If I am not a responsible adult, my dominant needs to costume me as an adolescent, of possibly female presentation
If I am not able to act like an adolescent, my dominant needs to costume me as a preadolescent, with the option of bedwetting, and domestic discipline.
If I can not act like a preadolescent, such as a little child, then I need distraction-related daytime accidents, with possible bedwetting at night. If I refuse to act as a male, the disgust at any sissy wear or traditional girl things will drive compliance, with the role-related clothing and other accessories.
If I can-not responsibly eat, responsibly use the toilet without supervision, or even play outside of a playpen without finding trouble, I will dress the part of my dominant, losing awareness of easily knowing when my bowels or bladder will release. So diaper enforcement will be enforced for both health and safety, along with removing control from me.
Roleplaying enforces the behavior, with the behavior forcing changes in both the body and mind, for Number Ten publically available, Custom-Type of file. The more I am emotionally hurt by the age-regression or feminization, the more I become less able to resist the imposed role, as a Power-Exchange-Situation!