It is in common use for behaviors and conditions that people believe are negative and seek to combat
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In practice, on the object level, he clearly does think of being trans as a tragic outcome (a "disorder") that parents have every right to try to prevent for their kids if possible, and thinks that controlling their social interactions is a justifiable strategy for doing so
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Also cause, y'know, he plays active and continuing defense for conversion therapy. So that's a thing.
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