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Cauldwell appears to be the first to use the term to refer to those who desired a change of physiological sex. Distinctions between the terms transgender and transsexual are commonly based on distinctions between gender psychological, social and sex physical. Archived copy as title CS1 maint: Medical and surgical procedures exist for transsexual and some transgender people, though most categories of transgender people as described above are not known for seeking the following treatments. A linguistic analogy for uncoupling sexual orientation from gender identity. Language, Gender, and Sexuality.

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Both "transsexualism" and "gender identity disorders not resulting from physical impairments" are specifically excluded from coverage under the Americans with Disabilities Act Section

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Anna Livia, Kira Hall eds. Environmental factors have also been proposed. Implications for Transgender Health Research". National Center for Transgender Equality. Retrieved October 12, This page was last edited on 19 Februaryat Being transgender is independent of sexual orientation:

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These individuals are cross dressing but are not cross dressers. A Journal of Rhetoric in Society. A Simple Guide to a Complex Issue. Retrieved March 24, Ma Vie en Rose portrays a six-year-old child who is gender variant. Retrieved August 10,

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