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Harry Benjamin said in 1966: ..seems evident that the question "Is the transsexual homosexual?" must be answered "yes" and " no." "Yes," if his anatomy is considered; "no" if his psyche is given preference. "No" if reason and common sense are applied and if the respective patient is treated as an individual and not as a rubber stamp.In 1930, Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.In 1923, Hirschfeld introduced the (German) term "Transsexualismus", Benjamin went on to popularize the term in his 1966 book, The Transsexual Phenomenon, in which he described transsexual people on a scale (later called the "Benjamin scale") of three levels of intensity: "Transsexual (nonsurgical)", "Transsexual (moderate intensity)", and "Transsexual (high intensity)".Those who are writing and researching in this area would do well to adopt his clear and concise vocabulary." Androphilia – The romantic and/or sexual attraction to adult males.

Psychologist Rachel Ann Heath writes, "The terms homosexual and heterosexual are awkward, especially when the former is used with, or instead of, gay and lesbian.The word transsexual is most often used as an adjective rather than a noun – a "transsexual person" rather than simply "a transsexual".Like other trans people, transsexual people prefer to be referred to by the gender pronouns and terms associated with their gender identity.Another reason for objecting to the term transsexual is the concern that it implies something to do with sexuality, when it is actually about gender identity.For example, Christine Jorgensen, the first person widely known to have sex reassignment surgery (in this case, male-to-female), rejected transsexual and instead identified herself in newsprint as trans-gender, on this basis.

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