From the Word on Fire blog...
A commenter on this blog post, Susan Ellis, who has a child "transitioning to female," said that she sees this bringing "her body in line with her spirit. I am not sure I understand that as separation but more as integration."
The focus here is on the antagonism set between the physical and the mental, or the physical-self and the conscious-self, with the physical-self being the one blamed as misaligned. Why would it not be the other way around and instead focus on therapy to bring the conscious-self in alignment with one's physical-self?
The reason why this is dismissed is because of our culture's Gnostic mentality. Of course use technology and alter the body so that it fits my spirit. If you tell me there is something wrong, misaligned, or off about my "spirit," then you are an intolerant bigot.