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Most transsexuals will tell you it's NOT a choice "it's just who I am", and they'll also say they are NOT mentally ill. So, the 'no one chooses to be crazy' logic doesn't really float. Unless you think they are crazy, which makes you an insensitive bigot, correct?
I have a degree in abnormal psycholgy, so I understand the traditional motivations and symptoms of gender disorders. It's an old degree and I don't work in the field, so I'm not gonna try and say I'm an expert and argue over you, but just humor me.
Body dysmorphia often manifests itself at a young age in men that become obsessed bodybuilders. The lifestyle and outward presentation are still choices.
Attention seeking behavior comes in many forms, be they subtle or pronounced, acute or chronic.... They driving motivation is seeking validation, whether it's from a father that the child feels detached from, or validation from the public at large. Regardless of surgery or not, outwardly dressing, behaving, and speaking like the opposite gender and demanding others address you accordingly, is a choice. Saying it's not a choice is kind of fatalistic, don't you think?
That’s crazy man, my favorite Starbucks barista has the same degree.
Edit: if you can’t tell, I’m just joking. Good post.