We are natural beings, we observe, categorize and mold our language through it.
Our brains are so accurate in pattern finding you can see someone you know at night 100m away and you recognize them.
Our cognitive apparatus can detect the proportions of male and female with ease.
Now comes the trickery! rubs hands
To condition a person to see X and to force him to say it is Y or else he faces punishment is a tactic of demoralization.
If you beat someone so bad that you rub their face in blue and they are coerced to say it is red, you have victory over their cognition.
That means now you can invent anything and coerce people into not seeing it, or, even worse, seeing the exact opposite.
Cognitive dissonance can only be perpetuated in a cognitive demoralized target.
And if they demoralize our cognition, they demoralize our only tool to perceive, adapt and react.
Well, they might become transgender, because they might want to live out their lives as more man or woman depending on their situation. Especially if they were one of the unfortunate ones that might have had their penis removed after they were born.
I can have real sympathy for someone who has a genuine medical condition, but who's dick was removed, was told to basically grow up as a girl, but feels more like a man, but their testies are still internal.
That person is fucked and genuinely deserves some leniency for trying to sort themselves out. That person might be trying actually transition socially to being accepted as a man in public because they want to try and to live a normal life as a gender that might make a bit more sense depending on their circumstances.
Hence, I would call them transgender, because of the attempt to actually transition.
The self-mutilators are just Sex Communists. They are undeserving of sympathy.