I disagree. By this logic, schizophrenics who believe themselves to be ponies straight
MLP:FiM are just as valid as anyone else, when in any reasonable world, they have mental problems that need to be treated -
not helping them surgically alter themselves to become a sapient equine
Now obviously this is a humorous example, but the fundamental principals are the same.
Now, if in the future, we have body-engineering abilities to let them live out that fantasy for real,
sure. But at which point it simply becomes a choice to make, and for the moment we are doing what is easier/saner.
Actually, a
vastly more accurate and realistic comparison is between Gender Dysphoria, and the underlying disorder that causes (extreme) forms of Anorexia and other forms of self mutilation. There's a clear, obvious, neurological issue that generates a level of self hate. That level of self hate then expresses itself in a variety of ways to hate one's own physical form. Which then evolves into a belief that there's something wrong with the body itself. Believing you're really a pony, or really the incarnation of a dragon, or really a girl instead of a boy... falls into this rather broad sequence of mental illnesses.
It's probably related to legitimate (re: the real disease, not pop culture bastardization of the disease- that's a whole other discussion) Obsessive Compulsive Disorder. As based upon the fact that treatments designed to combat legitimate OCD have shown some significant progress in treating
certain types of Anorexia and Bulimia, as well as a few other identity disorders.
... To my knowledge, there has never been an extensive test to see if this method would work on people with Gender Dysphoria. All honest interpretations of the data suggests it likely could and would, to the extent that it works on OCD and other Dysphroria conditions like Anorexia and addiction to plastic surgery (although the treatments are always a bit hit or miss, if we're being honest).
However, the politics of the issue make it fucking impossible to get such a study done. Because some people are obsessed with things that sound pretty, like political correctness, instead of worrying about science, knowledge, and fact.
... Speaking of which...
creates a kind of pressure to treat the mind rather than the problem.
Ah, but we *are* our minds, correct? So all problems are, inherently, problems of the mind. I'll point out to you that most individuals who, through injury or accident of birth, are missing limbs don't have the same emotional responses as GID individuals have to their biological sexes. Namely- emotionally healthy individuals
eventually reach a psychological state of "acceptance", where they've come to terms with their condition and instead spend their emotional energies on living a life within their (un)natural boundaries.
Which brings us back to OCD. Because the principal symptom of legitimate, not-pop-culture, OCD is that their ability to "accept imperfection" does not manifest.
Most humans know, because we're not stupid and have basic education, that we risk dying in a car crash when we get in our car.
We ignore it.
Most humans know doorknobs have germs.
And ignore it.
Throwing stuff away means you have given up something you own that might be useful.
Ignore that desire to accumulate resources.
Most humans know know our bodies aren't perfect. They know they need to lose a little bit of extra fat, or think this or that about their noses, and body odors, and skin tone, and acne, and so many other features. It's a very, very long list.
We ignore this. For the most part... after all, our commercial media makes a lot of money off making us think about this shit, so it's force fed to us to a level that makes it impossible to completely ignore. But
for the most part we ignore it.
All human beings have thoughts about what it'd be like to be a girl instead of a boy, or vice versa.
Ignored.
All human beings have thoughts about doing something truly horrible. Like, driving and thinking you could easily swerve just a little and take out both yourself an and oncoming car. Cutting vegetables with a knife and thinking 'I could just stab myself with this'. This is a perfectly, absolutely, normal and healthy event- that happens for some reason behavioral experts still can't explain. Usually considered a form of Cognitive Dissonance (though it doesn't fit the actual definition of that term).
Thing is.
Most of us ignore it.
Granted, this ability to ignore can cause trouble. Gambling, for example. Using cigarettes, unprotected sex, drunk driving. All of these are possible because humans are very good at ignoring risks where it suits them. Even when we really should pay attention.
...
Obsessive Compulsive Disorder is when you cannot ignore it.
There's a part of the brain that has that ability to forget that there's a ~1.3% chance of dying in a car accident. That there's no doubt someone you talk to today will have scratched his balls and not bothered to wash his hands today. That they had dreams about murdering their loved ones last night. That they thought "I know I'm a straight male, but it'd be kinda fun to have a vagina".
OCD is what happens when that part of the brain doesn't work appropriately. Source of many, many forms of anxiety and related disorders. Not the only source, mind you. PTSD and phobias, for example, are different. Related to each other, but not to OCD based anxiety disorders.
A person with OCD
knows they'll die if they get in a car. They
know they're fat and hideous. They
know they're horrible serial killers in the making. They
know they're really the reincarnation of Cleopatra. And if all empirical evidence and proof disagrees with them,
then the evidence is wrong.
So. Yes. When looking at the other disorders with similar features to GID (including the vastly increased risks of accidental or intentional self harm that Transgendered and OCD individuals share) GID is very, very likely to be a form of Obsessive Compulsive Disorder. Which, while not yet truly curable, is treatable.
PS- while we're on the subject- there are entire organizations out there arguing that anorexia is a lifestyle choice equal to any others, and not a mental illness. So. That's another lovely parallel.