Just listened to this. A really interesting conversation.
The bit that I still think is missing is helping adolescent boys who are being drawn, through a combination of social contagion and their own emerging sexuality, towards Malaga Airport behaviour.
Benjamin Boyce asked Dr Az about how a therapist would know if someone could be helped with their perversion or not and the answer was "you can't change someone's sexuality". That makes sense. But what if someone is young and confused, for example an autistic adolescent boy who doesn't understand the blurry lines between why they feel turned on looking at anime or gaming as female avatars and seeing themselves as women IRL? This could easily lead to escalating behaviour to explore how it feels to wear women's clothes and use women's spaces etc. It seems like a combination of early Malaga Airport behaviour being exacerbated by an autistic black and white understanding of what women are and sexual fantasy. Left unchecked, this could well develop in to full-blown Malaga Airport but surely there must be a point at which this could be course-corrected. Just as adolescent girls (gay and straight) and gay boys are being failed by what's happening with the affirmation model, I think heterosexual adolescent boys are being failed at scale too. The largest common factor within all these groups of young people is autism. The knock-on effect is felt by women and girls because of the boundary crossing, when these adolescent boys grow in to young men and assert their "gender identity" as women. Heterosexual men who identify as women are by far the most active group online. I can't believe that all of them are beyond hope or help when they are young.