I haven't read the whole thing yet, as it's been a long day already, but this bit caught my attention:
So, if we’re to buy into this rather odd notion of choice, then we must assume that there’s some moral failing of those who say that they want to change but do not—for example, we must assume they’re all just lying about their internal experiences.
I'm quite certain you're oversimplifying a very complex phenomenon here.
Perhaps "in denial regarding" would strike closer to home.
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