood Memoir" (2010), "In the House of the Interpreter: A Memoir" (2012), and "Birth of a Dream Weaver: A Memoir of a Writer's Awakening" (2016).
In addition to these, Ngugi wa Thiong'o has enriched the literary landscape with thirteen essay collections and nonfiction works, such as "Homecoming: Essays on African and Caribbean Literature, Culture, and Politics" (1972), "Writers in Politics: Essays" (1981), "Education for a National Culture" (1981), "Barrel of a Pen: Resistance to Repression in Neo-Colonial Kenya" (1983), "Decolonizing the Mind: The Politics of Language in African Literature" (1986), "Mother, Sing For Me" (1986), "Writing against Neo-Colonialism" (1986), "Moving the Centre: The Struggle for Cultural Freedom" (1993), "Penpoints, Gunpoints, and Dreams: The Performance of Literature and Power in Post-Colonial Africa" (1998), "Something Torn and New: An African Renaissance" (2009), "Globalectics: Theory and the Politics of Knowing" (2012), "In the Name of the Mother: Reflections on Writers and Empire" (2013), and "Secure the Base" (2016).
Moreover, Ngugi has brought to life four compelling plays: "The Black Hermit" (1963), "This Time Tomorrow" (1970), "The Trial of Dedan Kimathi" (1976), and "Ngaahika Ndeenda: Ithaako ria ngerekano" (translated as "I Will Marry When I Want," 1977), along with three enchanting children's books: "Njamba Nene and the Flying Bus" (1986), "Njamba Nene and the Cruel Chief" (1988), and "Njamba Nene's Pistol" (1990).
From 1984 to 1985, I studied "Weep Not Child" in English Literature at Igbemo Community Comprehensive High School, Igbemo-Ekiti. It was a great memory for us to read Ngugi's poignant story, penned in his novels in Kikuyu, and he undertook the translations himself; however, he initially crafted "Weep Not Child" in English. Within its pages, one can discern the subtle influence of the Kikuyu language—the rhythm and straightforwardness of its formal prose and erudition. This interplay creates a vibrant echo of Kikuyu life, allowing the essence, mood, and hues of that culture to flow into the English text, imbuing the novel with a profound African spirit.
The death and words of Ngugi wa Thiong'o, our cerebral and literary giant, will continue to resonate and inspire us all! This renowned author, Ngugi wa Thiong'o, will be celebrated as a transformative influence, particularly for his steadfast dedication to liberating the African psyche from colonial remnants and neocolonialism. His eloquence, foresight, and scholarly bravery will continue to motivate budding authors and countless future generations throughout Africa. May his gentle soul rest in perfect peace.
Source and credit: Book titles and collections from Brittle Paper's tribute to Ngugi wa Thiong'o on his 82nd birthday.
Saturday
Sex Change: Physically Impossible, Psychosocially Unhelpful, and Philosophically Misguided
CC™ ViewPoint
By Ryan T. Anderson
Modern medicine can’t reassign sex physically, and attempting to do so doesn’t produce good outcomes psychosocially. Here is the evidence.
Contrary to the claims of activists, sex isn’t “assigned” at birth—and that’s why it can’t be “reassigned.” As I explain in my book When Harry Became Sally: Responding to the Transgender Moment, sex is a bodily reality that can be recognized well before birth with ultrasound imaging. The sex of an organism is defined and identified by the way in which it (he or she) is organized for sexual reproduction.
This is just one manifestation of the fact that natural organization is “the defining feature of an organism,” as neuroscientist Maureen Condic and her philosopher brother Samuel Condic explain. In organisms, “the various parts … are organized to cooperatively interact for the welfare of the entity as a whole. Organisms can exist at various levels, from microscopic single cells to sperm whales weighing many tons, yet they are all characterized by the integrated function of parts for the sake of the whole.”
Male and female organisms have different parts that are functionally integrated for the sake of their whole, and for the sake of a larger whole—their sexual union and reproduction. So an organism’s sex—as male or female—is identified by its organization for sexually reproductive acts. Sex as a status—male or female—is a recognition of the organization of a body that can engage in sex as an act.
That organization isn’t just the best way to figure out which sex you are; it’s the only way to make sense of the concepts of male and female at all. What else could “maleness” or “femaleness” even refer to, if not your basic physical capacity for one of two functions in sexual reproduction?
The conceptual distinction between male and female based on reproductive organization provides the only coherent way to classify the two sexes. Apart from that, all we have are stereotypes.
This shouldn’t be controversial. Sex is understood this way across sexually reproducing species. No one finds it particularly difficult—let alone controversial—to identify male and female members of the bovine species or the canine species. Farmers and breeders rely on this easy distinction for their livelihoods. It’s only recently, and only with respect to the human species, that the very concept of sex has become controversial.
And yet, in an expert declaration to a federal district court in North Carolina concerning H.B. 2 (a state law governing access to sex-specific restrooms), Dr. Deanna Adkins stated, “From a medical perspective, the appropriate determinant of sex is gender identity.” Adkins is a professor at Duke University School of Medicine and the director of the Duke Center for Child and Adolescent Gender Care (which opened in 2015).
Adkins argues that gender identity is not only the preferred basis for determining sex, but “the only medically supported determinant of sex.” Every other method is bad science, she claims: “It is counter to medical science to use chromosomes, hormones, internal reproductive organs, external genitalia, or secondary sex characteristics to override gender identity for purposes of classifying someone as male or female.”
In her sworn declaration to the federal court, Dr. Deanna Adkins called the standard account of sex—an organism’s sexual organization—“an extremely outdated view of biological sex.” Dr. Lawrence Mayer responded in his rebuttal declaration: “This statement is stunning. I have searched dozens of references in biology, medicine and genetics—even Wiki!—and can find no alternative scientific definition. In fact the only references to a more fluid definition of biological sex are in the social policy literature.” Just so. Dr. Mayer is a scholar in residence in the Department of Psychiatry at the Johns Hopkins University School of Medicine and a professor of statistics and biostatistics at Arizona State University.
Modern science shows that our sexual organization begins with our DNA and development in the womb, and that sex differences manifest themselves in many bodily systems and organs, all the way down to the molecular level. In other words, our physical organization for one of two functions in reproduction shapes us organically, from the beginning of life, at every level of our being.
Cosmetic surgery and cross-sex hormones can’t change us into the opposite sex. They can affect appearances. They can stunt or damage some outward expressions of our reproductive organization. But they can’t transform it. They can’t turn us from one sex into the other.
“Scientifically speaking, transgender men are not biological men and transgender women are not biological women. The claims to the contrary are not supported by a scintilla of scientific evidence,” explains Dr. Mayer.
Or, as Princeton philosopher Robert P. George put it, “Changing sexes is a metaphysical impossibility because it is a biological impossibility.”
Psychosocial Outcomes
Sadly, just as “sex reassignment” fails to reassign sex biologically, it also fails to bring wholeness socially and psychologically. As I demonstrate in When Harry Became Sally, the medical evidence suggests that it does not adequately address the psychosocial difficulties faced by people who identify as transgender.
Even when the procedures are successful technically and cosmetically, and even in cultures that are relatively “trans-friendly,” transitioners still face poor outcomes.
Dr. Paul McHugh, the University Distinguished Service Professor of Psychiatry at the Johns Hopkins University School of Medicine, explains:
Transgendered men do not become women, nor do transgendered women become men. All (including Bruce Jenner) become feminized men or masculinized women, counterfeits or impersonators of the sex with which they “identify.” In that lies their problematic future.
When “the tumult and shouting dies,” it proves not easy nor wise to live in a counterfeit sexual garb. The most thorough follow-up of sex-reassigned people—extending over thirty years and conducted in Sweden, where the culture is strongly supportive of the transgendered—documents their lifelong mental unrest. Ten to fifteen years after surgical reassignment, the suicide rate of those who had undergone sex-reassignment surgery rose to twenty times that of comparable peers.
Dr. McHugh points to the reality that because sex change is physically impossible, it frequently does not provide the long-term wholeness and happiness that people seek.
Indeed, the best scientific research supports McHugh’s caution and concern.
Here’s how the Guardian summarized the results of a review of “more than 100 follow-up studies of post-operative transsexuals” by Birmingham University’s Aggressive Research Intelligence Facility (Arif):
Arif, which conducts reviews of healthcare treatments for the NHS, concludes that none of the studies provides conclusive evidence that gender reassignment is beneficial for patients. It found that most research was poorly designed, which skewed the results in favour of physically changing sex. There was no evaluation of whether other treatments, such as long-term counselling, might help transsexuals, or whether their gender confusion might lessen over time.
“There is huge uncertainty over whether changing someone’s sex is a good or a bad thing,” said Chris Hyde, the director of Arif. Even if doctors are careful to perform these procedures only on “appropriate patients,” Hyde continued, “there’s still a large number of people who have the surgery but remain traumatized—often to the point of committing suicide.”
Of particular concern are the people these studies “lost track of.” As the Guardian noted, “the results of many gender reassignment studies are unsound because researchers lost track of more than half of the participants.” Indeed, “Dr. Hyde said the high drop out rate could reflect high levels of dissatisfaction or even suicide among post-operative transsexuals.” Dr. Hyde concluded: “The bottom line is that although it’s clear that some people do well with gender reassignment surgery, the available research does little to reassure about how many patients do badly and, if so, how badly.”
Arif conducted its review back in 2004, so perhaps things have changed in the past decade? Not so. In 2014, a new review of the scientific literature was done by Hayes, Inc., a research and consulting firm that evaluates the safety and health outcomes of medical technologies. Hayes found that the evidence on long-term results of sex reassignment was too sparse to support meaningful conclusions and gave these studies its lowest rating for quality:
Statistically significant improvements have not been consistently demonstrated by multiple studies for most outcomes. … Evidence regarding quality of life and function in male-to-female (MtF) adults was very sparse. Evidence for less comprehensive measures of well-being in adult recipients of cross-sex hormone therapy was directly applicable to GD patients but was sparse and/or conflicting. The study designs do not permit conclusions of causality and studies generally had weaknesses associated with study execution as well. There are potentially long-term safety risks associated with hormone therapy but none have been proven or conclusively ruled out.
The Obama administration came to similar conclusions. In 2016, the Centers for Medicare and Medicaid revisited the question whether sex reassignment surgery would have to be covered by Medicare plans. Despite receiving a request that its coverage be mandated, they refused, on the ground that we lack evidence that it benefits patients. Here’s how the June 2016 “Proposed Decision Memo for Gender Dysphoria and Gender Reassignment Surgery” put it:
Based on a thorough review of the clinical evidence available at this time, there is not enough evidence to determine whether gender reassignment surgery improves health outcomes for Medicare beneficiaries with gender dysphoria. There were conflicting (inconsistent) study results—of the best designed studies, some reported benefits while others reported harms. The quality and strength of evidence were low due to the mostly observational study designs with no comparison groups, potential confounding and small sample sizes. Many studies that reported positive outcomes were exploratory type studies (case-series and case-control) with no confirmatory follow-up.
The final August 2016 “Decision Memo for Gender Dysphoria and Gender Reassignment Surgery” was even more blunt. It pointed out that “Overall, the quality and strength of evidence were low due to mostly observational study designs with no comparison groups, subjective endpoints, potential confounding (a situation where the association between the intervention and outcome is influenced by another factor such as a co-intervention), small sample sizes, lack of validated assessment tools, and considerable lost to follow-up.” That “lost to follow-up,” remember, could be pointing to people who committed suicide.
And when it comes to the best studies, there is no evidence of “clinically significant changes” after sex reassignment:
The majority of studies were non-longitudinal, exploratory type studies (i.e., in a preliminary state of investigation or hypothesis generating), or did not include concurrent controls or testing prior to and after surgery. Several reported positive results but the potential issues noted above reduced strength and confidence. After careful assessment, we identified six studies that could provide useful information. Of these, the four best designed and conducted studies that assessed quality of life before and after surgery using validated (albeit non-specific) psychometric studies did not demonstrate clinically significant changes or differences in psychometric test results after GRS [gender reassignment surgery].
In a discussion of the largest and most robust study—the study from Sweden that Dr. McHugh mentioned in the quote above—the Obama Centers for Medicare and Medicaid pointed out the nineteen-times-greater likelihood for death by suicide, and a host of other poor outcomes:
The study identified increased mortality and psychiatric hospitalization compared to the matched controls. The mortality was primarily due to completed suicides (19.1-fold greater than in control Swedes), but death due to neoplasm and cardiovascular disease was increased 2 to 2.5 times as well. We note, mortality from this patient population did not become apparent until after 10 years. The risk for psychiatric hospitalization was 2.8 times greater than in controls even after adjustment for prior psychiatric disease (18%). The risk for attempted suicide was greater in male-to-female patients regardless of the gender of the control. Further, we cannot exclude therapeutic interventions as a cause of the observed excess morbidity and mortality. The study, however, was not constructed to assess the impact of gender reassignment surgery per se.
These results are tragic. And they directly contradict the most popular media narratives, as well as many of the snapshot studies that do not track people over time. As the Obama Centers for Medicare and Medicaid pointed out, “mortality from this patient population did not become apparent until after 10 years.” So when the media tout studies that only track outcomes for a few years, and claim that reassignment is a stunning success, there are good grounds for skepticism.
As I explain in my book, these outcomes should be enough to stop the headlong rush into sex-reassignment procedures. They should prompt us to develop better therapies for helping people who struggle with their gender identity. And none of this even begins to address the radical, entirely experimental therapies that are being directed at the bodies of children to transition them.
The Purpose of Medicine, Emotions, and the Mind
Behind the debates over therapies for people with gender dysphoria are two related questions: How do we define mental health and human flourishing? And what is the purpose of medicine, particularly psychiatry?
Those general questions encompass more specific ones: If a man has an internal sense that he is a woman, is that just a variety of normal human functioning, or is it a psychopathology? Should we be concerned about the disconnection between feeling and reality, or only about the emotional distress or functional difficulties it may cause? What is the best way to help people with gender dysphoria manage their symptoms: by accepting their insistence that they are the opposite sex and supporting a surgical transition, or by encouraging them to recognize that their feelings are out of line with reality and learn how to identify with their bodies? All of these questions require philosophical analysis and worldview judgments about what “normal human functioning” looks like and what the purpose of medicine is.
Settling the debates over the proper response to gender dysphoria requires more than scientific and medical evidence. Medical science alone cannot tell us what the purpose of medicine is. Science cannot answer questions about meaning or purpose in a moral sense. It can tell us about the function of this or that bodily system, but it can’t tell us what to do with that knowledge. It cannot tell us how human beings ought to act. Those are philosophical questions, as I explain in When Harry Became Sally.
While medical science does not answer philosophical questions, every medical practitioner has a philosophical worldview, explicit or not. Some doctors may regard feelings and beliefs that are disconnected from reality as a part of normal human functioning and not a source of concern unless they cause distress. Other doctors will regard those feelings and beliefs as dysfunctional in themselves, even if the patient does not find them distressing, because they indicate a defect in mental processes. But the assumptions made by this or that psychiatrist for purposes of diagnosis and treatment cannot settle the philosophical questions: Is it good or bad or neutral to harbor feelings and beliefs that are at odds with reality? Should we accept them as the last word, or try to understand their causes and correct them, or at least mitigate their effects?
While the current findings of medical science, as shown above, reveal poor psychosocial outcomes for people who have had sex-reassignment therapies, that conclusion should not be where we stop. We must also look deeper for philosophical wisdom, starting with some basic truths about human well-being and healthy functioning. We should begin by recognizing that sex reassignment is physically impossible. Our minds and senses function properly when they reveal reality to us and lead us to knowledge of truth. And we flourish as human beings when we embrace the truth and live in accordance with it. A person might find some emotional relief in embracing a falsehood, but doing so would not make him or her objectively better off. Living by a falsehood keeps us from flourishing fully, whether or not it also causes distress.
This philosophical view of human well-being is the foundation of a sound medical practice. Dr. Michelle Cretella, the president of the American College of Pediatricians—a group of doctors who formed their own professional guild in response to the politicization of the American Academy of Pediatrics—emphasizes that mental health care should be guided by norms grounded in reality, including the reality of the bodily self. “The norm for human development is for one’s thoughts to align with physical reality, and for one’s gender identity to align with one’s biologic sex,” she says. For human beings to flourish, they need to feel comfortable in their own bodies, readily identify with their sex, and believe that they are who they actually are. For children especially, normal development and functioning require accepting their physical being and understanding their embodied selves as male or female.
Unfortunately, many professionals now view health care—including mental health care—primarily as a means of fulfilling patients’ desires, whatever those are. In the words of Leon Kass, a professor emeritus at the University of Chicago, today a doctor is often seen as nothing more than “a highly competent hired syringe”:
The implicit (and sometimes explicit) model of the doctor-patient relationship is one of contract: the physician—a highly competent hired syringe, as it were—sells his services on demand, restrained only by the law (though he is free to refuse his services if the patient is unwilling or unable to meet his fee). Here’s the deal: for the patient, autonomy and service; for the doctor, money, graced by the pleasure of giving the patient what he wants. If a patient wants to fix her nose or change his gender, determine the sex of unborn children, or take euphoriant drugs just for kicks, the physician can and will go to work—provided that the price is right and that the contract is explicit about what happens if the customer isn’t satisfied.
This modern vision of medicine and medical professionals gets it wrong, says Dr. Kass. Professionals ought to profess their devotion to the purposes and ideals they serve. Teachers should be devoted to learning, lawyers to justice, clergy to things divine, and physicians to “healing the sick, looking up to health and wholeness.” Healing is “the central core of medicine,” Kass writes; “to heal, to make whole, is the doctor’s primary business.”
To provide the best possible care, serving the patient’s medical interests, requires an understanding of human wholeness and well-being. Mental health care must be guided by a sound concept of human flourishing. The minimal standard of care should begin with a standard of normality. Dr. Cretella explains how this standard applies to mental health:
One of the chief functions of the brain is to perceive physical reality. Thoughts that are in accordance with physical reality are normal. Thoughts that deviate from physical reality are abnormal—as well as potentially harmful to the individual or to others. This is true whether or not the individual who possesses the abnormal thoughts feels distress.
Our brains and senses are designed to bring us into contact with reality, connecting us with the outside world and with the reality of ourselves. Thoughts that disguise or distort reality are misguided—and can cause harm. In When Harry Became Sally, I argue that we need to do a better job of helping people who face these struggles.
SOURCE: THE PUBLIC DISCOURSE
ABOUT THE AUTHOR
Ryan T. Anderson is Founding Editor of Public Discourse. He is also President of the Ethics and Public Policy Center. He is the author of When Harry Became Sally: Responding to the Transgender Moment and Truth Overruled: The Future of Marriage and Religious Freedom.






