I think I get this.
If the girl is REALLY ugly (like this one) they may believe life would be easier as an ugly man than an ugly woman.
Dude looks like a lady.
A lot of drugs and thugs will advance her fantasies.
That's because the individual you pictured has "detransitioned" back to her natural sex, female. Sadly, she had her breasts removed as a young teen due to this money-making scheme of therapists and surgeons.
According to this article and many like it,
... Big Tech and large corporations are intent on silencing critical voices of transgender ideology because there is big money in the "gender industry," referencing The 11th Hour Blog, a website where the revenue streams fueling transgender ideology worldwide have been traced and documented.