Recapping my Whole Dumb Story so far—in a previous post, ["Sexual Dimorphism in Yudkowsky's Sequences, in Relation to My Gender Problems"](/2021/May/sexual-dimorphism-in-the-sequences-in-relation-to-my-gender-problems/), I told you about how I've "always" (since puberty) had this obsessive erotic fantasy about being magically transformed into a woman, which, at the time, I thought of as a weird private quirk about me that was clearly not the same thing as "actually" being transgender, and which I did not anticipate there being any public interest in blogging about—and also about how I used to think it was immoral to believe in psychological sex differences, until I read these great Sequences of blog posts about normatively correct reasoning by Eliezer Yudkowsky, which explained how beliefs are for making predictions about reality (such that it's immoral to _not_ believe in psychological sex differences given that psychological sex differences are a real thing), and (incidentally) why my obsessive erotic fantasy about being magically transformed into a woman was philosophically fraught if not outright delusional, separately from its not being remotely achieveable with forseeable technology.
-In a subsequent post, "Blanchard's Dangerous Idea and the Plight of the Lucid Crossdreamer", I told you about how, in 2016, everyone of significance in my normatively-correct-reasoning community up to and including Eliezer Yudkowsky suddenly decided that guys like me actually are women in some unspecified metaphysical sense, prompting me to do some reading and interviews that led me to the belief that my weird obsessive erotic fantasy _was_ the same thing (rather, the more common of at least two such things) as actually being transgender, after all—prompting me to start this then-pseudonymous secret ("secret") blog to write about how the entire educated world had been systematically lying to me about the most important thing in my life for the last twelve years. (I also made arrangements to start feminizing hormone replacement therapy. Everyone else was doing it. Why should I miss out on account of being more self-aware?)
+In a subsequent post, "Blanchard's Dangerous Idea and the Plight of the Lucid Crossdreamer", I told you about how, in 2016, everyone of significance in my normatively-correct-reasoning community up to and including Eliezer Yudkowsky suddenly decided that guys like me actually are women in some unspecified metaphysical sense, prompting me to do some reading and interviews that led me to the belief that my weird obsessive erotic fantasy _was_ the same thing (rather, the more common of at least two such things) as actually being transgender, after all—prompting me to start this then-pseudonymous secret blog to write about how the entire educated world had been systematically lying to me about the most important thing in my life for the last twelve years. (I also made arrangements to start feminizing hormone replacement therapy. Everyone else was doing it. Why should I miss out on account of being more self-aware?)
-But, you know, I didn't want to be a _fanatic_ about it. The previous post leaves off with me promising myself not to talk about this stuff under my real name. That was what my pseudonymous secret ("secret") blog was for.
+But, you know, I didn't want to be a _fanatic_ about it. The previous post leaves off with me promising myself not to talk about this stuff under my real name through June 2017. That was what my pseudonymous secret blog was for.
... the promise didn't take. There was just too much gender-identity nonsense on my Facebook feed; I _had_ to push back on some of it, at least a little, at least subtly.
-"Folks, I'm not sure it's feasible to have an intellectually-honest real-name public conversation about the etiology of MtF," I wrote in one thread in mid-January. "If no one is willing to mention some of the key relevant facts, maybe it's less misleading to just say nothing."
+"Folks, I'm not sure it's feasible to have an intellectually-honest real-name public conversation about the etiology of MtF," I wrote in one thread in mid-January 2017. "If no one is willing to mention some of the key relevant facts, maybe it's less misleading to just say nothing."
As a result of that, I got a PM from a woman whom I'll call "Chaya", whose marriage had fallen apart after (among other things) her husband transitioned. She told me about the parts of her husband's story that had never quite made sense to her (but which sounded like a textbook case from my reading). In her telling, the husband was always more emotionally tentative and less comfortable with the standard gender role and status stuff, but in the way of like, a geeky nerd guy, not in the way of someone feminine. He was into crossdressing sometimes, but she had thought that was just a weird and insignificant kink, not that he didn't like being a man—until they moved to the Bay Area and he fell in with a social-justicey crowd. When I linked her to Kay Brown's article on ["Advice for Wives and Girlfriends of Autogynephiles"](https://sillyolme.wordpress.com/advice-for-wivesgirlfriends-of-autogynephiles/), her response was, "Holy shit, this is _exactly_ what happened with me." It was nice to make a friend over shared heresy.
-------
-In another post from 4:25 _p.m._ that afternoon, I acknowledged my right-wing influences. You know, you spend nine years reading a lot of ideologically-inconvenient science, all the while thinking, "Oh, this is just interesting science, you know, I'm not going to let myself get _morally corrupted_ by it or anything." And for the last couple years you add in some ideologically-inconvenient political thinkers, too.
+In another post, from 4:25 _p.m._ that afternoon, I acknowledged my right-wing influences. You know, you spend nine years reading a lot of ideologically-inconvenient science, all the while thinking, "Oh, this is just interesting science, you know, I'm not going to let myself get _morally corrupted_ by it or anything." And for the last couple years you add in some ideologically-inconvenient political thinkers, too.
But I was still a nice good socially-liberal [Free-to-Be-You-and-Me](https://en.wikipedia.org/wiki/Free_to_Be..._You_and_Me) gender-egalitarian individualist person. Because I understood the is–ought distinction—unlike _some_ people—I knew that I could learn from people's _models_ of the world without necessarily agreeing with their _goals_. So I had been trying to learn from the models of these bad people saying the bad things, until one day _the model clicked_. And the model was _terrifying_. And the model had _decision-relevant implications for the people who valued the things that I valued_—
> So, unfortunately, I never got very far in the _Daphne Koller and the Methods of Rationality_ book (yet! growth m—splat, AUGH), but one thing I do remember is that many different Bayesian networks can represent the same probability distribution. And the reason I've been running around yelling at everyone for nine months is that I've been talking to people, and we _agree_ on the observations that need to be explained, and yet we explain them in completely different ways. And I'm like, "My network has SO MANY FEWER ARROWS than your network!" And they're like, "Huh? What's wrong with you? Your network isn't any better than the standard-issue network. Why do you care so much about this completely arbitrary property 'number of arrows'? Categories were made for the man, not man for the categories!" And I'm like, "Look, I didn't get far enough in the _Daphne Koller and the Methods of Rationality_ book to understand why, but I'm PRETTY GODDAMNED SURE that HAVING FEWER ARROWS MAKES YOU MORE POWERFUL. YOU DELUSIONAL BASTARDS! HOW CAN YOU POSSIBLY GET THIS WRONG please don't hurt me Oh God please don't hurt me I'm sorry I'm sorry."
-That is, when factorizing a joint probability distribution into a Bayesian network, you can do it with respect to any variable ordering you want: a graph with a "wet-streets → rain" edge can represent a set of static observations just as well as a graph with a "rain → wet-streets" edge,[^koller-and-friedman-i] but "unnatural" variable orderings generate a more complicated graph that will give crazy predictions if you interpret it as a _causal_ Bayesian network and use it to predict the results of interventions. Algorithms for learning a network from data prefer graphs with fewer edges as a consequence of Occamian [minimum-message-length epistemology](https://www.lesswrong.com/posts/mB95aqTSJLNR9YyjH/message-length):[^koller-and-friedman-ii] every edge is a [burdensome detail](https://www.lesswrong.com/posts/Yq6aA4M3JKWaQepPJ/burdensome-details) that requires a corresponding [amount of evidence](https://www.lesswrong.com/posts/nj8JKFoLSMEmD3RGp/how-much-evidence-does-it-take) just to [locate it in the space of possibilities](https://www.lesswrong.com/posts/X2AD2LgtKgkRNPj2a/privileging-the-hypothesis).
+That is, when factorizing a joint probability distribution into a Bayesian network, you can do it with respect to any variable ordering you want: [a graph with a "wet-streets → rain" edge can represent a set of static observations just as well as a graph with a "rain → wet-streets" edge](https://www.lesswrong.com/posts/qPrPNakJBq23muf4n/bayesian-networks-aren-t-necessarily-causal),[^koller-and-friedman-i] but "unnatural" variable orderings generate a more complicated graph that will give crazy predictions if you interpret it as a _causal_ Bayesian network and use it to predict the results of interventions. Algorithms for learning a network from data prefer graphs with fewer edges as a consequence of Occamian [minimum-message-length epistemology](https://www.lesswrong.com/posts/mB95aqTSJLNR9YyjH/message-length):[^koller-and-friedman-ii] every edge is a [burdensome detail](https://www.lesswrong.com/posts/Yq6aA4M3JKWaQepPJ/burdensome-details) that requires a corresponding [amount of evidence](https://www.lesswrong.com/posts/nj8JKFoLSMEmD3RGp/how-much-evidence-does-it-take) just to [locate it in the space of possibilities](https://www.lesswrong.com/posts/X2AD2LgtKgkRNPj2a/privileging-the-hypothesis).
[^koller-and-friedman-i]: Daphne Koller and Nir Friedman, _Probabilistic Graphical Models: Principles and Techniques_, §3.4.1, "Minimal I-Maps".
The next morning, 17 February 2017, my mother took me to the hospital to be evaluated. I didn't want to go. (I had had a very bad time in the psych ward in 2013.) I don't think I was very articulate about expressing this—at least, not in a way my mother could understand. "People are better at taking care of each other than institutions," I said, over and over. "People are better at taking care of each other than institutions!"
-I ultimately compiled. I am again grateful that the doctors' notes were made available to me after the fact. I am very conscious of the unreliability of human memory; I owe much of my ability to tell this Whole Dumb Story to the fact that most of it took place on the internet, giving me chatlogs and emails to look back on. Even in the places where I talk about my remembered thoughts and feelings (that I didn't write down at the time), the documents have been helpful in pinning down exactly when they happened chronologically.
+I ultimately compiled. I am again grateful that the doctors' notes were made available to me online after the fact. I am very conscious of the unreliability of human memory; I owe much of my ability to tell this Whole Dumb Story to the fact that most of it took place on the internet, giving me chatlogs and emails to look back on. Even in the places where I talk about my remembered thoughts and feelings (that I didn't write down at the time), the documents have been helpful in pinning down exactly when they happened chronologically.
The doctors' notes from that day describe my appearance as "somewhat disheveled, though clean, with long & unruly brown hair that he often twirls".
(I assume there must be some fascinating sociological explanation for why the doctors have terse abbreviations for common terms and phrases—_Rx_, medication; _d/c_, discontinued; _disc r/b/a_, discussed risks/benefits/alternatives—and yet the phrase "does not meet criteria for California Welfare & Institutions Code 5150 (LPS) for involuntary detainment for inpatient psychiatric monitoring" is written out in full, three times. Why not just say, "we're not 5150'ing him"?)
-I was glad not to get 5150'd. I have a memory-fragment of resisting—having a sense that the doctors wanted to institutionalize me, but that I insisted on walking out, and got away with it. I think I trust the doctors' notes more than my memory on this count. To be clear, I still think I was correct to want to avoid the psych hospital, but that's _not at all_ the same thing as thinking that I was sane; the sleep deprivation was still taking its toll in the form of dreamlike delusions.
+I was glad not to get 5150'd. I have a memory-fragment of resisting—having a sense that the doctors wanted to institutionalize me, but that I insisted on walking out, and got away with it. I think I trust the doctors' notes more than my memory on this _particular_ count. (Although in general, the doctor's notes contain a striking density of outright falsehoods. Humans are not very good reporters!)
-I remember having a vision of seeing autogynephilia as a separate taxon in the configuration space of minds, and of negotiating with some celestial agency to _pry_ it apart in our shared ontology—it was real, and I saw it, but somehow it couldn't be _fully_ real until it was accepted as real.
+To be clear, I still think I was correct to want to avoid the psych hospital, but that's _not at all_ the same thing as thinking that I was sane; the sleep deprivation was still taking its toll in the form of dreamlike delusions.
+
+I remember having a vision of seeing autogynephilia as a separate taxon in the configuration space of minds, and of negotiating with some celestial agency to _pry_ it apart in the world's shared ontology—it was real, and I saw it, but somehow it couldn't be _fully_ real until it was accepted as real.
I sent some more messages from my phone in the afternoon. I couldn't sleep because I was scared, I told "Chaya". I had built up a distinction between social reality and physical reality, and I didn't know what to do now that it had been undermined.
I don't think that's right. I _was_ crazy, but _that doesn't mean ordinary social reality is sane_—and it doesn't mean that some of the things I thought I saw from my altered perspective weren't _directionally_ correct, as I can evaluate them from a more standard frame of mind now.
-Sometimes, the words written down in official documents really are just lies. I have in my possession an "Involuntary Patient Advisement" form, which claims that I "self presented due to [my] suicidal thoughts". This isn't true. Getting accosted by cops while trying to go into the train station to get back to my apartment is not the same thing as "self presenting"!
+Sometimes, the words written down in official documents really are just lies. I have in my possession an "Involuntary Patient Advisement" form, which claims that I "self presented due to [my] suicidal thoughts". This isn't true. Getting accosted by cops while trying to go into the train station to get back to my apartment is not the same thing as "self presenting"![^telephone-game]
+
+[^telephone-game]: Reading the doctor's notes six years later, it seems likely that this false description was copied from the beginning of a note ("WHO WAS SELF PRESENTED TO CCRMC PES VOLUNTARILY DUE TO SUICIDAL THOUGHTS") that _also_ contains a more accurate description of events later in the same note, except for the substitution of Oakland for Walnut Creek ("PT SEEN EARLIER TODAY IN THE KAISER OAKLAND ED BUT WAS RELEASED WITH THE CONTRACT MOTHER WOULD TAKE HIM HOME AND MONITOR HIM. AFTER THEY GOT HOME PT LEFT WITHOUT TELLING ANYONE. MOTHER REPORTED HIM A DTS"—danger to self—"AND POLICE EVENTUALLY FOUND HIM AT THE BART STATION").
I ended up with a "Rights for Individuals in Mental Health Facilities" handbook, which claims that:
I worry, again, that some readers will take this as vindication that the authorities were right: they forced me to take drugs, and now that I'm sane and have a little more information, I agree that the drugs were a good idea. Why, the contemptuous normie reader asks, does this not demonstrate that they were right to force me, when I was crazy and therefore couldn't make decisions for myself?
-Because submission to authority isn't the same thing as sanity. In the psych ward in February 2017, I _knew_ that I needed sleep. If someone I trusted to have my best interests at heart had _told me_, "This is 50mg Trazadone; I strongly recommend you take it, because it will help you sleep; I also have this Trazadone fact sheet you can read if you want more information," I probably would have taken it.
+Because submission to authority isn't the same thing as sanity. In the psych ward in February 2017, I _knew_ that I needed sleep. If someone I trusted to have my best interests at heart had _told me_, "This is 50mg Trazadone; I strongly recommend you take it, because it will help you sleep; I also have this Trazadone fact sheet you can read if you want more information," I would have taken it.
-But a system that actually had my best interests at heart would not have _kidnapped me and locked me in a building with strangers_, which is _not a good environment for getting rest_. Serious antipsychotic medication is scary stuff. When I was institutionalized in 2013, I had tardive dyskensia—an involuntary lip-smacking compulsion—from the Haldol that they gave me. Tardive dyskensia can be permanent in some cases. Given the information I had at the time in 2017, I do not think I had good reason to trust the system.
+But a system that actually had my best interests at heart would not have _kidnapped me and locked me in a building with strangers_, which is _not a good environment for getting rest_. Serious antipsychotic medication is scary stuff. When I was institutionalized in 2013, I got tardive dyskensia—an involuntary lip-smacking compulsion—from the Haldol that they gave me. Tardive dyskensia can be permanent in some cases. Given that experience, and given the information I had at the time in 2017, I do not think I had good reason not to just trust the system!
...
-I remember pacing the tiled halls of a the first facility where they took me. I was exhausted, but also feeling a sort of manic euphoria, pacing around, tapping demonstratively at the signs on the walls, thinking it was my duty to teach the other inmates how to read. Ziz's report of Vassar's comment about "Zack Davis _vs._ the world" stuck with me; I had of vision of myself as one of the seven most important people in the world in the lead-up to the intelligence explosion, as reckoned by future historians. Being a world–historically important genius wouldn't have _felt like_ being a genius at the time, most of the time. It must have felt like being pretty smart, and the rest of the world seeming dumb and crazy. (A young Albert Einstein working in the Swiss patent office wouldn't have had the mononymic aura of "Einstein" _to his contemporaries_.) Notwithstanding that I was having psychotic delusions of grandeur at the time, I do think I had reason to feel pretty smart, and that the rest of the world was dumb and crazy.
+I remember pacing the tiled halls of a the first facility where they took me—probably [Contra Costa Regional Medical Center](https://cchealth.org/medicalcenter/psychiatric.php) in Martínez.[^ccrmc] I was exhausted, but also feeling a sort of manic euphoria, pacing around, tapping demonstratively at the signs on the walls, thinking it was my duty to teach the other inmates how to read. Ziz's report of Vassar's comment about "Zack Davis _vs._ the world" stuck with me; I had of vision of myself as one of the seven most important people in the world in the lead-up to the intelligence explosion, as reckoned by future historians. Being a world–historically important genius wouldn't have _felt like_ being a genius at the time, most of the time. It must have felt like being pretty smart, and the rest of the world seeming dumb and crazy. (A young Albert Einstein working in the Swiss patent office wouldn't have had the mononymic aura of "Einstein" _to his contemporaries_.) Notwithstanding that I was having psychotic delusions of grandeur at the time, I do think it was legitimate for me to feel that I was pretty smart, and that the rest of the world was dumb and crazy.
+
+[^ccrmc]: I only know this because, when consulting the doctor's notes available to me while writing this up more than six years after the fact, one of the notes mentions "CCRMC PES". "PES" is probably "Psychiatric Emergency Services".
-There were two rooms with beds, in that first facility: one for women, and one for men. I didn't end up sleeping there that I recall. Before long, I was taken to a separate facility, with individual rooms. (Or was I incredibly lucky to not have been assigned a roommate?)
+There were two rooms with beds, in that first facility: one for women, and one for men. I didn't end up sleeping there that I recall. Before long, I was taken to a separate facility, [Fremont Hospital](https://fremonthospital.com/), which had individual rooms. (Or was I incredibly lucky to not have been assigned a roommate? Having to sleep by someone else at night would have been very bad for me, given my fear of the other inmates and my desperate need for sleep.)
...
I was a very genre-savvy psych prisoner. I was distrustful of the other inmates, and distrustful of the authorities, but in different ways; the optimal strategy to protect myself against each was different.
-I feared violence from the other inmates. I thought I could subtly leave clues that (as a Jewish male with long hair), I was an incarnation of Jesus, which would discourage them from attacking me (because many of them would have already been programmed by Christianity meme to believe that killing Jesus was the worst sin). I told people that my father was coming to pick me up at the end of my three-day evaluation period, but that it wasn't fair that I couldn't rescue everyone. (I'm proud of this one, even though I no longer agree with the threat model.) My father actually did pick me up in three days.
+I feared violence from the other inmates. I thought I could subtly leave clues that (as a Jewish male with long hair), I was an incarnation of Jesus, which would discourage them from attacking me (because many of them would have already been programmed by the Christianity memeplex to believe that killing Jesus was the worst sin). I told people that my father was coming to pick me up at the end of my three-day evaluation period, but that it wasn't fair that I couldn't rescue everyone. (I'm proud of this one, even though I no longer agree with the threat model.) My father actually did pick me up in three days.
]
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+After being released from psych prison, arrangements were made for made for me to attend the Intensive Outpatient Program at Kaiser Walnut Creek. That was also anti-helpful, but it was much less of a problem. The outpatient psych authorities are of course just as stupid and overbearingly paternalistic as the inpatient psych prison wards, with the essential
+
+
+The intake assessment
+
+"retreats into highly intellectualized, incomprehensible philosophy as a defense against disorganization/psychotic thought process".
+
+
[TODO: interacting with the outpatient program]
+
+-----
+
[TODO I interact more with Vassar
* 22–23 February—
* he asks for my phone number
projects / Ultimately_Untrue_Thought.git / blobdiff