site banner

Culture War Roundup for the week of November 6, 2023

This weekly roundup thread is intended for all culture war posts. 'Culture war' is vaguely defined, but it basically means controversial issues that fall along set tribal lines. Arguments over culture war issues generate a lot of heat and little light, and few deeply entrenched people ever change their minds. This thread is for voicing opinions and analyzing the state of the discussion while trying to optimize for light over heat.

Optimistically, we think that engaging with people you disagree with is worth your time, and so is being nice! Pessimistically, there are many dynamics that can lead discussions on Culture War topics to become unproductive. There's a human tendency to divide along tribal lines, praising your ingroup and vilifying your outgroup - and if you think you find it easy to criticize your ingroup, then it may be that your outgroup is not who you think it is. Extremists with opposing positions can feed off each other, highlighting each other's worst points to justify their own angry rhetoric, which becomes in turn a new example of bad behavior for the other side to highlight.

We would like to avoid these negative dynamics. Accordingly, we ask that you do not use this thread for waging the Culture War. Examples of waging the Culture War:

  • Shaming.

  • Attempting to 'build consensus' or enforce ideological conformity.

  • Making sweeping generalizations to vilify a group you dislike.

  • Recruiting for a cause.

  • Posting links that could be summarized as 'Boo outgroup!' Basically, if your content is 'Can you believe what Those People did this week?' then you should either refrain from posting, or do some very patient work to contextualize and/or steel-man the relevant viewpoint.

In general, you should argue to understand, not to win. This thread is not territory to be claimed by one group or another; indeed, the aim is to have many different viewpoints represented here. Thus, we also ask that you follow some guidelines:

  • Speak plainly. Avoid sarcasm and mockery. When disagreeing with someone, state your objections explicitly.

  • Be as precise and charitable as you can. Don't paraphrase unflatteringly.

  • Don't imply that someone said something they did not say, even if you think it follows from what they said.

  • Write like everyone is reading and you want them to be included in the discussion.

On an ad hoc basis, the mods will try to compile a list of the best posts/comments from the previous week, posted in Quality Contribution threads and archived at /r/TheThread. You may nominate a comment for this list by clicking on 'report' at the bottom of the post and typing 'Actually a quality contribution' as the report reason.

5
Jump in the discussion.

No email address required.

The gender ideology movement sort of feels out of the news cycle where I live, but remains very top of mind for me.

As I see it, the whole umbrella is actually multiple, almost unrelated strands, queerying category activists, social engineering progressives, AGPs, internet cults, all underpinned by unthinking legal activism and of course corporate profiteering. Did I mention an overtly political and enabling media environment bereft of any journalistic values?

I am fascinated by all these things but mainly I want to talk about the social mania aspect. I'm very interested in how smart people, who would inevitably class themselves as above-average in rationality and morality, are able to brush off child-safeguarding concerns, discarding the previous medical ethics consensus (first do no harm, evidence based medicine) in favour of ideas that barely existed even 15-20 years ago.

I have been looking into previous social manias such as the satanic panic and the child care workers given wrongful convictions and it's shocking how difficult it is to reverse the tide of mania once it's begun. Parents, police, the justice system, and media all fall into lockstep and condemn innocent people to terrible fates they and their families bear in almost total isolation, with only a few supporters able to parse the information in front of them and figure out what is going on.

I mean this is just human behaviour - we make movies about the Salem witch trials, we are modern people and have access to perspectives of humans across evolutionary time. Is it really true that people still don't know who we are, how we behave in herds?

I understand apathy, I understand things moving out of the news cycles, but I can't understand how people can maintain a neutral view on unnecessary surgeries on minors. When institutions such as medical bodies fail in their basic safeguarding responsibilities, suppressing dissent within their ranks, it is not hard to work out what is going on. How many manias does history need to present before people learn what we are?

A failure of courage I understand in any given context but the neutral middle doesn't even seem curious in private.

Can anybody enlighten me why people aren't more curious, why they're happy for children to be groomed into lifelong medicalisation, with their life choices pre-emptively narrowed before they even understand what consent means? The true-believers I understand, it's supposedly smart, moral people that aren't engaged that I'm confused about. Are they secretly true believers but just don't want to say?

Plain old cognitive dissonance?

Personally, I'm very happy it's out of the news cycle. I think the mania goes both ways and it's incredible how much both the left and right have completely blown out of proportion this private medical issue that affects a small amount of people, and I believe the ideological obsession over it (including from the left) does more harm than good.

I'll preface this by saying that I'm transgender, and I had dysphoria since I was a child myself, but I am a bit of an old-fashioned "truscum" as I don't really fully subscribe to the mainstream leftist trans views. I do know some people in the "neutral middle" - most of my more right-wing friends are opposed to the excesses of the trans movement, but otherwise either don't care or just passively go with the medical consensus.

Can anybody enlighten me why people aren't more curious, why they're happy for children to be groomed into lifelong medicalisation, with their life choices pre-emptively narrowed before they even understand what consent means? The true-believers I understand, it's supposedly smart, moral people that aren't engaged that I'm confused about.

Lifelong medicalisation happens anyway no matter when you transition, but if you do it as an adult, it's much worse. You have to pay huge sums of money (tens, if not hundreds of thousands of dollars) for very painful, potentially risky surgery - for MtFs, facial feminisation surgery - which is literally slicing your face open, shaving your bones with a saw, and stitching it back up - tracheal shave, voice feminisation surgery, hairline reduction, and some more. All of this you do if you want to pass as a normal member of the opposite sex instead of a freak that's the butt of jokes.

Meanwhile if you transition around the start of puberty, you don't have to do any of these surgeries - you'll go through the rest of your life as a normal-looking member of the opposite sex, and won't have to go through the trauma of watching your body turn into something that gives you psychological pain every day. There's only one surgery you might have to do and that's sex reassignment surgery, and there I don't have any issue with not allowing minors to go through it.

You know what pre-emptively narrows your life choices before you understand what consent means? Good old fashioned puberty. If given the option between a natural puberty that tortures you psychologically has you spend significant amount of effort and money trying to undo its consequences, and a different medically induced one that does not, what is the justification in going with the first one, apart from the naturalistic fallacy?

Now there is a risk of regret - catching teenagers that think they're transgender but later desist. This is where I'm against the leftist discourse glorifying the state of being transgender - you want to make it clear that it's an unpleasant, undesirable medical condition. From what I've seen, the rate of detransition is fairly low; say it was theoretically 10% (it is much lower than that from what I've read), why is preventing the regret of that 10% more important than preventing the regret of that 90% from not going through transition early?

You have to pay huge sums of money (tens, if not hundreds of thousands of dollars) for very painful, potentially risky surgery - for MtFs, facial feminisation surgery - which is literally slicing your face open, shaving your bones with a saw, and stitching it back up - tracheal shave, voice feminisation surgery, hairline reduction, and some more. All of this you do if you want to pass as a normal member of the opposite sex instead of a freak that's the butt of jokes.

But how does anything like this make one a woman? I don't think women need to shave their bones etc to be 'women'.

Wouldn't it be easier to address the underlying psychological issues?

Allegedly, meditation and other buddhist practices aim to free one from their every desire, wouldn't such practices help liberate one from the desires of having shorter bones, higher voice, etc?

Alternatively, there are great advances in technology every day. If at the crux the issue is of self-perception, couldn't some version of virtual glasses help with that? AI software miniaturized in smart glasses + headphones could potentially overlay corrected audio-visual information in real-time. That way the patient would have the impression of a body matching their idealization of it, and in every social interaction, correct the pronouns, intonations, and speech content to avoid any misgendering distress.

One could even envision a program that gradually reduces the level of correction if the patient's condition somehow improves. Something that could be very finely-tuned.

But how does anything like this make one a woman? I don't think women need to shave their bones etc to be 'women'.

If it is successful, it makes other people perceive you like a woman, which is one of the goals.

Wouldn't it be easier to address the underlying psychological issues? Allegedly, meditation and other buddhist practices aim to free one from their every desire, wouldn't such practices help liberate one from the desires of having shorter bones, higher voice, etc?

It's not purely a psychological issue. A large number of trans people have underlying hormonal issues - in FtMs, PCOS and congenital adrenal hyperplasia are very common, and there's growing evidence that a number of mutations and physical conditions are associated with it. The controversial trans health practitioner Dr Powers found he could treat gender dysphoria in natal females by administrating them anti-androgens, if it is done early enough. Otherwise, trans people report better functioning and mental health on cross-sex hormones even if they change nothing else.

Meditation and Buddhist practice help you come to peace with what you can't change, sure. But why accept suffering when you can change it? Transition might not be able to give me all of the changes I want, but I am exceptionally grateful for all the changes it did.

Alternatively, there are great advances in technology every day. If at the crux the issue is of self-perception, couldn't some version of virtual glasses help with that? AI software miniaturized in smart glasses + headphones could potentially overlay corrected audio-visual information in real-time. That way the patient would have the impression of a body matching their idealization of it, and in every social interaction, correct the pronouns, intonations, and speech content to avoid any misgendering distress.

The audio-visual self-perception is only a small part of it. This sound similar in effect to giving amputees a headset that superimposes a CGI limb on top of their prosthesis - it can help a little, sure, but it does nothing for touch and proprioception, actual functionality. Others will still see an amputee, plus you'll be acutely aware that you're living a lie - in addition to having to occasionally take off the glasses.

If it is successful, it makes other people perceive you like a woman, which is one of the goals.

What kind of medical treatment has other people than the patient as targets?

It's not purely a psychological issue. A large number of trans people have underlying hormonal issues - in FtMs, PCOS and congenital adrenal hyperplasia are very common, and there's growing evidence that a number of mutations and physical conditions are associated with it.

You seem to believe PCOS to be a symptom of gender dysphoria while it could very well be that gender dysphoria is a symptom of PCOS, or a symptom of another underlying cause causing both dysphoria and PCOS.

Otherwise, trans people report better functioning and mental health on cross-sex hormones even if they change nothing else.

Source? They gave placebo hormones to transists and they compared results to transists with the real deal?

Meditation and Buddhist practice help you come to peace with what you can't change, sure.

No, I think there is a certain component of it that has to do with examining your own desires and then being able to interact with them, and change them.

Using these tools, the mindfulness-based therapist teaches a client to be in the here and now as well as break away from negative thought patterns that can cause a decline into a mood-disordered state; this therapy can help a person fight off a difficult frame of mind before it takes hold.

It is possible to learn how to break away from negative thought patterns (for example: this part of my body is male and I need to see a surgeon, instead of: I love how male this part of my body is!)

It seems to me that you are not your gender dysphoria. If you are a person who is bad at math, then you can study hard and get a to a certain skill level where you can be confident solving some math problems.

It appears to me that if you are a person who is bad at seeing herself in her birth sex, then this is something they can practice and grow more confident in, instead of lobbing off body parts and playing with disguises for their whole life.

This sound similar in effect to giving amputees a headset that superimposes a CGI limb on top of their prosthesis - it can help a little, sure, but it does nothing for touch and proprioception, actual functionality.

What would that even look like? How would you know what the opposite sex proprioception feels like? Even if you took cross-sex hormones and then felt that your skin feels different, how would you know that this is the same feeling that somebody of the other sex feels?

Others will still see an amputee, plus you'll be acutely aware that you're living a lie - in addition to having to occasionally take off the glasses.

I don't see in which version of 'gender-affirming therapy' you would not be aware that you had your bones shaved etc.

in addition to having to occasionally take off the glasses.

They could be surgically-implanted as well.

What kind of medical treatment has other people than the patient as targets?

Any cosmetic surgery to correct a deformed but otherwise functional appearance?

You seem to believe PCOS to be a symptom of gender dysphoria while it could very well be that gender dysphoria is a symptom of PCOS, or a symptom of another underlying cause causing both dysphoria and PCOS.

I only said trans people often have those conditions, I didn't say anything about the causal chain. I agree that gender dysphoria could be a symptom of PCOS or another disorder. How else would treating the patient with antiandrogens work? If you read the post, the FtM patients had elevated testosterone levels, took medication to reduce those levels, and the gender dysphoria went away.

Source? They gave placebo hormones to transists and they compared results to transists with the real deal?

That's hard to do since hormones have obvious physical changes and you could tell easily you're in the placebo group. This is unfortunately only self reports from people that transition medically, but not socially (including some of the famous "detransitioners" on conservative media - a few said they detransitioned but admitted to still being on HRT).

It is possible to learn how to break away from negative thought patterns (for example: this part of my body is male and I need to see a surgeon, instead of: I love how male this part of my body is!)

It seems to me that you are not your gender dysphoria. If you are a person who is bad at math, then you can study hard and get a to a certain skill level where you can be confident solving some math problems.

It appears to me that if you are a person who is bad at seeing herself in her birth sex, then this is something they can practice and grow more confident in, instead of lobbing off body parts and playing with disguises for their whole life.

I tried this, I tried seeing a therapist, I tried living as a gay male. I tried everything I could not to transition because I disagreed with the leftist trans movement, for many many years. Yet a few months after I started HRT, my quality of life hugely improved, and I finally had a decent dating life. If anything, refusing to accept that I was trans and telling people I was a gay male - that was the lie.

You're telling me I should stop HRT and go back to that state of suffering - what for? I already did break away from a huge amount of the negative thought patterns, compared to before, and I have no desire to go back.

What would that even look like? How would you know what the opposite sex proprioception feels like? Even if you took cross-sex hormones and then feel that your skin feels different, how would you know that this is the same feeling that somebody of the other sex feels?

Sexual secondary characteristics are a thing - trans women have differently distributed body fat, develop breasts, softer skin (others have confirmed this), trans men get hairier, develop deeper voices, larger muscles and grow a small sort-of micropenis. Spatial and verbal abilities also change following HRT (this is where the infamous brain scan study of transwomen comes from). Proprioception in terms of those characteristics is real - I don't care that this is the same feeling that someone of the other sex has or not, it's different from the feeling I had before and externally matches the opposite sex, and that's good enough for me.

I don't see in which version of 'gender-affirming therapy' you would not be aware that you had your bones shaved etc.

The point is that other people see it too. A more interesting point would be, what if everyone wore these glasses and could alter how others saw them? Cosmetic surgery would be pointless in those circumstances, that I agree with.

They could be surgically-implanted as well.

The glasses wouldn't change how others treated me beyond the superficial - which pronouns and intonations absolutely are.

Rae: I'm glad that things worked out well for you, and I think that most people would be best served by treating transition more or less as you had: a last resort. I see it as a largely irreversible and major medical intervention that should be seen the same way we see things like spine surgery for herniated discs, or elective amputation, or other big, irreversible medical procedures. I'll also chime in as someone who's had mild to moderate gender dysphoria for a decade or more - from 9 or so till 19 - and decided against medical intervention: there's a spectrum of gender dysphoria or transness, and you're unfortunately at the far end of it. I wish medical science was better, to be honest.

Thanks!! The only thing I’d disagree with is that transition isn’t necessarily an irreversible all-or-nothing process. You can start by changing your presentation to something more feminine or masculine, transition socially, and even HRT is a very gradual process that leaves you with multiple months to decide and for MtF patients there’s one irreversible change and that’s breast growth, but they’ll rarely grow big enough that they would require double incision mastectomy should you detransition. FtM patients will get voice deepening, male pattern baldness, facial hair growth (although laser hair removal isn’t a big deal), and bottom growth, but it’s much easier for FtMs to socially transition than MtFs without hormones.

What made the gender dysphoria go away for you if I may ask? I was able to repress it for a while after adolescence, but it came back with a vengeance once the infamous “twink death” hit.

grow a small sort-of micropenis

Nope, that's the effect of testosterone on the clitoris. That's because both the clitoris and the penis develop, during gestation, from the same tissue:

The male and female human fetal external genitalia start out at the indifferent stage (8–9 weeks’ gestation) and grow differentially into a penis or clitoris, which are fully formed by 17–18 weeks gestation (wholemount ontogeny to 16-weeks gestation).

A micropenis is a different thing:

Micropenis is a medical term for a small but normally structured penis. Hormonal or genetic factors can cause this condition. Healthcare providers often note the condition during the newborn to early childhood period.

As long as no other health concerns are present, a micropenis can function normally. People with micropenis are still able to urinate (pee) and have erections.

To get a 'neo-penis' you need surgery.

Spatial and verbal abilities also change following HRT (this is where the infamous brain scan study of transwomen comes from).

There seems to be a lot of fascinating biology at work here:

In a new study published in Psychoneuroendocrinology, treatment of transgender individuals with cross-sex hormones is shown to result in changes in subcortical brain areas related to memory and emotion.

...After the treatment period, oestradiol levels were increased in MtF individuals, whereas levels of testosterone and progesterone were decreased. Conversely, in FtM individuals, levels of oestradiol and progesterone were decreased, whereas testosterone levels increased markedly. Analysis of brain structures revealed volume changes predominantly in MtF individuals, particularly in the hippocampus — a region involved in neurogenesis and neuronal plasticity. Specifically, oestradiol plus anti-androgen treatment reduced hippocampal volume in MtF individuals, which was accompanied by a global increase in ventricular structures. Moreover, reduced plasma levels of progesterone in MtF individuals correlated with reductions in grey matter structures in the right hippocampus and right caudate. Overall, the findings suggest that high doses of cross-sex hormones alter structures in the adult human brain.

That's from 2016, there's another study from 2021 which also records changes but it's murkier since both trans men and trans women had increases in certain area as contrasted with cis men and cis women:

Conclusion Long-term GHT seems to have a considerable impact on GMD and GMM in the brain of transgender individuals. Specific effects of either androgenizing or feminizing sex steroids must be taken into account in most regions, however, in selected structures both types of GHT affected GMD and GMM in the same way, pointing towards mechanisms that are induced by GHT irrespective of whether feminizing or androgenizing steroids are used. The combined approach in analyzing structural MRI data has the potential to shed light on changes of GM as reflected by both morphometric as well as microstructural analyses after GHT in a longitudinal design and in comparison to cisgender individuals. Nevertheless, larger sample sizes are needed to detect reliable associations between GM and potential MAO-A density changes induced by GHT.

A 2019 study suggests that there's a mosaic effect; male and female brains have differences, but also similarities, and you can't say that "this bit is specifically male, that bit specifically female"; brains of cis as well as trans individuals can have both male and female traits:

Cross-sectional studies One small cross-sectional study assessed the effects of at least 2 years of GAHT in 18 FTMs and 17 MTFs after gender-affirming surgery. Neuroanatomical differences in the brain were found to be region-specific between transgender individuals and their biological sex as well as their gender identity, suggesting localization of influence by sex hormones on brain structure [105]. More specifically, the mean neuroanatomical volume for the amygdala, putamen, and corpus callosum of MTFs was found to be significantly different from those of cisgender women, but not cisgender men (consistent with the natal sex of MTFs). FTMs, on the other hand, differed from cisgender women in the third ventricle and nucleus accumbens, which is consistent with their preferred gender, and differed from cisgender men in the medial temporal lobe structures and cerebellum. FTMs differed from both cismen and ciswomen in fusiform volume. These findings suggest that brain structures are not uniformly influenced by GAHT, and that while some structures become more like those of the preferred gender, others may not, or fall somewhere in the middle. This lends credence to the concept of the gender mosaic, which falls between the two rigidly defined binary gender identities.

The 2019 study is really good, a lot of details about how brains and brain structures differ in the sexes.

EDIT: Though this now makes me wonder, what if the solution is not "this child suffers dysphoria, they're trans, put them on puberty blockers" but "this child suffers dysphoria, this is a result of natal lack of/excess of hormones in utero, put them on extra doses of natal sex hormones"? That might be one reason why there are kids who go through puberty and then decide they're not trans; all they needed was for the 'proper' dosage of hormones to kick in and adjust their brain chemistry to their natal sex?

If you read the post, the FtM patients had elevated testosterone levels, took medication to reduce those levels, and the gender dysphoria went away

So women with a mental illness making them think that they are men took medication to reduce T levels (anti-androgens) and that helped them feel better about being women? Why aren't you taking anti-estrogens to cure your gender dysphoria then?

That's hard to do since hormones have obvious physical changes and you could tell easily you're in the placebo group. This is unfortunately only self reports from people that transition medically

Sounds like pretty bad science to me. They should have at least given cocaine to some of them and see who reports feeling better.

Yet a few months after I started HRT, my quality of life hugely improved, and I finally had a decent dating life.

Can you explain? The gay men that you were previously pursuing unsuccessfully finally took an interest in you after you grew your hair long and breasts? Or did you manage to attract a straight man who just can't wait to get married, 2 children and a white picket fence in the suburbs?

it's different from the feeling I had before and externally matches the opposite sex, and that's good enough for me.

Only because you have a point of reference to what the opposite sex is like. If you moved to a male-only monastery for life eventually you would have no idea what a woman behaves like. You could also get smart glasses that correct every dumb thing any woman say around you and you'd get the impression that women are rational, pragmatic people while men are the irrationally angry, ditzy sex.

The glasses wouldn't change how others treated me beyond the superficial - which pronouns and intonations absolutely are.

Well that's what the headphones are for.

I imagine they mean they are attracted to men, tried unsuccessfully to live as a gay man and did not like it for whatever reasons, then once presenting as a woman they were able to date straight men which is more satisfactory.

So women with a mental illness making them think that they are men took medication to reduce T levels (anti-androgens) and that helped them feel better about being women? Why aren't you taking anti-estrogens to cure your gender dysphoria then?

This is an incorrect view of gender dysphoria. Gender dysphoria isn't thinking you're the opposite sex, it's being uncomfortable about being the sex you are and feeling more comfortable if you adopt the characteristics of the opposite sex.

Sounds like pretty bad science to me. They should have at least given cocaine to some of them and see who reports feeling better.

Cocaine doesn't last for very long and the side effects/crash are very severe, but there's other stimulants out there! Given the high proportion of trans people that have ADHD, giving them one like Adderall or Ritalin might not be a bad idea.

Can you explain? The gay men that you were previously pursuing unsuccessfully finally took an interest in you after you grew your hair long and breasts? Or did you manage to attract a straight man who just can't wait to get married, 2 children and a white picket fence in the suburbs?

I dated and hooked up with plenty of gay men prior to transitioning. Gay men are actively uninterested in femininity and lost interest after I grew my hair long and such. I receive plenty of attention from bisexual/bicurious men - sexually speaking there's a ton of seemingly straight men that are very interested in trans women. I'm now in a long-term relationship with a bisexual man and we could certainly get married, adopt children (or go through surrogacy) and buy a house in a suburb. Ironically, I'm more comfortable now with having a family and the normal monogamous life that conservatives are a fan of, than I ever was before.

Only because you have a point of reference to what the opposite sex is like. If you moved to a male-only monastery for life eventually you would have no idea what a woman behaves like. You could also get smart glasses that correct every dumb thing any woman say around you and you'd get the impression that women are rational, pragmatic people while men are the irrationally angry, ditzy sex.

Why the thinly veiled misogyny? Your post has a fairly hostile, sarcastic tone in general. Is this a response informed from bad real life experiences with women and/or trans people?

Well that's what the headphones are for.

Not sure I understand this part?

it's being uncomfortable about being the sex you are and feeling more comfortable if you adopt the characteristics of the opposite sex.

Which are pretty nebulous as far as I know. There are plenty of flat-chested short-haired females out there but you needed long-hair and neo-breasts to feel better about yourself.

Either way you provided evidence suggesting that women with dysphoria should get anti-androgens to be cured, not cross-sex hormones (androgens).

What about you, have you tried supplementing androgens instead?

I dated and hooked up with plenty of gay men prior to transitioning. Gay men are actively uninterested in femininity and lost interest after I grew my hair long and such.

So you had no issue dating before growing your hair long? Plenty of straight men go with women with short hair as well.

I'm now in a long-term relationship with a bisexual man and we could certainly get married, adopt children (or go through surrogacy) and buy a house in a suburb. Ironically, I'm more comfortable now with having a family and the normal monogamous life that conservatives are a fan of, than I ever was before.

Idk about other conservatives but when I think "normal monogamous life" I'm not thinking about your situation. Also the guy you're dating, would he care if you told him to call you 'dude' instead of 'sweetie'?

Why the thinly veiled misogyny?

No misogyny, I'm merely suggesting an hypothetical device that would simulate every single social interaction in such a way that you could attribute certain dispositions to one sex while every single individual is actually completely identical in their behavior with no sexual dimorphism whatsoever.

Not sure I understand this part? The glasses wouldn't change how others treated me beyond the superficial - which pronouns and intonations absolutely are.

All I'm saying is that the glasses and headphones would come together to create the perfect 'I am a woman'-simulation, no matter what other people are actually saying.

More comments