I think the term "true" transsexualism is of course a bit of an unhappy description. But I think that there are different types of conditions that presently are labelled transsexualism and the umbrella-term transgender did not the best service to make this more clear but rather it seem that transgender and transsexual are now often just mixed up, thus including a lot more into the term transsexual than there was before.
The distinction in terms of a neurobiological cause is, that some people do seem to have that neurobiological difference and if it affects their brain body image (as described in the scientific articles by Ramachandran (e.g.
http://philpapers.org/rec/RAMOOP) ) an in these cases they have a strong body dysmorphia, a strong body dysphoria and are thus in some cases describes as "true transsexuals" because they are truely trans-sexed (they have a physical body condition related to their physical sex). This seems to go along with phantom body perceptions.
I personally think that there are other conditions than that - maybe in some perople the brain ich still changed but it mainly affected their gender identity, so they do seem physical changes of the body rather as a secondary remedy - they feel like they are of a certain gender but the body does not fit and to live in their felt gender they change the body. Then there are the people who really have a more later onset condition, a mismatch between the own actions and feeling and personality and the gender they live in, they seek a change in gender (social role) mostly, but have reservations about medical treatments and surgeries as they do not feel their body is wrong.
Sadly this sometimes leads to fights as some people stand up and openly claim it is not good to have surgeries and "mutilate healthy bodies" as in our times it is accepted to live in the desired gender without having surgeries - and others stand up and say that they want to change their bodies to match how they feel it should be (brain body map) and don't really care about the social role that much and then both try to project their own experiences on the others because they are all put under the laben "transsexual".
Quote from: Jaime R D on September 08, 2014, 09:22:22 PM
I've learned that who really cares, you are who you are and you don't need justification or really much of an explanation for it. .... Are any of you hoping for a "cure?"
Well yes and no - I think to have an explanation would make it a lot easier to find a proper cure - to improve the medical care we can be given as then it is finally clear to the medical professions that it is not a psychological condition that has to somehow under the rule of an exception actually be treated with physical changes (usually phsychological conditions are ONLY treated psychologically or with medication). But then it becomes an intersex condition, a DSD and thus the acceptance within the medical community and hopefully also within the society would be changed slowly to really accept that we ARE of the gender/sex that we say we are and thus are just regular men or women in need of the best possible medical treatment to specifically cure us from the damages we have. On health insurance, without psychological gatekeeping, without the stories about "men becoming women" or "men wanting to be women".
Fo us ourselves - of course it is possible to eventually say "I dont care, I know who I am and thats ok", but the path to get there is harder if the cause is totally unknown - I personally dont tell anyone about my condition if I can avoid it because I dont want to be seen as a "guy who is now a woman". If it is clear that medically I am a woman but have a body that suffered a virilization, I would have less of an issue to tell that to others - because then it is a correct description, the other is not.