[allreduce]

You seem to be partly arguing from a position of ignorance.

The trans-ness some people experience is extremely general and durable, far more consistent with the explanation that they innately are their gender somehow[^1], than with choice or psychosis. Some people feel pressured by this to, despite all the societal dis-incentives, medically transition. They then are not only their gender in behavior and reported experience, but also physically (with the exception of some hard-to-change stuff such as fertility).

We usually handle such general, durable "personal delusions" by accepting them. If I studied some math for years, can do said math and am employed at my local university doing mathematics, I am a mathematician. I do not have delusions of being a mathematician. If I move to, say Germany, and after years speak the language, have children there, participate in the local culture, and have a citicenship I am now German. Only the most backward people would say I have delusions of being German. Although, this cultural rigidity of course exists, I do not see it as desirable. An advanced society should accept and accomodate its outliers instead of steamrolling over them and making them suffer.

[^1]: Afaik currently a neuroscientific explanation is not forthcoming