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Culture War Roundup for the week of February 20, 2023

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Jesse Singal gets gaslit

Also, a more neutral take: https://elizamondegreen.substack.com/p/about-that-twitter-shitstorm-affirmationnot

Brief recap:

  1. NYT shifts its coverage of medical concerns for trans issues from 100% supporting transition in all cases to a more questioning stance, particularly with minors

  2. An open letter is sent to NYT laying out "serious concerns with editorial bias" in response to this shift

  3. Jonathan Chait posts a critical response to the open letter at New York Magazine (no relation to NYT)

  4. Chait gets dragged on twitter for being anti-trans, with a highlighted passage

  5. Jesse Singal posts in support of Chait, showing the highlighted passage is directly in accordance with WPATH guidelines and explains what it means

  6. E. Kale Edmiston, a trans man, posts in response that he, Edmiston, wrote the WPATH guidelines posted by Singal, and that Singal is misinterpreting them

  7. Liberal media pundits and reporters pile on, when Singal defends the straightforward interpretation, demanding that Signal accept Edmiston's (frankly bizarre) interpretation of the quoted passage

  8. Singal has done his homework and contacts several other WPATH authors, who all confirm Singal's interpretation of the passage and reject Edmiston's

  9. Eventually this reaches Scott Leibowitz, overall head of the WPATH guidelines document, who says that Edmiston definitely did not write the highlighted passage, and later severely admonishes this lying and false attribution from within academia

  10. Singal performs several victory laps on Twitter, demanding from the media pundits and reporters the apologies and corrections they had demanded from him

Good guys: Jesse Singal, Jonathan Chait, Scott Leibowitz

Bad guys: E. Kale Edmiston, Madeline Leung Coleman (NYMag editor), Michael Hobbes, Jeet Heer, Marisa Kasabas (MSNBC Columnist), David Perry, Eric Vilas-Boas (Vulture staffer), Miles Klee, Siva Vaidhyanathan

The most interesting, dire, and relevant info is from Eliza Mondegreen, linked near the top. Apparently there is a wink/nod system with the WPATH Standards of Care document, where the words are written a certain way because they must be, but they are interpreted much differently.

She concludes:

Theory and practice—the Standards of Care and what actually happens in the exam room—have nothing to do with one another. Everything in the Standards of Care that sounds cautious and responsible comes with an understanding that’s supposed to go unspoken: We don’t really mean it. We just need to say this. If a patient shows up with serious comorbidities, of course we have to say that they must undergo a “comprehensive” “assessment” and that the clinician must remain open to the possibility that the patient might not really have gender dysphoria and maybe shouldn’t really transition. But you know how important the work we all do is.

In other words, the Standards of Care are a lie that everyone involved in gender medicine pretends to believe. When reporters like Singal and Chait try to hold gender clinicians to WPATH standards (something I think is worth doing, by the way!), savvy clinicians will respond: Yes, of course we “assess” patients very carefully, what do you think this is, the Wild West?

Among other, more obvious mistakes, Edmiston’s most grievous error was not pretending to believe the lie.

EDITS: Signal, Single, Liebowitz. added Cast of Characters, Eliza Mondegreen quote

I honestly just decided I’ll be a bigot and have worked out that trans people don’t exists. Realistically I think there’s an incredibly small percent of the population that some hormone thing went wrong and really have gender confusion.

It feels a lot like anorexia. Where Scott just wrote a piece about how it wasn’t common in society until one case got publicized and now you have an epidemic of anorexia and the same process has occurred in multiple societies. Or like one mass shooting leads to multiple Maas shooting.

So it’s part of the culture war I get no interest in reading the nuances of. It’s like trying to debate caring about a cult of Scientology.

Rather than saying they don't exist, it would be more accurate and productive to say that they have a mental illness. Like with people with anorexia. It exists, it can cause suffering, it's complicated and hard to solve rather than just "made up" in a way that a five year old pretending to be a cowboy is. But it exists within the realm of psychology, and therefore effective treatments will also be within the realm of psychology: therapy and medications. And it is socially irresponsible to enable the behavior and reinforce the illness, even though sympathy may be appropriate as it is for most mental illnesses.

But it exists within the realm of psychology, and therefore effective treatments will also be within the realm of psychology: therapy and medications.

I don't think the conclusion follows.

I, like many men, have a similar problem to transgender folks: I'm Dwayne Johnson in the body of a 40+ computer programmer. The solution is squats, deadlifts, bench press, road work and clean eating, not therapy and medication. Body transformation >> body acceptance, at least in this particular case where body transformation has so many other benefits. And it's pretty easy to reverse the transformation and go back to dad bod if desired.

The principle that "what starts in psychology stays in psychology" seems to be false.

Now in the transgender case it's trickier because body transformation doesn't work very well and it seems like the desire for body transformation is often far less permanent than the transformation itself. But that is fundamentally a question of cost/benefit analysis (and I think the modern world is getting it wrong).

Abstract principles like what you describe don't help. If we had a 100% perfect and reversible gender transition, there would be no reason not to let people try on an opposite gender body just for fun.

I, like many men, have a similar problem to transgender folks: I'm Dwayne Johnson in the body of a 40+ computer programmer.

If those things are actually similar, that blows up the entirety of trans discourse into atoms.

If "I'm a woman stuck in a man's body" is just a more dramatic way of saying "I wish I was a woman", there's no good reason to concede any of the demands of the trans community. Not the bathrooms, not avoiding "misgendering", not women's sports, or women's prisons. You can wish all you want, why should anyone care?

You can wish all you want, why should anyone care?

People should care because it's good for us to care about one another.

Rather, you can wish all you want, but why should anyone bear the costs of your wishes?

This is, for me, a recurrent political challenge as an American, because I end up stuck between the bifurcated "standard positions" constantly. I object to abortion but I value doctor-patient confidentiality, so as long as I don't know it's happening, I don't think I have much to say about abortion--but if you want to spend tax dollars making it affordable, accessible, etc. then I have a problem. If a man wants to dress in lipstick and ballgowns, enjoy! But if he wants to police my language and my thinking by making implausible demands concerning his pronouns, he can fuck right off.

The law is at its most ethically plausible when it is mediating conflicts between important interests. Modern welfare states, however, are substantially modern manipulation states, deploying government coercion not to mediate legitimate conflicts but to thumb the scales in furtherance of questionable aims. People think it's not good enough for the state to merely abolish segregation laws; they think states must proactively "integrate" communities, even over the objections of historically oppressed minorities. People think it's not good enough for the state to decriminalize activities; they want the state to subsidize those activities. This, I think, actively erodes the care that we should quite naturally feel toward the other humans in our lives. I should care if my friend wishes to have a different body; if the technology existed to actually change them into what they want to be, I'd be all for it!

But I wouldn't pick up the tab for it, and should not be required to pick up the tab through insurance pooling or taxation--any more than I should be required to pick up the tab for their wished-for sports car.

People should care because it's good for us to care about one another.

Rather, you can wish all you want, but why should anyone bear the costs of your wishes?

Nope. I'm sorry, I'm just one man, and there's millions of human tragedies unfolding every day. I don't have that many fucks to give away, if I actually cared for everyone I'd be a nervous wreck. I'm actually happier to pick up the tab for someone's fanciful wish, than to be forced to care for it. You're Dwayne Johnson stuck in a dadbod? Here, have a gym subsidy, or something. You want a sports league for guys who wish they were women? Why the hell not, knock yourself out. You want me to care? Why? Who are you anyway, and why did you follow my daughter into the locker room?

I object to abortion but I value doctor-patient confidentiality

It's off topic, but I don't get that argument. Doctor-patient confidentiality is not absolute. We let doctors handle pretty hard drugs, but my understanding is that if a doctor starts prescribing hard drugs for the explicit purpose of getting their patients to trip balls, they're getting locked up. Doctor-patient confidentiality would get even more disregarded when the lives of third parties were involved. I don't think a doctor is allowed to say "I have just the thing for your condition! Here's a prescription for carrying out an assassination!"

Nope. I'm sorry, I'm just one man, and there's millions of human tragedies unfolding every day.

That's fine, but it's probably worth noticing that this is not what you said. What you said was:

...why should anyone care?

This is meaningfully distinct. "Why should anyone care about that" is very different from "I have no reason to care about that." I quite agree that you have no reason to care what some rando wishes, or even what a great many randos wish. Some dude in a dress follows your daughter into the locker room, well, you have great reason to care about your daughter's comfort, and no reason at all to make that a lower priority than his comfort. But noticing that you don't have any reason to care, while important, is not the same as saying that no one should care.

Doctor-patient confidentiality is not absolute.

I didn't say that it was, but as you note, it was just a side point to illustrate my frustration with the polarization of certain arguments.

This is meaningfully distinct. "Why should anyone care about that" is very different from "I have no reason to care about that." I quite agree that you have no reason to care what some rando wishes, or even what a great many randos wish. Some dude in a dress follows your daughter into the locker room, well, you have great reason to care about your daughter's comfort, and no reason at all to make that a lower priority than his comfort. But noticing that you don't have any reason to care, while important, is not the same as saying that no one should care.

I'm having issues explaining what I'm driving at. No, they're not distinct, it's not just about me. The "traditional" way to talk about a gender dysphoria, it's that it's an extremely rare psychological condition causing people a lot of distress over the sex they're born with. If this is what we're going with, fine, I do see a reason why society should care, the same way we should care about schizophrenics, phobics, bipolars, etc. tikimixologist said it's somehow similar to wanting to be more fit, if they're qualitatively similar, then yeah, I'm sorry I don't see why anyone should care. You can want all you want, please give me a good reason for anyone to care. If "people should care because it's good for us to care about one another", that sets the bar for caring so low, we'd all be curled in a fetal position, and sobbing all the time from all the caring we're doing for everyone else.

You are being excessively literal in a way which is the scourge of rationalists.

"Why should anyone care" means "why should people other than the ones central to the situation care", not literally "why should any human being care".

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