I am not a caregiver or a mentalward psychiatrist, but I am pretty sure that guy actually believes his shit doesn't stink. That all his convincing and resistance to being "corrected" is 100% his own choice, and by the choice has completely forced mental damage on himself. He probably is by all accounts some fucking gender switched identity monstrosity of what he already was originally. And that there is no return for him, he doesn't recognize his old self, he wouldn't want to. He has no intention to either, he wants to be a tranny. So this saga effort is just him accepting himself as a heshefreak and not some wonderful tulpa-goddess, barring whatever excuse he makes for himself. To justify it is the life struggle he has adopted in place of the other horrible incestuous shit that did or did not take place. If he does remember anything its that he was a woman during that time.