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This is not intrinsically harmful, but particularly in 2020 or for anyone who is otherwise socially isolated, Twitter ends up fairly socially and psychologically load-bearing. It becomes a major mode of expression where the things you express there can flourish disproportionately
But this creates a stuck state. You lose your natural fluidity. People were not meant to be consistent - it stifles parts of yourself that need expressing because you only express the bits your audience wants. The rest goes into your shadow, where it festers.
As a result, tweeting without an alt is a form of psychological self-harm, and I cannot encourage it.
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