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The term homosexual transsexual has since been used in publications by a variety of academics, including Benjamin, Freund, Blanchard, and Anne Lawrence , as well as J. Measuring feminine gender identity in homosexual males. Archives of Sexual Behavior. Additionally, we also found areas in the cerebellum and in the left angular gyrus and left inferior parietal lobule that showed significant structural difference between transgender subjects and controls, independent from their biological gender. Psychotherapy for transsexual candidates screened out of surgery.

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The term homosexual transsexual has attracted controversy. Smith wrote that she found some differences between homosexual and non-homosexual female-to-male transsexuals. Clinical Child Psychology and Psychiatry. Relatively few studies have examined childhood gender variance in biological females.

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