Quotes from Wiki:
Gender identity disorder - Wikipedia, the free encyclopedia
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Although evidence suggests that transgender behavior has a neurological basis, there is no scientific consensus on whether the etiology of transgenderism is mental or physical.
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No scientific consesus obviously means the results were pretty sketchy.
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It is a psychiatric classification... [Gender Identity Disorder]
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Case moderatly rested...
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In a landmark publication in December 2002, the British Lord Chancellor's office published a Government Policy Concerning Transsexual People document that categorically states "What transsexualism is not...It is not a mental illness."[8] In May 2009 the government of France has also declared that a transsexual gender identity is not a psychiatric condition in France.
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So why does the government declare such things when scientific consensus is not in unison? What I said before; social rest and equality. Recognizing something as "real" has nothing to do with the truth in it, really.