The sheer confusion is huge.
I think it's more deliberate obfuscation than confusion, tbh. The following tweet gives it away:
JSYK whenever they do the “actually I don’t care about my gender I care about my sex” thing that’s a really obvious lie, they see the two things as the same, don’t cede them any ground by accepting the premise that they aren’t dedicated to defending reactionary gender ideas
Further instructions then follow:
seeing this happen in my precious menchies and these people are truly idiots and bad liars and you should not engage with them
There's only so much damage limitation you can do by telling people how to think and which mantras to repeat. How long will it take before they realise we've now reached the point where instead of increasingly desperate deception and deflection, all the cunning tactics need to be dropped altogether so we can sort this mess out.