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1. There must be evidence of a strong and persistent cross-gender identification.
2. This cross-gender identification must not merely be a desire for any perceived cultural advantages of being the other sex.
3. There must also be evidence of persistent discomfort about one's assigned sex or a sense of inappropriateness in the gender role of that sex.
4. The individual must not have a concurrent physical intersex condition (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia).
5. There must be evidence of clinically significant distress or impairment in social, occupational, or other important areas of functioning.
However, there is much controversy within the scientific community about the necessity to classify GID as a "mental disorder".
While you may feel it is your "right" to judge this couple, many who are much more learned than you have reserved judgment, and do, in fact, embrace individuals with Gender Identity Disorder. Perhaps we would all be wise to follow their lead. After all, people in glass houses...
Sources: http://en.wikipedia.org/wiki/Gender_confusion posted 03/27/2008 at 22:23:20