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Simultaneously published as Journal of Gay & Lesbian Social Services, 15 (1-2). Why can’t the Foreign and Commonwealth Office provide a list of countries where same-sex relationships are illegal? It is important to distinguish those who display only variation in gender role behavior (gender nonconformity, which is not a Diagnostic and Statistical Manual of Mental Disorders [DSM] diagnosis) from those who also display a gender identity discordant from their socially assigned birth gender and biological sex (gender discordance, reflected in the DSM-IV diagnosis Gender Identity Disorder when accompanied by marked gender nonconformity).

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