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kiwifarms.net
Would we let a person with normal body dysmorphia cut off their arms?
Apt comparison. This is one of my favorite articles on transsexual paraphilia and compares it to amputee paraphilia:
https://www.theatlantic.com/magazine/archive/2000/12/a-new-way-to-be-mad/304671/
If the article is too long for folks to read, it discusses amputation/amputee fetishism and erotic target location error; then it briefly touches upon the waxing and waning of various mental illnesses as they manifest and present differently in different cultures throughout history. Finally, the author compares both cases to the current waxing of "gender dysphoria" and remarks upon ethics of treating it with gender reassignment. The author doesn't draw a formal conclusion, but he clearly paints gender reassignment as being an ethically compromised practice. He draws to a close on the case of amputee paraphilia, "These people need help, but when the therapy in question is irreversible and disabling, it is not at all clear what that help should be." The article was originally published nearly 20 years ago, by the way.
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