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While some small minority of people may be neurologically incapable of avoiding offending people because they can’t read social signals (ok, get a doctor’s note), this mostly seems like a way for trolls to smirk as they hide behind the skirts of the disability rights movement.
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Somewhat like that idea in poli sci that some kinds of authoritarian government try to make sure the rules are complex enough that everybody is in violation of something all the time, so there's automatically leverage available against anyone they want to target
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The issue with respect to speech codes (I’m not a fan to be clear) is not whether people are in violation but whether they *persist* in violation. Ok, maybe your neurodivergence means you can’t read the room. But can you follow instructions?
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It is revealing that personal pronouns zer/zem stuff became the flashpoint case with Peterson for eg. For most of us, it's a 0.1% corner case where we have to ask about and use a preferred pronoun. Perhaps for some, they have to do it like 90% of the time. I don't know.