Right, no one cares if how individuals feel, privately. It's when they "do it in the road and scare the horses" that we have a problem. When they demand that we respect their delusion by cooperating with it, by lying, by remembering and using phony pronouns. I don't like to lie: in fact, I won't do it if I know it's lying.
Your example of a person ill with anorexia nervosa, looking like a concentration camp victim because they think they are "fat," is one that I've seen people use in books about this. Anorexia people (mostly women, but I know one man so afflicted) want you to cooperate with their delusion and not hospitalize them, not bother them about eating. I'm fine with that --- everybody can go to hell in their own way, I guess --- but I won't be forced to collude with them about how they are really fat, fat, fat. I would just avoid the whole situation. If they demanded I help keep them on their diet, or prompt them to throw up after meals, or whatever craziness such a person might want, I guess I'd lose my job, if that were the situation. We don't have to tell lies because leftwingers want us to. If we are resolute in not cooperating with the craziness, maybe they'll stop, because it might get to be too much trouble. That's my hope.
