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Culture War Roundup for the week of November 6, 2023

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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?

Lots of cosmetic surgery, esp surgery meant to correct various types of disfigurement.

Medical surgery is just called surgery. If there is no function being restored except 'I need to change other people's perception of me' then it seems to be frivolous, vain, a waste of everybody's time really.

Say that after your face is melted in a fire.

I'd wear a mask. Plus if seeing it a little bit bothers people it's a them problem not a me problem.

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