Dias comments on Stupid Questions May 2015 - Less Wrong
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"Confused about their sexuality" is a particularly uncharitable characterization of a transgender person. Many are not confused, rather absolutely certain. Unless you're using the term "confused" as a polite way of indicating that you believe such a person to be mistaken or delusional, in which case you would be begging the question.
By the way, gender is not the same thing as sexuality.
If one models gender as a boolean switch that can be set to either "male" or "female", and encounters an individual who has a combination of "male" and "female" characteristics, their model may not accommodate the new observation. I have watched people (who I previously considered fairly sane) break into a yelling fit when confronted with someone undergoing a gender transition, demanding to know their "real" gender and hurling insults when the response was not what they expected.
No, I am explaining how the appearance of transgender people is consistent with the conservative view: they are simply confused. I am not assuming anything.
The point being that that conclusion is contrary to the experience of the people involved.