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A man goes to a psychologist with a problem. “Doctor,” he says, “I’m suffering terribly. I feel like a woman trapped inside the body of a man. I want to become a woman.” The psychologist responds: “No problem. We can discuss this idea for a couple of years, and if you’re still sure you want to be a woman, we can have a surgeon remove your penis, give you hormones for breast enlargement and make other changes to your body. Problem solved.”Gratified, the first patient leaves, followed by a second. “Doctor,” he says, “I feel terrible. I’m a man but I feel attracted to other men. I want to change my sexual preference. I want to become heterosexual.” The psychologist responds: “Oh no, absolutely not! That would be unethical. Sexual orientation is an immutable characteristic!”</p>