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Culture War Roundup for the week of April 8, 2024

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When discussing pharmaceutical and surgical interventions in the treatment of gender dysphoria, the gender-critical among us often draw parallels with bodily integrity identity disorder. This is a rare psychiatric disorder in which a person experiences profound distress because of the presence of one or more of their limbs, and requests to have these limbs amputated to alleviate said distress (or tries to amputate them themselves). Colloquially, one might say that people with this condition are able-bodied but identify as disabled.

Given that no one thinks that surgical amputation is the correct treatment for this psychiatric disorder, we gender-criticals argued, it follows that surgical intervention is the wrong approach for people with gender dysphoria. If it's wrong to amputate a mentally ill's person's arm just because they say it's causing them distress, how can it be right to do the same for a penis or breast?

Sadly, one man’s modus ponens is another man’s modus tollens, the medical establishment has noted the parallels, and it is coming to a rather different conclusion:

Sensational news from late last week, that doctors amputated two fingers for a 20-year-old patient to alleviate the young man’s mental distress over being able-bodied, contained a buried clue: “He related his condition to gender dysphoria.”

... A 2018 ethics analysis in a Cambridge University Press publication concludes that there is “no logical difference between the conceptual status of BIID and transsexualism”. It goes on to say that, “given that individuals with transsexualism are offered gender reassignment surgery it seems to us that individuals with BIID ought at least to be considered for treatment, including elective amputation in some cases.”

... But what would it mean to accept the amputee identity at scale, the way we have accepted trans rights as a universal humanitarian movement? Drawing exact parallels, we would likely see a total saturation of amputee culture, from amputee story hour to centring amputee voices in DEI training, and doctors warning parents of the very real suicide risks for amputee-identifying children whose parents refuse to accept them as surgically modified cripples or invalids. Advocates would talk of being “assigned able-bodied at birth” to persuade activist teachers and medical associations to adopt the absolutist position that any attempt to talk kids out of amputee surgery amounts to “conversion therapy”.

The journalist Mia Hughes recently asked readers to imagine a society in which amputee advocates enjoyed the same cultural and political victories as trans advocates.

“Imagine there were a sudden 4000% increase in teens identifying as amputees, but we were all forbidden from being concerned. Instead we were supposed to celebrate it,” she posted on X. “Imagine schools teaching children as young as kindergarten that some people have amputee identities, that they get to choose how many limbs they have. Posters promoting body mutilation adorned the walls of many classrooms.”

Nothing specific to add to this* beyond despair. The Anglophone medical establishment appears to be fully ideologically captured. It doesn't matter if the Tavistock is shuttered and there's a rash of lawsuits directed at youth gender clinics in the US: if you're a medic who's internalised (or been made to internalise) the gender ideology worldview, the implications of that worldview and the role of the medical establishment it affirms have far-reaching implications in medical domains unrelated to gender medicine itself. At this point I honestly can't rule out psychiatrists prescribing anorexics appetite suppressants to aid them in achieving their "bodily attainment goals".


*Other than why the fuck are Canadian doctors so keen to help their fellow citizens maim or destroy their bodies??!!

Touching on this subject, and also following on from the previous Culture War thread where I was asked how I feel about the current state of the Catholic Church, here we go - something to offend everybody!

Declaration of the Dicastery for the Doctrine of the Faith “Dignitas Infinita” on Human Dignity, 08.04.2024

The RadTrads are already heresy-hunting, the media will be all over the bits about abortion, surrogacy, and transgender rights, and of course the Spirit of Vatican II types are disappointed, sorely and gravely disappointed, as per usual.

  1. The dignity of the body cannot be considered inferior to that of the person as such. The Catechism of the Catholic Church expressly invites us to recognize that “the human body shares in the dignity of ‘the image of God.’” Such a truth deserves to be remembered, especially when it comes to sex change, for humans are inseparably composed of both body and soul. In this, the body serves as the living context in which the interiority of the soul unfolds and manifests itself, as it does also through the network of human relationships. Constituting the person’s being, the soul and the body both participate in the dignity that characterizes every human. Moreover, the body participates in that dignity as it is endowed with personal meanings, particularly in its sexed condition. It is in the body that each person recognizes himself or herself as generated by others, and it is through their bodies that men and women can establish a loving relationship capable of generating other persons. Teaching about the need to respect the natural order of the human person, Pope Francis affirmed that “creation is prior to us and must be received as a gift. At the same time, we are called to protect our humanity, and this means, in the first place, accepting it and respecting it as it was created.” It follows that any sex-change intervention, as a rule, risks threatening the unique dignity the person has received from the moment of conception. This is not to exclude the possibility that a person with genital abnormalities that are already evident at birth or that develop later may choose to receive the assistance of healthcare professionals to resolve these abnormalities. However, in this case, such a medical procedure would not constitute a sex change in the sense intended here.

Bwa-ha-ha-ha-ha! As someone allegedly said, the Church may be a whore, but she's my Mother 🙆‍♀️

I don’t understand the distinction between curing congenital defects and sex changes? Surely the person undergoing the procedure would consider them one and the same? If the one doesn’t affect the unique dignity of the person, why should the other? Why does the natural order of the human person exclude some chromosomal ”abnormalities” but not others?

I’m not Catholic, but I’d readily accept some argument to this end. This one feels really light on God.

There's a difference between fixing a broken car and converting your car into a boat or vis versa. Fixing the car brings it closer to the Platonic ideal of what the car is supposed to be, converting it into a boat is something different.

I think Christians have a level of innate bioconservatism, Adam was directly made by God. You're not supposed to mess with God's vision, maleness or femaleness.

Adam was made directly by God. But his children were not. Obviously, claiming to know the will of God better than the Catholic church is hubris and heresey... But to me it seems obvious that the Nature of Man is to transform, evolve, create, adapt, and so on.

To create something that God needed to create you in order to create, is to act as his pen, His Glory. So why do we call the things that only Humans could have build Unnatural when they are clearly part of His design?

The Catholic argument, I believe, is that, given Free Will it is entirely possible to do things that are not explicitly part of his design. But I don't buy it. At least not in the context of humans engaging in self-creation. Even when I take Natural Law as an axiom, it only serves to make me intuit transformation and metamorphosis as being said nature.

Man's nature isn't to have legs, its to have legs until he grows great enough to Glorify god in greater ways. Why didn't God create man perfect to begin with? Because then Man would be God and God would have created nothing. It is the process of becoming itself that glorifies God. It is the realization of man that he needs to be more like God that proves God's relational greatness.

And... here I assume, is where the preacher throws me out for being some kind of weird Unitarian instead of a Catholic and also for giving long heretical speeches in Church.

The question is, without a solid goal of "perfection" you can't really meaningfully pursue it. One man cuts off his own leg because he believes that will make him more perfect, is that glorifying God through an act of self-creation? If your goal is merely to transform, then cutting off your own legs is as good a goal as growing five more of them. But if your goal is perfection, to get better and better, to "grow great enough to Glorify god in greater ways" then you need a fixed goal to be working towards. Chesterton put it well in Orthodoxy:

This, therefore, is our first requirement about the ideal towards which progress is directed; it must be fixed. Whistler used to make many rapid studies of a sitter; it did not matter if he tore up twenty portraits. But it would matter if he looked up twenty times, and each time saw a new person sitting placidly for his portrait. So it does not matter (comparatively speaking) how often humanity fails to imitate its ideal; for then all its old failures are fruitful. But it does frightfully matter how often humanity changes its ideal; for then all its old failures are fruitless. The question therefore becomes this: How can we keep the artist discontented with his pictures while preventing him from being vitally discontented with his art? How can we make a man always dissatisfied with his work, yet always satisfied with working? How can we make sure that the portrait painter will throw the portrait out of window instead of taking the natural and more human course of throwing the sitter out of window?