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A woman is an adult human female, or a person who identifies as such.

In other words, there is biological definition. Then there is malleable social terminology. We can acknowledge biology while also accommodating who choose to - or need to - identify differently.

If we can't accept that, then my next question would be: what do you expect someone who is gender dysphoric to do? What do you believe the appropriate course of action is for someone in that situation? What would you expect or appreciate if you were a person in that situation?

The odd thing is that I don't recall pronouns being much of an issue before recent (2016-onward) political tribalism on transgender matters. Transgender people are not new, they existed previously and people by and large seemed to be able to refer to them by their preferred pronouns without all of this digging-in-of-heels around "I WILL REFER TO YOU BY THE PRONOUNS ASSOCIATED WITH YOUR BIOLOGICAL SEX".


What does "such" mean here?

How should I treat someone with body dysmorphia who believes they are 130 kg when they're closer to 50? Should I agree with them and affirm them as fat as they believe they are? Or should I - if it's my place - implore them to go to talking therapy and refuse to be drawn into their self-hating fantasy?


I’ll say three things:

1) Someone’s body dysmorphia is not - generally - affirmed or denied by ordinary everyday passing social interactions. In polite society, you simply don’t comment on someone’s body composition. Gender is an entirely different matter as it is a constant differentiator in day to day life. Also, in my experience, body dysmorphia has nothing to do with other people’s affirmations. We’ve all seen examples of people getting repeated surgeries to change their appearance because they simply cannot see what everyone else is seeing when they look in the mirror.

2) I think in determining “how to handle it” from the perspective of psychotherapy, we should consider what treatment is considered effective. Psychotherapy is simply not effective at changing someone’s gender identity or ameliorating gender dysphoria. The established treatment for gender dysphoria is to align the person’s gender identity and gender expression.

To me, this makes sense when applied to your own life. Therapy might be able to help me realize that my perception of the size of my nose is not accurate, but therapy is not going to be effective at changing my gender identity. Do you feel that your gender identity could be changed using Cognitive Behavioural Therapy?

3) Refer back to the questions that I think should be asked if you find it too difficult to accommodate pronouns:

>What do you expect someone who is gender dysphoric to do? What do you believe the appropriate course of action is for someone in that situation? What would you expect or appreciate if you were a person in that situation?


These are good points and great questions!

Your description of getting surgeries based on a distorted view of what they see in the mirror sounds exactly like gender dysphoria to me.

I have a big nose like you and even having had romantic partners compliment me on it hasn't stopped me feeling bad about it, but I agree it's definitely more trivial than believing you ought to be the other sex, somehow. They usually say "it's handsome" rather than try to convince me it's a normal size, which is perhaps a more merciful lie!

I don't know about CBT, but I know that people can be convinced by others that they should be the other sex: it happens all the time on youtube, tiktok, tumblr and across the web. That's how this became so wide spread in the first place.

So I absolutely believe people can be helped to accept the truth of themselves and their real body and not require hormonal or surgical interventions. Here I'm mostly talking about insecure young people - the very different cohort of older men where there's a sexual element involved might be boned (pardon the pun!) but that's all the more reason not to have the rest of society change laws and social mores to facilitate it.

If I was gender dysphoric (unable to accept the truth and be comfortable in my own body) AND believing in gender identity then I'm sure I would expect people to affirm my delusion and I'd viscerally dislike those that didn't. If I was later cured, I'd hope I'd appreciate those who stuck to their guns and didn't lie to me. Maybe it's impossible to fully accept yourself (like our big noses) and one just has to live with it and cope with it as healthily as they can. I would consider getting my nose carved down to size (regardless of how big it really is) a failure for everyone involved.


It sounds like we have established that body dysmorphia and gender dysphoria are not really the same thing? Two conditions can have a similar thread but not be the same or even related, nor require the same approach or treatment.

In terms of "people being convinced by others", I think this is a relatively recent phenomenon. I think it's possible to be simultaneously concerned about social contagion and social influences, especially among young people who don't have a fully developed understanding of themselves, hasty treatments without due diligence on behalf of medical providers, commercial incentives in the medical community, etc, etc... while also acknowledging that some people simply do suffer from legitimate, intractable gender dysphoria.

There is no evidence that I can find that reparative therapy is effective. A teenager being lured into something on social media for social clout is simply not the same thing as a person who genuinely, intractably believes that they were born in the wrong body.

> If I was gender dysphoric (unable to accept the truth and be comfortable in my own body)

One thing I find interesting about this framing ("unable to accept the truth", "affirm my delusion") is that it seems to ignore any kind of biological/chemical occurrences in the body and brain that could explain gender dysphoria and instead casts it purely in a judgemental "these trans people are just nuts" light, which seems odd given that this is a topic on which we clearly don't have all the answers.


I agree with absolutely everything you've said here!

Just my alternative conclusion is: you can't fix anything by compelling people to play along with someone else's delusion, whether the source is social, psychological, biochemical, sexual, whatever.


A "delusion" would be looking down and seeing a penis where a vagina exists. There is nothing delusional about understanding and acknowledging a difference between your identity and biological sex and seeking alignment between the two, in fact, it's a pretty rational approach versus the alternative of living in permanent misery.

Just because we cannot see the physical manifestation of suffering or understand someone's experience when put through the lens of our own experience does not mean that their suffering does not exist or is irrational or delusional. Many chronic pain sufferers understand this.

One thing I can't understand is the assertion that simply respecting another person, usually by doing nothing other than accommodating some alternative pronoun use is such an incredible burden so as to cause apparent extreme mental anguish among the people being asked for this accommodation.

If I have an acquaintance who is transgender, using their preferred pronouns that match their outward appearance and identity is:

1) Not difficult - what is more difficult and socially strange is referring to a person who is trying to present as a woman a "man" or a person who is trying to present as a man a "woman".

2) Not a self-delusion - or any kind of determination at all, really - about their biological sex. I have encountered non-transgender people in my life who are androgynous. You either make a mistake with their pronouns, or ask. There is no way of knowing what their biological makeup is, and I don't experience any kind of internal consternation over it. You take what they say at face value and move on.

3) Is simply offering a modicum of respect.

So much of all of this is tied up in the fact that a lot of people, for whatever reason, just really want to be mean. It seems their default is to be sneering, judgemental, and offer behavior that is more indicative of the worst instincts of high school students rather than well-adjusted adults.


What is "gender identity"? What is the evidence that "gender identity" exists, outside of my identity as a sexed being (ie the influence of hormones on my brain and psychological development, the knowledge of my own body)? If such a phenomena as "gender identity" exists outside of biological sex, why redefine words like "she" and "woman", which have always referred to biological sex, instead of coming up with new words to refer to gender identity?


I'm a bit confused as to why you are pretending that the word "gender" and the concept of gender either doesn't exist or is part of some very recent flimsy social construct. The concept of gender being used to categorize things as male/female/masculine/feminine is not new, and the concept of gender roles being used for general (not rigid) categorization of male and female traits is not new, either.


> I'm a bit confused as to why you are pretending that the word "gender" and the concept of gender either doesn't exist or is part of some very recent flimsy social construct. The concept of gender being used to categorize things as male/female/masculine/feminine is not new, and the concept of gender roles being used for general (not rigid) categorization of male and female traits is not new, either.

I said 'gender identity' not 'gender'.

Up until the early 1900s, the word "gender" did not apply to people. It applied to words. The word "libro" has a masculine gender, but obviously the object itself has no gender or sex. Rarely, "gender" was a synonym for sex, but this was generally considered to be informal or a mistake. As Henry Watson Fowler, a teacher of English usage, wrote in 1926:

> "Gender...is a grammatical term only. To talk of persons...of the masculine or feminine gender, meaning of the male or female sex, is either a jocularity (permissible or not according to context) or a blunder."

Then in middle-1900s academics began defining gender in various new ways. Money used it as a word to describe the way a person presents their sex. Other academics invented the term "gender role" to describe the things a culture associates with men and women. These academics did not believe that "gender" was some innate characteristic of a person's mind. In fact, many of them were arguing there was no difference between men and women in the head, and "gender" roles were social constructions. Even here, though, the concept of gender applied to things, not to people (eg the gender of pink clothes is feminine).

At the same, time the word "sex" began to more commonly be used to refer to coitus, and so normal, non-academics started using gender more commonly as a synonym for biological sex to avoid using the word "sex."

Then in the last thirty years, the term "gender identity" has arisen to describe one's own internal sense of being a boy/man or woman/girl in one's own mind (see the genderbread person), and furthermore the claim is that this is immutable and if there is a conflict between your "gender identity" and biology or how society sees you, it is your biology and/or society that should change. It is only in the last thirty years that people are considered to have something called "gender" that is different than biological sex.

Interestingly this new sense of "gender" almost seems to be a mutant child of the two, completely separate previous definitions of the word gender (gender as biological sex, a property of a person, man or woman and gender as ones presentation and expression more masculine or feminine).

I do not believe that "gender identity" is a meaningful concept. It is an anti-concept, it mashes together unlike things and makes it harder to think and reason about the underlying phenomena. I do not believe that someone has a fixed gender identity that can be distinguished from their biological sex. I do not believe believe that "gender" (as opposed to biological sex) is a property of a person.

"I am a woman, but I don't always like to act or dress as a stereotypical woman, my self-expression is fluid" is a banal and unobjectionable statement.

"I don't like to act or dress as a stereotypical woman, therefore I am not a woman, my gender identity is genderqueer/non-binary" does not make any sense. It is making a mishmash of concepts.

If you believe the modern idea of "gender identity" is real and valuable then you need to properly define it, explain why it is useful, and what is your evidence that it really exists.


It doesn't cause extreme mental anguish, I just... don't have to play along with childish games like pretending someone can be the opposite sex. I just don't! However easy or respectful you think it would be for me to play make believe, or even just pay two-faced lip service.

That seems to really wind people up but since the executive order today (I'm not American incidentally), everyone is going to have to get used to it.

I don't sneer, by the way. Never have, never will! I'm more of a smirker. ;)


> It doesn't cause extreme mental anguish, I just... don't have to play along with childish games like pretending someone can be the opposite sex.

See, this is where you guys get it twisted. This is not a matter of playing along, it's not a game. It's a matter of social practicality. Example:

If you meet a new person who clearly appears to be a woman, do you use female pronouns with that person? What if that person is biologically male and has transitioned, and you simply don't know that? Presumably you don't do genital inspections on every new person you meet to ensure that you are not "playing along with childish games", right?


I do not advocate routine genital check for office workers. The crucial questions for me are the following:

1) should institutions that have female only spaces or events be allowed to exclude pre-op transwomen? Post-op? For example, the women's only nude spa in Seattle that got in trouble for excluding a transwoman -- https://www.courthousenews.com/after-banning-trans-women-was...

2) If a coworker of mine who I know to be a biological male (he has sired children, etc.) socially transitions (no surgery), should I be forced to call him "she" and say that he is a woman? What if he makes almost zero effort to pass as a woman? What if he medically transitions?

3) Should I be able to make an argument on social media (Reddit etc.) such as "Men cannot get pregant" or "trans women are not real women" without getting banned for hateful conduct?

All three of these things are really happening, and are the real issues getting me freaked out (also, that and transitioning kids who very obviously are not "girls in a boys body")


> 1) should institutions that have female only spaces or events be allowed to exclude pre-op transwomen? Post-op? For example, the women's only nude spa in Seattle that got in trouble for excluding a transwoman

I'm not sure how such a thing is strictly enforceable. Even in states that have banned trans people from using the bathroom that they prefer, it seems to operate mostly on the honor system.

> If a coworker of mine who I know to be a biological male (he has sired children, etc.) socially transitions (no surgery), should I be forced to call him "she"

What does "forced" mean? The reality is that if you cannot make this basic accommodation that most people consider to be a matter of social etiquette in 2025, other people may not perceive you in a positive way and that can have unintended consequences.

You mentioned in another reply that you feel its important to respect cultural norms and expectations when it comes to things like what you are expected to wear. Well, basic respect of pronouns and not antagonizing transgender people are increasingly a 'cultural norm'.

> Should I be able to make an argument on social media (Reddit etc.) such as "Men cannot get pregant" or "trans women are not real women" without getting banned for hateful conduct?

People seem to make comments like this on reddit without getting banned now? A search of reddit for that term brings up many results.

There seems to be a resurgence and re-normalization of plain LGBTQ+ hate and antagonization these days. Twitter/X is full of people thrilled that "gay" and "retarded" are acceptable adjectives for them to use again.

So, in January 2025 I am not really buying any arguments about "I'm not allowed to even discuss basic issues around gender" because those discussions are absolutely happening and the rules seem less restrictive than they have in a long time.

Exhibit A: Mark Zuckerberg's latest announcement that you are allowed to post vile garbage about LGBTQ people without restriction.


Psychotherapy is simply not effective at changing someone’s gender identity or ameliorating gender dysphoria. The established treatment for gender dysphoria is to align the person’s gender identity and gender expression.

Can you find a randomized controlled study where the "affirmative" approach of aligning gender expression with identity has been compared to a "reparative" approach of aligning identity with biology? I have read a lot of studies on this and what you are saying simply is not backed by the evidence. Whenever I read a study that has been referenced on NPR or such, I read the details and the details do not support what the people citing the study say it supports.

In all other cases, if someone's mental conception of themselves was not aligned with the biological reality of their self, we would say the default is that the person should try to adjust their mental conception. A treatment that involved all of society changing, or even more extreme -- actual removal of body parts -- would need to pass a very high burden of experimental evidence. From what I have read, that burden of proof has not ever been close to being met. There are no studies that say that aligning gender expression works better than helping the person cope with or get over their dysphoria. If I have missed such a study, I would like to read it.

Do you feel that your gender identity could be changed using Cognitive Behavioural Therapy?

I do not have a gender identity and I do not have a gender. I a sex and I have an identity as a sexed being. I have a brain that has developed under the influence of testosterone, I have the knowledge of having a penis, I have the knowledge that society sees me as a male and penis-haver and all that entails. I have the knowledge that if I used a woman's locker room and exposed my penis, women would freak out, and so I do not do that. Etc. etc. I wear the clothes that I do because that is what society expects of me. There are all sorts of clothes and outfits from other cultures that I prefer aesthetically but I don't wear because they do not align with the norms of my current culture.

It's actually really difficult for me to understand how a person's fundamental well-being is intrinsically and immalleably tied to names and clothing.

Of all the possible forms of clothing humans have worn in the last ten-thousand years, only a tiny sliver of those clothing are socially acceptable for me to wear. And yet we all deal with that.

If someone were to intentionally call me the wrong name, while everyone else gets called the name they have asked to be called, that would bother me, but only because that is a power move that singles me out. If I were to, say, join a fraternity, where everyone had to have a name assigned to them, that would not bother me, and I would be fine being called that name while hanging out in the fraternity.

If someone were to call me a "woman" I would be upset because it is the reality of my biology that I am a man. Furthermore, saying you are a "woman" is usually saying, "You lack the positive qualities we usually associate with being a man -- you are weak, you are cowardly, you are whiny, etc."


The RCTs that validate your assertion (or mine) when comparing reparative therapy and affirmation do not exist. All that we have to rely on now is the overwhelming consensus among medical and mental health professionals, and that consensus appears to exist among major reputable bodies worldwide, and is based on their many decades of collective clinical experience and research.

I understand your perspective - in a different world without ethical qualms or risk of harm we could conduct those studies and maybe have better, more conclusive answers. What I am suggesting is that we have the data and research that we have. While you have chosen to draw a line at requiring randomized controlled trials to convince you that a certain outcome is the right one, there is an abundance of research and clinical data that does exist endorsing affirmation of gender identity, and we can explore some of it, if you like.

> In all other cases, if someone's mental conception of themselves was not aligned with the biological reality of their self, we would say the default is that the person should try to adjust their mental conception.

Can you elaborate on what you mean by "other cases" that are directly comparable with gender dysphoria, and can you find some studies that support the effectiveness of this approach? Gender dysphoria seems pretty unique from a clinical perspective despite a common thread it may have with other conditions.

> I do not have a gender identity and I do not have a gender. I a sex and I have an identity as a sexed being.

I think it's great that you are very clear on your role in society when it comes to what side of the biological sex binary you are on. It's a luxury to not have to be concerned with it, but not everyone has that luxury.

> It's actually really difficult for me to understand how a person's fundamental well-being is intrinsically and immalleably tied to names and clothing.

What you are saying here is that "this is my experience and I do not understand why everyone else does not have the same experience". Do you not see a problem with that? You can have your opinion and that's fine. Other people do not have to share your opinion or approach the world in the same way.

You appear to start from your biology and work backwards, as if the mind does not exist. Others would suggest that you and your biology do not even exist without the conscious mind making them real. Thus, the power of the conscious mind is actually more critical to this whole equation than whatever your biology is.

Stop thinking about your own experience for 5 minutes and think about the experiences of other people and where they might be coming from based on their own perception, experience and biological realities - including the biology of what goes on in the brain!


The RCTs that validate your assertion (or mine) when comparing reparative therapy and affirmation do not exist. All that we have to rely on now is the overwhelming consensus among medical and mental health professionals, and that consensus appears to exist among major reputable bodies worldwide, and is based on their many decades of collective clinical experience and research.

If medical bodies are changing guidelines without basing on it solid studies and evidence, then those medical bodies should be considered compromised and corrupt. Especially when that treatments involving treatments that will permanently sterilize minors. If they are not following the evidence, then they are not "experts" or "scientists" they are ideological fanatics wearing the skin-suit of science.

In following the transgender issue, what I have noticed is that doctors who take the common sense approach, "Your child has a penis, he is a boy, you need to reinforce that and he will get over it" don't make any money. They do not open "gender identity clinics" because there is no money in dispensing common sense. The doctors who tell parents to "let the child explore their gender" and "let's help solidify their transgender identity" prolong the problem and create a recurring revenue stream for themselves. Then, because these doctors are the "head of a gender identity clinic serving thousands of children" these same doctors are the one's who are put in charge of writing the standard of care and the guidelines. It is totally perverse set of incentives.

I'd recommend reading up on how the sausage is made in coming up with the "consensus":

https://www.realityslaststand.com/p/gender-medicines-citatio...

https://www.nysun.com/article/leaked-files-from-influential-...

Can you elaborate on what you mean by "other cases" that are directly comparable with gender dysphoria, and can you find some studies that support the effectiveness of this approach?

If someone was too short, or too tall, or thought they were black (even though they were unambiguously white),

You appear to start from your biology and work backwards, as if the mind does not exist.

No, I don't believe that mind and body exist as wholly separate entities. This is very obvious in the case of sex where the hormones emitted by my testicles very clearly have all kinds of effects on my mind.

> It's actually really difficult for me to understand how a person's fundamental well-being is intrinsically and immalleably tied to names and clothing. > > > What you are saying here is that "this is my experience and I do not understand why everyone else does not have the same experience".

No, what I'm saying it is difficult to even see how an immalleabile tie between well-being and wearing a dress could have possibly evolved, when clothing has been so different throughout human history and people are thus obviously very flexible in the type of clothes they can wear.

What you are saying here is that "this is my experience and I do not understand why everyone else does not have the same experience". Do you not see a problem with that?

Until a mind reading machine exists, that is all that any of us can do. I have read various accounts of trans-people's experiences and I am not convinced that there is some immalleable preference in their mind that makes them female internally. Certainly some men have a very strong desire to act out the role of female, but that is different there actually being female in the brain. But because of the way various medical guidelines works, and the law works, there is incentive to lie about this.


I am well aware of the current concerns around the incentives that exist in the medical industry when it comes to the treatment of gender dysphoric people. Some of it we should absolutely be concerned about, particularly when it comes to treatment of children.

Where the current public discourse on these issues goes off the rails is that we conclude that, because these concerns around improper incentives and improper treatment exists, or because there are some issues around social influence of children on social media, that "gender dysphoria" broadly is either not real or not a legitimate problem that people deal with.

> If someone was too short, or too tall, or thought they were black (even though they were unambiguously white)

If someone was 5'8" and underwent leg-lengthening therapy to become 6'1", would we not call that person "tall", or would we jump through strange mental hoops to justify antagonizing them based on their genetic makeup?

> Until a mind reading machine exists

Again, the problem here is that you are concluding that unless you can rationalize and validate someone else's thought process or mental condition through the lens of your own experience, then their experience is irrelevant to you, not real, and that they are worthy of mockery and derision instead of respect and consideration.

We don't need a mind reading machine to understand what gender dysphoria is, because gender dysphoric people tell us what they are thinking and feeling, not to mention they tend to know what will reduce their feelings of dysphoria.


We don't need a mind reading machine to understand what gender dysphoria is, because gender dysphoric people tell us what they are thinking and feeling

It's not this simple. For one, lots of people are all kinds of confused. There are people who think they are dysphoric, transition, then realize they totally messed up. There are people who say, "I went through a period when I was a kid where I was a tom-boy or told my parents I was the other sex -- thank goodness this kind of ideology wasn't around then because I could have been trannsed. I'm perfectly happy in my biological sex right now." If you read a lot of stories they aren't necessarily "dysphoric" they just think it will benefit them someway to transition, in the same way a weightlifter who goes on steroids is not "dysphoric" about his body, he just might think he is happier to be muscled up.

And we also have people who later admit that they lied about the nature gender identity in order to get sex change drugs and trans people who admit there is substantial political pressure to make their personal testimonials about gender identity conform to a certain script: https://nymag.com/intelligencer/article/trans-rights-biologi... https://www.nplusonemag.com/issue-30/essays/on-liking-women/

Because we do not actually have the technology to turn a man into a female (or vice versa), I think the most honest and best course is to tell that person, "Sorry, you are not a woman, and the surgery you are asking for will not actually get you want you want. Cross-dressing and wearing lipstick does not make you a woman. But if you learn to accept who you are, you can live a happy life." To be convinced that this common sense approach is not the best approach, I would need very strong evidence -- at minimum multiple randomized controlled trials by honest researchers.


> There are people who think they are dysphoric, transition, then realize they totally messed up.

Some people start businesses, it doesn't go well, they then realized they messed up and totally regret it. Does this mean that all entrepreneurship should be banned?

The logical failure in your argument is that you are saying that because there are problems with current approaches to transgender care, that gender dysphoria is not real and does not need to be taken seriously or treated or accommodated.

> I think the most honest and best course is to tell that person, "Sorry, you are not a woman, and the surgery you are asking for will not actually get you want you want. Cross-dressing and wearing lipstick does not make you a woman. But if you learn to accept who you are, you can live a happy life."

There is zero evidence that your "common sense approach" works at all, and there is zero evidence that reparative or conversion therapy works at all for those with legitimate gender dysphoria.


There is zero evidence that your "common sense approach" works at all, and there is zero evidence that reparative or conversion therapy works at all for those with legitimate gender dysphoria.

Clinical psychologists Kenneth Zucker's work in getting the majority of his patients over their dysphoria is "evidence" that reparative therapy works -- https://www.thecut.com/2016/02/fight-over-trans-kids-got-a-r...

Every random comment on Reddit that "I suffered from dysphoria and then started lifting and doing masculine things and got completely over it" is evidence that reparative therapy works.

It's not gold standard evidence, it's not proof-beyond-a-reasonable doubt, but it is evidence. But the "evidence" for "affirmation" and "medical transition" do not meet this gold standard either.

With medicine, the burden of proof is on the person doing the intervention. "First do no harm." Social transition and medical transition are both MAJOR interventions, the burden of proof is on the proponents. "You have to give people this drug, no we have never done a controlled clinical trial on it, but you have no evidence that NOT giving them the treatment works." What? You need to do a RCT before promoting a new treatment as the standard of care. "Affirmation" has never proved itself in an RCT so "Sorry, you are a man" should be the default.


> Clinical psychologists Kenneth Zucker's work in getting the majority of his patients over their dysphoria is "evidence" that reparative therapy works

You are conflating social trends among young people to identify as gender non-confirming for social clout, with adults who have intractable gender dysphoria. It is disingenuous to point to children who were likely not genuinely gender dysphoric to begin with, claim that they were 'cured' and conclude that this solution is then viable for all people with gender dysphoria. There is an incredible amount of nuance to the situation that you are simply ignoring.

One of two things is true:

1) You genuinely do not understand the 'separation of concerns' when it comes to these issues surround gender, biological sex and gender dysphoria, current social trends, and sensational political headlines.

2) You are being intentionally misleading.

I'm going to assume you are arguing in good faith and that #1 is true. In that case, I recommend you take a step back and try to recalibrate your understanding of the issue. I don't know the best way to accomplish that - maybe do some research and read some stories of transgender people published prior to 2015 before it became the political fight du jour.

>Every random comment on Reddit that "I suffered from dysphoria and then started lifting and doing masculine things and got completely over it" is evidence that reparative therapy works.

You've gone from demanding randomized controlled trials to referring to random comments from anonymous users on Reddit about how lifting weights cures gender dysphoria?

I think it's safe to say that the conversation has gone off the rails, although maybe that happened a few replies ago.


You are conflating social trends among young people to identify as gender non-confirming for social clout, with adults who have intractable gender dysphoria.

It's not just me who is conflating them, the official medical establishment doesn't treat children much differently these days. Zucker was canceled, "watchful waiting" or "reparative therapy" is officially condemned by the APA. "Intractable gender dysphoria" is not something that can be reliably or objectively diagnosed a priori. A relative of mine who has transitioned their son, partly based on medical advice, partly on the advice of adult trans friends, seems to repeating arguments about it being a fixed property and affirmative care being the only approach. Now, I personally do not think this boy has dysphoria at all, he sees a perfectly normal boy to me, he just liked Elsa and princess dresses as a kid because Elsa is a super-stimuli character. But that's not what the medical people say.

You can't separate the kids and adults issue because the most powerful activists who are making policy and getting people canceled are not making a proper distinction themselves.

You can't separate the kids and adults issue because there was a direct road from redefining the words "man" and "woman" to the medical "experts" like Diane Ehrensaft, cited by NPR and NY Times telling parents to not tell their four-year-old things like: "you have a penis, you can never grow up to be a woman or get pregnant, you will grow up to be a man, you are a boy."

It's not the sensationalist headlines that is making me freak about this, it's seeing my own relatives sending a little boy down the path where "continuity of care" ( https://www.youtube.com/watch?v=v0V0PXrezHM ) will lead to having his penis cut off like Jazz Jennings -- https://malcolmrichardclark.substack.com/p/the-truth-about-j... https://x.com/SJWilliams123/status/1654534161015635973

I don't know the best way to accomplish that - maybe do some research and read some stories of transgender people published prior to 2015 before it became the political fight du jour.

I have, but you need to re-calibrate your understand for the recent situation. The people who transitioning now are not exhibiting the same types of life stories as those who did thirty years ago. It seems like a different phenomena, and I am much more concerned with the phenomena now, when if afflicts so many people, including parents I know who are transitioning their kids, than I am about the phenomena 30 years ago.

You've gone from demanding randomized controlled trials to referring to random comments from anonymous users on Reddit about how lifting weights cures gender dysphoria?

Yes, once you have anecdotal evidence of something working on a n=1 approach, the thing to do is expand it to an n=many RCT. That hasn't been done. It should have been done. Also, comments on niche subreddits inhabited by relatively normal people are some of the best anecdotal evidence you can find. Anecdotes from friend groups are limited in their own way. Popular memoirs and newspaper stories are both highly selected and filtered by publishers for preferred narratives, and the person writing them understands that a lot is at stake and they have to be careful about how they narrate their story. Random commenters on niche forums have much less incentive to lie (this doesn't apply to big forums where people will lie to get rise out of people, and the comments that reach visibility are selected).


I see this argument all the time and I have so, so many questions about it. It just does not make a lot of sense to me. Please know that while we have fundamental disagreements, I am also genuinely trying to understand this worldview.

According to your definition, what is an intersex person? How should one refer to one? There are intersex people who who look like women but have penises, and vice versa. You can simply Google "example of intersex person" to see plenty of them, and they have always existed. Most intersex people do not have either reproduction strategy, and are wholly infertile. Even amongst those who are not, the strategy they have often does not line up with how they look, act, or feel. They are a small subset of society, but so are trans people - on a cursory search, about 1-2% of the population is intersex, and about 1-2% is trans.

The thing I don't understand is, if your answer is anything other than "I have no way to refer to such a person and could not use pronouns to refer to them," (or using the ze/zir neopronouns which I suspect nearly none of them have ever heard of) then it would stand to reason your decision about using "she" or "he" for someone is based at least partially on how they read to you culturally, and not your definition as laid out here.

And even if that isn't true, why does "adult human female" have to map to "woman", and vice versa? Who says, other than you, and what more authority do you have than anyone? I know a lot of trans people - MTF and FTM - who are not distinguishable from your definition unless you interrogate their genitalia, or in some cases, their genetics. If you see such a person, and use the "wrong" pronouns according to your definition for them, would you then feel guilty for not using the "right" ones? If not, why not?

All of this is to say that I don't see how your reduce-it-to-biology-and-never-waver definition is workable in society, and I don't understand why folks - yourself included, it seems - are so insistent on it.


The vast majority of people with some kind of intersex disorder are still very clearly either male or female. Hermaphrodites, that is, people whose primary sex organs developed in a way that make them truly ambiguous, are vanishingly rare. And in that case it would be acceptable for them to identify as whatever sex they feel is the closest.

My problem is not that I'm never willing to be generous and charitable with people who are genuinely edge cases. My problem is corporate and government policies that require me to lie about non-edge cases.

* I know a lot of trans people - MTF and FTM - who are not distinguishable from your definition unless you interrogate their genitalia, or in some cases, their genetics. If you see such a person, and use the "wrong" pronouns according to your definition for them, would you then feel guilty for not using the "right" ones? If not, why not?*

Again, my problem is required being to lie. If I have a coworker who I know is a man, he has always called himself a man, he has the secondary sexual characteristics of a man, he is six foot with a beard, he has sired a child -- and then one day he comes into the office wearing a dress and long-hair and insist on being called a "she" and insist on going into the woman's locker room at the gym, I would find that intolerable because I know the coworker is not a woman. I am being told to lie.

If my boss says "There are four marbles in this box" and I have never seen inside the box, I will say, "Ok, got it, I have no reason to accuse you of lying, there are four marbles in the box." But if I see with my own eyes that there are two marbles in the box, and my boss says, "There are four marbles in the box, say it say 'there are four marbles' it or you are fired" that is dystopian and intolerable.

Now, let's say I have a coworker who always presented as female, the coworker maybe had a bit of an uncanny valley thing at times, but I have never asked about it and have always called the coworker "she." One day, there is a work-family outing to a water park, and in the locker room the coworker is naked and exposes zis penis in view of my wife and daughter and they tell me about it. I would not feel guilty about calling the coworker "she" but I would feel angry with the coworker for lying about his sex.

And even if that isn't true, why does "adult human female" have to map to "woman", and vice versa?

The entire point of language is to "cut reality at the joints", we create words in order to group natural kinds together in a way that allow for common understanding and decision-making. If society wants to redefine "woman" as meaning something else, we would still want a word to mean "adult human female" because it is a natural kind. When we redefine woman, we see all the contortions people go . All of science, all of human knowledge relies on being better and better at organizing and recognizing and create common language around finding patterns in nature.

All of this is to say that I don't see how your reduce-it-to-biology-and-never-waver definition is workable in society, and I don't understand why folks - yourself included, it seems - are so insistent on it.

For all the reasons we make distinctions between men and women, or divide up men and women -- from locker rooms to sports to prisons, to assigning rooms during multi-family vacations, or assigning rooms at college, to single-sex schools, to certain dress standards, to sexual harassment litigation, to etiquette and social norms around inviting people to do activities -- it all comes down to biology. It all comes down to massive physical disparities between men and women (eg, a punch from an average man does to a woman does approximately 1000% the damage a punch from a woman does to a man), and the male potentiality to impregnate women, and all the physical and biological differences that have evolved as a result of reality. The reason historically cultures have clothing and appearance cues to distinguish sex is because the biology is very important, we want to know it as soon we meet someone, but we don't want to look at their genitalia, so cultures have arbitrary conventions (pronouns, male & female names, pink versus blue) etc. to indicate biological sex at first meeting. Destroying these distinctions and saying, "it's all what a person wants to be" is completely novel in history and the burden of proof is on those who want to change the status quo, and after following this issue for 15 years I only become more convinced that burden-of-proof has not been met and that it really does all come down to biology.


I don't understand the focus on someone, in your view, lying to you - I suspect we agree that in the scenario you described, it seeming that the person has lied to you about what's in their pants is much less important than the fact that they whipped it out in front of your family. It wouldn't be any better if a man who identified as such snuck into the changing room and did the same thing. I think focusing on criminal behavior is similarly focusing on an edge case, given that the vast majority of trans people, and people in general, are not criminals who expose themselves to children.

What about this more likely scenario: If this co-worker never did such a thing, they were a perfectly pleasant and normal person to work with, and you only found out they were trans after you or they had left the company and you no longer worked together, would you still be angry they had lied to you - why or why not? Would whether they'd ever gone into a changing room in your presence affect that anger?

What if this person was someone like the photo I used in the other thread, and they looked something like this: https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRO1Vem... - the next time you saw them, would you start referring to them as "she" and call them a liar?

I don't fundamentally agree that dressing, acting, or wanting to be referred to a certain way equates to lying to someone about what's in their pants. Even if it did, I also just don't fundamentally understand why it matters if someone does lie to you about that, in average everyday situations.

I can understand that there are circumstances where it does matter. I'm not saying it couldn't ever. But I don't understand why the default position is rejection and anger.

> The entire point of language is to "cut reality at the joints", we create words in order to group natural kinds together in a way that allow for common understanding and decision-making. If society wants to redefine "woman" as meaning something else, we would still want a word to mean "adult human female" because it is a natural kind. When we redefine woman, we see all the contortions people go . All of science, all of human knowledge relies on being better and better at organizing and recognizing and create common language around finding patterns in nature.

That seems like a solvable problem to me. Our initial attempts at solving it have been awkward, but we'll get there. I think I'm more concerned about what path society agrees on going forward than the specifics of how we do it, for now.

> Destroying these distinctions and saying, "it's all what a person wants to be" is completely novel in history

This also is not true. There are numerous well-documented cases of trans people throughout history, and there are long-standing concepts of "third genders" and others dating back thousands of years (see e. g. https://en.wikipedia.org/wiki/Third_gender#Old_World).


I don't understand the focus on someone, in your view, lying to you - I suspect we agree that in the scenario you described, it seeming that the person has lied to you about what's in their pants is much less important than the fact that they whipped it out in front of your family. It wouldn't be any better if a man who identified as such snuck into the changing room and did the same thing. I think focusing on criminal behavior is similarly focusing on an edge case

No, under transgender ideology -- "transwomen are women" -- the MtF trans-woman being naked, penis-and-all in a locker room is not a crime. In fact, states that have fully adopted this ideology have made it illegal to expel that trans-woman from the locker room. It is this ideology that I reject. See for instance: https://reduxx.info/korean-womens-spa-forced-to-erase-biolog... https://www.courthousenews.com/after-banning-trans-women-was...

What about this more likely scenario: If this co-worker never did such a thing, they were a perfectly pleasant and normal person to work with, and you only found out they were trans after you or they had left the company and you no longer worked together, would you still be angry they had lied to you - why or why not? Would whether they'd ever gone into a changing room in your presence affect that anger?

Imagine I had a co-worker "Mike" who said they were married, told stories about stuff their wife does around the house, etc. I sometimes asked them about their wife, I told other people, "Oh, Mike, yeah, he's married." Then after he leaves I find out beyond a reasonable a doubt that he was not married, he had been living alone the entire time, etc.

I wouldn't exactly be angry with Mike, I may even have some pity for him, but I would be wary of him going forward. If I met him, I would be polite, and I would neither affirm anything he said about his wife nor would I make a stink about it, and I would try to limit my interactions because I simply could not understand his mind. Was he lying? Delusional? A story-teller? I don't know but it's not really worth it to me to find out.

So it would be the same with the trans person I meet later on. I would simply not use the person's pronouns, I would be polite and neither affirm nor deny their status. I would be wary and limit my interactions because I would, charitably speaking, lack of a theory of that person's mind, and it would simply not be worth by time, energy, and risk for me to try to navigate the situation without getting myself in trouble.

This also is not true. There are numerous well-documented cases of trans people throughout history, and there are long-standing concepts of "third genders" and others dating back thousands of years (see e. g. https://en.wikipedia.org/wiki/Third_gender#Old_World).

There is a big difference between a third gender and a man saying, "I'm a woman because I say so" or "transwomen are women." Eunuchs, eg, were not women, and were not considered to be so. If we want to say that cross-dressing men are a "third gender" that is more acceptable to me than saying they are women and entitled to all the rights and privileges of women and you are fired or cancelled if you say otherwise.

I also should have qualified, as saying "novel in the history of successful societies." Societies in their late stages of decadence and decline have done all sorts of crazy things. Emperor Elagabalus was perhaps "trans" but that was always considered as crazy and bad behavior.


> Societies in their late stages of decadence and decline have done all sorts of crazy things.

So we have you on record saying that traditional Native American societies like the Zuni were "in their late stages of decadence and decline"?


> No, under transgender ideology -- "transwomen are women" -- the MtF trans-woman being naked, penis-and-all in a locker room is not a crime. In fact, states that have fully adopted this ideology have made it illegal to expel that trans-woman from the locker room. It is this ideology that I reject. See for instance: https://reduxx.info/korean-womens-spa-forced-to-erase-biolog... https://www.courthousenews.com/after-banning-trans-women-was...

The way you wrote your example, I didn't read it as "the person happened to be naked near my wife and child," I read it as "the person purposefully exposed themselves to my wife and child intending them to see it." It's not normal changing room etiquette to present your genitalia to people forcefully or purposefully and it could be a crime of assault even if the person had the same genitalia as the offender. Did I misunderstand you?

Assuming you actually meant "a person was incidentally naked around my wife and child and a penis was visible for a moment," I am having a much harder time finding that objectionable in the same way as I found what I understood the scenario to be. I'm not saying I'm for it, maybe there needs to be some third solution so people aren't uncomfortable, but I'm not seeing it as harmful in the same way an open sexual assault would be. Is the concern that trans people will commit assault, or is it that they will be present at all?

> So it would be the same with the trans person I meet later on. I would simply not use the person's pronouns, I would be polite and neither affirm nor deny their status. I would be wary and limit my interactions because I would, charitably speaking, lack of a theory of that person's mind, and it would simply not be worth by time, energy, and risk for me to try to navigate the situation without getting myself in trouble.

I don't agree that this example with Mike is an apples-to-apples comparison. You have a mapping in your head of "wears dresses and skirts and makeup and long hair, must have a vagina," and I just don't consider that mapping to be valid. Here's a counter-example that I think is more accurate to the situation:

Your colleague Mike wears a ring on his ring finger. He has many photos on his desk of himself with a woman about his age, in which they are hugging or in funny poses together. He refers to her as "Alice" and he mentions her frequently. You assume that Mike is married, and Alice is his wife. For years you and Mike talk about Alice together and he never quite says anything to dispel this, nor do you ask.

Years after you work together, you find out that Alice is Mike's sister, and the ring is a family heirloom. Mike is not and has never been married and is confused and maybe grossed out at someone's suggestion that he's married to Alice.

Did Mike lie to you, or did you just make an assumption about him that wasn't accurate?

There seems to be this fundamental expectation that people will organize and present themselves in a way that allows you to map them into the categories you have in your head. When people don't fall neatly into those categories, it seems like you treat them as incomprehensible at best, purposeful liars at worse, when the reality is that all assumptions are just assumptions and there's no reason not to just be like "oh, I made a wrong assumption" and then move on.

> There is a big difference between a third gender and a man saying, "I'm a woman because I say so" or "transwomen are women." Eunuchs, eg, were not women, and were not considered to be so. If we want to say that cross-dressing men are a "third gender" that is more acceptable to me than saying they are women and entitled to all the rights and privileges of women and you are fired or cancelled if you say otherwise.

I think you should look into concepts like "nonbinary" and "genderfluid"; all of these things exist along a spectrum of "trans" identity and they're not as distinct from each other as you consider them to be. The "third gender" example is only one that I supplied for convenience. There are plenty of others. The point is that gender is not an immutable concept.

Honestly, if I had to sum up one overall point over these comments, it feels like I'm saying "gender is not immutable and doesn't need to be" and you're saying "yes it is and when people try to make it otherwise it's disturbing." I'm having a lot of trouble understanding that perspective.


I am having a much harder time finding that objectionable in the same way as I found what I understood the scenario to be. I'm not saying I'm for it, maybe there needs to be some third solution so people aren't uncomfortable,

Part of the question is -- do you think society needs to distinguish between male and female? Should we have any single sex environments? Should all gym showers be coed like Starship Troopers? Should all prisons be co-ed? Should college freshmen being assigned roommates be assigned male and female pairings? If I, a man, tell my wife, "I made a new friend and we are going out for drinks tomorrow", should my wife care if this new friend is male or female?

And if you say yes, society does need to distinguish these things, is the essential matter for needing to make the distinction "how this person identifies" or "the person's actual biology"?

The transgender stuff is downstream of the modern trend to downplay all distinctions between sexes and eliminate sex segregated spaces.

I think you should look into concepts like "nonbinary" and "genderfluid"

I have. Perhaps my Mike example was bad, because I agree that most transgender people in 2024 are not lying or crazy.

I think the entire concept of "gender" being separate from "sex" is an anti-concept. I think nonbinary and genderfluid are anti-concepts. The purpose of words and concepts in a languages is to group natural kinds together for the purpose of common knowledge and communication. An anti-concept is something that groups unlike things together, that confuses and makes it harder to think and communicate about the underlying natural kinds.

Claiming to be "gender fluid" is pure nothingness, it communicates nothing real to me. I wouldn't actually care too much if "gender fluid" was created as a new concept with its own name, but it is a problem that "gender fluid" overrides and eliminates the concept of biological male and female, which I do care about.

Part of the problem is the word "gender" which originally was purely a grammatical term but since has been given about a half-dozen different directions.

If "gender" refers to the degree that someone acts and presents according to societal stereotypes as masculine or feminine, obviously we are all "gender fluid."

If "gender" is simply a synonym for biological sex, which is its most common use (I blame Austin Powers for ruining our ability to use the word "sex" on questionnaires), then "gender fluidity" is obviously false --there is no such thing in humans or mammals as being fluid in biological sex.

Either way, then, someone declaring themselves "gender fluid" is just nonsense, depending on the definition of "gender" it is either false or it applies to everyone.

It also matters when being "gender fluid" is not just some personal oddity that I can joke about, like someone being into astrology, but is treated as something I must respect and if I don't, I get fired or banned from events for code-of-conduct violations.

Going back to my Mike example, perhaps a better example would be, imagine my co-worker Mike has a picture of a girl on his desk, and talks about being a "dad" and has a "girl dad" t-shirt and when I'm talking about being a dad, he chips in with "ah, in my experience as a dad blah blah blah" ... And then I find out that the "child" he is a dad of is one of these "adopt a child" charities where he has never met her and sends her $30 a month to this girl in a foreign country and writes a letter once a year. OK, that's nice and all, but you aren't really a dad. Now Mike may not be lying or delusional. Be is participating in a campaign to redefine the word and concept of "dad" in a way that confuses rather then clarifies. He also is to some extent "stealing valor." And I object to that and I would object being forced to participate in that.


The claim that 1-2% of the population is intersex is a common myth: https://pubmed.ncbi.nlm.nih.gov/12476264/

"Many reviewers are not aware that this figure includes conditions which most clinicians do not recognize as intersex, such as Klinefelter syndrome, Turner syndrome, and late-onset adrenal hyperplasia." "...the true prevalence of intersex is seen to be about 0.018%, almost 100 times lower than Fausto-Sterling s estimate of 1.7%"

It's often commonly claimed it's as common as red hair, too - it isn't. https://www.realityslaststand.com/p/intersex-is-not-as-commo...

Personally I've always found the "argument from commonality" to be shaky philosophically and morally. A population's degree of minority doesn't make discrimination or mistreatment more acceptable, so why massage stats to make them seem more populous than they really are?

As to your question as to why does "woman" have to mean "adult human female" - because that's the dictionary definition.

I totally agree with you that there are some people whose sex is hard to judge immediately, often, but not always, because they've gone out of their way to make it ambiguous. Everyone else can be clocked at 100 feet in a dark alley - we're evolved that way.

A few awkward social faux pas over people who look or act androgynous - for whatever reason - doesn't justify exploding a category that works and serves everyone well almost all of the time. I don't feel guilty over my use of sexed pronouns even if I occasionally get it wrong and this insistence that I should... isn't convincing.

Notice that arguments about the treatment of "intersex" people (those with disorders/differences of sexual development) are used to buttress the position of people who feel like they're the other sex, but are otherwise biologically completely normal. These groups really have nothing in common but it's useful to conflate them.


Genuinely, how hard for you is it to call a person what they want to be called. What difference does gender make in the workplace even?

I understand it's hard for you to use different pronouns, but it's probably much harder for the person who feels like they don't identify with their gender assigned at birth.

> Requiring me to call someone who was born with a penis, and who has sired children a "she" is telling me to say that 2 + 2 = 5.

It's more like someone telling you to call them John and you call them Tyler instead. It's literally just a word.


It's more like someone telling you to call them John and you call them Tyler instead. It's literally just a word.

That's an absurd comparison. Names are something that have always been personally chosen. "He" and "she", "man" and "woman" are words that create common knowledge about the nature of reality.

------------

Zhao Gao was contemplating treason but was afraid the other officials would not heed his commands, so he decided to test them first. He brought a deer and presented it to the Second Emperor but called it a horse. The Second Emperor laughed and said, "Is the chancellor perhaps mistaken, calling a deer a horse?" Then the emperor questioned those around him. Some remained silent, while some, hoping to ingratiate themselves with Zhao Gao, said it was a horse, and others said it was a deer. Zhao Gao secretly arranged for all those who said it was a deer to be brought before the law and had them executed instantly. Thereafter the officials were all terrified of Zhao Gao. Zhao Gao gained military power as a result of that.

---

How hard would it be for you to call a "deer" a "horse"? It's just words.


If it's just a word and makes no difference then there should be no issue with using "he" to refer to any and all individuals of the male sex.


Must be hard to have to deal with that, I'm so sorry you have to use a different word when referring to someone.

It's obviously much harder for you to use a different pronoun than for them to have their entire gender identity invalidated. Would you like for people to misgender you constantly and purposefully?

Your life must be so hard. I feel bad for you to have to use a different word to refer to someone. Maybe have some basic decency and respect for others?


Oh so it does make a difference now?

Well then, consider that it really is not my problem if these males are offended by the simple word "he".

Have you heard of the Stroop effect?

More to the point, I've no interest whatsoever in encouraging a man's fantasy "woman" identity, quite the opposite in fact.

Perhaps these men would consider giving women and girls the basic decency and respect of refraining from such misogynistic appropriation.

They could even pick another word to describe themselves, given that "woman" is already taken. What's so hard about using a different word?


[flagged]


I disagree with your first and third bullet points, as explained in my previous comment.

> If I call you a fucking asshole

Well. Aren't neopronouns getting a bit extreme these days.


> the species is divided in two.

* reproductive egg carriers,

* reproductive sperm carriers

* and then there's all the others . . .

You do understand, I hope, that not all humans are born as {A} or {B}.


Why did you change the words that I used? I said "strategy" for a reason. True intersex conditions (where the strategy is ambiguous) are vanishingly rare.

With humans, there is only male, female, and for lack of a better term, very rare birth defects. We say that arachnids are "8 legged species" even if due to birth defect a spider is occasionally born with 7 legs. We say a coin flip is a binary "heads" or "tails" even if there is a vanishingly rare chance it could land on its side.

This whole "what about people with intersex disorders" is total sophistry. If it was just people with intersex disorders, this would not be an issue. The issue is people who are very clearly one sex demanding to be treated as the other sex. The issue is publicly teaching children that it is possible to change sex.


> True intersex conditions (where the strategy is ambiguous) are vanishingly rare.

More common than gold, more common than most things I professionally deal with in geophysical exploration.

In most countries they form a real number of real actual people. There are also a much larger number of not true intersex people who are also not exactly male or female.

> With humans, there is only male, female, an

You've already conceded this isn't true.

> This whole "what about people born with a leg missing" is total sophistry.

No, it isn't, It's something that actually happens and something that public policy that gives a damn about human dignity has to deal with.

Why is it you don't care about some humans? Do they lack a soul, or something, in your eyes?




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