+> **[redacted]** — 09/02/2016 1:23 PM
+> ok, _very_ weird
+> yeah, I just don't have a built-in empathic handle for "wants to be a woman."
+> **Zack M. Davis** — 09/02/2016 1:24 PM
+> it even has a TVTrope! [http://tvtropes.org/pmwiki/pmwiki.php/Main/ManIFeelLikeAWoman](http://tvtropes.org/pmwiki/pmwiki.php/Main/ManIFeelLikeAWoman)
+> **[redacted]** — 09/02/2016 1:27 PM
+> ok, yeah. wow. it's really just easier for my brain to go "ok, that's a girl" than to understand why anyone would want boobs
+
+I took this as confirmation of my expectation that alleged "autogynephilia" in women is mostly not a thing—that normal women appreciating their own bodies is a qualitatively distinct phenomenon from my thing, even if you can make it look similar if you squint and are motivated to believe that trans women are women (so that "But cis women are autogynephilic, too" sounds to you like a reasonable objection to Blanchard _et al._). _When she didn't know what I was talking about_, my friend mentioned that she also fantasized about being a hot girl. After I went into more detail (and linked the TVTropes page), she said she _didn't understand why anyone would want boobs_. Well, why would she? But I think a lot of a.m.a.b. people understand.
+
+-------
+
+As the tension continued to mount through mid-2016 between what I was seeing and hearing, and the socially-acceptable public narrative, [my](http://zackmdavis.net/blog/2016/07/concerns/) [frustration](http://zackmdavis.net/blog/2016/07/identity/) [started](http://zackmdavis.net/blog/2016/07/apostasy/) [to](http://zackmdavis.net/blog/2016/07/wicked-transcendence/) [subtly](http://zackmdavis.net/blog/2016/08/ineffective-deconversion-pitch/) [or](http://zackmdavis.net/blog/2016/08/falself/) [not-so-much](http://zackmdavis.net/blog/2016/08/prescription/) [leak](http://zackmdavis.net/blog/2016/09/the-world-by-gaslight/) [out](http://zackmdavis.net/blog/2016/09/the-roark-quirrell-effect/) [into](http://zackmdavis.net/blog/2016/09/book-recommendations-i/) [my](http://zackmdavis.net/blog/2016/09/wicked-transcendence-ii/) [existing](http://zackmdavis.net/blog/2016/09/concerns-ii/) [blog](http://zackmdavis.net/blog/2016/10/the-parable-of-the-honest-man-and-the-thing/), but I wanted to write more directly about what I thought was going on.
+
+At first I was imagining a post on [my existing blog](http://zackmdavis.net/blog/), but a couple of my very smart and cowardly friends recommended a pseudonym, which I reluctantly agreed was probably a good idea. I came up with "M. Taylor Saotome-Westlake" as a pen name and [started this blog](/2016/Sep/apophenia/) (with [loving attention to technology choices, rather than just using WordPress](/2020/Apr/dont-read-the-comments/)). I'm not entirely without misgivings about the exact naming choices I made, although I don't actively regret it the way I regret [my attempted nickname switch in the late 'aughts](/2021/May/sexual-dimorphism-in-the-sequences-in-relation-to-my-gender-problems/#literary-initials).[^naming-choices]
+
+[^naming-choices]: For the pen name: a hyphenated last name (a feminist tradition), abbreviated-first-initial + gender-neutral middle name (as if suggesting a male ineffectually trying to avoid having an identifiably male byline), "Saotome" from [a thematically-relevant Japanese graphic novel series](https://en.wikipedia.org/wiki/Ranma_%C2%BD), "West" (+ an extra syllable) after a character in Scott Alexander's serial novel _Unsong_ whose catchphrase is ["Somebody has to and no one else will"](https://unsongbook.com/chapter-6-till-we-have-built-jerusalem/).
+
+ For the blog name: I had already imagined that if I ever did stoop to the depravity of starting one of my own one of those [transformation/bodyswap captioned-photo erotica blogs](/2016/Oct/exactly-what-it-says-on-the-tin/), I would call it _The Titillating But Ultimately Untrue Thought_, and in fact had already claimed _ultimatelyuntruethought@gmail.com_ in 2014, to participate in [a captioning contest](http://celebbodyswap.blogspot.com/2014/02/magic-remote-caption-contest.html), but since this was to be a serious autogynephilia _science_ blog, rather than tawdry _object-level_ autogynephilia blogging, I picked "Scintillating" as a more wholesome adjective. In retrospect, it may have been a mistake to choose a URL different from the blog's title—people seem to remember the URL (`unremediatedgender.space`) more than the title, and as far as the URL goes, to be led by the dot before the TLD to interpret "space" as a separate word (a space for unremediated gender), rather than my intent of "genderspace" being a compound term analogous to "configuration space" (["you're going to have to bootstrap from _today's_, unremediated, genderspace"](/2017/Dec/theres-a-land-that-i-see-or-the-spirit-of-intervention/)). But it doesn't bother me that much.
+
+... the pseudonymity quickly became a joke—or rather, a mere differential-visibility market-segmentation pen name and not an Actually Secret pen name, like how everyone knows that Robert Galbraith is actually J. K. Rowling. It turned out that my need for openness and a unified social identity was far stronger than my grasp of what my very smart and cowardly friends think is prudence, such that I ended up frequently linking to and claiming ownership of the blog from my real name, _and_ otherwise [leaking](/2019/Apr/link-where-to-draw-the-boundaries/) [entropy](/2021/Jan/link-unnatural-categories-are-optimized-for-deception/) [through](/2021/Sep/link-blood-is-thicker-than-water/) a sieve on this side.
+
+I kept the Saotome-Westlake byline because, given the world of the current year (such that this blog was even _necessary_), I figured it was _probably_ a smarter play (re: future employment searches) if the _first_ page of my real-name Google search results wasn't my gender [and worse](/2020/Apr/book-review-human-diversity/) heterodoxy blog. Plus, after having made the mistake (?) of listening to my very smart and cowardly friends at the start, I'd face a backwards-compatibility problem if I wanted to unwind the pseudonym: there were _already_ a lot of references to this blog being written by Saotome-Westlake, and I didn't want to throw away or rewrite that history. (The backwards-compatibility problem is also one of several reasons I'm not transitioning.)
+
+It's only now, just before publishing the first parts of this memoir telling my Whole Dumb Story, that I've decided to drop the pseudonym—partially because this Whole Dumb Story is tied up in enough real-world drama that it would be absurd and dishonorable to keep up the charade of hiding my own True Name while speaking so frankly about other people, and partially because my financial situation has improved (and my timelines to transformative AI have deteriorated) to the extent that the risk of missing out on future job opportunities due to open heterodoxy seems comparatively unimportant.
+
+(As it happens, Andrea James's Transgender Map website [mis-doxxed me as someone else](https://archive.is/Vg8CK), so I guess the charade worked?)
+
+------
+
+Besides writing to tell everyone else about it, another consequence of my Blanchardian enlightenment was that I decided to try hormone replacement therapy (HRT). Not to actually socially _transition_, which seemed as impossible (to actually pull off) and dishonest (to try) as ever, but just [to try as a gender-themed drug experiment](/2017/Sep/interlude-ix/). Everyone else was doing it—why should I have to miss out just for being more self-aware?
+
+Sarah Constantin, a friend who once worked for [our local defunct medical research company](https://en.wikipedia.org/wiki/MetaMed) still offered lit-reviews as a service, so I paid her $5,000 to do [a post about the effects of feminizing hormone replacement therapy on males](https://srconstantin.github.io/2016/10/06/cross-sex-hormone-therapy.html), in case the depths of the literature had any medical insight to offer that wasn't already on the informed-consent paperwork. Meanwhile, I made the requisite gatekeeping appointments with [my healthcare provider](http://kp.org/) to get approved for HRT, first with a psychologist that I had seen before, then with a couple of licensed clinical social workers (LCSW) before finally getting approved for an HRT prescription.
+
+I was happy to sit through the sessions as standard procedure rather than [going DIY](https://diytrans.wiki/How_to_Begin_HRT), but I was very preoccupied with the thing about how [_everyone had been lying to me about the most important thing in my life for fourteen years_](/2017/Jan/im-sick-of-being-lied-to/) and the professionals were _in on it_, and spent a lot of the sessions ranting about that. I gave the psychologist and one of the LCSWs a copy of _Men Trapped in Men's Bodies: Narratives of Autogynephilic Transsexualism_. (The psychologist said she wasn't allowed to accept gifts with a monetary value of over $25, so I didn't tell her that it actually cost $40.)
+
+<a id="gender-clinic-notes"></a>I got the sense that the shrinks didn't quite know what to make of me. Years after the fact, I was grateful to discover that the notes from the appointments were later made available to me via the provider's website [(despite this practice introducing questionable incentives for the shrinks going forward)](https://old.reddit.com/r/slatestarcodex/comments/jia4ox/has_scott_written_about_this_im_curious_what_his/ga6vhke/); it's very amusing to read about (for example) one of the LCSWs discussing my case with the department director and "explor[ing] ways in which pt's [patient's] neurodiversity may be impacting his ability to think about desired gender changes and communicate to therapists".
+
+The reality was actually worse than my hostile summary that everyone was lying, and the professionals were in on it. [In some ways, it would be _better_](/2016/new-clothes/) if the professionals secretly agreed with me about the typology and were cynically lying in order to rake in that sweet pharma cash. But they're not—lying. They just, have this whole paradigm of providing ["equitable" and "compassionate" "gender-affirming care"](https://thrive.kaiserpermanente.org/care-near-you/northern-california/eastbay/departments/gender-affirming-care/) which is transparently garbage-tier epistemology ([for a belief that needs to be affirmed is not a belief at all](/2020/Apr/peering-through-reverent-fingers/)), but is so pervasive within its adherents' milieu, that they're incapable of seeing someone not buying it, even when you state your objections very clearly.
+
+Before one of my appointments with the LCSW, I wrote to the psychologist expressing frustration about the culture of lying, while noting that I needed to chill out and get to a point of emotional stability before starting the HRT experiment. (It's important to have all of one's ducks in a row before doing biochemistry experiments on the ducks.) She wrote back: