+Or consider Dr. Will Powers, [whose presentation on trans healthcare](https://powersfamilymedicine.com/s/Healthcare-of-the-Transgender-Patient-V60.pptx) was [praised by people from my robot cult on Facebook](https://www.facebook.com/strohl89/posts/10157396578969598). I was disappointed by the the brief mention of autogynephilia [(on slide 29 of the v.6.0 presentation)](/images/powers_slide_on_agp.png): Powers says Blanchard has been disproven, but that autogynephilia does exist _very_ rarely: "[i]n my now almost 7 years of treating transgender patients, I have seen this paraphilia only once in a person requesting MtF therapy", Powers says, going on to describe the particularly delusional patient (who wanted "the largest breasts possible", and claimed he needed to become a woman to please a Russian Instagram model whom he implausibly claimed to be his girlfriend) whom he denied informed-consent treatment.