academic.oup.com
In Germany, the current outbreak of mass social media-induced illness is initiated by a ‘virtual’ index case, who is the second most successful YouTube creator in Germany and enjoys enormous popularity among young people. Affected teenagers present with similar or identical functional ‘Tourette-like’ behaviours, which can be clearly differentiated from tics in Tourette syndrome.
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patients often reported to be unable to perform unpleasant tasks because of their symptoms resulting in release from obligations at school and home, while symptoms temporarily completely disappear while conducting favourite activities.
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Being an aspiring transsexual is both much more of a choice (for the most part you can't become more transsexualized than you'd like just by engaging in the wrong personal habits) and far more celebrated than being fat (though even they do get some play with the whole "love your body" stuff, promoting Lizzo, etc.). It's also probably still healthier other than in the realm of suicide risk.
Ultimately I don't think most advocacy solely comes from pragmatism. I think you really do have to believe that your identity is valid and worth advocating on behalf of to some degree. Most aspiring transsexuals are waiting for technology to potentially actually let them change their sex to a large degree. They want to become more transsexual in the future. Most fat people conversely are waiting for technology to make them skinny. (If the perfect diet pill came along tomorrow, I have no doubt that most of the members of the fat activism movement would magically slim down rather quickly.)
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