These words seem to no longer have any meaning beyond as a marker for not being “normal” and thus a special little snowflake who is morally superior to cis-het “scum.”
This isn’t English anymore. It isn’t even any form of Newspeak. It is the mimicry of a parrot, but without a parrot’s intelligence.
Back in the sixties, these……persons…….might have been institutionalized. Or shunned. Or made fun of. But mostly made fun of for being stupid. Sigh.