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hyporational comments on Open Thread, October 7 - October 12, 2013 - Less Wrong Discussion
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Primary reason or not, I bet the activism is easier with some research to back it. In Finland, sex change is done with taxpayer money after extensive screening for other mental disorders. It's done because it helps, not because of political advocacy.
There are hypothetical treatments that would reduce harm ("it helps") in this sense that we would not use because of our current set of ideology/values. Indeed I think it likely this is the case.
I think I finally updated in your direction, just had to let the argument sink in a bit and think of other examples. Abortion laws would be fertile ground for some likely true but controversial arguments.
I think there are also lots of hypothetical disorders that could be treated, but most people would think of it as "medicalization" because it wouldn't fit their values.