When they can no longer push away their doubts, the song of fulfilment they were sung by psychologists and medical professionals turns out to be not only utter nonsense, but even worse: the surgery has failed to give to them the good of femality and it has broken what good they had as a male. From this point, their identity is completely shattered. The doubts they had before surgery are completely rekindled, and then intensified to the maximum extreme. It is for these reasons we see their identity crumble into total nothingness: the organ is a failure not only by way of it failing to attain the sexual goodness of the vagina, but it also now suffers a state of inferiority to the penis.

True femality now impossible, risk of self-harm and suicide is at its most acute as the identity is turned to oblivion. The transsexual’s path from here is either their total self-destruction, leading to damaging behaviour such as self-harm, substance abuse, and/or suicide. It should be noted that the self-oblivion episode is often constrained and not expressed by the transsexual; a stigma has developed against negativity towards the efficacy of transition which encourages silence on these concerns.

Transsexuals have built communities that form up sometimes the totality of their trusted support network, and since the members could be liable to doubt or criticise were a transsexuals’ episode of self-oblivion be expressed, it is completely internalised and suppressed for as long as the transsexual can do so. It is for these reasons that outwardly happy individuals who insist on the goodness of transition and the fulfilment they’ve received from the therapy can suddenly suicide.

I hope these insights may prove intriguing and enlightening on the question of transsexualism’s psychotelestology.