“I’ve definitely learned that gender classifiers are an unreliable and flawed technology, especially when it comes to trans people’s gender expression,” Ada Ada Ada said. “I regularly see my algorithmic gender swing back and forth from week to week.
Says the person changing themselves week to week to fit different classifications?
To the extent that men can lactate! It’s one of the possible side effects of risperdal, which I have to be aware of because I give it fairly regularly. It’s all the same structures it’s just a matter of the hormone signals they’re getting.
Dude sometimes we still give thorazine. And tbh ime the 3rd gens don’t do shit for my typical patient. For context also though, I’m essentially providing ICU level care, so when you say the word “symptom control” it’s often referring to like, fists.
We had a Lady maxxed on Haldol BID one time and she managed to cheek for a week and eventually she just hauled off and rapid fire punched a nurse in the head three times. She legit thought a man was entering through her window every night on a beam of light to forcibly impregnate her and deliver the baby. She kept demanding to see the 50 babies she had up on L&D from the past few months. I’ve actually seen quite a few pregnancy delusions and they’re almost always completely wild psychosis. Another was such an angry manic but high insight enough that when she couldn’t take it anymore she would just come scream at me for the thorazine.
I’m unsure if you don’t work inpatient psychiatry or you just work somewhere significantly classier than I do. I do work in an inner city area that’s flush with people stuck in a cycle of drugs / homelessness so I’m also not going to tell you that any of this is the best solution, just that it’s the only one avaliable to any of us right now due to shitty government policies.
i.e. “I need Olanzapine [broad receptor affinity, highly anti-cholinergic, well-tolerated], but, like, faster.” I’m surprised that particular aspect of the side effect profile comes into play with acute usage.
I’m unsure if you don’t work inpatient psychiatry or you just work somewhere significantly classier than I do.
Ah, yes, this happens a lot. No, I don’t work in the medical field at all. I just know things, for reasons.
I do work in an inner city area that’s flush with people stuck in a cycle of drugs / homelessness
i.e. the psychosis has done so much cumulative damage at this point that you need to fall back to the typicals. That explains why the third-gens are useless.
On a different note, have you heard about Cobenfy yet?
It obviously isn’t suited to the needs of your practice. But I’m really glad we’re making progress on alternative treatment approaches, especially novel ones like anti-muscarinics.
Hopefully the new glutamatergics can reach your setting soon.
I’ll take this as a good faith question, and the short answer is that gender is a lot more complicated than that.
Yes there are two archetypal roles involved in sexual reproduction, but even that isn’t so simple. There isn’t just one feature that defines male or female, but a combination of traits including chromosomes, gametes, anatomy, hormones, etc. In the real world, some folks are born with features that don’t all agree with one or another archetype. Intersex people aren’t common, about 1 in 2,000, but their existence proves that sex isn’t just a binary. There’s diversity to sex that requires a more complicated scheme to account for everybody.
Gender, likewise, doesn’t follow the one-or-the-other model. Most folks are cisgender, but some folks have a gender that doesn’t agree with what people assume their sex is, or no gender at all, or a gender that doesn’t fit into the man/woman spectrum. It gets complicated quickly because gender is where sex and society intersect. Some cultures have different expectations based on gender, and some even have more than two recognized genders. That’s why we say “gender is a social construct”, because we all get to define for ourselves what it means to be a man, woman, or otherwise. And that’s also how gender is constructed, it’s a social project we all engage in collectively whether we realize it or not. Most just pass along the traditional gender roles that were passed to them, but those can change rather rapidly as society changes, like when clean-shaven faces became “manly” in response to WW1 soldiers having to shave so that their gas masks could maintain a good seal.
Biological sex != gender. There’s not even 2 classes of biological sex. There are men born with biological female organs and women born with biologically men’s organs. We all as humans do share common organs, one of which happens to be the nipple.
Regardless of what your actual biological sex is a gender is simply a social construct used to identify someone. A person who is “non-binary” feels that their gender does not conform to what you would typically expect of either male or female based on appearances or behavior.
Anyone can decide what gender they feel like. Most people identify with one of the major genders, but many people don’t for multiple possible biological reasons. Nobody is in good faith identifying as a gender they don’t actually feel like.
Sure. If you define the word gender as identifying what you feel like, then it makes sense from that perspective. If I felt like my gender is someone who feels like a cat, that would be my gender then.
It was a genuine question, and I listened to your opinion. My own opinion differs from your own. This happens sometimes in conversations. To me, that doesn’t mean that we need to leave the discussion or downvote eachother. :)
The thing is, these conversations usually go the same way. People like yourself try to step in and guide people who ask questions. And if they don’t 100% share your own opinion, then you feel it’s a waste of time. And also you think you know me. I must be a troll. Right?
It’s a bit funny, you have to admit. Online discussions are not sniper battles. Or they shouldn’t be.
Maybe I have a different point of view on this because of my own upbringing and my own experiences. Seems pretty likely, no? And maybe one comment online will not change all of that in an instant. Also makes sense, no?
So just relax… We don’t have to fight online. I promise.
Their argument is that “gender is just a social construct”, without acknowledging that some of the most paramount aspects of human existence are “social constructs” (i.e language) and that gender is one of them. And without addressing why sexual taboos (like public nudity) are gendered - to them its a form of irrational injustice. But expore the social ramifications -through real and hypothetical examples- and you quickly find that it is indeed rational to treat bodies different according to their gender, and that human social psychology does have strong roots in human phsyiognamy.
Poster below gave you all the answer you’d ever need on this question you beg… If you have any integrity, add a note to your original comment to clarify that you were mistaken in your initial assumption and why.
It’s these bad faith arguments that caused the thread to turn against you. Gender isn’t a cat, and it certainly isn’t anything at all. You claim you wanted earnest conversation, but you undermined that with snide comments you knew would result in negative reaction.
Says the person changing themselves week to week to fit different classifications?
Precisely.
Gender isn’t binary, there is no such thing as a male or female nipple. That distinction is something that Humans made up.
To the extent that men can lactate! It’s one of the possible side effects of risperdal, which I have to be aware of because I give it fairly regularly. It’s all the same structures it’s just a matter of the hormone signals they’re getting.
This got me curious whether the milk would be any different and, if I’m reading this study correctly, there’s practically no difference in content
Said study: https://pubmed.ncbi.nlm.nih.gov/7462406/
In 2024? Why? Risperdal is such a blunt instrument with respect to its broad affinity for receptors.
Dude sometimes we still give thorazine. And tbh ime the 3rd gens don’t do shit for my typical patient. For context also though, I’m essentially providing ICU level care, so when you say the word “symptom control” it’s often referring to like, fists.
We had a Lady maxxed on Haldol BID one time and she managed to cheek for a week and eventually she just hauled off and rapid fire punched a nurse in the head three times. She legit thought a man was entering through her window every night on a beam of light to forcibly impregnate her and deliver the baby. She kept demanding to see the 50 babies she had up on L&D from the past few months. I’ve actually seen quite a few pregnancy delusions and they’re almost always completely wild psychosis. Another was such an angry manic but high insight enough that when she couldn’t take it anymore she would just come scream at me for the thorazine.
I’m unsure if you don’t work inpatient psychiatry or you just work somewhere significantly classier than I do. I do work in an inner city area that’s flush with people stuck in a cycle of drugs / homelessness so I’m also not going to tell you that any of this is the best solution, just that it’s the only one avaliable to any of us right now due to shitty government policies.
Acute care, understood.
i.e. “I need Olanzapine [broad receptor affinity, highly anti-cholinergic, well-tolerated], but, like, faster.” I’m surprised that particular aspect of the side effect profile comes into play with acute usage.
Ah, yes, this happens a lot. No, I don’t work in the medical field at all. I just know things, for reasons.
i.e. the psychosis has done so much cumulative damage at this point that you need to fall back to the typicals. That explains why the third-gens are useless.
On a different note, have you heard about Cobenfy yet?
https://www.npr.org/sections/shots-health-news/2024/09/27/g-s1-25089/karxt-cobenfy-schizophrenia-psychosis-fda
It obviously isn’t suited to the needs of your practice. But I’m really glad we’re making progress on alternative treatment approaches, especially novel ones like anti-muscarinics.
Hopefully the new glutamatergics can reach your setting soon.
I don’t understand this. We have two genders, how is it not binary and how is it made up? Honest question.
I’ll take this as a good faith question, and the short answer is that gender is a lot more complicated than that.
Yes there are two archetypal roles involved in sexual reproduction, but even that isn’t so simple. There isn’t just one feature that defines male or female, but a combination of traits including chromosomes, gametes, anatomy, hormones, etc. In the real world, some folks are born with features that don’t all agree with one or another archetype. Intersex people aren’t common, about 1 in 2,000, but their existence proves that sex isn’t just a binary. There’s diversity to sex that requires a more complicated scheme to account for everybody.
Gender, likewise, doesn’t follow the one-or-the-other model. Most folks are cisgender, but some folks have a gender that doesn’t agree with what people assume their sex is, or no gender at all, or a gender that doesn’t fit into the man/woman spectrum. It gets complicated quickly because gender is where sex and society intersect. Some cultures have different expectations based on gender, and some even have more than two recognized genders. That’s why we say “gender is a social construct”, because we all get to define for ourselves what it means to be a man, woman, or otherwise. And that’s also how gender is constructed, it’s a social project we all engage in collectively whether we realize it or not. Most just pass along the traditional gender roles that were passed to them, but those can change rather rapidly as society changes, like when clean-shaven faces became “manly” in response to WW1 soldiers having to shave so that their gas masks could maintain a good seal.
Biological sex != gender. There’s not even 2 classes of biological sex. There are men born with biological female organs and women born with biologically men’s organs. We all as humans do share common organs, one of which happens to be the nipple.
Regardless of what your actual biological sex is a gender is simply a social construct used to identify someone. A person who is “non-binary” feels that their gender does not conform to what you would typically expect of either male or female based on appearances or behavior.
Sure but there are two major biological sexes. I can understand how gender can be defined as something else though.
Non-binary can decide what gender they feel like.
Anyone can decide what gender they feel like. Most people identify with one of the major genders, but many people don’t for multiple possible biological reasons. Nobody is in good faith identifying as a gender they don’t actually feel like.
Sure. If you define the word gender as identifying what you feel like, then it makes sense from that perspective. If I felt like my gender is someone who feels like a cat, that would be my gender then.
I gave you the benefit of the doubt that you had a genuine question, but I now feel that was a mistake.
It was a genuine question, and I listened to your opinion. My own opinion differs from your own. This happens sometimes in conversations. To me, that doesn’t mean that we need to leave the discussion or downvote eachother. :)
The thing is, these conversations usually go the same way. People like yourself try to step in and guide people who ask questions. And if they don’t 100% share your own opinion, then you feel it’s a waste of time. And also you think you know me. I must be a troll. Right?
It’s a bit funny, you have to admit. Online discussions are not sniper battles. Or they shouldn’t be.
Maybe I have a different point of view on this because of my own upbringing and my own experiences. Seems pretty likely, no? And maybe one comment online will not change all of that in an instant. Also makes sense, no?
So just relax… We don’t have to fight online. I promise.
Their argument is that “gender is just a social construct”, without acknowledging that some of the most paramount aspects of human existence are “social constructs” (i.e language) and that gender is one of them. And without addressing why sexual taboos (like public nudity) are gendered - to them its a form of irrational injustice. But expore the social ramifications -through real and hypothetical examples- and you quickly find that it is indeed rational to treat bodies different according to their gender, and that human social psychology does have strong roots in human phsyiognamy.
From the person I talked to above, they are using gender to describe how they feel about who they are. So maybe it’s just a word difference.
I’m very downvoted for being in this thread though and so are you. It’s a bit funny.
A mod deleted my comment it seems.
Anyway, guess I leave this strange thread and leave people here with their beliefs.
Poster below gave you all the answer you’d ever need on this question you beg… If you have any integrity, add a note to your original comment to clarify that you were mistaken in your initial assumption and why.
But, doesn’t seem likely that you will.
Removed by mod
Not true! The female nipple is actually useful.
Biological males can also lactate, it just takes a lot more effort.
Great, just another thing to make me feel like a failure at.
Define useful.
Just a rhetorical request, I’m not expecting an answer.
The only thing changed between photos is clothing and pose. Is that gender? Well maybe it is, but it’s useless for classification.
If it’s one thing I learned from the thread, it’s that the word gender can be anything at all.
It’s these bad faith arguments that caused the thread to turn against you. Gender isn’t a cat, and it certainly isn’t anything at all. You claim you wanted earnest conversation, but you undermined that with snide comments you knew would result in negative reaction.