Breast Mourning

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[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (8 children)

The reason gender affirmation treatment has become the standard way of treating gender dysphoria, is because is has vastly better outcomes wrt mental health including suicidal ideation.

Dealing with the mocking such as the sort of posts you see here a lot, does put a different kind of pressure on transgender people. So there are external influences that can affect depression and suicidal ideation after the fact.

One of the downsides of parts of the world with heavy metal pollution in the water or less than ideal genetic variation in the residents.

[–]brimshae 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (7 children)

because is has vastly better outcomes wrt mental health including suicidal ideation.

No it fucking doesn't. Cutting off healthy body parts has zero positive impact on someone's life other than a short term feel-good measure that will last as long as it takes for reality to set in.

Serious question: Should people who think they'd live a better life without their legs be allowed to have their legs removed? Why or why not.

[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (6 children)

No it fucking doesn't. Cutting off healthy body parts has zero positive impact on someone's life other than a short term feel-good measure that will last as long as it takes for reality to set in.

There's been studies done, and you're mistaken about that.

[–]brimshae 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (5 children)

Did you mean "Bränström, R., & Pachankis, J. (2019). Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study. American Journal Of Psychiatry, 177(8), 727-734."?

That had to be retracted for correction due to bad conclusions and methodology.

Anyway, you never answered the legs question, please answer it.

[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (4 children)

Not the entire body of research.

There was a meta analysis last year combining 53 studies in the field.

It depends on the severity of the body integrity disorder. In the case of people who are very distressed by their legs will try to damage them beyond repair outside a hospital setting. That is a worse outcome than a surgical amputation.

And my understanding is that the outcomes for such people is improved psychological health and happiness, which is more important that not having to put on your prostheses in the morning.

Until we have a cure for body integrity disorder, I think that it makes sense to allow people suffering severely to have a elective amputation. But again you need to be confident of your diagnosis. If it isn't going to relieve the distress, its going to be a mistake.

Note that there's no similarity between that and HRT. Not every transsexual decides to get bottom surgery, because, I assume, the impact on sexual function.

[–]brimshae 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (3 children)

That is the longest-winded way to say "yes, I think we should cut off someone's healthy body parts" I've seen yet.

Why wouldn't we just treat the underlying mental illness instead of mutilating people?

[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (2 children)

Correct me if I'm wrong, but I believe that there's no treatment for BID.

[–]brimshae 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

Haloperidol and Pimozide were (and sometimes still are) treatments for BID. Wokeness shouted down the good science on those drugs, though.

[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

If they work to the extent of stopping someone damaging their limb, then those would be preferable. (Assuming the side effects are better than having a prosthetic.)

Edit: I quick look on the internet suggests that there are treatments to help reduce the distress and depression associated with the condition, but there isn't anything that fully removes the desired to get rid of the limb.

So you still need to determine if the patient is going to try to amputate themselves unsafely. If so they're better off if an expert does it in safe conditions.