The graduates from the seminary that I attended for my degree have a book club / journal club every 2 months or so. We do the book club online. The attendees have different backgrounds and experiences, and our getting together is a fun, intellectual time. We are meeting this week and will be discussing two articles about transgender people. I think this population group often is greatly misunderstood in the religious setting.

The first article is titled, “A systematic review of the relationship between religion and attitudes toward transgender and gender-variant people” (M. Campbell, et al.) and has been published in the International Journal of Transgenderism. It is an open access research project that has evaluated all studies performed to date that study the effect of religion in the setting of how people view the transgender population. This project used the Axis Appraisal Tool to assess study validity. The Axis Appraisal Tool has 20 questions that evaluate for study bias. A good link to the tool is here.
The study results were a bit depressing. Unfortunately, just identifying as being “religious” was an indicator of higher levels of transphobia. It was not just Christianity that was an issue here. Other religions (except for perhaps Judaism) had similar levels of transphobia. Being more “fundamentalist” in one’s belief system, believing in Biblical literalism, and attending church more frequently seemed to be associated with transphobia. Interestingly, there was mixed data on the degree of transphobia present in the LGBQ(not T) religious population.
I am a Christian, and I assume that I would be categorized as a “liberal Christian.” I have had some problems with the liberal Christian label for me as I am very pro-science. I guess supporting the philosophy and work of science makes me a “liberal” in the church setting. I attend church services almost every Sunday unless I am at work or on vacation. I attend an open and affirming church that has many LGBTQ+ people in it who I consider friends. Is loving the other regardless of background “liberal”? I really don’t get this connection.
Has Christianity as a whole become so off the rails that being considered a “Christian” also is associated with various -phobias? In the United States, at least, I think this correlation is quite true as many people who say they are Christians are probably just Christian nationalists. In other words, they associate their nationalist ideals (think Protestant, straight, male) with a weird warlike Jesus who in no way resembles the God-man on the cross. I think such people insist on being “culturally normative” in that anything that is not male-predominant, straight, and Protestant (and more likely, Evangelical Protestant) is simply the “other”, the unwanted.

Art by Melanie Jean Juneau
The “poor” in the New Testament is a corollary to the modern inequities in our world. This term is not just for financial inequality. It should be considered in the setting of the outsider, including our LGBTQ+ brothers and sisters. Jesus was pretty clear here. You aren’t really thinking like a Christian if you are judging others simply because they are not like you (see Luke 11: 39-42).
The other article that we will be reading is a review of the history of gender-affirming care, including the psychological / medical issues involved, types of treatment, and the potential positives and negatives of such care.
It is titled “On Gender, Gender Incongruence,and Gender-Affirming Care.” It has been published in Perspectives on Science and Christian Faith which is a journal for scientists (broadly defined) who are Christian. This article is also open access.
At first, I was worried that this article would go into very limited directions regarding transgender healthcare. However, I was wrong. The article is a very open-ended discussion. “Gender incongruence” is a complicated issue with probable genetic and epigenetic (hormonal, societal) causes that are so densely intertwined that we cannot yet get a good grasp on the biology involved. The biology of human sexuality is not a simple “on / off” button. Conversely, it appears to involve innumerable biological responses when considering each human. The transgender population does appear to have some innate biological fluidity when it comes to sexuality that is not sinful. It just is simple biology, and in fact, during human development, many people have sexual fluidity as they grow from an infant to an adult. I have known for a long time that the LGBTQ+ population seems to have a spectrum of sexuality that is inherent to their personhood. It is not a choice. It is part of the wonderful continuum of the human experience.

I really like this article’s review of the research outcomes regarding transgender care. Unfortunately, transgender care and the way we socially treat transgender people have become so politicized that most people are unable or unwilling to actually look at the research results. Some studies show good outcomes. Some studies show minimal improvement in outcomes. Humans need to be honest in what we discover here in order 1) to see if better research is needed (the answer is “yes”) and 2) to see if better treatment is needed (the answer is “most likely yes”).
Instead of screaming at each other over the presence of transgender people perhaps we should ask transgender people what they need in order to see if better national / international research consortiums can meet this gap in knowledge.
So…How do I feel here? I have transgender people in my church. I have transgender people in my neighborhood. I am a gastroenterologist, and I have transgender patients. Honestly, these are just people with all of the baggage that every one of us accumulates as part of the human experience.
Objectively, we should serve this population by making sure we are doing good science without political or religious interference. Subjectively, we should love our neighbor which includes our LGBTQ+ neighbor.

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