Questioning Your Gender Identity Again? It is OK if the journey continues ...
The exciting journey to the online pharmacy continues ... Nigga u a mess.
150 years ago there was an epidemic of "fugue states" - suddenly, people's (high strung middle class women's) brains would go offline for days or weeks at a time, and they'd come to remembering nothing. It was quite a media sensation, and it happened all the time. These days, you hardly ever read about it, and it never happens.
Back in the 19th century, people had problems they couldn't comfortably talk about. E.g. my husband is three times my age, has demented topiary garden facial hair, and this whale bone corset is killing me. Unable to express distress directly, it found an outlet in other dramatic, socially fashionable ways. Today, the newspapers are alive with the news that frequent mix - ups at the baby factory have put pink brains in blue bodies, and, lo and behold, an epidemic is born.
Problems are physical, and are cured with pills and surgery, or else are social, i.e. caused by bigots who hate beautiful rainbows; everybody knows this. Less modern people might look towards unfashionable social or even spiritual explanations, and might formulate problems such as "modern life is an meaningless game of accumulating and displaying social status" or "our children learn about adulthood by listening to epic poems about dead - eyed niggers selling cocaine to rent TMZ-sex-tape famous whores", but that's medieval thinking. Because in Brave New World, we know that complete satisfaction with life is just a cock chop away.
TL;DR Alienated people change genders because that's changing something, alienated people transcend gender because that's transcending something, and social approval is compulsory.