The intent is there if you know the consequences. Whether or not those consequences matter to you is another matter.
Look at it this way, is it true the person feels something that makes him believe he is a woman? It’s the interpretation of the feelings that are in question. But how do we define what a woman actually feels that makes her a woman?
Feelings are real though. Defining them, for the moment at least, is subjective.
I laid out the situation. He is racially black from an African nation, say Nigeria. He was raised Swedish from a cultural perspective. Is he Swedish or is he Nigerian? If an ethnic Swede tells him he isn’t Swedish, he is black according to his DNA, is that the right thing to do?