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These guidelines have been used nationally and internationally in practice and training and to inform public policy.They will expire or be revised in 10 years from the date they are adopted by APA.

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American Psychiatric Association, 1974; American Association for Marriage and Family Therapy, 1991; American Counseling Association, 1996; Canadian Psychological Association, 1995; National Association of Social Workers, 1996) which state that homosexuality and bisexuality are not mental illnesses.

There are a number of indicators of biological sex, including sex chromosomes, gonads, internal reproductive organs, and external genitalia.

refers to the attitudes, feelings, and behaviors that a given culture associates with a person’s biological sex.

Behavior that is compatible with cultural expectations is referred to as gender-normative; behaviors that are viewed as incompatible with these expectations constitute gender non-conformity.

refers to “one’s sense of oneself as male, female, or transgender” (American Psychological Association, 2006).

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