zlacker

>>senkor+(OP)
This seems to be the reason for writing about the topic right now:

> So, yes, in June 2015, I slowed down the whole company [Facebook] by a second.

> Of course, here it is ten years later, and the guy in charge just sent it back fifty years [by ending fact checking?]. Way to upstage me, dude.

>>senkor+f1
The fact checking is the tip of the iceberg — it's what the marketing machine led with because it's the least objectionable. Far far worse is letting queer people like myself be called mentally ill, though not any other group (e.g. religious people). Yes, it's part of the common discourse, but the common discourse is objectively morally abhorrent.

I worked at FB for a decade, and I now am rooting for its complete destruction.

>>sunsho+CD6
If wanting to kill yourself over your sex isn't mental illness, I have no idea why insurance or the state should be concerned about it. We're not collectively paying for flat-chested women to get breast implants, or ugly men to get nose jobs, although they both may be upset about their bodies. We're also not labeling it as "life-saving."

I don't understand how we can insist that these conditions are both the worst mental illnesses, and not mental illnesses at all, at the same time. And maybe you do understand, but it's not so clearly explained that people shouldn't be allowed to discuss it in public.

> though not any other group (e.g. religious people).

Is this made up?

>>pessim+sb7
Gender dysphoria is a potential cause of mental illness, not a mental illness in itself. If someone has a job they hate or an unhealthy relationship which is causing them to be severely depressed, the best treatment is simply to quit that job or that relationship and work towards something better.

It's just the same for transgender people. Growing up feeling that you're in the wrong body can cause a lot of mental distress, and the best and most universally effective option for fixing that distress is to simply transition to living as another gender.

Not all people who are transgender experience severe enough dysphoria to cause serious mental health issues, and yet they still decide to transition and report being happier afterwards. [1] However, many transgender people do experience distress over it, and a proportion of that population are even suicidal over it.

This is why I consider it to be a cause of mental illness, not a mental illness in and of itself. And it's important to note that, even for the group that experience suicidality, transitioning is still an effective treatment. [2] [3]

Plastic surgery, on the other hand, is not even close to universally effective for people who are depressed about being "flat-chested" or "ugly." Cosmetic surgery such as breast enhancement has been shown to have a much, much higher rate of regret than transgender surgeries. [4]

In short, the reason that gender-affirming care is considered a treatment for gender dysphoria, whereas breast enhancement and rhinoplasty are not considered treatments for body dysmorphia, is simply that the former is effective and the latter is not.

1. https://www.apa.org/topics/lgbtq/transgender-people-gender-i...

2. https://pmc.ncbi.nlm.nih.gov/articles/PMC10925986/

3. https://pmc.ncbi.nlm.nih.gov/articles/PMC7869522/

4. https://pubmed.ncbi.nlm.nih.gov/38688814/