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PaperclipPerfector  7mo ago (text post)   26627 thread views

Culture War Roundup for the week of March 25, 2024

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On one hand, I am assured that no one is doing irreversible damage to children, but on the other hand, I am to understand that there is a distinct category of people that it would be hateful to not put on courses of hormone therapy to alter the development of their physiologic gender.

I don't think this is a hard circle to square at all. A person who believes this might believe that:

  • Social transition for younger trans kids, and hormone blockers for trans kids entering puberty do an acceptably low amount of long-term damage to their bodies to serve as a first line treatment until they age into adulthood and decide whether they want to undergo hormone treatments and cosmetic surgeries.

Whether I personally accept that as true, I think that is a perfectly consistent thing to believe. I'm sure there's a doctor out there somewhere immediately jumping to hormone treatments and cosmetic surgery for so-called trans kids, but I think that deviates from what even most trans activists say is the ideal course of treatment for minors.

That highlighted phrase has become not just normalized, but sacralized on the left with the rise of "protect trans kids". Almost no one had heard of this term until a decade or so ago, then it suddenly started picking up around the time Trump took office, and now searches for it have increased sharply

I don't think this is surprising at all. I think one of the most rhetorically effective attacks on trans people on the right has been stopping kids from transitioning (especially in states where they can already do it without parental consent.)

Unfortunately, right or left "think of the children" always seems to be an effective tactic. I think this is just an example of Toxoplasma of Rage in action. The idea of "irreversible damage" to kids bodies complements the idea of "driving trans kids to suicide." Together they are a recipe for endless back and forth argument, since both sides can position themselves as the ones most concerned about children's well-being.

I'm sure there's a doctor out there somewhere immediately jumping to hormone treatments and cosmetic surgery for so-called trans kids, but I think that deviates from what even most trans activists say is the ideal course of treatment for minors.

I see you are fortunately ignorant of Dr Yeet The Teets:

Her feeds often fill with photos tagged #NipRevealFriday, highlighting patients like Michael whose bandages were just removed. On her office windowsill sits a framed nameplate with one of her best-known catchphrases on TikTok: “Yeet the Teet,” slang for removing breasts.

Dr. Gallagher said she performed top surgeries on about 40 patients a month, and roughly one or two of them are under 18. Younger patients are usually at least 15, though she has operated on one 13-year-old and one 14-year-old, she said, both of whom had extreme distress about their chests.

The surgeon said that most of her patients, teenagers and adults alike, found her on TikTok. Her online presence has drawn sharp criticism from right-wing media, as well as from some parents and doctors who say she uses the platform to market to children.

A countrywoman of my own, it seems, so I apologise on behalf of my nation that she decided the quickest way to make a buck was move to the USA and do vanity plastic surgery.

The idea of "irreversible damage" to kids bodies complements the idea of "driving trans kids to suicide." Together they are a recipe for endless back and forth argument, since both sides can position themselves as the ones most concerned about children's well-being.

Assuming that these are not rival empirical claims that can be investigated, yes.

I don't know. I've seen several trans skeptical people bite the bullet on trans suicide rates.

The attitude seems to either be "the threat of trans kids committing suicide is emotional blackmail meant to shut down the argument from society and parents and force them to go through with mutilating their child against their will" or occasionally even "if they commit suicide at higher rates, then completely ignoring the issue solves the issue (through the self-removal of trans people from the population.)"

I mean, there's nothing stopping both claims from being true (to the extent they're empirically testable.) It could hypothetically be that social contagion and permissive doctors are allowing large numbers of cis children to ruin their bodies through transition followed by inevitable detransition, and that from a purely medical perspective the most effective way to prevent the suicide of enduringly trans children is to allow them to socially transition and take puberty blockers until adulthood when they can make the choice of whether to undergo hormonal therapy and cosmetic surgery. In that hypothetical world, the difficulty would be with separating cis children from trans children in a reliable way that minimized overall harm to both groups.

The empirical case can only solve so much without models of what is happening. The DSM-V's intro talks about how it models mental disorders, and it basically says that they are useful perspectives for treatment and not necessarily a single "real" disease with a known cause or set of causes. That is, ADHD is "real" to doctors using the DSM to the extent that it has been found that patients coming in complaining about a common cluster of issues, tend to have those issues resolved through a common cluster of treatments. And it's no different for gender dysphoria. When it comes to a gender dysphoria diagnosis today, there is no need for brain tests or an "intersex brain" hypothesis or anything more empirical than, "have they had 2 out of these 6 listed symptoms for at least 6 months?"

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