Robert Stoller, transphobic psychoanalyst, thought transmasculinity was caused by an afab child developing too close of a relationship with their father, while developing a distant relationship with their mother. He summed it up as "Too much father, not enough mother".
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Rad fem theory is similar in some ways, too much patriarchy, not enough positive (radical feminist) female influence. Both of them posit an outside masculine influence distorting the development of a "proper" female identity in a transmasculine person.
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Both theories assume an afab person should develop a female sense of self though bonding with cis women and see any deviation from that as a problem that should be corrected if at all possible, through therapy or radical feminist consciousness raising, respectively.
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Stoller didn't have much hope in "curing" adult trans people, since he thought gender identity became fixed after a certain point and also watched most attempts to "cure" people through therapy fail. He thought it might work on kids though.
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Transphobic rad fems have more faith in their methods and do seem to have more "success" but they have the advantage of being a political cult that can give people a feeling of belonging, group praise and a sense of purpose one typically doesn't get from therapy.
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They also tolerate more gender nonconformity than heterosexist psychoanalysts, encouraging transmasculine people to live as butch lesbians or otherwise GNC women rather than as feminine straight women.
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Their methods can't actually "cure" a transmasculine person though, just help them live with their dysphoria as a woman. The group support and encouragement from other detrans women and rad fems plays a big role in helping people stick with it.
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And detrans transmasculine people are given an important role in what's supposed to be a larger struggle between women and the "trans cult" and/or "gender industry". They're told they're helping to save lesbian culture or taking down big Pharma or whatever.
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This is their "alternative treatment" for gender dysphoria, giving people a group to belong to, praise, and a sense that they're doing something meaningful, in exchange for choosing to "manage" one's dysphoria instead of living as a trans person.
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