From 6257362459122556b2877703137fe5ab9c67895f Mon Sep 17 00:00:00 2001 From: "M. Taylor Saotome-Westlake" Date: Wed, 3 May 2023 18:44:15 -0700 Subject: [PATCH] memoir: 5150 --- ...nd-the-plight-of-the-lucid-crossdreamer.md | 2 +- ...ved-social-control-mechanisms-and-rocks.md | 61 +++++++++++++++---- notes/memoir-sections.md | 13 +++- notes/memoir_wordcounts.csv | 3 +- 4 files changed, 62 insertions(+), 17 deletions(-) diff --git a/content/drafts/blanchards-dangerous-idea-and-the-plight-of-the-lucid-crossdreamer.md b/content/drafts/blanchards-dangerous-idea-and-the-plight-of-the-lucid-crossdreamer.md index ca3526b..5febebc 100644 --- a/content/drafts/blanchards-dangerous-idea-and-the-plight-of-the-lucid-crossdreamer.md +++ b/content/drafts/blanchards-dangerous-idea-and-the-plight-of-the-lucid-crossdreamer.md @@ -337,7 +337,7 @@ Besides writing to tell everyone else about it, another obvious consequence of m 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-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. Years after the fact, 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 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". +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://www.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". 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.) diff --git a/content/drafts/people-evolved-social-control-mechanisms-and-rocks.md b/content/drafts/people-evolved-social-control-mechanisms-and-rocks.md index d4dd3ca..2adb73f 100644 --- a/content/drafts/people-evolved-social-control-mechanisms-and-rocks.md +++ b/content/drafts/people-evolved-social-control-mechanisms-and-rocks.md @@ -42,7 +42,7 @@ He was a useful sounding board when I was frustrated with my so-far-mostly priva In some of my private discussions with others, Ozy Frantz (a.f.a.b. nonbinary author of [_Thing of Things_](https://thingofthings.substack.com/)) had been cited as a local authority figure on gender issues—someone asked what Ozy thought about the two-types theory, or wasn't persuaded because they were partially deferring to Ozy.[^ozy-authority] I remarked to "Wilhelm" that this implied that my goal should be to overthrow Ozy (who I otherwise liked) as _de facto_ rationalist gender czar. -[^ozy-authority]: Although the fact that Ozy had [commented](https://thingofthings.wordpress.com/2016/07/13/on-autogynephilia/) [on](https://thingofthings.wordpress.com/2016/11/22/thoughts-on-the-blanchardbailey-distinction/) the theory at all—plausibly causally downstream from me yelling at everyone in private—was probably a net-positive for the cause; there's no bad publicity for new ideas. I got a couple of [reply](/2016/Oct/reply-to-ozy-on-agp/) [pieces](/2016/Nov/reply-to-ozy-on-two-type-mtf-taxonomy/) out of their engagement in the early months of this blog. +[^ozy-authority]: Although the fact that Ozy had [commented](https://thingofthings.wordpress.com/2016/07/13/on-autogynephilia/) [on](https://thingofthings.wordpress.com/2016/11/22/thoughts-on-the-blanchardbailey-distinction/) the theory at all—which was plausibly causally downstream from me yelling at everyone in private—was probably net-positive for the cause; there's no bad publicity for new ("new") ideas. I got a couple of [reply](/2016/Oct/reply-to-ozy-on-agp/) [pieces](/2016/Nov/reply-to-ozy-on-two-type-mtf-taxonomy/) out of their engagement in the early months of this blog. "Wilhelm" didn't think this was feasible. The problem, he explained, was that "hypomasculine men are often broken people who idolize feminists, and worship the first one who throws a few bones of sympathy towards men". (He had been in this category, so he could make fun of them.) Thus, in feminist communities, the female person would win a priestly battle, regardless of quality of arguments. It wasn't Ozy's fault, really. She[^ozy-pronouns] wasn't power-seeking; she just happened to fulfill preexisting demand for a feminist manic pixie dream girl intellectual slut confessor. @@ -351,7 +351,7 @@ In that thread, I claimed that I did get some sleep that night ("but only by mea I sent some delusional emails to Eliezer Yudkowsky (Subjects: "positive reinforcement! But, updating away from you and towards Paul Christiano and Michael Vassar (eom)" and "You and Greg Egan had [that public fight on Baez's blog](https://johncarlosbaez.wordpress.com/2011/04/24/what-to-do/#comment-5515)! Was that staged on purpose? If not, you should update towards Egan (eom)"), and some probably nice and non-concerning emails to each of my parents (Subjects: "You've been a good [mother/father] to me in ways that I didn't always understand at the time (eom)") -At 1:17 _p.m._, I sent my boss an email saying that I was thinking of taking a sabbatical—leaving the company to persue another project (_i.e._, this blog)—but that I'd like to talk to him as soon as possible to think about the decision together. Without waiting too long for a reply, I soon got on a train to San Francisco. +At 1:17 _p.m._, I sent my boss an email saying that I was thinking of taking a sabbatical, leaving the company to persue another project (_i.e._, this blog), but that I'd like to talk to him as soon as possible to think about the decision together. Without waiting too long for a reply, I soon got on a train to San Francisco. ------ @@ -363,7 +363,7 @@ I wandered around downtown San Francisco, and used my phone to repeatedly messag I remember being afraid that the thing which (I had decided) had happened to Eliezer Yudkowsky and to Scott Alexander that made them such good writers was now happening to me, a phenomenon that would bring indescribable suffering along with an awakening into genius. I messaged Ben, "I don't think I want to be the Avatar yet". -At 1:47 _p.m._, I had messaged Ziz, "humans aren't smart enough to be Kirutsugu [_sic_][^kiritsugu-spelling]; that's why I've chosen the confessor route"—a reference to Yudkowsky's story ["Three Worlds Collide"](https://www.lesswrong.com/s/qWoFR4ytMpQ5vw3FT), in which an alien rationalist trained for command is contrasted with her human counterpart, who is tasked only with telling the truth, for others to decide what to do about it. +At 1:47 _p.m._, I had messaged Ziz, "humans aren't smart enough to be Kirutsugu [_sic_][^kiritsugu-spelling]; that's why I've chosen the confessor route"—a reference to Yudkowsky's story ["Three Worlds Collide"](https://www.lesswrong.com/s/qWoFR4ytMpQ5vw3FT), in which an alien rationalist trained for command (the _Kiritsugu_) is contrasted with her human counterpart (the Confessor), who is tasked only with telling the truth, for others to decide what to do about it. [^kiritsugu-spelling]: The spelling [used in the story is _Kiritsugu_](https://www.lesswrong.com/posts/qCsxiojX7BSLuuBgQ/the-super-happy-people-3-8). @@ -371,9 +371,9 @@ At 1:47 _p.m._, I had messaged Ziz, "humans aren't smart enough to be Kirutsugu After I asked for "positive reinforcement" and sent some "Cooperate" messages at 3:15 _p.m._, Ziz responded with some heartwarming anecdotes about how others thought of me. She said that Michael Vassar had been talking approvingly about me, in the context of a war between gaslighting _vs._ having the ability to think, that I was one of the three fronts in "the community" that the war was playing out on: Sarah _vs._ Ben, Rob _vs._ Ben Todd, and Zack Davis _vs._ the world.[^war-fronts] -[^war-fronts]: I think "Rob" was referring to Rob Wiblin? When I asked Michael later how Sarah and Ben were in conflict (Subject: "request for clarification re war fronts"), he said that Sarah and Ben were allies and that he wasn't sure how the misunderstanding happened. +[^war-fronts]: I'm not sure if "Rob" was referring to Rob Wiblin or Rob Bensinger. When I asked Michael later how Sarah and Ben were in conflict (Subject: "request for clarification re war fronts"), he said that Sarah and Ben were allies and that he wasn't sure how the misunderstanding happened. -Eventually I made it to my office. My boss said he hadn't seen my email about wanting to meet. +Eventually I made it to my office. My boss said he hadn't seen my email about wanting to meet. I wasn't sure I believed him—not particularly because I thought he had read it and had reason to lie about that, but because I wasn't sure I believed self-reports were meaningful in general. Maybe everyone was just bluffing, playing improv, all the time: maybe it was common for people to not actually know how to read, and chose at random whether to claim to have read or not-read something. At this point, my memories aren't very clear or detailed. I think I said something that caused my coworkers to be very concerned for me, but I remember being very careful about the wording, to make sure I _wasn't_ saying one of the things that would give people cause to lock me up. I think it was something like, "I think I'm in the mental state that causes people to perform the verbal behavior of saying they want to commit suicide." @@ -385,11 +385,27 @@ We still owned the house. My coworker took an Uber with me to the house in Walnu (Meanwhile, Ziz had made her way to my apartment. "Brought chocolate, allegedly good against dementors," she messaged at 5:43 _p.m._. "Believe I can cooperate better if I can see your face." I was apparently in no state to appreciate the gesture; I messaged back "OK" a couple times when she asked to be let in, and confirmed which address she was at, even though I wasn't there. My flatmate eventually arrived and let her in.) -I tried to sleep that night, at my mom's house. It wasn't very effective. I was scared of being attacked by criminals. Sure, I _remembered_ feeling physically secure at almost all times in my life; I _remembered_ Walnut Creek being a safe place. But how trustworthy were memories from life inside an ideological bubble? Maybe people like me got assaulted and brutalized all the time, but our culture had trained us to block out all the evidence and even memories that good smart nice liberals _prefered not to see_. +I tried to sleep that night, at my mom's house. It wasn't very effective. I was scared of being attacked by criminals. (There may have been a racial angle on this fear? I don't think I can remember, and if I could, I'm not sure I would be able to type it.) Sure, I _remembered_ feeling physically secure at almost all times in my life; I _remembered_ Walnut Creek being a safe place. But how trustworthy were memories from life inside an ideological bubble? Maybe people like me got assaulted and brutalized all the time, but our culture had trained us to block out all the evidence and even memories that good smart nice liberals _prefered not to see_. -[TODO— check if KP records corroborate this happening on 17 February? -Mom taking me to Kaiser, me resisting, saying over and over again, "People are better at taking care of each other than institutions"; having quasi-religious visions of prying seeing AGP as a separate taxon, and negotiating to pry apart the concept -] +------ + +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. + +The doctors' notes from that day describe my appearance as "somewhat disheveled, though clean, with long & unruly brown hair that he often twirls". + +The notes go into more detail on the reasons for my visit: "Patient states he 'thought the world was made of words' and he 'hurt people with words' [...] mom reports he is not thinking as lucidly as normal, seems to have blocking of thoughts, gets caught up on 'being wrong' or talking about transgender community 'being wrong' [...] Initially states that he doesn't want any mental health treatment, just wants to be cared for by his mom & work out his issues with his friends' help. Mom believes that he needs mental health treatment, and asserts this as a condition of him staying with her, then Patient is agreeable to take Rx"—medication, they prescribed 5 mg of Zyprexa—"& return to Psychiatry Intensive Outpatient Program." + +"Patient does not meet criteria for California Welfare & Institutions Code 5150 (LPS) for involuntary detainment for inpatient psychiatric monitoring"—that's the loony bin. + +"Patient has d/c'd the E2"—discontinued the estrogen patch—"& I agree with this." + +(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 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. 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. @@ -399,19 +415,39 @@ Ben said he wouldn't ask a trading partner to not _consider_ defecting; that wou I got the idea to go to my apartment in Berkeley, and started walking to the Walnut Creek BART station. On my way, I felt a surge of energy, a second wind despite my exhaustion. "I just realized that you're allowed to not be submissive all the time", I told Ben. "I didn't know this before and it feels like an impossible superpower". -I was stopped by cops before entering the Walnut Creek BART station. (I hadn't told my mother I was leaving; when she noticed my absence, she panicked and called 911. I'm impressed that they found me so quickly.) Questioned by the cops, I explained the situation: that I was a software engineer going through a stressful time, that I had stayed at my mother's house here in Walnut Creek last night, but that now I was trying to get a train to go to my apartment in Berkeley. I said that I had been awake for a couple days. (That's not _normal_, they said.) I said, truthfully, that I wasn't on drugs, but I didn't expect them to believe me—and, somehow, felt as if I were optimizing for them not to believe me. +I was stopped by cops before entering the Walnut Creek BART station. (I hadn't told my mother I was leaving; when she noticed my absence, she panicked and called 911. I'm impressed that they found me so quickly: contrary to my night terrors, Walnut Creek was evidently _so_ safe that the cops didn't have anything better to do.) Questioned by the cops, I explained the situation: that I was a software engineer going through a stressful time, that I had stayed at my mother's house here in Walnut Creek last night, but that now I was trying to get a train to go to my apartment in Berkeley. I said that I had been awake for a couple days. (That's not _normal_, they said.) I said, truthfully, that I wasn't on drugs, but I didn't expect them to believe me—and, somehow, felt as if I were optimizing for them not to believe me. -I tried to talk the cops into taking me back to my mom's house, not realizing that that's not how their procedure works. In my last message to Ben before getting locked up, at 3:19 _p.m._, I said, "You can use police cars as Ubers????" +I tried to talk the cops into taking me back to my mom's house, which was clearly the best thing for me, given that my plan of going to my own apartment was apparently not on the table. Apparently I didn't realize that the cops had a procedure, and their procedure did not admit of that kind of personal discretion. In my last message to Ben before getting locked up, at 3:19 _p.m._, I said, "You can use police cars as Ubers????" -------- +The thing about being psychiatrically institutionalized, is that it wouldn't be such an ordeal if it happened while you were sane. Getting kidnapped by strangers and having to spend three days in a bad hotel doing kindergarten-like activities would definitely be an inconvenience, but it wouldn't be traumatizing, if you were psychologically stable and knew that this was just a thing your Society did to people sometimes—worse than jury duty, but not _qualitatively_ worse than jury duty. + +The problem is that _while having a psychotic break_ is _the worst possible time_ to be kidnapped by strangers. + +The authorities will claim that psychiatric hospitals are for the benefit of the patients. I'll concede that this is possible in some cases: maybe some people have such dysfunctional home lives, or would otherwise be living on the streets, such that the psych ward is actually a better place for them. + +For most people of my social class, I don't think this is plausible; if the welfare of the crazy person were the primary criterion, almost everyone would be better off with their friends or family, in a familiar environment with people you know. Rather, psych wards make sense as being for the welfare of friends or family who are _sick of putting up with living with a crazy person_. It's a form of responsibility laundering: if there's a designated institution for taking care of crazy people, you can dump your loved ones there to be _someone else's problem_ (at least for a few days), with a clean conscience. Anything bad that happens inside of an institution, isn't anyone fault. + +It's important not to be misled by the name, psychiatric "hospital". The word _hospital_ gives the impression of a place where medical procedures are performed, like how real hospitals do surgeries and set broken bones. We don't really have _procedures_ to treat mental illness—not ones that are held in high regard these days, anyway. + +It's a jail—a place where you lock up undesirable people where they can't impose costs on anyone who isn't being paid to deal with them. And precisely _because_ I was modeling it as a jail, my social performance was a lot better this time around than in 2013. + + + [TODO psych ward— - * The thing about being institutionalized, is that it wouldn't be such an ordeal if it happened when you were well. Getting kidnapped by strangers, having to spend three days in a bad hotel and do some kindergarten-like activities, would be a mere inconvenience while well. But _while having a psychotic break_ is the _worst time_ to be kidnapped. I often have a sense of "where I am" geographically (not just my immediate surroundings, but also knowing how my surroundings relate to the world, what city I'm in; what freeways connect to that city; doesn't exist when kidnapped) + * I often have a sense of "where I am" geographically (not just my immediate surroundings, but also knowing how my surroundings relate to the world, what city I'm in; what freeways connect to that city; doesn't exist when kidnapped) + + * Even things that are for your benefit during the check-in process are hard to appreciate as such—I remember them counting my money in front of me, and feeling like it was an Orwellian exericse to undermine my connection to reality; maybe, I didn't trust that _she_ knew how to count? + * trying to complain to the staff—got told to speak to patient's rights; I didn't even bother, because I didn't think that was real; a later SSC claims that patient's rights is supposed to be adversarial, but that wasn't clear from the inside; I'm reminded of that AmRen article [article by a public defender](https://archive.is/HUkzY); I empathize with the defendant https://slatestarcodex.com/2018/03/22/navigating-and-or-avoiding-the-inpatient-mental-health-system/ "Usually the doctors hate them, which I take as a pretty good sign that they are actually independent and do their job" + * First facility—separate rooms with beds for men and women; me tapping at the walls trying to teach; pacing, thinking I was one of the most important people in the world * Taken to a separate facility; _very_ lucky to get my own room + * paper claims that I "self presented due to your suicidal thoughts"; this isn't true; getting stopped by the cops while trying to + * "Now memories are blurred, and their faces are obscured" * racist/sexist intuitions: avoid the gaze of males; males physically smaller than me are OK * a moment of solidarity with a black male smaller than me? @@ -429,6 +465,7 @@ I tried to talk the cops into taking me back to my mom's house, not realizing th * my reports were not reliable; I thought Vassar pretended to be a doctor; I thought one of the other inmates had a security code * trope-awareness of being a psych patient; distrustful of other psych patient; thought I could subtly leave clues that I was a Jesus-analogue (as a Jewish male with long hair) to discourage people from murdering me (because the Christianity meme says you're not supposed to do that); I told people that my father was coming to pick me up at the end of my 72-hour (== 3 days) evaluation period, but that it wasn't fair that I couldn't rescue everyone. (I'm proud of this one.) * my father actually did pick me up three days later! + ] ----- diff --git a/notes/memoir-sections.md b/notes/memoir-sections.md index 9f2355e..f2b8a25 100644 --- a/notes/memoir-sections.md +++ b/notes/memoir-sections.md @@ -1,7 +1,8 @@ unmarked TODO +_ explain "People, Evolved ..." title + - Eliezerfic fight conclusion -- December 2019 winter blogging vacation _ Somni _ Michael Vassar and the Theory of Optimal Gossip _ plan to reach out to Rick @@ -10,8 +11,6 @@ _ psych ward - regrets, wasted time, conclusion -_ explain "People, Evolved ..." title -_ mention that Ozy's 2016 AGP blogging _ reaction to Ziz _ State of Steven _ culture off the rails; my warning points to Vaniver @@ -29,6 +28,10 @@ _ "Lenore" psychiatric disaster ------ With internet available— +_ link to shock therapy +_ "Gypsy Bard" link +_ outpatient psychiatry Kaiser notes +_ "PDD NOS" _ etymology of "Arcadia" _ double-check EnyeWord in archive.is? _ my last interaction with Logan Strohl (when she blocked me for criticizing her trans thing) @@ -77,6 +80,7 @@ _ Anna's claim that Scott was a target specifically because he was good, my coun _ Yudkowsky's LW moderation policy far editing tier— +_ psych ward vs. psych hospital _ not doing much psychologizing because implausible to be simultaenously savvy enough to say this, and naive enough to not be doing so knowingly _ dath ilan as a whining-based community _ footnote to explain that when I'm summarizing a long Discord conversation to taste, I might move things around into "logical" time rather than "real time"; e.g. Yudkowsky's "powerfully relevant" and "but Superman" comments were actually one right after the other; and, e.g., I'm filling in more details that didn't make it into the chat, like innate kung fu; and that the fact that I can "enhance" the summaries of my part, but the people I'm talking to don't have the same privilege, should be taken into account—actually, this covers a lot of the memoir; maybe I should mention this earlier (and again in a footnote??) @@ -228,6 +232,7 @@ _ backlink "(again) whether he accepted the Cheerful Price" _ backlink "alter the beacon" _ backlink only seen an escort once before (#confided-to-wilhelm) _ backlink Yudkowsky's implicit political concession +_ backlink "again grateful" for doctor's notes terms to explain on first mention— _ NRx @@ -2473,3 +2478,5 @@ https://www.greaterwrong.com/posts/9DhneE5BRGaCS2Cja/moderation-notes-re-recent- Why should this matter? Does someone have to have an "open/interpretive" intellectual style to be allowed to speak on this website? "Well-Kept Gardens" was clearly intended to address the kind of Eternal September pruning of low-quality that Said approves of! + +/2017/hormones-reboot-spironotacular/ \ No newline at end of file diff --git a/notes/memoir_wordcounts.csv b/notes/memoir_wordcounts.csv index 8c2aa52..596e6f6 100644 --- a/notes/memoir_wordcounts.csv +++ b/notes/memoir_wordcounts.csv @@ -379,4 +379,5 @@ 04/30/2023,121061,0 05/01/2023,121401,340 05/02/2023,121492,91 -05/03/2023, \ No newline at end of file +05/03/2023,122529,1037 +05/04/2023,, \ No newline at end of file -- 2.17.1