When we speak of gender, in a context other than language, it is a recent concept in our culture, both lay and professional. It was not until 1955 that John Money, Ph.D. first used the term “gender” to discuss sexual roles, adding in 1966 the term “gender identity” while conducting his gender research at Johns Hopkins. In 1974, Dr. N.W. Fisk provided our now familiar diagnosis of Gender Dysphoria. Previously, one’s sexual role was considered one of two discrete, non-overlapping congenital attributes—male or female determined by one’s external genitals. These two mutually exclusive categories allowed for no variation. Of course, we acknowledged the cultural differences in sexual roles, but there still could be only two modes of expression – of being.

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