I am surprised to see this recommended as a LGBTQ+ title. It is a book about true, life-long, untreated mental illness: a great deal of self-harming behavior including cutting, suicide attempts, heterosexual sex with abusive (even violent) partners. Also includes accounts of her random mean and manipulative sexual treatment of men, and her rage filled childhood. None of this is remotely ascribed to gender dysphoria. Even a breast reduction (not removal) appears to be another act of self harm, not anything to do with transgender issues. There is only a very peripheral, almost negligible suggestion that it might be. Lyrical language and inclusion of African mythology are strong points, but this is a very painful book to read full of hopelessness. Very disappointed that it did not deal with transgender issues as suggested in the reviews.

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