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Therapy should help the person look at their own expectations, whether realistic or not, in order to optimize their chance of satisfaction. In the 's, John Money and his colleagues at the Johns Hopkins University made the distinction between gender role behavior that is typically masculine or feminine and gender identity self-identification as male or female in arguing for early surgical sex assignment of hermaphroditic children. Psychiatry plays an important role for transgender people who need support exploring their psychological makeup, understanding the choices before them, navigating the medical system when transition technology is needed including letters of support , and helping a person manage positive and negative aspects of a transition whether they chose medical, social, or a combination of changes.
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