Abstract

Evidence of gender variance is present throughout all societies of human history, dating back to the earliest cultures of which we have anthropologic record.1 The phenomenon first came to the attention of modern medicine around the turn of the twentieth century, where it was described as a psychiatric illness by Richard von Krafft-Ebing and other early sexologists.1,2 With the primordial classification of the condition as a form of delusional disorder, all means of psychotherapy were attempted to convince patients to abandon the belief they were trapped in the wrong sex body and to accept their assigned gender.

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