“has had every reason during his thinking life to thoroughly believe he is a female”
We should respond the same way we would for someone who believes he is a unicorn. We should expect and even REQUIRE people conform to REALITY rather than insisting everyone else pretend their delusions are true.
That's pretty mechanical, pal.
Further, I am not talking about people who insist everyone else pretends their delusion is true. You are likely talking about the larger gay crowd, but I specifically am not.