Enough Musk Spam
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There are physiological differences in the brain structure. Now obviously that needs more research, and it doesn't speak to nature vs nurture- I mean neuroplasticity is a crazy and wonderful thing, but I hesitate to agree that a traumatic parental relationship causes gender dysphoria.
To me, it smacks of times gone by that homosexuality was included in the DSM- a disorder to be "cured". Gender dysphoria is a widely recognized disorder, with a known cure- gender affirming care. And one doesn't need to experience dysphoria to be trans.
I suspect it's a complex situation with multiple paths to get there. As it states in that paper "Further research is required". Based on the paper, I'm not even sure they really had a comprehensive sampling, since it's a meta-analysis and the source material is generally pretty limited. For example: "It is however noted that the small sample size (n=17) provides only weak evidence to support the finding and as such the results should be taken with caution."
Just like there are multiple paths to having different vision (genetics, developmental anomalies, illness, environmental, trauma), I suspect there's enough nuance in gender identity for there to be multiple paths there as well.