An analogy
Actually a two-step analogy, with my usual Constants And Variables™ and with my usual Parkinson's Law™ reference. (Create a problem, make the problem unsolvable, work forever to solve it.)
The current evil trans fad is directly parallel to an earlier fad among therapists but NOT parallel to an even earlier form of therapist behavior.
The current trans fad creates an addiction to insure permanent riches for therapists. A therapist receives a youngster who is temporarily confused. Proper response is to give the youngster a solid and absorbing task or mission, firming up overall confidence and distracting from the point of confusion. Therapists can't do that because it doesn't create an addiction. Instead, therapists maximize the confusion and
perform surgery to make the addiction permanent. Soul is now permanently out of equilibrium in the direction chosen by the therapist, requiring constant attention and money.
An earlier fad worked the same way without the surgery. Around 1980 "Multiple Personality Disorder" became popular among therapists. One such therapist worked in the same building where I was working, so I got to watch his process close-up. He took in confused women, convinced them that their confusion was caused by Multiple Personalities, and then multiplied and cultivated the Personalities. He had a special pet who served as his guinea pig. She didn't seem any happier with 24 personalities than she did with 1, so she needed constant attention to multiply her happiness, which never increased. Same as trans except no surgery.
Here's the variable™. An earlier form of confusion DIDN'T spawn a fad among therapists. Some schizies believe that they are God or Napoleon or a Martian. Therapists DIDN'T reinforce this belief, and DIDN'T perform surgery to turn the belief into permanent physical reality. No therapist ever prescribed plastic surgery to permanize the Napoleon look, or to install antennae and extra eyes on Martians.
What was wrong with those earlier therapists? I'm glad we know better now.