The costs of trans visibility
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The costs of trans visibility

Yesterday, Dylan Mulvaney broke her silence: https://www.tiktok.com/@dylanmulvaney/vi....

For context, this is a trans influencer who built a 10 million strong following on TikTok. She took a brand deal with budweiser to post an ad on an instagram, and the anti-trans right went absolutely ballistic, calling for a boycott, condemning the company, and to some perhaps unknowable degree it influenced that Budweiser sales dropped by a 1/4 and

. Dylan speaks more personally about the effect of the hatred on her.

What strikes me about this story is that it is just about visibility. This isn't inclusion in sports or gender-affirming care for minors, it was just that a trans person was visible. This wasn't even visibility in a TV commerical that a poor right-winger is forced to see, it was an ad on her own instagram page. We're all in our own social media algorithm influenced bubbles, but from my vantage point it really has seemed that in the last year or so things have just gotten worse for trans people and the backlash to even minor visibility is growing.

We need to do better.

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30 June 2023 at 04:48 PM
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6827 Replies

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by chillrob k

No, my point is that we should treat trans people, just like we treat depression, with psychological means. If someone tells a doctor they are depressed because they have legs, the first thing tried should not be to cut his legs off.

This is exactly right. The whole woke agenda now is that the moment a kid says for the first time he or she “feels” they are the other gender they act like we have to start giving them life-altering drugs immediately. There is no time to waste. They never stop and check in with the kid to make sure the kid even knows what that means let alone figure out if that’s what the precious child really wants.


by Meisner k

For the most pet Nash consented to treatment only when it was forced upon him. For the most part he did not take medications. Yet, he earned a No wel prize. Doesn’t mean he wasn’t mentally ill.

Elyn Saks is considered a genius and has accomplished more than most people could dream in their lives. Doesn’t mean she doesn’t suffer from a mental illness. She does.

But they were both diagnosed with schizophrenia because at least at one point, they did have symptoms which were impairing to them. Trans people don't have to ever experience periods of impairment. Because again, being trans isn't a mental illness.

Did you think that having a mental illness means you are forever impaired? Because if not, why is it relevant to point out that people with mental illnesses can have productive periods in their lives?


by Meisner k

Really? So trans people do not kill themselves at a much higher rate than others?

They do -- they're at higher risk of depression. But old white men also commit suicide at higher than average rates -- is being an old white man a mental illness? Gay people die by suicide at an increased rate -- is being gay a mental illness? Clearly your argument that "given X is associated with a higher rate of suicide, therefore X is a mental illness," just doesn't hold up.


by chillrob k

So it may be possible to change by working with the brain. Also, someone may believe they are trans but be mistaken, or only temporarily correct.

We tried conversion therapy for gay people too but that doesn't actually work. And no one is given hormones or surgeries the day they announce they are trans. Nothing happens that fast. Doctors actually evaluate patients to understand where they are coming from and see how they were living their lives before showing up to the office.


by ganstaman k

We tried conversion therapy for gay people too but that doesn't actually work. And no one is given hormones or surgeries the day they announce they are trans. Nothing happens that fast. Doctors actually evaluate patients to understand where they are coming from and see how they were living their lives before showing up to the office.

I don't think it would be the same thing as conversion therapy for homosexuality (although I believe that did "work" some of the time). But that was the more drastic choice (as opposed to doing nothing). For trans people, psychiatric measures are the less drastic choice.
If a gay man had the options of conversion therapy or castration, I would definitely recommend he try the conversion therapy first, even if it were a long shot to work.

That's good that (if?) doctors are evaluating them first, but at the least they should also be evaluated by a psychiatrist, not just an MD.


by chillrob k

This is an example of why I don't really like the term "mental illness". I prefer something like "a negative mental state", which certainly would include grieving.

(Muscle soreness is a negative physical state.)

Well, we have the words that we have that mean what they mean.

You can use whatever words you like, but you don't get to include any of the connotations of the replaced words when using your new terminology.

What makes someone trans is that their brain doesn't match their body, causing them to have a negative mental state. The solution could be changing either their brain or their body. It seems far less drastic (and more easily reversible) to first try to change their brain to match their body, then, in that doesn't work, consider changing their body to match their brain. I don't think it's any more judgmental or transphobic to say that their brain that could be 'fixed' through psychiatric treatment than to say their body could be 'fixed' by other medical treatment. This is not the same as saying they are insane or out of touch with reality. I certainly don't believe I have ever been insane or out of touch with reality, but psychiatric treatment has certainly been beneficial to me.

In this case you would be trying to change a major sense of self trait (trait being different than state) to the opposite. Removing the hypothalamus and part of the ventromedial prefrontal cortex might work (not sure), but would have some major side effects. It wouldn't be a particularly popular treatment option. Most people consider their sense of self to be precious.

Happy pills are ok, as is talk therapy to develop coping skills. Might work for some people. Doesn't seem remotely like it fixes the underlying problem. Kind of like giving Ozempic to starving people to make them feel less hungry.

As an aside, it is all fairly complex since people's personalities aren't standardized. What might be best for one person might not be for the next. The person under the advice of med/psych professionals are really the only ones qualified to make the decision on what is best for the person. For some, talking therapy might be perfectly acceptable. For others, reassignment surgery. For others, something in between. It seems fairly rude and unwise to have a strong opinion on what they (as a group of individuals) should all do.


by Trolly McTrollson k

Is the fake doctor just spinning around calling everyone a child molester now?

Pretty much. It’s amazing that the mods let the gimmick account have free rein in these threads. On an other hand, I guess if not for them then this site would be a ghost town so ymmv.


by BrianTheMick2 k

Well, we have the words that we have that mean what they mean.

You can use whatever words you like, but you don't get to include any of the connotations of the replaced words when using your new terminology.

In this case you would be trying to change a major sense of self trait (trait being different than state) to the opposite. Removing the hypothalamus and part of the ventromedial prefrontal cortex might work (not sure), but would have som

Well, obviously I disagree with this, at least partially because I have no such "sense of self", and I have not had a partial lobotomy.

I agree with you that it should be decided by the individual, under the advice of medical and psychiatric professionals. With the caveat that our society doesn't generally give minors the power to make any major life or health decisions, so nothing medical should be done until the individual is of the age of consent.

I do not have a strong opinion about whether or not any particular individual should or should not have reassignment surgery, or any other medical treatments. I do feel strongly that the less drastic/permanent measures should be tried first, and the least drastic measure is psychiatric treatment.


by Meisner k

Plenty of schizophrenics doing the same (John Nash, Elyn Saks). Doesn’t meant they’re not schizophrenic.

See, the problem you and the pro-trans herd have is that you cannot even define what a man is or what a woman is. Once you can do that then you can explore whether or not those things are interchangeable. From a scientific or biological perspective, the answer is clear.

I'm rethinking it. Generally rigid categorical thinking and tantrums (in adults) are strongly associated with autism, but it could also just be simple-mindedness. More data is needed.


by rickroll k

it was a bad example for sure but i think the general point he was making still stands

His other example was equally bad. Saks attributes her functioning to talking therapy, meds and social support.

So, he gave precisely zero examples. Since he didn't elaborate with an argument there is actually no point actually made.


by Meisner k

consented to treatment only when it was forced upon him

Ummm. Do you know what ANY of those words mean?!?


by ganstaman k

But they were both diagnosed with schizophrenia because at least at one point, they did have symptoms which were impairing to them. Trans people don't have to ever experience periods of impairment. Because again, being trans isn't a mental illness.

Did you think that having a mental illness means you are forever impaired? Because if not, why is it relevant to point out that people with mental illnesses can have productive periods in their li

I’m simply showing you how others with a serious mental illness have led seemingly normal, successful lives.


by ganstaman k

They do -- they're at higher risk of depression. But old white men also commit suicide at higher than average rates -- is being an old white man a mental illness? Gay people die by suicide at an increased rate -- is being gay a mental illness? Clearly your argument that "given X is associated with a higher rate of suicide, therefore X is a mental illness," just doesn't hold up.

Ok, then how about believing something that can easily be proven to be untrue? If any patient told a psychiatrist that he believes he is a werewolf, we’d call that a delusion. We could also easily prove without any doubt that the person is not a werewolf. Same with a man who says, “I’m really a woman trapped in a man’s body.” Easy enough to disprove that.


by ganstaman k

We tried conversion therapy for gay people too but that doesn't actually work. And no one is given hormones or surgeries the day they announce they are trans. Nothing happens that fast. Doctors actually evaluate patients to understand where they are coming from and see how they were living their lives before showing up to the office.

You’re lying. I posted earlier a website from a clinic that states they do exactly that, start meds immediately.
See post 2705. Seven clinics admitted to doing it.


by holmfries k

Pretty much. It’s amazing that the mods let the gimmick account have free rein in these threads. On an other hand, I guess if not for them then this site would be a ghost town so ymmv.

This place is a ghost town precisely because the mods have let these turbo-posting dipshits overrun every thread.


by BrianTheMick2 k

I'm rethinking it. Generally rigid categorical thinking and tantrums (in adults) are strongly associated with autism, but it could also just be simple-mindedness. More data is needed.

One of the reasons I don't believe Dr. Fakey is a doctor is his rigidity.
Meisner rigidly believes all clinics operate the same way, prescribe irreversible drugs immediately upon request and that that his one size solution is a cure all for treating people outside his area of expertise. Most doctors I know don't talk in terms of such certainty and absolutism. Most admit their limitations and give some level of respect to the opinions of those that practice in that speciality.

You are gansta both speak like doctors who adhere to accepted communal best practices and recognize the uncertainty of resolving a multifaceted, complex set of problems with one simple solution.


by chillrob k

Do you believe that anyone has ever gone through getting puberty blockers, hormonal treatments, or gender reassignment surgery without feeling seriously unhappy about their lives? I believe they would not voluntarily go through these things without having a "negative mental state".

I've had a few surgeries because I believed that I was an athlete. I was not particularly unhappy about my life. Just wanted a limb that matched my self-perception.

It was a little bit over a year of recovery and for over half of that year I was almost completely nonfunctional in many aspects of daily living. Far more extensive recovery and loss of function than if I had wanted one less penis.

I was not mentally ill at the time. I was just willing to go through something difficult to get what I wanted.

Of course, I enjoy having a penis (it brings joy to the masses), so it would take a lot for me to want it removed. If I didn't want it, my opinion would be quite a bit different.


by Meisner k

You’re lying. I posted earlier a website from a clinic that states they do exactly that, start meds immediately.
See post 2705. Seven clinics admitted to doing it.

The problem here is that your only understanding of this is from what the websites say, but you don't know what is actually happening in this clinics. Based on my experience and published guidelines, those who are given medications on their first appointment are not those who first identified as trans the day before they made the appointment. They are the people who have known for years and who have already socially transitioned. And since no one actually gets an appointment literally the same day they call, my post is literally like correct.


by Meisner k

I’m simply showing you how others with a serious mental illness have led seemingly normal, successful lives.

Yes, but at some point their lives were not normal and were dysfunctional. That doesn't have to ever happen with someone who is trans. I wasn't making the argument that being trans is not a mental illness because they can have normal, functional days, but instead because they can have all their days be normal and functional.


by Trolly McTrollson k

This place is a ghost town precisely because the mods have let these turbo-posting dipshits overrun every thread.

Yet none of you dipshits have offered any science to prove me wrong yet I post study after study. Hmmmm


by jjjou812 k

One of the reasons I don't believe Dr. Fakey is a doctor is his rigidity.
Meisner rigidly believes all clinics operate the same way, prescribe irreversible drugs immediately upon request and that that his one size solution is a cure all for treating people outside his area of expertise. Most doctors I know don't talk in terms of such certainty and absolutism. Most admit their limitations and give some level of respect to the opinions of


I’ve been extremely consistent and never said all clinics. Gangsta is the one talking in absolutes when he says it doesn’t happen at all. Fact is it does and I proved him wrong. I do not think all clinics operate the same way. In fact, I happen to know that they do not. The fact that, however, any clinic gives a child those medicines at the first visit without really diving into the situation is beyond f’d up.

I do defer to those who know more than I do. Hell, I’ve named several highly prominent respected psychiatrists. How many has gangsta named? Oh, that’s right, none, even after repeated requests. Do you not think it’s possible if he linked me to some credible research then I’d go read it and maybe, just maybe I would amend my thinking? Sadly, he does not offer that opportunity.
Honestly, based on his reluctance to answer simple, direct questions coupled with his inability to identify any compelling research in his favor, I’m certain gangsta is not a psychiatrist at all. His posting style is almost identical to Bobo who is not a shrink.


by chillrob k

Well, obviously I disagree with this, at least partially because I have no such "sense of self", and I have not had a partial lobotomy.

I agree with you that it should be decided by the individual, under the advice of medical and psychiatric professionals. With the caveat that our society doesn't generally give minors the power to make any major life or health decisions, so nothing medical should be done until the individual is of the age o

One small point: we require guardians to aid in the decision making process in the case of minors.

One major point: We already do the rest of that.

One tiny point: if you can distinguish between yourself and a plate of asparagus, and rarely accidentally ingest a finger because of confusion, you have a sense of self.

One teensy eensy point: if you do lack (on some important level) a sense of self, that would make you negatively qualified to have an opinion on what those who have a sense of self ought do.



by ganstaman k

The problem here is that your only understanding of this is from what the websites say, but you don't know what is actually happening in this clinics. Based on my experience and published guidelines, those who are given medications on their first appointment are not those who first identified as trans the day before they made the appointment. They are the people who have known for years and who have already socially transitioned. And since

…is literally like correct? Wow! What eloquence.


by BrianTheMick2 k

One tiny point: if you can distinguish between yourself and a plate of asparagus, and rarely accidentally ingest a finger because of confusion, you have a sense of self.

It’s more complicated than this. There is the sense of self described above which requires no conscious self awareness and includes even the most simple-minded animals.

Then, there is the sense of self only accessible through conscious self awareness. This second sense of self is the relevant one to this topic.

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