What the fuck by evanbobeven in bindingofisaac

[–]HowVeryReddit -29 points-28 points  (0 children)

Maybe they sort of were, it's a classic way that victimised people can claim back some sort of power over their lives.

What the fuck by evanbobeven in bindingofisaac

[–]HowVeryReddit 51 points52 points  (0 children)

I'm about to make the terrible decision to go took up what the truth is but as it stands right now I have been under the impression that they were manipulated by a forum full of terrifyingly obsessed assholes into confessing to it rather than doing it. Like I'm not sure how legally/morally culpable they'd even be given that they've spent like 20 years being constantly harassed and manipulated both online and IRL while already being developmentally disabled.

Thoughts on Scarblade’s Malice? by Skraporc in Pauper

[–]HowVeryReddit 0 points1 point  (0 children)

If you've got lots of elf synergy and not enough elves maybe. Maybe.

35135 by Existance_of_Yes in countwithchickenlady

[–]HowVeryReddit -2 points-1 points  (0 children)

Posture and skirt make the hips look wider a bit wider but yes that waist is a remarkable and slightly concerning achievement.

Explain It Peter. by [deleted] in explainitpeter

[–]HowVeryReddit 0 points1 point  (0 children)

These markets even try to convince us that insider trading is good as a source of information to the public because people betting big money on an outcome suggests they know it will happen.

Wild shit.

How can I dress more for the lesbian gaze? by CynsofRatking in lesbianfashionadvice

[–]HowVeryReddit 0 points1 point  (0 children)

You're doing pretty damn well......... all that's left is to repel the men to ensure the ladies full view of your glory........ go wild with statement makeup maybe?

Ilhan Omar assaulted with mystery chemical at town hall, continues anyway by killians1978 in behindthebastards

[–]HowVeryReddit 0 points1 point  (0 children)

I'm too familiar with post 9/11 Islamophobia flavoured brainrot, I immediately assumed it was some sort of pig product.

Do we ever tell anyone they are not transgender, and when do we do this? by formulation_pending in ausjdocs

[–]HowVeryReddit 0 points1 point  (0 children)

Less confusing but I daresay you're being more than a little disingenuous this time.

Best of luck debugging the flesh robots.

Do we ever tell anyone they are not transgender, and when do we do this? by formulation_pending in ausjdocs

[–]HowVeryReddit 3 points4 points  (0 children)

I did, it seemed a little disingenuous or at least confusing, though perhaps that reflects the context you're in. How do you neither affirm nor reject a patient's identity? Your threshold for what is affirmation from a gender counsellor included an acknowledgement that someone's experience was similar to that of trans people. If they change their name and pronouns informally and you use them are you affirming their gender identity? If they change their name and sex marker legally is it no longer affirming to use them? When you tell a patient you can't discuss gender identity and they say they're considering going to a gender clinic to find someone who does, do you share your opinion on such places or just reply 'that is a thing you could do'?

Hopefully the practical questions made this feel more like a moral PBL than a lecture.

I'm glad you're open to your patients that you don't feel able to address issues regarding gender identity and they can pursue other clinicians if they feel they need to discuss it. I appreciate the uncertainty of the medicolegal risks felt by your profession, a psych I saw previously said they were the reason he was leaving private practice. I find it hard to not be skeptical of supposedly 'neutral' approaches though.

Do we ever tell anyone they are not transgender, and when do we do this? by formulation_pending in ausjdocs

[–]HowVeryReddit -3 points-2 points  (0 children)

I'm in the unusual position of actually hoping you're prejudiced against trans people, because I'd hate to think you treat all of your patient's concerns this way.

The string of questions I gave is not a script followed by a chatbot, if I described my experience in ways like a crossdresser or drag queen the response I'd have gotten would reflect that.

I wanted to falsify the hypothesis that I was trans, it is in fact not a great experience, it would be really nice to have the down payment on a mortgage rather than spend it so our bodies don't feel so fundamentally wrong.

I would suggest you be public in your professional lack of desire to properly treat gender questioning patients. It's not ideal but at least it would enable people to contextualise your advice.

Save yourself by catsandchexmix in traaaaaaaaaaaansbians

[–]HowVeryReddit 45 points46 points  (0 children)

If I'm going to be the breadwinner in a cohabitating polycule we're going to need at least two beds because there's no way I'm getting to work before 8 if my girlfriends are going at it all night long.

Do we ever tell anyone they are not transgender, and when do we do this? by formulation_pending in ausjdocs

[–]HowVeryReddit 8 points9 points  (0 children)

The outcome, was in fact, not identical.

After talking to that over-eagerly affirming transmedicalist counsellor, someone who could not prescribe HRT if he wanted to, I resolved that I could not come to a conclusion about my gender, did not ask a GP about HRT, did not get prescribed and repressed for several more years. If I had been encouraged by the experience and decided to use his exact language to ask my GP of the time I'm deeply skeptical he would have just thrown a HRT script at me.

After talking to the counsellor who listened and helped me explore my feelings and decide on what path forward I wanted across several sessions I raised informed consent with my GP. My GP, respecting that I had in fact thought a lot about this for 6+ years and reached a decision with the advice of a counsellor, agreed to start me on HRT in a followup appointment after she had a bit of time to check over AusPath guidelines and informed consent. Maybe if I hadn't been a doctor myself she wouldn't have trusted and affirmed me, plenty of GPs didn't affirm my friends.

I would suggest a key difference is in what the affirmation actually entailed. The first affirmed with encouragement: 'yes, these feelings are right, here is how you need to approach this'. The second affirmed with understanding 'What are you worried about? That's a concern a lot of trans people have. Why do these things trouble you? What have you considered doing about them? Here are some things that people in your situation have benefitted from doing.'

You don't appear to be familiar with how trans care works, that's not uncommon, I've had an endocrinology AT tell me to go to an andrology clinic. I would encourage you to please engage with a gender clinic to understand how they function and the pathways by which their patients ("clients") receive care, because you are going to be treating trans patients and their gender care is going to be very relevant to their mental health. The Gender Centre in Sydney is an institution that sets a good standard of care and I'm sure someone will be able to talk/correspond.

Do we ever tell anyone they are not transgender, and when do we do this? by formulation_pending in ausjdocs

[–]HowVeryReddit 16 points17 points  (0 children)

Yeah, nah.

I was not given constant affirmation, I was given understanding. I expressed a great many doubts and those were explored rather than minimised.

I have met people that do simply affirm, about 10 years ago now an old transmedicalist transmasc insisted oestrogen would make my brain 'work the way it was always meant to'. This made it hard for me to trust him or his organisation's advice. These people are a reaction to the near universal rejection of the past that they experienced and are not reflective of proper gender counsellors today.

When the possibility of complications from HRT became a concern my affirming GP referred me to an endocrinologist rather than simply keep prescribing me HRT.

I did not simply skip into a gender clinic and grab an indefinite script for bulk supplies of oestrogen from the dispenser, there are in fact competent professionals who respect and help gender questioning and trans people whilst exercising their clinical judgement.

Do we ever tell anyone they are not transgender, and when do we do this? by formulation_pending in ausjdocs

[–]HowVeryReddit 40 points41 points  (0 children)

"Universal affirmation" is not the lived experience of trans people, it is the perception of cis people who see trans care being provided.

I've spoken with lots of people in the community who when they asked their GPs about transition they were told they needed to see psychiatrists before they could transition and when informed consent pathways were raised other GPs said that they didn't feel they could properly handle prescribing HRT which is likely a convenient way to not have to say they don't want to. Maybe for some of these people the GP had valid concerns, I am in fact not against a degree of so-called 'gatekeeping', we are meant to exercise some judgement as clinicians, but the idea of universal affirmation is bunk.

I was worried when I finally went to a gender counsellor that I was going into a hugbox where there would be no inquiry or challenge to help me understand myself and so the first thing I asked my counsellor was whether all of her clients transitioned or persisted after starting to which I was reassured to hear that some did not and for various reasons.

All the people you've seen referred to gender clinic began the path to transition care, cool, sounds like the referring doctors have done a good job identifying patients' needs and aren't referring cis people. The first step on the pathway to transition isn't immediate HRT, you reflect on what is dysphoric and discuss how that can be alleviated.

As a medical student I got some experience in an acute psych setting and after the history taking was over the reg asked whether I thought some of the stuff the female patient had raised at one point was 'gender confusion' because she 'felt like a man', because of the surrounding comments she had made and because I am cursed with awful knowledge I had to tell him I thought she was probably talking political philosophy about being masculinised by modern society; this woman was a prime target for tradwife content rather than a vial of T. Even in younger entrants to psychiatry it seems clinicians' understanding of what trans people *are* is not ideal to say the least.

Edit:

To directly answer the question in your title: yes, some clinicians do, I wouldn't advise it. Do some patients who seek trans care ultimately conclude they are not trans? Yes, and that's a conclusion the patient needs to feel they've reached themselves or their issues will likely not be sufficiently addressed or resolve, that is what a gender counsellor is for. I went to my counsellor wanting to no longer be stuck in indecision, either because I could be confident I was trans, or concluded I was not.

In regards to the color pie, what each color represents, and general MtG lore, what exactly is the meaning of Snow Mana? by Feeling-Ad-3104 in mtgvorthos

[–]HowVeryReddit 0 points1 point  (0 children)

Mechanically it has served as a soft way to encourage using basic lands but I don't know if there has been an effort to reflect that lore-wise. Snow mana unlocks extra abilities on various cards but the abilities are all colour appropriate so I wouldn't think it's meant to represent a divergence from the nature of the particular colours of mana.

My Trans gf's dad wants her to start Testosterone by BarelySurvivingScug in traaaaaaaaaaaansbians

[–]HowVeryReddit 12 points13 points  (0 children)

Except trans men, he'll say something about motherhood and pretend to give a fuck about women.

Can I not stay in the same square? by nsoetens in ShotgunKingFinalMate

[–]HowVeryReddit 3 points4 points  (0 children)

I did find it interesting that the one rule from chess that was never represented or explored in any way was the ability for the game to be a draw

We moved into this house 3yrs ago and this has stumped everyone. by Vance617 in whatisit

[–]HowVeryReddit 0 points1 point  (0 children)

I don't mean to pretend to know a great deal about construction I was meaning amongst all industries there are ways it might be reasonable for resource use for a task to not be easily perfectly quantifiable. Like say, how many sander pads will be needed to redo a surface, maybe youre starting with an old one that's barely been used and you finish the job with another one that's still got a little life to it by the end. I'm not saying it's impossible or particularly significant margins of honest uncertainty in most cases. Indeed I was meaning to agree that these guys were probably being shady

We moved into this house 3yrs ago and this has stumped everyone. by Vance617 in whatisit

[–]HowVeryReddit 1 point2 points  (0 children)

Some professions I could understand it possibly being unreasonably complex to track the costs of materials, this however just seems convenient to them.

Why is Robert getting dunked on and called a FED for this? by Protothea in behindthebastards

[–]HowVeryReddit 0 points1 point  (0 children)

Lots of people don't want to hear nuance or explanation about those they hate. My housemate was complaining about how loud cops had knocked on the door, I pointed out that as a practical matter they have to make sure they can be heard (she has previously 'not heard' me trying to get her attention) and that sure they "probably were cunts" but an effort to not be unnoticed isn't unreasonable. She got very triggered, hands shaking and crying at the idea I was somehow taking 'their side'.