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PaperclipPerfector  7mo ago (text post)   25448 thread views

Culture War Roundup for the week of April 8, 2024

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Given that no one thinks that surgical amputation is the correct treatment for this psychiatric disorder ...

No one?

https://slatestarcodex.com/2013/02/18/typical-mind-and-gender-identity/

More convincing to me is that the disorder has a very non-psychiatric resolution: if patients are able to amputate the offending limb, they are perfectly happy and never have any further complaints. Compare this to a more psychiatric population like hypochondriacs, who if you treat one of their fake sicknesses just come up with another, because the underlying psychological problem that makes them want to feel sick hasn’t gone away. After hearing this story I decided to count the previous dismissal/marginalization of these people as a huge failure of psychiatry and as exactly the sort of thing I need to watch out for.

All the same, I'd be willing to bet if there was a massive social campaign to "normalize" people who want to amputate random limbs, it started being prominently featured in countless shows, and it began getting taught in kindergarten, the epidemiology behind the disorder would enormously change. We'd have countless teen girls experiencing "Rapid onset bodily integrity identity disorder", and often entire friend groups.

Then que all the midwits citing the old research under the old social conditions about how "Nobody chooses to do this flippantly, and research shows they are much, much happier after you perform the amputations." I wouldn't put it past the same liars we've been dealing with for the last 20 years, lying about how puberty blockers or cross sex hormones are "completely reversible" might pull some similar nonsense word games about the amputations being "reversible". Or doctors start scaring the fuck out of parents with "Would you rather have a disabled son or a dead son?"

It's more important than ever to say say "no" to this nonsense early, no matter how cruel it sounds. Turns out a lot of these old medical ethics to "do no harm" are load bearing, no matter how many sophist you throw at the word "harm".

Despite thinking transitioning is in general bad no matter if you're TruTrans or not, this is a silly line of argument. If a treatment is genuinely good for a small minority of people, and bad for a larger number of copycats, just ... figure out a test that differentiates the two and only give it to the first group. One can do that. It's absurd to say "no" early to people who'd really benefit.

False positive/false negative rates really matter.

One can do that.

I believed that lie once. I won't believe it again. Especially not in the midst of the medical establishment trying as hard as they can do not do it, under any circumstances, and calling anyone begging them to a bigot, with the full backing of the government's monopoly on violence being used to take their kids away.

What is your theory here? Why do you think you'd be able to entirely stop trans stuff, but not be able to accomplish a half-measure of 'only adults can transition after a year of psych evals'? The former seems easier, unless you want to go full nrx

Sure. And don’t do any transitions until you can reliably tell the difference.

But at the moment, a doctor feel pressured to do the opposite.

I wouldn't put it past the same liars we've been dealing with for the last 20 years, lying about how puberty blockers or cross sex hormones are "completely reversible" might pull some similar nonsense word games about the amputations being "reversible".

Simpsons were way ahead of the curve on that one: https://youtube.com/watch?v=SatdbVeP0Tw

Fair point. I wonder if Scott still stands by that essay.

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