Introduction
You might find yourself facing pain so intense that staying alive feels impossible. When your assigned identity becomes unlivable, you need practical tools to survive without resorting to suicide.
Kate Bornstein offers a guide to conscious self-creation and emotional survival. You can redesign your life, shift your emotional state, and treat rigid identities as temporary choices rather than permanent prisons.
The book shows you how to handle immediate crises, question oppressive cultural rules, and practice selective serial suicide to kill off harmful parts of your personality.
You will discover answers to several questions:
- How do you survive an acute crisis when pain feels unbearable?
- What happens when you stop viewing gender and identity as fixed?
- How do you dismantle the power of bullies and cultural institutions?
- In what ways can you invent a life worth living?
1. Crisis Management and Quick-Start Alternatives
Before resorting to unconventional methods or ending your life, you should rely on proven quick-start interventions, emergency contacts, and professional support.
Before resorting to unconventional methods or ending one's life, individuals should try a series of seven traditional, highly recommended quick-start interventions.
These foundational options are agreed upon by the best minds and kindest hearts to help reduce acute pain. They include professional support, social connection, and structured programs.
- Call a suicide hotline.
- Talk to your pal.
- See a doctor, therapist, or alternative healer.
- Call for help at 988 or a crisis center.
- Call someone who taught you something you'll always treasure.
- Get to a twelve-step meeting if you think you might have any sort of addiction.
- Connect with people online through peer chat rooms, forums, and bulletin boards.
Immediate Interventions
Surviving intense emotional crises requires identifying current feelings, choosing a better feeling that is incrementally closer to joy, and making preparations for the next step.
The author stresses moving away from the simplistic binary of happy versus sad. Because jumping straight to happiness is unrealistic, the process involves steady baby steps up an emotional scale to find a more manageable, positive feeling.
The author used to go to Tiffany's in New York City at the first bout of the mean reds to calm down, referencing Truman Capote's novella.
- Figure out what it is that you're feeling by identifying what kind of bad you feel.
- Choose a better feeling and put it in motion by aiming for something closer to love than where you are right now.
- Figure out what to do next and make preparations for a new way to feel better.
The Hello Cruel Scale of Feelings
The Hello Cruel Scale of Feelings ranks emotions from 1 to 29, allowing individuals to locate their current emotional state and incrementally navigate toward positive feelings.
The Hello Cruel Scale of Feelings ranks emotions from 1 to 29, allowing individuals to locate their current emotional state and incrementally navigate toward positive feelings.
The scale moves from love, wisdom, and compassion down to hopelessness and feeling trapped. Emotions like anger or pessimism are interpreted as healthier, more active states than depression or immobility because they represent motion toward freedom.
- Scan the list either from the bottom up or the top down to find the group of words describing how you feel.
- Choose the word that is most descriptive of your current state.
- Select a feeling that is slightly better than your current one, taking small, steady steps rather than cultural leaps.
The only absolute rule in the book is not to be mean, which prevents the triggering of guilt, shame, and harmful consequences. While the author grants permission to engage in any legal, illegal, silly, or unconventional behavior to stay alive, the strict boundary is that actions must not harm or be mean to others. Being mean triggers guilt and bad karma, whereas following the no-mean rule allows a person to navigate life freely.
- Follow the one rule in the book: Don't be mean.
- Forgive yourself, apologize, and make amends if you trigger shame and regret.
- Show the Get Out of Hell Free Card if necessary.
Physical touch can be consciously recalibrated using a technique called the resilient edge of resistance to foster self-soothing and change emotional states. By pressing palms together and then easing the pressure until the hands merely support each other, individuals can apply this concept to touch themselves or others in a way that alters their internal state and promotes healing.
The author learned this technique from her girlfriend Barbara Carrellas.
- Press your palm onto the back of your other hand.
- Press your hands together, using pressure from both.
- Let the pressure lighten up until it feels like they are supporting each other.
Gender identity can be explored and shifted dynamically using a graphic tool called g.i.d.g.e.t. without requiring hormones or surgery. The Gender Identity Graphic Equalizer Tool allows users to plot their everyday gender expression against the gender expression tied to their sexual fantasies, helping them consciously adjust along binaries to achieve personal freedom.
- Make an X in each column of the g.i.d.g.e.t. chart to indicate where you tend to fall most of the time and connect them with a line.
- Think of a sexual fantasy in a safe place and write down descriptive words.
- Enter a check mark in each column representing how you feel during that fantasy and connect them with a different line.
Developing personal diagnostic and maintenance programs for the mind, body, and spirit helps individuals spot and repair what is broken before crises overwhelm them. Drawing on maritime maintenance experience, the author suggests checking physical triggers, hormones, finances, and emotional states using both traditional and unconventional diagnostic methods like Tarot or astrology.
The author worked as a first mate on a 364-foot motor yacht where maintenance programs were vital to keep the ship floating.
- Check your triggers using the hungry, angry, lonely, and tired framework.
- Review your finances, debt, and insurance status.
- Consider unconventional tools like getting an astrological chart done, checking your chakras, or getting a Tarot reading.
The way you do anything is the way you do everything, meaning every small act of fulfilling a harmless desire serves as practice for realizing larger life dreams. By successfully granting yourself small, harmless wishes—like enjoying an ice cream cone or exploring an interest—you build the capacity and self-confidence to make larger wishes and a good life happen in a world that resists it.
- Recognize that every action is practice for everything else you do.
- Make your own small wishes come true to build the means for larger wishes.
- Try to be kind to people and yourself, or at least try not to hurt anyone.
2. Identity as Travel and Biological Plasticity
Sexual and gender identities are not fixed destinations, but temporary means of transport used to navigate life. Kate Bornstein argues against fixed theoretical categories of identity, proposing instead a general philosophy of travel. Because identities stop working as the world moves forward, individuals must consciously shift and update their self-expression just as operating systems update software.
You can treat identities as temporary means of transport rather than fixed destinations, leveraging biological plasticity to survive and adapt.
The Philosophy of Travel
You act as a traveler in this life. A traveler does not mistake the vehicle for home. You use a means of transport to reach a place, and then you leave it behind.
Phenotypic Plasticity
Humans possess a biological and mental plasticity that allows them to change their identities rapidly for survival, much like chameleons. Kate Bornstein asserts that human spirits and brains have the genetic RAM to shift identities on the spot in response to social environments.
Elephants in polar regions evolved into woolly mammoths to survive extreme cold, while tropical ancestors retained their hairless gray hides.
3. Challenging Bullies and Freeing the Imagination
Rigid either/or questions and oppressive cultural institutions are tools of social domination designed to enforce compliance and eliminate complex identities.
Either/Or Bullies
Binary choices make individuals uncomfortable and erase their complexity. Political leaders and social institutions rely on these forced choices.
George W. Bush repeatedly used polarized questions such as asking citizens if they were with the United States or against it. You encounter these demands whenever a bully forces you to choose between strict categories.
Junior High Origins
The oppressive us-versus-them dynamic of adult culture originates in the rigid social hierarchies and cruelty of junior high school. Junior high represents a neither/nor phase where youth are no longer children but not yet recognized as adults. This creates intense hormone-driven anxiety around fitting in.
This environment fosters the exclusion, teasing, and psychological pressure that teach people to enforce conformity through cruelty. An average of 166,000 children stay home from school each school day to avoid being bullied, as reported on ABC's Nightline. Bully culture conditions people to accept limiting definitions of race, class, age, gender, and sexuality.
Quoting poet Minnie Bruce Pratt, Kate Bornstein explains that cultural institutions trap human imagination within binary categories. Breaking free requires recognizing how these institutions restrict internal freedom and learning to name oneself independently. You can dismantle the cycle of bully culture by replacing polarized confrontation with curious, open-ended engagement.
To counter the divisive us-versus-them mentality, use this inquisitive approach focused on learning from people who are different:
- Say excuse me and ensure you are not interrupting or intruding on someone's privacy.
- State that you find the person fascinating and different from yourself.
- Ask if you might inquire what their life has been like because both parties could learn from each other.
4. Selective Serial Suicide and Practical Self-Creation
Instead of ending your life, you can practice selective serial suicide by killing off harmful or ill-fitting aspects of their identity and constructing a new one.
The author compares this psychological tactic to the biological function of the ubiquitin molecule in DNA. This molecule targets and marks malfunctioning cells for degradation so the body can live. By executing toxic personality traits or restrictive identities, you make room for life-affirming qualities.
The author spent over fifty years of savage self-butchery working through identities, transitioning physically to female, and shedding the nerdy teenage boy persona.
Savage Self-Butchery
Unwanted versions of the self—such as those shaped by bullies, fear, or shame—can be systematically dismantled by naming them, deciding how they should symbolically die, and executing that death.
To run a serial suicide spree, follow these steps:
- Make a list of the qualities, actions, and values of the unwanted part of yourself and give that part a name.
- Figure out the sweetest way it could die.
- Kill it the way it has always wanted to die.
The next time you just wanna die, kill off the part of you that got you into trouble instead and go on living as a whole new person. Ask yourself if some constructed identity keeps leading you into an unlivable life or onto someone else's path. Build a safer, freer identity and use your favorite movie scene of sex and violence to mentally execute the old part.
Permission to Go on Living
Giving oneself permission to construct an authentic identity is the key mechanism for surviving despair and choosing life.
When faced with suicidal ideation resulting from unlivable assigned identities, the realization that you are the author of your own life shifts the balance toward survival. You are encouraged to grant yourself ongoing permission to reinvent your identity whenever necessary.
Desire acts as a vital drive and motion that brings urgency, spontaneity, and purpose to life. It serves as a compass for self-discovery and a reason to go on living.
Examine your desires using these actions:
- Make a list of what you want.
- Put a check mark next to the items on your list that could get you in trouble or have gotten you into trouble.
- For each of those items, see which of the five trouble-causing factors apply.
To cement this fresh start, practice these steps:
- Imagine a world where anyone can safely and joyfully express themselves without being targeted or deprived of rights.
- Envision yourself living happily in that world and identify the components of an identity that bring you pleasure.
- Implement as many components of that envisioned identity into your real life as possible.
- Give yourself permission to become the kind of person you have always dreamed you could be.
Conclusion
When an assigned identity becomes unlivable, you can consciously redesign your life, shift your emotional state, and practice self-creation without resorting to suicide.
Survival, emotional regulation, and identity shifting combine to form a coherent practice of ongoing self-authorship. You are not trapped by the roles assigned to you by culture, family, or institutions. You can treat every facet of your life as experimental and temporary.
- Reach out for immediate help when distress overwhelms your capacity to cope alone.
- Treat your identity as a vehicle that you can swap whenever it stops serving you.
- Question every rule that forces you into an absolute either-or choice.
- Kill off harmful behaviors and outdated self-concepts while keeping your physical body alive.
- Grant yourself continuous permission to invent new ways of living and loving.
10 Key Ideas
- Individuals facing acute emotional pain can rely on proven quick-start interventions, emergency contacts, and professional support before resorting to suicide.
- The Hello Cruel Scale of Feelings ranks emotions from 1 to 29, allowing individuals to locate their current emotional state and incrementally navigate toward positive feelings.
- The only absolute rule in the book is not to be mean, which prevents the triggering of guilt, shame, and harmful consequences.
- Physical touch can be consciously recalibrated using a technique called the resilient edge of resistance to foster self-soothing and change emotional states.
- Gender identity can be explored and shifted dynamically using a graphic tool called g.i.d.g.e.t. without requiring hormones or surgery.
- Developing personal diagnostic and maintenance programs for the mind, body, and spirit helps individuals spot and repair what is broken before crises overwhelm them.
- Sexual and gender identities are not fixed destinations, but temporary means of transport used to navigate life.
- Humans possess a biological and mental plasticity that allows them to change their identities rapidly for survival, much like chameleons.
- Rigid either/or questions and oppressive cultural institutions are tools of social domination designed to enforce compliance and eliminate complex identities.
- Instead of ending your life, you can practice selective serial suicide by killing off harmful or ill-fitting aspects of their identity and constructing a new one.