Interesting study I found on Body Integrity Disorder
(www.ncbi.nlm.nih.gov)
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A perfectly valid weasel-word statement.
The primary reason for their BIID is their brain is fucked up. The sexual deviancy is a paired symptom of the BIID, and a primary reason for acting upon it, but not for it itself.
Therefore, you can weasel word all you want about it not being the primary reason for a condition.
For a more understandable and layperson-level equivalence, what they're saying is equal to "the COVID virus isn't the primary reason for coughing when you're sick with the coof" (because it's caused by your body's response to COVID, so we're technically correct).