A different type of patient

Caustic theories (such as Ray Blanchard's) stating that transgender people couldn't help but transition due to a type of compulsion were likely derived from their own testimonies. Many of us who are older went to gender identity clinics having resisted our identities due to having been indoctrinated against them from a very early age. Thus a clinician would have more than likely seen someone who was conflicted rather than certain. For example, at my first meeting, I asked the Montréal General Hospital Gender Identity Clinic to cure me.

Young people who have grown up in this more open environment are far less likely to resist who they are and some may even overshoot to the point of physically transitioning and regretting. Thus theories developed in the past were based on a different type of patient who no longer exists because today they far more likely to be knowledgeable and confident.

It turns out that much earlier access to information and far less programming were both pivotal.