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by deltasevennine
1392 days ago
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>Things that seemed like bedrock (i.e. "There are only two genders") crash up against reality where that "rule" is just not applicable (i.e. there are human cultures with more than two genders, and biologically there are e.g. hermaphrodites, etc.) Have you heard of BIID? The term body integrity identity disorder (BIID) describes the extremely rare phenomenon of persons who desire the amputation of one or more healthy limbs or who desire a paralysis. Some of these persons mutilate themselves; others ask surgeons for an amputation or for the transection of their spinal cord. Psychologists and physicians explain this phenomenon in quite different ways; but a successful psychotherapeutic or pharmaceutical therapy is not known. Lobbies of persons suffering from BIID explain the desire for amputation in analogy to the desire of transsexuals for surgical sex reassignment. Medical ethicists discuss the controversy about elective amputations of healthy limbs: on the one hand the principle of autonomy is used to deduce the right for body modifications; on the other hand the autonomy of BIID patients is doubted. Neurological results suggest that BIID is a brain disorder producing a disruption of the body image, for which parallels for stroke patients are known. If BIID were a neuropsychological disturbance, which includes missing insight into the illness and a specific lack of autonomy, then amputations would be contraindicated and must be evaluated as bodily injuries of mentally disordered patients. Instead of only curing the symptom, a causal therapy should be developed to integrate the alien limb into the body image. Transexual sex reassignment involves the usage of chemicals and surgery that twists the flesh of their genitals to look like the opposite sex. The parallel with BIID is uncanny. Yet one is considered truth and normal, while the other is considered to be a disease. How do I know? I don't. But I get your point. Things that seem like a Bedrock truth can change. But did it change for the better? Is the new truth... the actual truth... or not? The existence of BIID and it's almost identical parallel to transexualism confuses me. BIID feels wrong. That's about as far as I can get. But if someone truly desires to amputate a limb... who are we to stop him? What right do we have to call what they feel a disease? I bring up BIID because I have a strong feeling that it's wrong... That what they feel is universally agreed to NOT be the objective truth. But I cannot grasp the logic behind it. If I examine BIID long enough I feel eventually the logic behind this controversy can be crystallized. |
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I was brought up with the general idea that what consenting adults get up to is pretty much their own business. E.g. if a guy wants to wear a dress or two women want to get married or Tilda Swinton is just over the whole gender thing or whatever, it ain't no skin off my nose, eh?
But in practice "there are limits", for me I get uncomfortable with autophagy and cannibalism. There have been a few cases of voluntary cannibalism!? That's where I draw the line personally. To each his own, but you can't eat each other, or yourself. BIID too for that matter falls into the "beyond the pale" category for me. (But even then, if the otherwise healthy limb is causing serious distress somehow? And we can't operate on the brain to fix the cause? Maybe you do remove the limb? What if you take it off and the problem remains!? Phantom BIID?)
Really, though, this is between the person and their doctor. It's none of our business. That should be emphasized IMO: if this is a medical condition we're talking about then it's just deeply inappropriate for other people to meddle, IMO.
Next, the thought occurs that there's at least one very obvious difference between BIID and gender change: having a limb off is generally bad, whereas being a woman (or man) is generally A-Ok.
It's fine to be a man, it's fine to be a woman, but changing from one to the other is not fine? "Where's the fun in that?" as John Cleese often says.
Also, people don't typically beat up or murder folks for having BIID. When we're discussing things like societal acceptance of transgender folks, you have to keep in mind the historical (and in many places still current) violence that they have had to put up with. It's not an armchair discussion for these folks. They are fighting for their lives. (E.g. talking in code: https://en.wikipedia.org/wiki/Polari )
I grew up reading sci-fi stories where e.g. a man might take a pill before bed and wake up a woman. To me the future would obviously and naturally have gender change as a normal thing (though perhaps uncommon) along with things like new synthetic genders, or body changes like fur or tails, or even becoming "transhuman" entirely though mutation or "uploading". What gender is a disembodied consciousness in a cybernetic matrix anyway, eh?
Last but not least, speaking as someone who has dedicated much of his life to logic, the world is trans-logical. You're talking about "grasping the logic" or crystallizing the logic, which is a good thing to do: logic is better than illogic. I'm pointing out that the real world is not fully covered by logic, in fact only a tiny minuscule portion of the real world is susceptible to logical comprehension. This doesn't mean a descent into irrationality, rather it leads to a new higher-order rationality that can take into account contradictory models and yet still function.
Well met! Cheers