Your unspoken assumption is that "treatment" was a primary goal at all. Here, I would consider if "treatment" is instead the weapon of choice used in service of

Your unspoken assumption is that "treatment" was a primary goal at all. Here, I would consider if "treatment" is instead the weapon of choice used in service of the actual goal: to brutalize one person so severely that it causes others to sit silently in fear, rather than stand up and speak out. "This boy was super aggressive towards me, a doctor! so I must punish him for that transgression against me, a doctor! and ensure that I make an example of him! I have just the thing, I'll humiliate him by making him into a girl! I'll lose my license, but it's worth it because I'll be remembered forever as the boogeyman in every juvey in the country!"