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Ehhh.....
I said this in the last amputee thread, but there's really three major reasons to be into this sort of thing; the first one, and the only one that isn't generally disgusting, actually stems from the instinct to protect. The second is the desire to control somebody sexually--or to be controlled sexually, for those who empathize with the victim--as the removal of the limbs, particularly all four, can be seen as making the victim completely useless for anything but sexual gratification.
The final reason is what those over at /g/ would tend to experience--the desire to dominate completely, to the extent of controlling another person's life or death. This is the desire that most tends to prompt fantasizing about the actual process, a guro concept.
But none of that is even part of the point. Amputees are not guro by nature--there is no blood, gore, death, or open wounds in even a picture of someone missing all four limbs. Amputation is guro--the act of removing a limb causes, of course, blood, gore, open wounds, and depending on whether it's treated, death.
A pic being guro has nothing to do with whether somebody's life is ruined, how much pain they're in, or anything else you people are complaining about. /d/ allows for that kind of stuff--we have threads about girls becoming sex slaves, girls whose bodies are permanently modified, girls whose lives become miserable non-stop rape--that all sounds like a ruined life to me--all the time. We have threads about S&M--whipping, abuse, candleplay, chains--all the time. That sounds pretty painful.
Most /d/ fetishes, in real life, would cause whole boatloads of suffering for the people involved. That's why it isn't real. HENTAI/Alternative. It's all fantasy, and in fantasy, consequences don't need to be faced, or even acknowledged.
So please, all of you, shut the fuck up.
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