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The other featured therapist, Az Hakeem, is also very concerned about the masculinity crisis, and he makes a further connection to the co-factor of autism. He’s consistently observed that young male patients on the spectrum followed a certain rigid chain of logical reasoning, based on their tendency to create rigid categories: “To be male, you have to be like this, this, and this. I’m not like this, therefore I’m non-male. Therefore I must be female.” Burgo adds the observation that autistic young people will struggle more than average with the changes their body undergoes in puberty, more likely to feel disgust or a desire to disassociate from who they’re physically becoming.