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A mental illness or a rational response to a set of socially imposed shackles that the sufferer can’t find a way to break free from? @LisaAppignanesi’s fascinating book Mad, Bad and Sad springs to mind.
I'll add that book to my list. I see dysphoria primarily as a mental illness. For some, it stems from abuse. Others, societal expectations. Others, internalized homophobia. Others, who knows? But it requires treatment and not blind affirmation.
