Some people believe that if they feel that 2+2=5 we all should respect their point of view and adjust the world around them accordingly.
The gender is not defined by someone’s feelings about it, particularly a child. We all have same imperfections; mine caused me a lot of emotional distress in my childhood, so I can relate to children who feel that their physical gender does not match their feelings. In real life the 2+2 is always 4, the same way as gender is defined by the body biological structure, not someone’s feelings about it. The text indicates that, biologically, Kathryn wanting to by Tyler is a normal female. Her imperfection is that she feels as a boy and wants to be a boy. The right approach of parents and society in general is to help Kathryn to acknowledge the reality that she is a girl. She needs help in finding her happiness within the biological constrains, as millions of people before her did; including myself. The whole world around should not agree that 2+2=5 just to accept compassionately Kathryn’s mental disability.