Translated by Hasegawa, K. One effort to quantify the population gave a "rough estimate" that 0. There are also people who have had SRS but do not meet the definition of "transsexual", such as Gregory Hemingway. Why I came out as transgender". Transgender is also an umbrella term:
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Archived from the original on August 8, In addition, they supported counselors' need to adopt a transpositive disposition to counseling and to actively advocate for transgendered persons Archived from the original on 15 April The failure of an attempt to raise David Reimer from infancy through adolescence as a girl after his genitals were accidentally mutilated is cited as disproving the theory that gender identity is determined by upbringing. Counselor Education and Supervision. Gender identities Sexual identities Sexual diversities. A survey of cross-dressers".
Journal of the American Oriental Society. More people regret sex change and want to 'detransition', surgeon says". Social Work and Social Welfare: International Journal of Transgenderism. The most studied factors are biological. The concepts of gender identity and transgender identity differ from that of sexual orientation. Transgender people have also been documented in Iran Japan,  Nepal Indonesia Vietnam South Korea,  Singapore and the greater Chinese regionincluding Hong Kong,   Taiwan and the People's Republic of China.