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Notes -
We can basically break suffering into two components: the physical sensation, and the meaning / long-term effects. As bad as getting a leg amputed without anesthesia hurts, the long-term effects will hurt worse, and so the horror of losing a leg permanently may well outweigh the physical pain in the moment.
Conflating these two types of pain is counterproductive. If we turn off physical pain, we might get hurt more. If we turn off negative utility we fundamentally alter ourselves. I'm not sure it's even theoretically possible to turn it off--going from 100 utility to 50 probably feels exactly the same as going from 0 to -50.
I doubt being fed your own genitals is actually all that painful compared to any number of other ways to die. It's just more horrifying. Most elderly people in America probably go through much worse physical pain than anyone in that prison as their bodies linger in agony for months.
Rape might not be physically painful at all but most people would choose to break a bone above being raped. Even if you were guaranteed to never suffer trauma or anything from it, it's still highly undesirable because of fundamental human desires. If you want something (control over your own body, both legs, an ice cream cone, a million dollars, etc.), then not getting it will inherently feel like suffering no matter what it is.
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