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(to be clear both questions can be asked for other reasons, my point is that they're irrelevant if you're trying to answer the question "should we accept these ppl")
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In my experience, people who ask these kind of questions lack the basic behavioral genetics knowledge. There is no ghost in the machine and free will is a useful fiction. Choice is always an illusion when you know the underlying mechanisms.
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Trans acceptance is a nuanced subject. Does this mean that men who wish to be seen as a woman (trans women) should be given the same rights to sports competitions, women’s safe spaces, prison areas, etc?
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Precisely. I accept tons of people who do things I can't truly empathize with (Harry Potter fans for example). It's just one facet of who they are, why should you be exclusionary for something that's basically irrelevant.
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This, but as a general disposition towards lots of issues, leading to constant misunderstanding and misrepresentation, and a personality built around having that happen all the time and not liking it but not wanting to change
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Depends on your definition of acceptance. I'm happy for people to do whatever they want if it's not hurting anybody, but acceptance doesn't mean letting men play rugby against women, for example.
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There's no good reason to mistreat anyone for non-exploitative consensual sexual behaviour (or any behaviour that doesn't harm others), regardless of what motivates it. But people who are bothered by it may judge it more harshly if they think it doesn't arise from some deep need.
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