Tuesday, May 28, 2019

The Medieval DSM: Teaching On Medieval Disability & Transgender


"Jo l'ai tolte desnaturee"
[I have completely de-natured them]

Roman de Silence
Heldris of Cornwall
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In her book, She's Not There: A Life In Two Genders, transgender author and English professor, Jennifer Boylan, recalls, "One day I was stopped in the hall by a professor of medieval literature... I knew it would be good because scholars of this period seem to be required by the Modern Language Association to be absolutely insane." Now, attending the medieval congress at Kalamazoo may only reinforce this notion that we are all at least a little bit insane. Indeed, I am not here to dispute Boylan’s claim. Instead, I wish to put forth the intersection of transgender studies, disability studies, and medieval studies as a productive sort of crazy-making. Admittedly, my own professional well-being depends somewhat on the premise that all this madness means something significant in the end. In particular, I propose the thesis that medieval approaches to gender and madness may productively contribute to a wider education on disability and transgender studies. Specifically, I would like to outline a pedagogical movement whereby we move students from a knowledge as a possession which might be hoarded and represented by compendiums such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) towards a medieval model of knowledge as a process which depends on a lyrical and dialectical dialogue between multiple authorities, which I call the medieval DSM. Now, many of us here today might contend that given the DSM is called the Bible of Psychology, then the Bible is the medieval Bible of the Psyche. Yet I will demonstrate through a lesson from my seminars, “Monsters & Disability” “Queer Christianity,” and “Beyond Male & Female,” using the debate between nature, nurture, reason, and will from Roman de Silence as the sandbox for discussion, that the medieval DSM might be best translated as the medieval dialectical storytelling method.

While I’ve taught the medieval DSM in a few classes, as I just mentioned, it perhaps is most important for my Disability seminar at Case Western Reserve University which tends to have a higher number of pre-med, nursing, biology, and psychology majors attending the institution’s well known medical schools and working in their hospitals. For these students, lecture courses are the cornerstone with knowledge gained extensively through note-taking, cram sessions, and multiple choice tests based on large compendiums of knowledge like the DSM. For them and the other students of this STEM university, the treatment of knowledge as a process which involves multiple competing perspectives challenges the models of knowledge as object which has made them successful thus far in their studies. Indeed, many regard transgender as an inappropriate topic to study in a disability seminar because it is seen as too political or too based on in the social constructionist models of gender studies, not hard science. Yet lessons such as the medieval DSM used to discuss texts like Roman de Silence challenges their definitions of disability, gender, and epistemology, or how we know what we know. 


For those who are not familiar, Le Roman de Silence is a 13th century French chivalric romance about a trans masculine knight by Heldris of Cornwall. In the narrative, Sir Silence is born in a society that does not allow women to inherit property, so when he are born without a penis, his parents elect to raise him as a son in order to protect his right to inherit their estate. This runs smoothly until he reaches adolescence at which time he becomes aware that he is not like other boys. At this point, Nature and Nurture arrive to debate with him over whether or not he should continue to follow his nurturing to live as a trans masculine male or to follow nature’s decree that he live as a woman. The two sides go back and forth until Reason arrives to offer another and perhaps a higher authority perspective. And in the end, the choice falls to the will of Silence who elects to live as a man, which he does for many years. 


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Nature

Now, when my students hear that we will be discussing transgender in a disability seminar, they expect lectures in line with the discourse of Nature in the story. They expect me to provide them with medical information which informs them first whether or not being transgender is a disability and if it is what sort of health care may be involved. When I hand them this medieval poem, they get confused. This is not the exchange of knowledge-rich professor giving data to knowledge-consuming student. Instead, I am challenging them to think dialectically, considering the natural sciences alongside those of culture, philosophy, and ethics. Even worse, I am challenging them to engage in this dialectical debate of thesis, antithesis and synthesis through narrative. Doing this is key however to growing their perspectives on transgender and disability from being a collection of facts to being a collection of facts, cultures, ideologies, and choices. By getting them to see transgender and disability as ongoing dialectical narratives, I can show them not only how understandings of gender of the mind, body, and soul have evolved over the centuries but help them to question modern definitions and diagnoses. 


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Nurture

For instance, the debate between nature and nurture are present throughout modern medical treatment of transgender people. This dialectic hit a powerful anti-thesis in the 1990s with the passage of the Americans with Disabilities Act that codified many protections and rights of people with disabilities while also including a clause which first disregards homosexuality as not being a disability or disorder and yet including transgender as being a disorder yet one not deserving of protection or support. Trans diagnoses were listed in this clause alongside pedophilia and bestiality. Indeed, we see this debate occurring today with the Trump administration considering transgender too much of disability and thus marking trans people as not fit to serve while also removing healthcare protections so as to allow anti-transgender insurers and doctors to refuse to cover what they consider to be a life-style and not a disability.

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Super-Nature
and Reason

While the American Medical Association, American Psychological Association, the American Psychiatric Association and dozens of other authorities consider gender dysphoria a valid medical condition deserving of care and yet not one that inhibits a person’s ability to serve, the refusal to recognize the natural facts of trans life are often follows super-natural or spiritual authorities. In Silence we see this escalation from nurture and nature to the super-natural with the arrival of Reason. Here the medieval DSM makes students productively uncomfortable again by challenging them to consider their own first principles, belief systems, and ideological biases. The gender binary that anti-LGBT politicians medical providers promote is not based in science or history but in the philosophical fallacies of pre-determined outcomes. This flawed logical doctrine that there are only two genders causes doctors to operate on intersex children in order to force these exceptions to this binary back into the binary, rather than recognizing that their binary is disproven by the biodiversity of chromosomes, hormones, phenotypes, and neuro-types. 

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Liberty

With natural sciences, cultural nurturing, and ideological rationales considered, modern and medieval scholars will often come to conclusions before stopping to consider that the debate Silence has four members of this dialectical storytelling and not three. While Nature, Nurture, and Reason all make their cases, in the end the decision falls to Silence. Silence choses to live as a trans man. The significance of this decision is highlighted both by the thousands of lines of narrative that extols Sir Silence living his best life but also in the tragedy that ends the story when Silence undergoes a sort of forced to live as a woman by the natural authority of Nature, the cultural authority of the King, and the Super-Natural Logos of Merlin. This tension between the start and end of Silence’s narrative marks how disability and transgender studies is more than just the natural or social sciences debate over what someone is but over the ethical question of who and how we empower trans and crip people to make decisions about their own lives.

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In the end, Le Roman de Silence is an effective tool at not only teaching students about medieval transgender and disability but in understanding a different way of knowing through the medieval DSM. Knowing as a dialectical storytelling method not only teaches students about medieval ways of analyzing differences in body and mind, but in challenging them to reconsider how they know what disability and transgender mean. I firmly believe that critical thinking itself may be defined by this ability to have multiple voices and perspectives in mind at once (whether or not one allegorizes them) and being able to synthesize factual, cultural, epistemological and ethical decisions based on them. This multiplicity of voices is often absent in social media and politics which put us all into echo-chambers where our favorite authorities pass down truths which repeat themselves through retweets, likes, and shares. The ability to sit in a classroom and synthesize perspectives into a shared narrative of knowledge is more important now than ever.

Thus, I return to the quotation offer by my trans sister and fellow scholar of literature, Jennifer Boylan, when she says that “scholars of this period seem to be required by the Modern Language Association to be absolutely insane." In a modern world where modes of thinking are defined by in-groups and out-groups, those who believe or disbelieve the same science, who share or reject the same cultures, who believe or disbelieve the same super-natural authorities, and who approve or condemn the same sorts of choices, maybe this era and our classrooms need more medieval insanity if that insanity means being able to think on multiple levels at once. Being able to at once play the games of the enemy and win, or else to know enough to refuse to play games which are rigged against you, may mean not only the difference between an A or a B grades but can be life-saving for trans and crip people who often find themselves at the mercy of ever changing authorities who try to decide what our lives mean and what our choices me be, and can perhaps be the difference between a livable and an unlivable life for them and others.

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The Patron Saint of Dysphoria: Joan of Arc as Transgender


"By my staff! We are enough!"

Joan of Arc
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Before I begin, I must say that the question of whether or not Joan of Arc is transgender is one of my most asked questions, especially from non-medievalists and people who are vocally anti-trans. No sooner than my name and work is given in news articles or social media than I get trolls sending me messages, “transgender in the Middle Ages? Let me guess: Joan of Arc. What fascist fake-news garbage!” I have here removed the even more disgusting language typically included in these comments. You may also observe that I get these questions, if they are questions at all, from people who don’t genuinely want and answer but who seem to already have their minds made up about what transgender is or is not and what medieval history may or may not be. Yet, the weaponizing of Joan is not only against queer and trans populations but appropriated as a symbol of white Nationalism and an imagined origin myth of a white Christian western race. This image of “Joan the Weapon of White Cisgender Supremacy” is now working beside those harassing, interrogating, and expelling modern day soldiers (who like Joan felt called to serve their country) from a historically critical institution in the breaking down of racial segregation and the largest employer of trans folx in the world: the U.S. military.

In these contexts, the ability to question exclusive claims over Joan the Woman is critical to defend not only Joan the Person but the people experiencing modern echoes of the transphobic harassment and state sanctioned murder of Joan; those harmed by antagonistic governments and politically motivated Christians. I’m aware of how multifaceted these questions and answers are, requiring a chapter within my book project on Transgender in the Middle Ages, so today I will suffice to mark means by which we may begin asking the question: is Joan of Arc transgender?

To this end, I wish to thank the International Joan of Arc Society for inviting me here to specifically explore “Joan the Transgender Person” on a panel titled “Joan the Woman.” I take this as a good faith inquiry wherein we can model the generosity, respect, and critical inquiry lacking in exclusive and weaponizing claims to the saint. If people are willing to candidly pursue

Joan through a critical trans theory lens, we will find that in particular important respects we may say that Joan is trans, however perhaps not in the ways you presently expect. Please note, in identifying Joan as Trans, I do not believe we dismiss the wider complexity of Joan’s life that speaks to many truths and identity claims being true at the same time. That said, this talk is organized into three parts drawn from the main title, the Patron Saint of Dysphoria with each part complicating the idea of “Joan the Woman.” First, I will begin with the politics of this panel and this paper in this moment and ask how the concept of patronage may give us the flexibility to at once consider Joan “the Patron of Women Doing a Man’s Job” alongside Joan the Patron of Trans Folx in the Military.” Second, I move from our time to shortly after Joan’s death to consider how Joan rose in the popular consciousness and religious standing through rhetorical arguments using the canon of trans saints and hagiography. Third, I narrow in on Joan during the final days of life to consider how the conditions and interrogations underwent may be said to have produced a form of gender dysphoria and by which we may be able to say that whether or not we say Joan is transgender, certainly Joan died in no small part because of a medieval form of transphobia. The conclusion of these three approaches to the question of Joan as transgender is that Joan of Arc may indeed be said to be transgender by modern standards (if those standards of transgender are properly understood; which they are often not) and yet there may be a stronger case that whether or not Joan is identified as transgender enough by modern standards, Joan of Arc was certainly considered more than trans enough by medieval standards to die for it. 

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1. Joan the Patron 

Now, turning to consider the concept of Patronage may be useful to providing the foundations for even asking the question of whether Joan is trans. Currently, Joan the Woman is claimed as a patron and model by many Christian women, by virgin women, by feminist women, by women doing jobs traditionally done by men, by women who wear pants or butch clothing, by lesbian women. For many women and even men, Joan is their woman, a woman with whom they identify and people can be very defensive of Joan. Thus, the very question as to whether Joan of Arc may be trans in some way creates a great deal of anxiety. People are anxious that if Joan is somehow proven to be trans, then they will lose some sort of claim over a woman with whom they’ve long identified. This can lead to the dangerous logic: I can’t tolerate losing Joan the woman, therefore Joan must be a woman, and so Joan must not be transgender.

As an alternative to this exclusivity around Joan the Woman, there is the possibility within the Patronage model for the saint to represent multiple identities simultaneously. Take the example of St. Nicholas, who is regarded as the patron saint of children, brewers, pharmacists, and sex workers to name a few. As a patron, saints are considered advocates as well as exceptional figures with whom the population identifies. Yet children and producers of alcoholic beverages are not fighting in the street over the right to send prayers and wishes to Santa Clause, likewise, pharmacists and sex workers are not giving opposing papers at a conference over who gets to identify with St. Nick. On the level of identification, Judith Butler writes that “identity” is one way a person exists for someone else. Put another way, identity can begin with the thought, “oh me too, I thought I was the only one.” To identify is to identify with someone or something other than yourself. In this way, many people can identify with multiple parts of Joan’s experiences without exhausting all of who Joan is and how Joan may be said to identify.

In Joan’s own life, Joan identified with maids. Lesbian women, asexuals and celibate women may all share this identity with Joan. Joan identified with soldiers, an identity largely constituted by men and chivalric masculinity in the era. Thus, soldiers of any gender but especially men may be said to have identified with Joan. Joan identified with martyrs and those unjustly judged by an antagonistic government. One may seem eerie similarity between current bans and expulsions of trans service members from the military. Indeed, before the political assaults on trans service members in the military, trans author Leslie Feinberg identified with Joan in the book Transgender Warrior: Making History from Joan of Arc to Dennis Rodman. In this way, patronage as a representative and advocate works across diverse lines of experience, speaking as much about the time of those claiming the saint as the time of the saint’s time. 

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2. Joan the Saint 

Amidst all the people who identified with Joan during life and for generations after, it was only relatively small amount of time after the death of the French leader before Joan’s retrial began, at which point the designation and association with trans saints began. In numerous cases heard across the retrials of Joan of Arc, the figure of Marinos the Monk is frequently cited. Joan’s contemporaries made this connection in part to understand Joan within the context of others similar to Joan that they knew, holy people who likewise expressed genders and habitus other than the one assigned at birth. If Joan’s contemporaries possessed the word transgender, they might have used that explicitly as they connected Joan and Marinos. In the case of Marinos and Joan, both were trans masculinity identified, as they transitioned from an identity as a maid to an identity as a form of celibate medieval masculinity, the monk and the virgin soldier. It is hard to miss that by the late Middle Ages a sub-genre of saint’s life had developed that included different types of saints who lived some form of trans life that was sanctified by the church.

Likewise, the invocation of the teachings of another saint, Saint Thomas Aquinas, was used to further this process of reclaiming Joan the trans heretic to Joan the trans saints. In particular, Question 169 of the second part of the second part of the Summa Theologiae that discusses modest dress was invoked, wherein the reply to objection 3, Aquinas allows breaking the norms of gender specific clothing in special cases, writing, “Nevertheless this may be done without sin on account of some necessity, either in order to hide oneself from enemies, or through lack of other clothes, or for some similar motive.” While Joan was not in disguise or lacking other clothes, there were other necessities and special motives to present in masculinity military attire. By this logic, Joan was not guilty of a lack of modesty because of the necessity of wearing work appropriate clothing but also the necessity of Joan being a person with a divinely sanctioned and driven identification with the medieval masculinity identity of knight.

From trans hagiography to Thomistic theology, the retrial of Joan of Arc seemed less aimed at denying the trans-ness of the martyr as trying to justify that trans-ness is not heretical but may in fact be saintly. The wider debate in the retrials concerned Joan’s motives and mind, which was repeatedly said to be affected by the voice of God. This led to the tension between the super-naturally marked trans-ness of Joan either being demonic or heavenly. These two positions are represented among Joan’s contemporaries by the competing English and French trials. Strongly on the side of heresy and an anti-trans program were the English who sought the death of Joan. Moving in a more progressive direction while also citing ancient authorities, were the French who were willing to allow that even a saint, perhaps especially a saint could be transgender. After all, does not the word saint in some way name those set apart that God marks for some special non-normative purpose? However the spiritual question is resolved, neither side, English or French, unilaterally denied that transness was in some way real and significant. 

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3. Joan the Dysphoric 

To conclude, I’ll consider how the circumstances of Joan’s life and death show signs of gender dysphoria and experiences of medieval transphobia. Thus it is necessary to provide a summary from Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders for “Gender Dysphoria.” This is crucial for many reasons but especially because many people who declare that Joan can’t be trans, do not know much about current definitions of transgender or gender dysphoria. Many people operate on public assumptions based on the Gender Identity Disorder version of the diagnosis which has been debunked as bad science or use the word “transvestite” which has largely been out of use in medical communities for almost 50 years.

Here are a few key things to know and consider about gender dysphoria and Joan. First, the short definition of gender dysphoria in the DSM-5 describes the experience of having one’s gender identity and expression misgendered by a society that assigns to you and compels competing gender identities, habits, and roles. Gender dysphoria is a self-society problem not chiefly an internal issue. Second, gender dysphoria may be experienced by people who are not transgender and not all transgender people experience dysphoria. A cisgender woman who wears pants and who receives criticism and pressure to wear dresses experience a degree of dysphoria. Conversely, trans people who transition and live in affirming homes and communities may experience very little gender dysphoria because their gender identity is not subject to great degrees of antagonism. Based on this short definition of dysphoria, we may turn to Joan’s life and death, where we see consistent scrutiny over Joan wearing military garb traditionally assigned to men. Indeed, throughout the trial of Joan, the saint is consistently harassed over clothing, has clothing taken away and replaced, including overt and covert rape threats, as well as a series of verbal denigration over Joan’s gender expression culminating in Joan being killed.

The longer definition of gender dysphoria goes on to discuss symptoms of this conflict, including a strong desire for certain gender markers and habits and a strong aversion to other gender markers and habits. The DSM-5 does not specify what genders are being referenced out of recognition of the great range of biodiversity of gender now recognized in the sciences, such as the recurrent diversification of chromosome, hormones, phenotypes, and neuro structures . Gender studies of the Middle Ages also speaks to the wide range of distinct identities in society which are treated with particular legal, spiritual, and social significant such the Virgin, the Wife, the Widow but also the Eunuch, the Monk, and the Chivalric Knight. Current trans scholarship and medicine affirms that gender transition can occur through many gender identities and exist between gender identities, producing a wide range of non-binary, intersex, and gender queer identities. As such, being a maid, a virgin, a mystic, and a knight all at once was by medieval standards quite trans and likely (as we see in the case of Joan) to produce instances of dysphoria. 

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To conclude, while I cannot say whether or not a time-traveling Joan transported into 2019 would identify as a trans man but I can say that Joan would likely understand and experience many of the circumstances experience by trans men, trans masculine people, butches, non-binary people, asexual people, intersex people, and other members of the trans community. Furthermore, the circumstances of Joan’s life and death which point to extended periods of dysphoria and transphobia, as well as the effort among Joan’s own contemporaries to understand Joan in the context of trans saints and trans hagiography, all point to the reality that whether or not Joan is transgender by modern standards, Joan of Arc was transgender by medieval standards for some to kill Joan for it and others to redeem, sanctify, and later canonize Joan for it. And perhaps, in the wake of Joan the person’s life, death, and legacy we may rightly call Joan the Patron Saint of Dysphoria. Thank you.

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