it's a fetish it's called "autogynephilia"  they are aroused by pretending to be a woman, and even more aroused when they can coerce or cajole other into treating them as women also it has nothing to do with actually being a woman or wanting to actually be a woman what they want is to pretend to be a woman (important distinction) and successfully trick people every act of 'validation' towards one of these freaks is actually an act of participation in their sexual fetish lifestyle
Thailand