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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?

I can't understand how people can maintain a neutral view on unnecessary surgeries on minors

If you think that minors are basically small people, and that people should largely be allowed to do things that they personally expect will make them fulfilled, it's pretty easy to keep a neutral view. Something like "I have no desire to do this to myself, but neither to I have a moral claim to prevent them from doing it to themselves". To be honest, this is pretty much where I fall on the issue. I am somewhat uncomfortable with the speed with which this went from rare to common, as it leaves people without solid information on how well it's likely to go in the marginal case rather than the average-as-of-decades ago. Still, I can't think of any interventions where the benefit of that intervention is worth the costs and the precedents it sets.

How many manias does history need to present before people learn what we are?

Empirically, people do not learn from history, only from things that they personally have seen, and so every group in every generation has to learn that lesson for themselves.

Still, I can't think of any interventions where the benefit of that intervention is worth the costs and the precedents it sets.

What's wrong with "ban until they're 18"? What precedent is it setting? It's not like we're living in an ancap utopia, the establishment even cracked down on the use of prescribed ivermectin.

What's wrong with "ban until they're 18"?

The canonical answer is "it works worse with age". I don't know how accurate that is, though it certainly seems plausible to me that delays will result in worse patient outcomes among those who do transition.

What precedent is it setting?

I'm not aware of any medical interventions that are banned even when the patient wants them, and their guardian approves it, and a doctor recommends it, but which are allowed once the patient reaches the age of majority.

It's not like we're living in an ancap utopia, the establishment even cracked down on the use of prescribed ivermectin.

Yes, and that was bad. I would prefer fewer things like that, not more things like that.

The canonical answer is "it works worse with age". I don't know how accurate that is, though it certainly seems plausible to me that delays will result in worse patient outcomes among those who do transition.

How is it plausible that a mastectomy works better when you're 14 than when you're 18?

If you're referring to puberty blockers only, other than accuracy of "works worse with age" (which is indeed under question), there's also the issue with diagnosis. Even if the treatment worked as advertised, there's a fundamental question of whether we can actually tell "trans kids" apart from "non-trans kids".

Yes, and that was bad. I would prefer fewer things like that, not more things like that.

But it happened, the precedent is already set.

patient wants them, and their guardian approves it, and a doctor recommends it

There's a massive question mark under each of these components. The patients in question are minors, respectfully, they don't know what the hell they want. Some guardians approve it, but many have their arm twisted into it by dishonest statistics about risk of suicide. Doctors also mostly wash their hands of the responsibility, your family doctor, endocrinologist, even a run-of-the-mill psychologist and psychiatrist will say "I don't know anything about this gender stuff, go to a gender specialist", and the "gender specialist" ends up being a crank who believes in "gender angles".

Why is it beyond the pale to regulate an industry that functions this way?

What on earth are “gender angles”??

It comes from Dr. Dianne Ehrensaft, one of my favorite characters in this entire saga. She first came to prominence during the Satanic Panic that OP mentioned, not satisfied of only having it on her track record, she decided to jump on the gender bandwagon. I originally heard the term without further explanation, in a video from some trans-care conference, so I had to look it up. Luckily it is now used in academic literature:

Chapter 1, “From Gender Identity Creativity to Gender Identity Creativity: The Liberation of Gender-Nonconforming Children and Youth,” written by clinical and developmental psychologist Diane Ehrensaft, presents the story of the still ongoing liberation of gendernonconforming children from the realms of pathologization and provides glimpses into a new gender-creative world, where gender ghosts (i.e., “internalized thoughts, attitudes, feelings, beliefs, experiences that draw us toward culturally arbitrated binary gender boxes and make us anxious when we or anyone else strays from those boxes,” p. 22) can be and will be replaced by gender angels (“internalized thoughts, attitudes, feelings, beliefs, experiences that allow us to be gender creative and live or accept others living outside of culturally defined binary gender boxes,”

You might also be interested in other terms she promoted like "gender minotaur", "gender Prius", "gender Tesla", "gender smoothie", or "gender Tootsie Roll Pop".