This is a good first step in leading the Church--and Catholic health centres--toward a better understanding of transgenderism and what it means to experience unity of body, mind, spirit, and gender. If Nick, for example, has "persisted" in his "delusion" (I deliberately use the pejorative term), what makes anyone think it isn't real? What would the alternative be for him to achieve "wholeness"? Glue his b--bs back on? I hardly think so. We need to accept the other person's articulation of self as God-given. The aside about LGBT people was disappointing.