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51 Psychologist Rachel Ann Heath writes, "The terms homosexual and heterosexual are awkward, especially when the former is used with, or instead of, gay and lesbian.
Transsexuals constitute a subset of transgender people." a.
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Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
"Mortality and morbidity in transsexual subjects treated with cross-sex hormones".
The winner of the 2004 pageant was a woman named Mimi Marks.Jurisdictions which prohibit same sex marriage often require pre-transition marriages to be ended before they will issue an amended birth certificate.Archives of Sexual Behavior, full text Volume 19, Number 5 / October, 1990 Morgan AJ Jr (1978).Proceedings of the Second Interdisciplinary Symposium on Gender Dysphoria Syndrome : 714.The failure of an attempt to raise David Reimer from infancy through adolescence as a girl after his genitals were accidentally mutilated is cited as disproving the theory that gender identity is determined by upbringing.Transsexualism is often included within the broader term 'transgender which is generally considered an umbrella term for people who do not conform to typically accepted gender roles for the sex they were assigned at birth.However, transsexual and transgender people challenge the "normative" gender roles of many cultures and often face considerable hatred and prejudice.