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Social Justice Transgender and gender identity discussion

I originally intended to respond in considerably less depth and with considerably more flippancy here, but I've instead decided to treat these questions in a little more depth and with a little more charity because I understand why you might have this perspective. I hope you and others read the following (particularly as you actually asked for studies) although it will probably be long. I understand that people don't want to trudge through pages and pages of long posts, but I've actually talked a lot about stuff that people have addressed recently. As far as this question goes, however, I'm going to go into greater depth, and with better citations, than I have before. So here goes. I've also included citations in a more formal way, I hope you also check them out if only to make sure I'm not bullshitting you. The argument I will be making, in brief, is that observed brain differences which seem to be "gendered" in trans-identified persons are actually attributable to sexual orientation and general gender non-conformity and that entirely different brain structures may relate to gender dysphoria and/or trans-identification.

I can understand why this brain-sex theory is a tempting position to adopt on both assertions you make (homosexual brain differences are bullshit and transgender ones real) and I think in both cases it is traceable to misconceptions about "brain sex" to begin with. First of all, the whole concept is not without controversy (Rippon 2019, link is to a review). The term itself, what is more, is a bit of a misnomer. The purported neurological correlates of sex are both structural and, more compellingly, functional (probably the best-studied difference has to do with what is called "mental rotation tasks.") Nobody is saying that these differences are the sources of masculinity and femininity. As far as homosexuals go, and I'll speak here more often about gay men than lesbians because they are significantly better studied, nobody is saying that "feminine" brain differences in gay men means that all androphilic (male-attracted) males are effeminate, which is so demonstrably untrue as to be laughable. Anyone who knows any even remotely significant number of gay men (or lesbians) knows that, contrary to stereotypes, gender presentations are diverse. I am sure there have been multiple studies about this, although I don't have one on hand to cite, but it is obvious both that homosexuals have a diversity of gender presentation and that gender non-conformity (GNC) is much more frequently observed in homosexuals than heterosexuals.

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Now onto sex-related brain differences. It has been repeatedly found that men are better at these tasks (Griksiene et al. 2019), which involve spatial perception. Evidence "suggests distinct strategies being implemented depending on the difficulty of the rotation. Men performed the task more accurately than women." It is the thesis of Dr. Rippon that these differences are not inborn but rather due to what is called in this context "gendered socialization," or rather, having grown up and been raised as male or female. The differences have actually been at least sometimes found to be influenced by hormones, which brings Dr. Rippon's thesis at least partially into question and presents an interesting question as it comes to MtF transsexuals (by which I mean natal males undergoing cross-sex hormonal treatment*) as the study I just cited states "performance accuracy in [natal] women tended to be negatively related to estradiol while the response time tended to increase with increasing progesterone. There were no associations with testosterone." This has been replicated although the association with testosterone is disputed, c.f. Hausmann et al. (2000) More on this and it's implications later.

(*I use terms in very specific ways in this and all my posts. As a lot of people probably have not been bearing with me since the beginning, I'll try to define them as we go.)

When I say the term "brain sex" is a "misnomer," I do so because it is not as if these sexed differences in brain are direct correlates with what we usually consider gendered differences in the behavior and cognition (no doubt some joker is out there is thinking that the "mental rotation of 3D objects" has to do with parallel parking, but I'm only saying that as a bit of comic relief. In general, when I talk about "gendered behavior" I'm talking in broader and larger strokes than that.) As for the question at hand, this speaks to what I would imagine is one of your stronger objections to the findings of more "feminine" brains in gay men. Some evidence also exists for more "masculine" brains in lesbians but the evidence is significantly weaker and, as is all too often the case, men are much more frequently studied than women. Good evidence also exists that gender nonconformity in homosexuals (i.e. effeminate gay men and masculine lesbians) is associated with more significant cross-sex brain differences than sexual orientation alone.

Let's have a look at what is I think is the most recent study, Folkierska-Żukowska et al. (2019), which finds:

Rahman et al. (2017) find:

I could go on for quite some time citing similar studies, but it is fair to say both that the science is convincing that there are some cross-sex differences in gay men as a whole and some groups of gay men in particular, but that the evidence is not as strong as perhaps previously thought (brain differences in homosexuals have been observed for decades, and given varying sorts of social and political interpretations. The differences were at one time widely welcomed among gay activists as they were interpreted to suggest that homosexuality was a natural variation rather than a sin or pathology.) But nonetheless evidence for them is strong and, here we start to get to the crux of the matter, the differences are more strongly observed in gender non-conforming (GNC) homosexuals (unfortunately, GNC heterosexuals, a much rarer and less-studied group, are not included as a control.)

This brings us to studies of the trans-identified brain. There have been a number of this subject, as well, and they have also been given varying interpretations. The interpretation that it sounds like you are running with is that cross-sex differences in the trans-identified male is evidence that they are in some sense ontologically female ("trans women are women.") To break this down, this is a claim that there is a "gender identity" which need not correspond with natal sex which is (a) inherent, (b) essential, and (c) stable. I have criticized this view at some length here and it is I think rather beyond the scope of the current discussion but I think worth mentioning at this point. Suffice to say, this view is, in and of itself, nonfalsifiable and is ideological if not outright theological (to wit, "natal male with a female soul") in character. It is absolutely your right to believe this but using it as a lens through which to study the science is problematic. I will not discuss this view, pro or con, in any sort of metaphysical way, but will rather discuss the very specific question of whether or not homosexuals and trans-identified individuals (of any orientation) have brains which resemble those of the opposite sex.

On to the subject at hand. The problems with this interpretation are numerous. First of all, especially up until recently, almost all of these studies were done on trans-identified males (TiMs, i.e. natal male but female-identifying) of what Blanchard would call the "homosexual-transsexual" type, i.e. androphilic and effeminate persons born as men, which is the very group, absent the trans-identification, for which the strongest evidence for cross-sex brain differences exists as set out above. As for gynephilic TiMs at worst they have been excluded from studies and most studies didn't control for sexual orientation. Also, non-androphilic TiMs were typically not given access to transition clinics ("gatekeeping") until relatively recently so studies drawing on this population inherently excluded them. There has also been an apparent rise in this population as well as a corresponding one in androphilic TiFs, so earlier studies didn't even have good access to this population if they tried (they typically didn't). What's worse, many of the individuals studied were taking hormones (e.g. Carillo et al., 2000) and/or had undergone surgery. Incidentally, the intersex genetic males with complete androgen insensitivity syndrome (CAIS) who externally present as and are typically socialized, as female although their chromosomes and internal sex organs are male, perform as females do (Hemmen et al., 2014). As mentioned above, there are suggestions that in natal females, hormonal levels are related to the measures of "brain sex" which are more frequently studied. This alone should put these studies into question. When we look at gynephilic (female-attracted) trans-identified males, the purported differences disappear. See Sevic and Arver (2011) which n.b. dealt with structural differences rather than the functional differences I've been mostly discussing above (although for the purposes of our discussion the differences on both front have basically the same results and implications.)

Burke, Manzouri and Savic (2017) builds on this. I'll quote the abstract in full:


In other words, the cross-sex brain differences noted in trans-identified people are correlates of the gender they are attracted to (i.e. with respect to their natal sex, they are correlates of the same brain differences noted in homosexuals.) Trans-identified persons attracted to the opposite of their birth sex do not demonstrate these differences. It is tempting to bring up Blanchard here as he too divided trans-identified persons primarily based on their sexual orientation. However, this is a bit too cute, as there's no evidence at least here of a neuroanatomical correlate of autogynephilia but rather one a correlate of gender dysphoria in trans-identified persons regardless of natal sex or sexual orientation. However, this is not a part of the brain which is "gendered" in persons who are not trans-identified, regardless of sexual orientation. This has been repeatedly shown elsewhere.

It is not in line with the science to put forth a hypothesis of an essential gender identity and to locate it in the brain. The strongest claim that you can make is that effeminate gay men (and to a lesser extent masculine lesbians) have a response to very specific neurological studies that appears cross-sex,more so than non-GNC ones, even other homosexual, but these still have some degree of cross-sex brain differences. Unfortunately GNC heterosexuals argen't studied, and unfortunately degree of GNC, Blanchard typology, and certain other differences between trans-identified persons hasn't been studied either but there is no evidence whatsoever for cross-sex brain differences in gynephilic TiMs or androphilic TiFs and furthermore there is no evidence that these are different from non-trans-identified homosexual and especially persons with the same sexual orientation who are both GNC and homosexual.

TL;DR - There are significant differences in the brains of trans-identified persons but they are not related to differences in "brain sex." Cross-sex differences in trans-identified persons are attributable to their sexual orientation, not their trans-identification.

I will address later on some of your other points e.g. on sports, hormone blockers, the social construction of gender, and reactionary politics (or lack thereof) as well as some other stuff said by you and others since, but I hope this response was interesting and will get read. Cheers.

A few comments I wanna make:

1) I was not being ignorant about sexuality and gender-identity; for example, I STRONGLY agree with you that to suggest all gay men are feminine or all gay women are masculine is laughable. I even have personal experience of this as my childhood best friend (from ages 5-18....sadly he moved to Australia at 18 for a gap year and decided to stay there indefinitely) is gay and there was none "stereotype" or "feminine" about him at all. First time it I knew he was gay was when we were 14 and he kissed me.
It also goes the other way sometimes: not all straight men are masculine, and not all straight women are feminine.

2) Wow, the information about the rotation differences in males and females being caused by how they are raised (as either "male" or "female") is fascination. It just shows that a lot more than we know about these differences is actually related to socially constructed gender ideas rather than actual biological sex.

3) I don't believe in notions such as having a "soul", rather that a persons gender is a part of who they are; more of the mind than of the body. While I DO believe that transwomen are women and transmen are men, I also think it would be remiss not to make the obvious distinction that while transwomen are women, they are not biologically the same as ciswomen. Even after gender-reaffirming surgery (such as breast augmentation and penile-inversion vaginoplasty) and HRT, there are differences between ciswomen and transwomen. My (trans) friend Samantha has a YouTube channel (https://www.youtube.com/user/samproductions516 ) and she has videos where she talks more in depth about these topics and from a very informed perspective (as a transwoman herself). A lot of her video's are lighter in nature ("Reacting to trans character in Big Mouth, for an example) there are certainly some that provide very interesting information/theory on what we have discussed on here.

4) Interestingly, men and woman (biologically speaking) actually have the same amount of all of the same tissues when it comes to our primary genitalia. So this is just rearranged during bottom surgery so even the basic differences of biological sex are a lot less pronounced than has traditionally been thought (obviously thus does not apply to things like testicless, vas deferens, ovaries, fallopian tubes etc).
 
I'm not sure how related I would say that my field is. I am not an academic although I certainly know how to read theory and research papers. My clinical work is largely with severely ill psychiatric inpatients but I have also had stints working with a similar population on an outpatient business. I have no particular experience with trans-identified patients, certainly not in dealing with the related medical interventions (nor would I, I have to say the least some reservations on how this is currently done), nor do I think I've worked with a notable (i.e. particularly disproportionate) number of patients with other LGBTQ identities.

My knowledge about transgender issues comes from academic research but I've also taken it upon myself to research the issues in relevant online communities used by both trans-identifying persons and those with more critical opinions. My particular interest in transgender issues comes from the fact that I've worked extensively with certain populations of vulnerable young women, particularly those with trauma histories and personality disorders, and this population is very close to my heart (ironically I have also done some work with sexual offenders which would mean I've worked with both abusers and their victims, probably leading to my interest in psychosexual matters).

These young natal females are a group in which (FtM) trans-identification has very recently gone off the charts. I have more or less not been around to witness this spike personally as currently and for a number of years I have been not working, voluntarily and for addiction-related reasons. I will be working again in the near future and no doubt encountering significantly larger numbers of trans-identifying people of both natal sexes and both orientations, so I thought it prudent to educate myself on all aspects of the issue, particularly the phenomenon of trans-identification and related medical intervention in specific populations of young natal females, where both were previously exceedingly rare and now increasingly common, i.e. so-called "rapid onset gender dysphoria (ROGD)". This is also something I've expanded upon at some length several pages ago.

More and meatier replies later. I produce the best content when actually in dialogue with others :) I don't mean to toot my own horn but I do believe I have a lot of good and unbiased information and perspective to share.

I think the boom in people identifying as transgender is a lot more to do with 1) the world (while it has a LONG way to go) is becoming more accepting, leading to more people feeling comfortable "coming out" as trans and 2) It is a lot more public knowledge know, and young people are understanding what it is to be transgender at much younger ages than in the past.
 
@SKL, apologies for not addressing your response earlier. I think an important comparison was raised earlier which highlights where the distinction lies, medically.

Yes, it is. Oftentimes insurance will pay for cosmetic procedures in such cases too, as well as in the case of eating disorders. There is some evidence that procedures such as breast augmentation can improve the self-image of individuals in this category and relieve distress and impairment.

This really ties into the medicalization of mental illness. Medicine is essentially concerned with preserving life and uses that as the only significant measure of how well it is working. It is a reductionist view which asserts the binary proposition of a person either being ill or well. As @SKL rightly points out, this gets complicated in cases like GD and BD. You have to be declared ill in order to receive treatment from the medical institution. It actually skews the statistics in an unrecoverable manner because we cannot know how many people are experiencing real distress or impairment and how many are misrepresented, either by themselves or their physicians, in order to receive treatment. Our health systems are largely reactive - we wait until someone is actually ill before we treat them. With mental illnesses, most of which are progressive, a more prophylactic approach to living well and offering treatments before the gatekeeper criteria of "clinically significant impairment or distress" might well result in less demand for urgent acute treatments. That would require a wholesale restructuring of our health systems though.


This is an aspirational goal of mental health advocates. The truth is that this is not the case. One only need look to the gun debates that take place regularly in the US where mental health is so often used as a scapegoat when the violence is most often committed by individuals who have not, and could not properly, be diagnosed with a mental illness. The mentally ill face massive stigma and it's entirely understandable why trans-identifying individuals would not want to be labelled as mentally ill. As far as being mismatched being normal or not, that's not really a medical issue, that's a societal one. What is normal is determined by society, so if society determines that it's not sufficiently abnormal and is not significantly impairing or distressing (as appears to be the judgement in the current version of the DSM) then it doesn't require assessment.

Mental health has also historically been an almost coercive practice designed to treat manifest behavioural deviancies. That is, people were treated when their behaviour was deemed to be too far from the societal norm. Because the relationship between biology and behaviour was so poorly understood it tended to be carceral and people were locked up and essentially given quack treatments or rudimentary medications. Of course, in every age there were exceptions to this and some more enlightened practices amongst isolated practitioners.

Although seriously aberrant behaviour may still get you locked up if you are a physical danger to yourself or others, mental health has changed enormously in that it is increasingly based on individual subjectivity with a concurrent increase in the emphasis on self-reported feelings. However, given the diversity of human feeling and the fact that dissatisfaction (with things in general) is probably an evolutionary trait, the idea of a psychiatric or psychological pathology has expanded enormously. To the extent that any individual can feel completely satisfied with themselves and their circumstances almost anybody has become a candidate for mental help.

ALso @SKL, in your long argument and explanation of the science above you seemed to indicate that some male homosexuals enact or feel gender-noncomformity when young. The research included such homosexuals as a distinct category. Now, there is a lot of argument from homosexuals and lesbians that gender ideology that advances early medicalised intervention to affirm the expressed identity erase the L & G categories. If childhood or youthful gender non-conformity is a known phase many homosexuals go through, then that potentially makes homosexuals a high-risk group in terms being incorrectly medicalised before their full sexual and gender identities emerge. However, trans activists have made suggesting that gender non-conformity is in fact possibly a phase tantamount to pushing that child towards suicide. Naturally, given the increasing pervasiveness of the affirmation strategy within education systems homosexuals are very worried about their own erasure as a category.
 
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ALso @SKL, in your long argument and explanation of the science above you seemed to indicate that some male homosexuals enact or feel gender-noncomformity when young. The research included such homosexuals as a distinct category. Now, there is a lot of argument from homosexuals and lesbians that gender ideology that advances early medicalised intervention to affirm the expressed identity erase the L & G categories. If childhood or youthful gender non-conformity is a known phase many homosexuals go through, then that potentially makes homosexuals a high-risk group in terms being incorrectly medicalised before their full sexual and gender identities emerge. However, trans activists have made suggesting that gender non-conformity is in fact possibly a phase tantamount to pushing that child towards suicide. Naturally, given the increasing pervasiveness of the affirmation strategy within education systems homosexuals are very worried about their own erasure as a category.

I thought that L & G refers to sexual orientation, while trans refers to someone's gender identity?
 
I thought that L & G refers to sexual orientation, while trans refers to someone's gender identity?
It does. But it can become confusing if you use preferred pronouns. For example you might say "she is a lesbian" but be referring to somebody with a penis and testicles who identifies as a woman and sexually prefers women. That's why @SKL 's nomenclature of 'natal' male or female and FtM and MtF transexual helps keep everyone on the same page in detailed discussions.

There is also apparently a trend to take say butch natal females who like women and affirm them as FtM transexuals. Thus making them heterosexual, rather than lesbians they might have been prior to trans ideology taking root. The converse also applies to effeminate natal males who get 'affirmed' as MtF transexuals whao are then seen as straight rather than gay if they like males.
 
It does. But it can become confusing if you use preferred pronouns. For example you might say "she is a lesbian" but be referring to somebody with a penis and testicles who identifies as a woman and sexually prefers women. That's why @SKL 's nomenclature of 'natal' male or female and FtM and MtF transexual helps keep everyone on the same page in detailed discussions.

There is also apparently a trend to take say butch natal females who like women and affirm them as FtM transexuals. Thus making them heterosexual, rather than lesbians they might have been prior to trans ideology taking root. The converse also applies to effeminate natal males who get 'affirmed' as MtF transexuals whao are then seen as straight rather than gay if they like males.
That is very true.

I have a friend that is gay and lipstick or hyper-effeminate and sometimes dresses up in drag for fun or before going to CD/TV bars in the City or for LBG events for drag queens, his sister is a butch lesbian and not femme/lipstick. If they were from Gen Z they would probably be labeled as being 'trans', put into trans conversion therapy, and pressured to take hormones and have a sex change surgery, despite the fact that neither of them are transgender/transsexual/non-binary 'gender queer', etc. At all.

I have two bisexual but very androgynous friends who are from Gen X like me, they too would be put into trans conversion therapy, told to take hormones, get surgery, etc. when neither of them are trans at all.

I am hyper-masculine and bisexual, but I am not camp/femme/hyper-effeminate. I am fine with being friends with men and women who are into drag, or who are femme/effeminate men or butch women, as well as trans people, but platonic friendship is as far as it goes.

Re: deadnaming and misgendering.

Unless you are under 35 or in your 20s and spend too much time on twatter and social media they are not the major issues people make them out to be.

The first two trans people I met, both MTF would freely and openly talk about their previous lives as men or identifying as male/a man, their previous male names, etc.

They both told me how when someone transitions that people calling them their former name and misgendering are going to happen, and that it takes time for other people to adjust to calling the trans person by the pronouns and new name he/she/they want to be called.

They both told me how transitioning via taking hormones, having surgery on the genitals, etc. are not going to magically make a trans person's life 1,000% better, and make all of the trans person's problems all go away.

Both of these transwomen had decades of therapy and lived as men or the gender/sex they were born before ever deciding as adults well over the age of 21 to transition. The one transwoman was a baby boomer while the other is Gen X so maybe that is why they feel this way?

I know this is not happening with children/teens or young adults who are trans. There are De-trans groups where people who formerly identified as trans or who even had full or partial SRS try to reverse the SRS and stop taking hormones, etc. I am not sure how successful they are at this?

I have no issue with adults who are over age 21 who are trans or who discover they are trans taking hormones or having surgery, etc. But I draw the line at children and teens being given hormones and having completely irreversible SRS.

I have spoken to friends who are medical doctors and mental health professionals, they all said how with teens/children who say they are trans that they are super careful, do not always see them as patients or keep seeing them and when sex/gender issues come up they refer them to another doctor or mental health professional, and unofficially told me that not all teens and kids that say they are trans wind up being actually trans.
 
Havent spoken to anyone about this at all except the cat and base this strictly on episodes of Chicago Med and New Amsterdam, it is true that there is a percentage of kids who do not continue the transitioning at some point of the process and do have more affinity with original gender. I think some had to because the hormones make bones too brittle in some cases and can cause pituitary gland cancer, other side effects as well.



There was a transgender on a talk show that went from male to female with the entire operation done then went back to female.

I would guess that person was more body dysmorphic than anything, thought transgenders were adamant they are meant to be the other sex and didn't often go through adulthood chopping and changing wouldn't know though.

Its a bit hard to sort out completely before puberty and easiest to make transition before puberty. Cant do much about that.



Glad I never had to deal with anything like that, sounds like a hassle
 

Japan declares LGBT "goes against preservation of our species"... I know they have low birth rates but they are one of the most densely populated countries in a world that will face overpopulation crisis in a few decades..... That's cute
 

Kind of awesome: A new rainbow Lego set will arrive just in time for Pride Month


876686-lego-is-releasing-its-first-lgbtq-set-just-in-time-for-pride-month-scaled.jpg


You’ve heard of “Everything Is Awesome,” the criminally catchy theme song of the “Lego Movie” franchise.

Now get ready for “Everyone Is Awesome,” a new, rainbow-colored Lego set introduced Wednesday by the toy company ahead of LGBTQ Pride Month. The 346-piece collection, available for purchase starting June 1, includes a different figurine for each color of Lego’s rainbow: black, brown, red, orange, yellow, green, dark blue, purple, light blue, white and pink.

“Everyone is unique, and with a little more love, acceptance and understanding in the world, we can all feel more free to be our true AWESOME selves!” said Matthew Ashton, Lego’s vice president of design.
...
In addition to their varying hues, each of the 11 figurines has a distinct hairstyle, ranging from curly and long to short and straight. The differing appearances of the characters are meant to “celebrate the diversity” of Lego consumers, according to a press release.
...

Is this a good thing?
 
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I think word association is typical, to point out, that it can be good or bad / good and bad. Dualistic perspectives should probably be avoided altogether when addressing things such as MtF and FtM transitions, even though the sentiment most likely seems hypocritical. I honestly don't think doctors are qualified to steer a person either way when they say "this could be a good thing" or "this could be bad". Most doctors probably know more about cleaning their hands than they understand the human soul. Not often do I run into doctors that don't use charm as a means to slip by your ear. I find a lot of them prefer to use humour than think deeply about anything.
 
I'll assume these are asked of me, given I made the post. If not, then please disregard with the typical eye roll my posts warrant ;)

why do you care, even just enough to post about it?

Why do I care? As a lego lover, I'm both intrigued and confounded. Unless you create all those hair styles in a multitude of colors, you'll have hair sets that only match to certain colors. This isn't an product that presents 'be anything', but rather 'here is an expanded, but still limited set to work with'. That's the confounded, as to the intrigued, maybe having the purple hair atop a green body is really what someone wants. The traditionalist in me is struggling with all the helmets that are rendered useless by the hair option. None of this is facetious by the way. I loved my legos when I was a kid, and while I no longer play with them, I have cherished their generic interchangeability and non-specific rendering of 'people' (really, if you look, the majority are 'yellow' skinned, not 'white', but there has been an effort in recent decades to make 'brown'....still not 'white').

In a more socio-political response, I don't see it as pandering (though I can see the claim being made). Unlike conservative pushback that homosexuality-gender_terms-intolerant_tolerance are being shoved down our collective throats, I see this as a product that promotes 'anything is possible'. Yeah, it went rainbow with the clear indication of it's directional intent, but I see it as acknowledging 'you can be anything' and still be a part of the larger collective (lego) society. i suppose to cut this short (by me, no way!) my statement would be that I do NOT see this as a problem. I don't see it as a needed answer to anything, but can accept it as is.

Back to why I care, even just enough to post about it? I know there are a lot of non-hetero members, so I posted to see if this feels like it addresses some unspoken need for their portion of society. Does this solve anything, help future generations in any significant way? It was posted less to provoke a conservative response of outrage, and more to solicit a liberal response of 'what does this do for society?' I have many close friends, and even some family, who identify as non binry-hetero-society_defined_terms, so does this mean anything in terms of progress, or distraction, in their view? A person very close to me responded "its fine but I wouldnt buy it because so much of what is being pushed today for our portion of society is a cheap insult and doesnt deserve my money'. This, from someone self defined as bi-sexual, in a very mixed group of vari-sexual orientations and self-gender-definitions.


I dunno, do you think it's a bad thing? If so, why?

As noted, not a bad thing in my mind. An unexpected and confusing product for the lego lover in me, but a benign 'meh' from the adult me.
 
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