This distinction between gender and sex is now a basic element of contemporary notions of identity. The whole transgender question depends on it, for if sex and gender are inextricably connected, then a mismatch between what one is biologically and who one is psychologically must inevitably be regarded as a dysfunction of the mind. Once the two are detached from each other—something that can only really be plausible in a world in which psychology rather than biology is seen as fundamentally determinative of identity—then the problem becomes one of the body, to be treated with medication and
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