What’s your take on dysphoria in terms of rating its cause to be physically caused verses psychological?

I mean take apotemnophilia or xenomelia? Both of these are obviously disorders. Obviously. I mean I’d have a hard time thinking anyone anywhere really thinks that wanting to cut your own limbs off is ever gonna be accepted as normal enough to have its own parade. They’re both accepted as caused by physical breaks in the brain. They’re not even so much psychological as physical brain wiring problems.

Now compare that to pedophilia or SSA? The view I’ve gotten is SSA’s moved from being classed as a psychological problem to just a sub-type? But I don’t think the same’s been agreed about pedophilia. I mean I still think people assume that’s more something a guy should go to a doctor to try to get a cure from. I think most people are assuming a pedophile deserves jail time if he doesn’t fight his ‘disease’. I think most people seem to think that’s a psychological failing.

But having a good pal who’s a pedophile I can tell you honestly that I seriously doubt any level of psycho-analysis is seriously going to fix his pull. I mean it’s all so much against what he wants to be? But it’s so so close to who he is at the same time. Still, he and I agree that my SSA and his problem have a common link. He figures it’s based on something mental. Or based on some sort of cause and effect. It’s a long story. But he figures it’s based on something that maybe could be unlearned. He’s hoping for treatment. Maybe even a cure. But I’m not so sure.

So what do you think? Is dysphoria more likely to be caused by something physical or psychological? And I mean if there was treatment for it (other than surgery) would you even want to take it?