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Well, they are... It is literally considered a mental illness in the DSM-5

Archive: https://archive.today/hZKuq

From the post:

>Peru has officially classified trans people as 'mentally ill'. Under the decree signed by President Dina Boluarte, 'transsexualism, dual-role transvestism, gender identity disorder in childhood, other gender identity disorders and fetishistic transvestism' are now all recorded as mental illnesses. The move, which comes just days before the 34-year anniversary of the World Health Organisation's removal of homosexuality from the list of International Classification of Diseases (ICD), has prompted fury from rights groups.

Well, they are... It is literally considered a mental illness in the DSM-5 Archive: https://archive.today/hZKuq From the post: >>Peru has officially classified trans people as 'mentally ill'. Under the decree signed by President Dina Boluarte, 'transsexualism, dual-role transvestism, gender identity disorder in childhood, other gender identity disorders and fetishistic transvestism' are now all recorded as mental illnesses. The move, which comes just days before the 34-year anniversary of the World Health Organisation's removal of homosexuality from the list of International Classification of Diseases (ICD), has prompted fury from rights groups.

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Some third world countries aren't as primitive as one might think...