Why We Need to Read the Cass Report on Gender Ideology
The report affirmed that so-called “gender-affirming care” is built on “shaky foundations.” Far from being settled, the evidence supporting the use of puberty blockers, cross-sex hormones, and sex-change surgeries to “treat” gender dysphoria is “remarkably weak.” According to the report, most of the studies cited in support of social, chemical, or surgical “transition” were found to lack the quality required to reliably and safely guide clinicians and families in caring for gender dysphoric young people.
Recently, the United Kingdom’s National Health Service released an almost 400-page report on the state of “gender identity services for children and young people.” It’s named the “Cass report” after lead researcher and pediatrician Hillary Cass, who served as chair of an independent review that was commissioned by NHS of Great Britain. It is the most comprehensive evaluation of the available evidence and “sets out the recommended clinical approach to care and support they should expect, the interventions that should be available, and how services should be organized across the country.”
Contrary to the standard narrative peddled by trans activists, the report affirmed that so-called “gender-affirming care” is built on “shaky foundations.” Far from being settled, the evidence supporting the use of puberty blockers, cross-sex hormones, and sex-change surgeries to “treat” gender dysphoria is “remarkably weak.” According to the report, most of the studies cited in support of social, chemical, or surgical “transition” were found to lack the quality required to reliably and safely guide clinicians and families in caring for gender dysphoric young people.
Specifically, the report found that, given the “lack of long-term follow up data,” the effects—both positive and negative—of puberty blockers and cross-sex hormones on minors remain almost entirely unknown. It’s unclear how these so-called therapies “impact gender dysphoria, mental or psychosocial health” as well as “cognitive and psychosexual development.” What’s more, none of these interventions guarantee or predict “which children and young people will go on to have an enduring trans identity” or not. In other words, kids who are encouraged to pursue “gender transition” have no evidence-based guarantee that these therapies will help them in the first place. And yet we do know that these same therapies come with permanent consequences.
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Leap Day: How Clocks and Calendars Shape Us
Both the calendar and the development of mechanical clocks are rooted in the Church’s recognition of the need to see the world as sacred. Like the Sabbath and the feast of ancient Israel, time and seasons remind us that our lives are not ultimately our own and are instead part of the larger story of creation to redemption. In other words, as demanding as the clock can be, the Christian notion of time should help us from viewing the days of our lives in purely secular terms.
Throughout the Bible, for example in Galatians 4:4 or Paul’s speech to the “Men of Athens” recorded in Acts 17, God is described as a God of historical precision. He is outside of but fully in control of time and place. This distinctive of the Judeo-Christian understanding of God stands in sharp contrast to pagan and polytheistic notions of deities and time, and dramatically shaped human history. Today, Leap Day, is an appropriate day to think about our relationship to time.
One of the earliest examples of time anxiety in history is found in the French song “Frère Jacques.” In it, Brother James is rebuked for sleeping and not ringing the Matins bells at midnight. The song reflects the seriousness with which the Church took the times designated for prayer. Following Psalm 119:164, which says, “Seven times a day I praise you for your righteous rules,” monastic liturgies included seven set times for prayer.
Initially, given the changing length of day and night throughout the year, liturgical hours were not fixed. Instead, the Church regularized the hours by measuring the passage of time. By the 1200s, the mechanical clock was invented to keep pace with a chime that signaled when to ring the bells for the monastic hours.
Not long after, mechanical clocks appeared in city towers. In 1288, the predecessor to the tower clock known as “Big Ben” went up across from Westminster Abbey. In 1292, a clock was built in Canterbury Cathedral. The oldest surviving tower clock in England, dating to 1386, is at Salisbury Cathedral. In addition to time, these clocks often marked heavenly phenomena. The most elaborate surviving example is in Prague. Installed in 1410, this clock told time using a standard 24-hour day, as well as in “Italian time,” which put the 24th hour at sunset.
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A Woke Feminist Behind Every Bush?
Besides our cultural naiveté with regard to feminism, another example would be racism. I know a lot men who honestly believe they are not racist because they try to be “color blind” in their estimation of others (i.e., judging people by the content of their character rather than by the color of their skin). That was the aim back in the 1960s, but that was then, and this is now.
I recently had the opportunity to attend the General Assembly of the Orthodox Presbyterian Church as a commissioner. My appointed advisory committee was Appeals and Complaints, so I was also intimately involved in some of the more sensitive work of the whole church.
In the midst of our many discussions and debates, I took mental note as statements were made to this effect, “Brothers, there’s not a feminist hiding behind every bush” and “All proposed change does not stem from a secret woke agenda.”
That, of course, is perfectly true and I sincerely hope that I did not give the impression of being overly-reactionary in my efforts to conserve what is still good in our church and to resist all perceived progressivism.
At the same time, comments such as these seem to indicate a certain cultural naiveté that is becoming increasingly common amongst Orthodox Presbyterians. The feminists were hiding behind bushes way back in the 1950s and the woke agenda (more properly called Cultural Marxism) began its long march through our American institutions even earlier than that.
Today, we are all living in “Woke Gardens.” It is owned and operated by the “Global Anti-Patriarchy Alliance.” There is, therefore, no need for our ideological enemies to lurk and hide behind bushes anymore.
Gen-Zers are aware of this and they see us whitebeards as hopelessly out-of-touch with reality. That’s why they came up with the dismissive slur, “OK, boomer.” To be sure, that is a very disrespectful saying and no Christian should ever speak that way to a superior, but the insult has become ubiquitous with good reason.
Besides our cultural naiveté with regard to feminism, another example would be racism. I know a lot men who honestly believe they are not racist because they try to be “color blind” in their estimation of others (i.e., judging people by the content of their character rather than by the color of their skin). That was the aim back in the 1960s, but that was then, and this is now. Under the new model of race relations, ignoring a person’s color is actually an act of racism. Welcome to Woke Gardens.
Another example would be the old American ideal that “all men are created equal” and should, therefore, enjoy equality of opportunity as they pursue life, liberty, and happiness. That ideal is no longer sufficient due to the discovery of centuries of systemic oppression. Today, there must also be equality of outcome. Again, welcome to Woke Gardens. The equity enforcement department is on the left.
If these examples sound confusing, or if they have your head spinning a bit, it is proof that you simply do not understand the times in which we live. Further, if you really think guys like me are worried about what may be hiding behind the bushes, think again. Our only concern is that we will soon be the ones who are forced into hiding when our day pass to Woke Gardens expires.
Christian McShaffrey is a Minister in the Orthodox Presbyterian Church and is Pastor of Five Solas Church (OPC) in Reedsburg, Wisconsin. He also serves as Stated Clerk of the Presbytery of Minnesota and Wisconsin.
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Male Headship or Servant Leadership? Yes.
Deformed masculinity results from affirming a false antithesis. In so doing, two complementary aspects of manhood are wrongly made out to compete with one another inherently. When it comes to principles such as male headship and servant leadership, we must be quick to celebrate and affirm what God calls good. Simply put, we cannot pick and choose what aspects or characteristics of masculinity we prefer and leave the others aside, or reject principles of biblical masculinity due to ways in which other professing Christians may abuse such doctrines. Falling prey to a false antithesis on masculinity is a surefire way to become a caricature and overcorrect into error as we swing the pendulum violently the other direction. Instead, we ought to hold to all the Bible calls good, allowing God’s Word to have its sanctifying effect upon us, de-caricaturing us by conforming us into the image of Christ.[37]
In this essay, I take aim at a false antithesis pertaining to God’s purposes and calling for men. For true masculinity to be pursued and attained, we must not fall prey to a false antithesis, which wrongly posits an either/or in place of a both/and. As D.A. Carson asks and answers:
So which shall we choose? Experience or truth? The left wing of the airplane, or the right? Love or integrity? Study or service? Evangelism or discipleship? The front wheels of a car, or the rear? Subjective knowledge or objective knowledge? Faith or obedience? Damn all false antithesis to hell, for they generate false gods, they perpetuate idols, they twist and distort our souls, they launch the church into violent pendulum swings whose oscillations succeed only in dividing brothers and sisters in Christ.[1]
We could easily and legitimately add the following questions to Carson’s fine list: Which shall real men choose? Courage or gentleness?[2] Nature or cultural customs (stereotypes)?[3] Male headship or servant leadership? It is this last false antithesis I take on in this essay. Of course, the correct answer for each of these questions is: yes. As fallen human beings, we are liable to label masculine virtues as vices or to label male vices as virtuous. And as Carson does well to draw out, the damnable lie at the heart of such false antitheses breeds violent pendulum swings that divide the body of Christ. It seems to me that in the broader evangelical world, the common cycle relating to gender and sexuality (and more specifically for this essay, masculinity) debates, is a swing toward an egalitarian or narrow complementarian view on one side of the false antithesis, which is met by an equal and opposite overcorrection by the biblical patriarchy movement,[4] leaving evangelicals with whiplash and blame toward the other side for the injury.[5] In what follows, the “camps” of egalitarianism, narrow complementarianism, broad complementarianism, and biblical patriarchy provide a conceptual framework through which I will think through the false antithesis of male headship and servant leadership. I will begin by unpacking the historical movement from egalitarianism to complementarianism to biblical patriarchy in evangelical circles, arguing that broad complementarianism is closer to biblical patriarchy than it is egalitarianism or narrow complementarianism. I will then make the case as to why I find broad complementarianism the more viable label for conservative evangelicals to rally around in the last section of this essay.
Before I interact with other positions, let me put my cards on the table. I am convinced the root error in many (if not all) reductionistic presentations of masculinity is that the good, true, and beautiful are treated like a buffet rather than a full course meal. Manhood is indeed good, true, and beautiful, and therefore ought to be revered and celebrated as a crucial component in God’s good design for human flourishing. When this is not the case, men will plague society as domineering despots or apathetic abdicators. The question is not whether men will lead, but how? True to my complementarian leanings, I contend that rather than compete with one another, male headship and servant leadership complement one another, such that apart from both, true masculinity cannot be attained in theory or practice.
I am a broad complementarian, which means that I understand there to be a covenantal headship given to men in both the church and home. Furthermore, since grace restores nature, and in no way abrogates it or cuts against the grain of God’s design, the call for men to lead has necessary implications beyond the church and home. In other words, male headship in the church and home is a reflection of created order being restored, therefore it would be unnatural for egalitarian principles to ground the broader society. God’s gracious covenantal arrangements correspond with nature, meaning they are not arbitrary but fitting with who he has made men to be and what he calls them to do. This is not to suggest that all men are the head of all women, as the covenantal headship of men over women is limited to the husband and wife relationship, and the church under its male pastors/elders. What this means is that natural law or created order as it relates to the relationship between men and women in society does not speak with the applicational specificity that Scripture does regarding male headship in the church and home.[6] So, prudential reasoning and epistemic humility are required as to how we ought to apply the principle of male headship beyond the church and home. But let me be very clear, we must affirm and honor nature/created order in our reasoning and in our application via cultural customs for human flourishing to occur.[7] With my cards now on the table, it is time to engage others.
Egalitarianism, Complementarianism, and Patriarchy
Increasingly, egalitarians are charging complementarians with being patriarchal, and the biblical patriarchy movement is charging complementarianism with being functional egalitarians. This is due in part, I believe, to the reality that complementarianism has situated itself “between” egalitarianism and patriarchalism, not because we complementarians are attempting to be the perfect mean or “third way,” but because we find tendencies in these other movements to denigrate or reject good aspects of masculinity. This may be best evidenced by how egalitarians reject male headship; they and some narrow complementarians then confuse servant leadership for male servitude, and in response the biblical patriarchy crowd scoffs at servant leadership and doubles down on male headship.[8] I find there to be evidence of the false antithesis being wrongly affirmed in each of these reflexes. I by no means think that real and perceived abuses of male headship invalidates it as a principle. I also do not cede servant leadership to those who abuse it.[9] Glad affirmation and promotion of all that God calls men to is the aim. Using two good doctrines/principles as a proxy war is not the way forward.
Egalitarians see male headship as a product of sin, not as a good component of God’s created order. Increasingly, to reject male headship, egalitarians are forced to not only denigrate the clarity of the created order,[10] but even more brazenly, Scripture too, by speaking of God’s Word as though it is an irreducibly cultural artifact.[11] In so doing, egalitarians undermine the reality that the Bible’s calling for men to lead in the home, church, and society is a reflection of nature. In other words, male headship cannot be summarily dismissed as merely an arbitrary and now-outmoded social construct of a bygone era. To reject male headship as a principle is akin to rejecting the institution of marriage on the false grounds that it is a mere social construct, because both are revealed in Scripture to be pre-fall/sin realities, both of which are ordained by God and called “good.” Mature Christians, whose powers of discernment are trained by constant practice to distinguish good from evil, will recognize the feminist-egalitarian spirit of the age we live in as evil, and not partner with the works of darkness (Heb. 5:14; Eph. 5:6–12).
On the other hand, there is a growing trend to advocate for “biblical patriarchy” or “dominionism” in the Reformed sector of the evangelical world. Now, there is more agreement between a broad complementarian such as myself and the biblical patriarchy movement than with egalitarianism and even narrow complementarians. As Kevin DeYoung rightly argues, “The biblical vision of complementarity cannot be true without something like patriarchy also being true.”[12] What he means by this is that the reality of male headship in Scripture is inherent to complementarianism. Thus, if there were a scale with egalitarianism labeled as a 1, and biblical patriarchy a 5, broad complementarianism would not be a 3 right in the middle (a narrow complementarian would be a 2–3), but a 4, closer to patriarchy than to egalitarianism. The suitability of men and women for one another as affirmed in creation and redemption is hierarchical pertaining to their roles and calling. To not affirm this, DeYoung suggests, is to choose anarchy over God’s good design.[13] He is correct. As Herman Bavinck rightly explains, “Authority and obedience, independence and subordination, equality and inequality, correspondence and variation, unity of nature and diversity of gifts and callings—all these have been present in the family from the very beginning, and in no sense came into existence as a result of sin.”[14] This logic is grounded in a right reading of Genesis 1–2 and is affirmed in Paul’s clear teaching in places like 1 Timothy 2:12–15 and 1 Corinthians 11:7–12.
In fact, this is why I think egalitarian critiques of complementarianism (not to mention the increasing number of narrow complementarian critiques of broad complementarianism), tend to conflate patriarchy with broad complementarianism.[15] These critiques are both right and wrong in their conflation. Right, because broad complementarianism readily affirms the fatherhood of our Father in heaven.
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