Society encourages the individual to forget that the rules of society are, to a great extent, arbitrary and changeable. In regard to gender identity, the outward-facing persona if modeled after the image of masculinity or femininity that is represented in society. The inward-facing consciousness may not coincide with the persona. Often our inner sense of self is much more diverse and paradoxical than our social identity. The belief that our social identity should be the same as our inner identity may motivate the person to condemn aspects of the inner self.
Guilt is the result.
Psychological health and maturity requires a constant dialogue between our social identity and our inner experience. If there is no room for acceptance of one's inner identity, then this division of consciousness may degenerate into a psychological civil war. I believe that individual transvestites and transsexuals who have married and have children experience considerable guilt as they face some very difficult choices. The more narrow and restricted a person's life style and awareness of life, the greater the level of guilt. For the transvestite and transsexual repression is a great source of guilt.