Ahh, I see, that makes more sense. It seems like when he's in the latter he'd probably feel more dysphoria. Like, I'm actually a trans girl too, and due to several unfortunate circumstances, I'm forced a lot of the time to present as male, and I'd say that's been causing dysphoria for me. But now that I think of it, that may not have to be the case for Arthur/Ruth, since different people experience gender dysphoria in different ways