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In pua we really rate physicality below all other components of the game.
fat people, ugly people, old people.... it doesnt matter.... even if u best looking guy in the world it still dont matter.
the problem is obviously most peoples AA just stems from a mental block usually, u have a physical problem that is enforcing ur mental block.
So what u need to do, and I know this may sound harsh or even rude, but...
You need to make ur arm an area of comfort. People naturally are curious of things that arent familiar. Now u need to get urself to the point where u can comfortably talk about it, and even better for u wud be joke about it.
If u can use it in routine and address it in conversation then it will become less of a sticking point.
I had a mate who was wheelchair bound, the way he dealt with that was to introduce himself to girls as "wheels" always offering girls a "quick ride". He used to crack jokes like "its ok those 2 dont work but the important one does"
It sounds crazy and really insensitive I know, but you need to be comfortable and confident about urself, all of urself... the arm is part of u, so why not make it part of ur game?
Im sure I hear fat people make fat jokes
I hear racial people make racial jokes
why cant disabled people back disabled jokes?
I think its just the fact its been such a sticking point for u, that u really need to flip it to the extreme and almost make it a strength....
I can do nothing but agree here...
your arm can be a major tool if used right, if you act like it does not bother you, make jokes about it, and find ways to use it in dialog, you will gain so much attention, not because of your arm, but because of your personality and outlook on life. People will see you have something they dont, and want to know what it is, you will be an intriguing person to everyone, because how could someone who had such a hardship in life, be ok with it.
you main concern is people not accepting you because of your arm, simply play in your mind, all those many times you have met people who have accepted you because of it. Your friends, family, strangers all of them. Society has told you your different, and you are, but dont let it be because of your arm, after all, anyone you meet, are simply people...