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The only difference between dees and traditional females is that dee often engage in relationships with toms. The Daily Beast. New Sex Change Regulations in Thailand In November new rules formulated by the Medical Council of Thailand went into effect that require that transgender people consult a psychiatrist, live as a woman for a year and receive hormone therapy before being be allowed to have a sex change operation. Man, 5. This is especially difficult for Thais whose families do not understand or accept their identity. Discrimination in employment also remains rampant. Transgressive Sexualities and Heteronormative Meanings".

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The appreciation that the mainstream audience had for the images of kathoey and gay men - as individuals struggling with societal pressure and self-hatred - sums up the overall social climate toward homosexuality today:

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Our own most recent research on kathoey mean age 25 years reveals that, by age 10, 71 percent felt different to other boys, 42 percent thought they had the mind either of a girl or a kathoey or a related termand 35 percent already thought of themselves as belonging to one of those gender categories. Areeya said she had wanted to be a woman since she was a young boy. According to Winter:

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However, in Thailand the differentiation between males and females in terms of those characteristics is smaller than in many other countries.

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