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Culture War Roundup for the week of February 20, 2023

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don't think the conclusion follows.

Okay yeah, you're right, and my statement was worded too strongly. It does not follow with logical certaintly that psychological issues must be solved solely within psychology, and there are plenty of counterexamples. But it should be the first thing to try. Plenty of "trans" people have other psychological issues and comorbidities that cause distress, and the trans thing is a red herring, a panacea they've been sold to solve all of their problems. And if they transition those issues still exist but now their one panacea has been tried and they think their problems will never go away. and they have a mutilated body.

And even for someone with actual gender dysphoria as their primary problem. Maaaybe it's an objective desire, analogous to your body building issue, where they inherently wish they had a certain body type, and getting that body type solves their issue. But maybe it's relative: grass is greener. Maybe part of their brain perpetually and irrationally insists that they are ugly and disgusting despite being perfectly health and attractive (a lot of teenage girls have body image issues like this). They just don't want their current body, whatever it happens to be. And no matter what it changes to, that part of their brain doesn't stop telling them that they're disgusting, because it's broken in some psychological way, not actually grounded in their physical body. Transitioning will not help with this latter case, and will in fact make it worse (and does, when this happens in real life).

Yes, if we had a 100% perfect and reversible gender transition, then there would be a lower cost to just trying it and seeing if it works, so I would have much fewer objections to moving it earlier on the list of things to try. (There are still potential social issues, like letting creeps and rapists into women's safe spaces, or having people lie about their original sex to sexual partners who care about their partner's origins not just their current body, but those are a separate issue, and don't apply to good-faith actors who are genuinely seeking help.) But given the irreversible and mutilating brutality of current transition technology, I think it should be an absolute last resort after all interventions and even non-intervention have been attempted and the only alternative is suicide. Maybe in a few decades if technology has advanced we can reconsider transitioning as a viable treatment mechanism. Not today.