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I’m looking for examples for something I’m writing. Trans people are diagnosed as trans based on not much more than their say-so. There are no lab tests, MRIs, CT or X-rays to diagnose it. I don’t think there’s any other medical field in which they cut off your testicles, uterus or any other organ because of the patient’s decision alone.

You can rule out cosmetic surgeries as an example, because trans surgeries aren’t just cosmetics - a double mastectomy isn’t just a breast reduction, for example.

My understanding is that psychiatric surgeries have gone mostly out of style, and while might be performed in some countries still, they’re a very rare edge case.

Thanks.

I’m looking for examples for something I’m writing. Trans people are diagnosed as trans based on not much more than their say-so. There are no lab tests, MRIs, CT or X-rays to diagnose it. I don’t think there’s any other medical field in which they cut off your testicles, uterus or any other organ because of the patient’s decision alone. You can rule out cosmetic surgeries as an example, because trans surgeries aren’t just cosmetics - a double mastectomy isn’t just a breast reduction, for example. My understanding is that psychiatric surgeries have gone mostly out of style, and while might be performed in some countries still, they’re a very rare edge case. Thanks.

41 comments

If you haven't already read this, check out this article: https://www.theatlantic.com/magazine/archive/2000/12/a-new-way-to-be-mad/304671/

Check the date on it and read the whole thing.

Oh wow, the resemblance is uncanny - including the threats for self harm if they don’t get why they want.

Isn't it?! This is totally what mental illness creating community looks like: social media in the year 2022.

I love that article and reread it every once in a while.

[–] Sylvanas [OP] 2 points Edited

I’m re-reading it now, still amazed by the difference in language and terminology in an article from only 22 years ago. Btw I will definitely have nightmares about the one guy who cut off his own leg.

Thing is, you don’t even have to go as far as amputees to find online communities of malingering people. There are several commonly self-diagnosed conditions that have a huge social media following, like hypermobile Ehlers-Danlos syndrome (no lab test for that), or chronic Lyme disease (the “chronic” types fails lab test for Lyme but insist they have it still). Except doctors treat these with suspicion, unlike trans. The article shows a similar hesitance and around treating autogynephilia only two decades ago, it’s so strange how the tables have turned.