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Eating and body image disturbances in male-to-female and female-to-male transsexuals. In Samoa, there is very seldom ridicule or displeasure towards a biologically male child who states that they are a girl.

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Even those clinicians who intend to be affirmative and supportive of LGBT individuals can reveal subtle heterosexist bias in the work with these clients Pachankis and Goldfried, Confronting heterosexism in Home based massage Montebello teaching of psychology. Samoan-English Dictionary. Although some authors distinguish transsexual (pertaining to physical sex) and transgender (pertaining to gender), transgender is generally taken to encompass​.

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