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1987[24], Coleman and Bockting, 1988[25], Blanchard, 1989[26]).These labels thereby ignore the individual’s personal sense of gender identity taking precedence over biological sex, rather than the other way around." Psychologist Stephen T.Harry Benjamin said in 1966: ..seems evident that the question "Is the transsexual homosexual?" must be answered "yes" and " no." "Yes," if his anatomy is considered; "no" if his psyche is given preference. "No" if reason and common sense are applied and if the respective patient is treated as an individual and not as a rubber stamp.

because they cannot afford them) into such distinctive categories.

Individuals who have undergone and completed sex reassignment surgery are sometimes referred to as transsexed individuals; however, the term transsexed is not to be confused with the term transsexual, which can also refer to individuals who have not yet undergone SRS, and whose anatomical sex (still) does not match their psychological sense of personal gender identity.

The terms gender dysphoria and gender identity disorder were not used until the 1970s, "Transsexualism" was replaced in the DSM-IV by "gender identity disorder in adolescents and adults".

In 1930, Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.

In 1923, Hirschfeld introduced the (German) term "Transsexualismus", Benjamin went on to popularize the term in his 1966 book, The Transsexual Phenomenon, in which he described transsexual people on a scale (later called the "Benjamin scale") of three levels of intensity: "Transsexual (nonsurgical)", "Transsexual (moderate intensity)", and "Transsexual (high intensity)".

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