The medical profession used to recognize that it is a psychiatric problem, after all it is no coincidence that that population is much more likely to exhibit other psychiatric conditions. So I guess now any form of mental aberration is just something the rest of us will have to accept and normalize, since mere tolerance is never enough.
There are people who are "born with" sexual urges for feces and dead bodies too. I guess as long as one is "born with" something then it passes the test for being something society as a whole will now be obligated to accommodate fully, even to the point of completely redefining the very language it speaks.