In some cases possibly. Most of the ones I've come across come down to... Men: pretend to be women because they get treated better, get more attention and are told it'll solve all of their many psychological problems. Then it doesn't solve anything and the attention goes away so they sudoku. Women: pretend to be men because they've been abused, so they reject anything that makes them feminine and attractive and embrace being manly and strong. Most of them also have a massive rape/feminisation fetish. Some of them eventually get over it and realise it's retarded, sadly after they get their tits cut off.