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With respect, I think you're throwing the baby out with the bathwater here as regards dysphoria/dysmorphia. I agree that a lot of unhappiness in trans children and adults is caused by their transphobic environment. But I believe it's also caused by body dysmorphia--which I also agree should not be medicalized DSM-style. But it's real nonetheless and not reducible to sociocultural factors. I've read numerous accounts of very young trans girls really hating having a penis (and some, but fewer, of trans boys wanting one). Much the same for adult transwomen. I have it myself because my face and body aren't remotely feminine. They're not bad-looking for a man even at my age (74) but completely wrong for the woman I feel myself to be.

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