1. Recognition that one’s Brain Gender is different from one’s Physical Gender —
This first phase comprises the majority of transgendered persons (75 – 95%) and can take the form of seeing one’s self as a “woman trapped in a man’s body,” a need to express one’s “feminine side,” etc. This stage is mainly concerned with physical/surface changes such as crossdressing, passing,
makeup, wigs, etc. In this first part, many gender folk don’t even venture from their own home in female attire or restrict their expression to undergarments (bra, panties) in public. They often have a juvenile (before age 15) and later, an adult phase. There is often years or decades between the two phases. This level is filled with confusion, conflict, guilt, panic, and purging. The so called “Primary Transsexual” is an individual who never constructs a male persona and therefore never accepts their male genitals or challenges their female Self Map/subjective gender.

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