Sadly i think the waters were muddied so long ago and the reasons behind why adult males transvestites and transexuals exist is difficult to establish because of an essay worth of reasons.
I think it doesn’t even need to be an essay for trans activist clinicians to acknowledge the need to be cautious. They just need to acknowledge:
• that AGP exists, because there are people who admit they have it, ergo you shouldn’t medically transition males as children if a developing paraphilia is driving it.
And similarly:
• that “insistent, consistent, persistent” exists as a feature of those who eventually desisted or detransitioned, so isn’t a reliable reason to transition children.
• that there are children, particularly girls, who admit they were swept up in the social contagion element
• that if the above things are true, there is no reliable indication to medically any transition children, because there’s a decent chance they’ll get it wrong.
But they don’t, because they are all so arrogant.
“Oh, of course WE wouldn’t get it wrong, WE know, WE know this child is definitely trans forever, of course it’s not anything other than a true gender identity issue, because we are oh so clever.”
And it’s long past the point where they could be forgiven for not knowing, and not expressing doubt or caution, because that’s what Finland has done. So if they can see sense and adjust, the fact others refuse to is nothing short of negligence.