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Do you believe in bodily autonomy? And to be clear I'm not talking about children, I'm talking about adults. Do they have the right to do what they want with there own bodies? Also, all identity is basically imagined. Personalities are cloaks that we wear. I certainly can't deny there's a contradiction going on in that person's reality, I'm just saying it's not really my business how they go about resolving that but i wish them the best. Further, should they ask me to refer to them by some pronoun or other it's not really any skin off my nose to be polite and respect that. I suppose you think that's enabling and encouraging their delusion, to me it's just polite.