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Culture War Roundup for the week of January 23, 2023

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Indeed. But can anyone? Let's say being suicidally depressed gives you 70% agency. You can make most choices but in a depressive episode, society may try and override your choice to kill yourself (if it can) by treating you whether you choose to or not. It will then discharge you, offer you therapy or drugs and so on.

If dysphoria does lead to increased levels of suicide then the same response would be to..forcibly transition people whether they want it or not? Remember when we believe people do not have agency due to mental illness, we generally act to treat their illness whether they want that treatment or not at that moment.

So, there is another kind of dysphoria that I think is probably a closer metaphor, Body Integrity Identity Disorder, in which people feel like they have too many limbs, and desire to cut one off. If someone presenting that dysphoria says "I want to cut off my arms, and you have to tell me it's a great idea and I'm stunning and brave, but also pretend forever that I never had any arms in the first place, or I will become so inconsolably distraught that I might kill myself"... would you go grab a hacksaw and fire up the gaslights? Or would you think that maybe this person shouldn't be allowed to make that kind of decision for themselves, and they need to be forced to get some regular therapy and evaluation by sane doctors?

would you go grab a hacksaw and fire up the gaslights? Or would you think that maybe this person shouldn't be allowed to make that kind of decision for themselves, and they need to be forced to get some regular therapy and evaluation by sane doctors?

That depends, have they started to try and hack off their own limbs with a rusty hacksaw? Then assuming we can't actually treat the mental part of the disorder, then yes surgically removing their limbs so at least they survive the procedure might be the best option. Our options aren't necessarily magical cure, let them chop limbs off, chops limbs off for them, lock them up forever. It might only be, let them chop limbs off, chops limbs off for them, lock them up forever, at which point limb lopping might be best.

For trans people who are suicidal there does not appear to be a pill that will fix it. The treatment is making the outside "match" the mental internal state because we cannot reliably change the mental internal state (and even if we could, are they the same person? or are we just killing that version of them?). I know a person with bipolar disorder who refuses to take medication for this reason, because the person they are on medication is to their natural state not them, it is some stranger who thinks sluggishly and brokenly. I don't know what the correct option is there.

So imperfect, even shoddy transitioning may be the best option actually available.

So imperfect, even shoddy transitioning may be the best option actually available.

I'd be more amenable to that if it seemed like therapeutic solutions had actually been tried and found wanting. Instead, it seems like therapeutic solutions have been deemed mean and politically incorrect, and not tried. And I get the metaphor with bipolar, but bringing this back to the original point, I am not responsible for someone else's behavior. If Kanye West doesn't want to take his meds, then he gets to deal with the consequences of his unhinged behavior. If you really want to transition, go for it. If you want to surgically turn yourself into a cat, or an orc, have fun! But when you threaten self-harm if I don't buy into your delusional framework, you're either too ill to get to make those decisions for yourself (and need to be committed and treated for general suicidal ideation separate from your gender issues), or you're an abusive piece of shit.

But when you threaten self-harm if I don't buy into your delusional framework, you're either too ill to get to make those decisions for yourself (and need to be committed and treated for general suicidal ideation separate from your gender issues), or you're an abusive piece of shit.

Again though largely, they are not themselves threatening to commit suicide themselves. They are saying if you do X or don't do Y, it increases the likelihood of some trans people committing suicide. Whether the person saying that is or is not trans themselves does not have any bearing on the truth of that statement.

If they say if you don't do X I specifically will kill myself then that is a different statement.

I think this is a distinction without a difference, a fig leaf of an epicycle. The context in which the argument is made is always a hysterical, histrionic affair in which responsibility is viciously externalized. "Your epistemic skepticism is LITERALLY GENOCIDE!!1"

It is a difference because the person has no control over the rest of the trans community. It's not a threat because they can't make it happen.

If I say "Either agree with me or I will kill myself" that is abusive because I can kill myself and I am (trying) to put responsibility for that on you, when really the responsibility lies with me, because I can do that.

If I say "If you stop depressed patients getting treated, more of them might commit suicide" that isn't something I can control. I might be wrong or right but I am not making a threat that I will go around killing people. If that is abusive then pro-life campaigners saying, if you vote Democrat then they will legalize abortion and millions of babies will die is abusive. In neither is the claimant saying they will do X if you do Y. They are saying X will happen if you do Y. They are not making a threat of action in order to change your behavior, they are predicting a consequence of the behaviour itself in order to change your behavior.

Whether the rhetoric is hysterical or not is orthogonal to whether the claim itself is true or false.

It is a difference because the person has no control over the rest of the trans community. It's not a threat because they can't make it happen.

They're still enabling it, and treating it like a reasonable response.

"If you stop depressed patients getting treated, more of them might commit suicide"

I'm explicitly not talking about treatment. Transitioning is not hard anymore; if anything, it's easier than any remotely comparable type of treatment. How many men would love to be able to talk to a doctor for 10 minutes and walk out with an insurance-covered prescription for T and steroids based on nothing but "I feel like I want it"?

The "abusive" behavior is when that implied threat of suicide is lodged at everything. Find the idea of transgender kind of incoherent? GENOCIDE. Criticize this trans character? GENOCIDE. Don't want to use pronouns? GENOCIDE. Don't want to Brazilian wax this penis? GENOCIDE. Don't want to suck the girlcock? GENOCIDE.

If my failure to actively endorse your totally legal, easily permitted life choices increases the odds of you killing yourself, that's entirely your problem. Threatening me with the harm trans people might do to themselves because I decline to actively support them, or even argue that their whole deal is silly and incoherent and quite possibly harmful, is what crosses the line into "clearly abusive behavior".

And I'm sorry, but you are the only person I have ever seen do this decoupled "it's just about predicted consequences" routine. Whenever I see this stuff in the wild, it 100% redflags as textbook "shit abusers do to their victims, if you swapped the nouns and translated this into a relationship, virtually everyone would agree this was abusive behavior".

It is also societies problem. We make people do things that they don't want to do for the good of society all the time. Starting with taxes. So that isn't an out. But let me try to reset here.

If my actions contribute to someone killing themselves then I share some responsibility. Which crucially does not mean I was wrong in my actions or that I should change what I did (were it possible). If a 100% reliable time traveller tells me that if I break up with my girlfriend she will kill herself in 3 days I should take that into account. I may still choose to break up with her. I probably even should, the reasons causing me to break up with her are still there after all. But I believe then, that I do bear some responsibility. And that is ok! (Here at least, I shouldn't do it in a debate other places because it will be seen as accepting blame, most likely).

If we vote for a party in the UK that campaigns for cuts to the NHS it is likely that some additional people will die. It is still perfectly fine to vote that way because there are many other things to trade off against. But I do think we will bear some small shared responsibility for those deaths. And we should consider that as we make our choice. And then still choose to vote that way if we think it best.

I am not saying that even were trans suicide claims 100% true that we are therefore obligated to accomodate anything at all as a society. I am just saying we should consider the truth of them independent of whether its being threatened by someone wrapped in redflags. This isn't a relationship, its social engineering.

This also cuts the other way. We should also consider the costs independent of their claims as well of course. So it could be true that 1000 extra trans people kill themselves if we don't change bathroom laws and force people to use pronouns under threat of criminal sanction, and we might still say no. The costs (that they might claim are low, all we're asking for people to be nice, they might say) might actually be the potential incarceration of a third of the country, billions spent on trials and lawyers, and causing deaths the other way (a reason i don't support a gun ban in the US for example). So the right decision might be to say, we acknowledge that these stochastic deaths are likely true, but we're not going to accomodate you anyway, sorry.

I am arguing that is a better course than either calling them abusive and blindly refusing OR calling them heroes and blindly accepting.

Now obviously that isn't what is going to happen, its going to be a partisan slapfight, i would imagine. But thats why we can argue here instead.

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