Quote Originally Posted by Monty92 View Post
You presumably think body dysphoria is a real thing, though? (albeit a mental disorder that we would be better off treating rather than encouraging to believe is 'normal')
To the extent that a delusion can be 'a real thing', yes.

However, if you start to say that delusions aren't delusions, but real - even desirable - things, you can't be surprised if people then start to claim to be 'suffering' from them.

Think of it this way: today, if someone says that God talks to them, we immediately decide they're probably a paranoid schizophrenic and put them on a course of treatment.

However, back in the day when being talked to by God conferred upon one a special status, lots of people would claim to be hearing the voices. The difference is only between the truly delusional and the cynical, attention-seeking bandwagon jumpers.