A reader writes: “I am trying to puzzle out some things about my own body dysphoria and would like to ask you this question about dysphoria in general. Do you think it stems from a physical misrepresentation in the brain or a learned response?
“By physical misrepresentation I mean that the brain is wired in its neurons to perceive one set of genitalia but the body winds up with another set. By learned response I mean that the person perceives their gender as one way (socially and privately) and because their body is not aligned, they eventually develop confusion and despair over their body.
“I am asking because it seems many ‘documentaries’ and such about trans people feature a young child explaining how they wish their penis was gone or something. But how much of that is strictly physical and instinctive and how much is psychological? What would happen if…
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