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Until the late 20th century, the American Psychiatric Association classified homosexuality as a mental disorder (removed 1973) and gender identity disorder as a pathology (replaced with “gender dysphoria” in 2013). This shared medical persecution forged solidarity. However, as LGB activists pivoted toward respectability politics—arguing they were “born this way” and not mentally ill—trans activists faced a harder battle, as their very identity required medical transition for many, entangling them in psychiatric oversight longer. Hot Shemale Gallery