When I say what I am, I am specifically calling out those who think they are what they are not.
An effeminate man is not a woman trapped in a man's body. He is an effeminate man. He may feel like a woman. He isn't.
A masculine woman is not a man trapped in a woman's body. She is a masculine woman. She may feel like a man. She isn't.
It's not crazy or wrong or unusual (though it is not normal), until they decide that they are what they are not.
I'm starting to look at the term 'cis' the way I look at the word 'white'. I don't label people based on their appearance, or their behavior because appearing or behaving similarly to others does not make one interchangeable, or even comparable with those whom they share traits. I expect the same respect.