But the _reason_ strip clubs are considered Bad is the same as the reason single-sex locker rooms, hospital wards, _&c._ were, until recently, considered an obvious necessity: no woman should have to expose herself and be leered at by men. It would have been _more_ scandalous if Feynman had violated the sanctity of women's spaces. Is it supposed to be an _improvement_ if physics-nerd incels who might have otherwise gone to strip clubs, instead declare themselves women? Why? Who is the misandry _helping_, exactly? Or rather, I could maybe see a case for the misandry serving some useful functions, but not if you're allowed to _self-identify out of it_.
-To the extent that "cognitive" things like internalized misandry manifesting as cross-gender identification is common (or has recently _become_ more common in the cultural environment of the current year), then maybe the two-type taxonomy isn't androphilic/autogynephilic so much as it is androphilic/"not-otherwise-specified": the early-onset type is very behaviorally distinct and has a very straightforward motive to transition (in some ways, it would be _less_ weird not to); in contrast, it might not be as easy to distinguish autogynephilia from _other_ sources of gender problems in the grab-bag of all males showing up to the gender clinic for any other reason.
+To the extent that "cognitive" things like internalized misandry manifesting as cross-gender identification is common (or has recently _become_ more common in the cultural environment of the current year), then maybe the two-type taxonomy isn't androphilic/autogynephilic so much as it is androphilic/"not-otherwise-specified": the early-onset type is very behaviorally distinct and has a very straightforward motive to transition (in some ways, it would be _more_ weird not to); in contrast, it might not be as easy to distinguish autogynephilia from _other_ sources of gender problems in the grab-bag of all males showing up to the gender clinic for any other reason.
Whatever the True Causal Graph looks like—however my remaining uncertainty turns out to resolve in the limit of sufficiently advanced psychological science, I think I _obviously_ have more than enough evidence to reject the mainstream ["inner sense of gender"](https://www.drmaciver.com/2019/05/the-inner-sense-of-gender/) story as _not adding up_.
Besides writing to tell everyone else about it, another obvious consequence of my Blanchardian enlightenment was that I decided to try hormone replacement therapy. 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?
-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 hormone replacement therapy](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-constent 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 before finally getting approved for an HRT perscription.
+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 hormone replacement therapy](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-constent 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 perscription.
I got the sense that the shrinks didn't quite know what to make of me. In the process of drafting this post, I was happy 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://www.reddit.com/r/slatestarcodex/comments/jia4ox/has_scott_written_about_this_im_curious_what_his/ga6vhke/); it's very amusing to read (for example) the note about 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".
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 pretty 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.)
-Actually, it's worse than if they 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/peering-through-reverent-fingers/)), but is so pervasive within its adherents' milieu, that they don't even know how to interpret observations of 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. (It's important to have all of one's ducks in a row before doing biochemistry experiments on the ducks.) She wrote back:
+Actually, it's worse than if they 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 don't even know how to interpret observations of 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. (It's important to have all of one's ducks in a row before doing biochemistry experiments on the ducks.) She wrote back:
> I agree with you entirely, both about your frustration with people wanting to dictate to you what you are and how you feel, and with the importance of your being emotionally stable prior to starting hormones. Please explain to those who argue with you that it is only YOUR truth that matter when it comes to you, your body and what makes you feel whole. No one else has the right to dictate this.
projects / Ultimately_Untrue_Thought.git / blobdiff