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Vladimir_M comments on A Rationalist's Account of Objectification? - Less Wrong Discussion
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Not alike in implications at all. Whether something is a choice is different from whether something feels like a choice.
Also, as wedrifid said, some people are born with their sex unclear. Often, surgery is performed to "correct" the baby to a particular sex.
I think that less constrictive gender roles would solve most of the social pressure in those circumstances. To the point that I think distinctions between sex and gender are analytically worthwhile. But not everyone who dislikes the current gender roles agrees with my assessment.
How so? I don't think a weakening of gender roles will help to change the fact that most people aren't going to be sexually attracted to someone who's biologically sort of in between the sexes. Or are you referring to a different social pressure than the one towards surgery?
I suppose it depends on how hard you think rejecting social constructs is, at that. Still, the mere existence of a "cure for gay" would massively reshape the debate, let alone one as easy as, well, willpower and objectivity.