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In his 2007 book Transgender, an Ethnography of a Category, anthropologist David Valentine asserts that transgender was coined and used by activists to include many people who do not necessarily identify with the term and states that people who do not identify with the term transgender should not be included in the transgender spectrum.However, these assertions are contested by the Transgender Health Program (THP) at Fenway Health in Boston.The majority of cross-dressers identify as heterosexual.People who cross-dress in public sometimes may have a desire to pass as the opposite gender, so as not to be detected as a cross-dresser.

Nevertheless, there are drag artists of all genders and sexualities who perform for various reasons.Harry Benjamin invented a classification system for transsexuals and transvestites, called the Sex Orientation Scale (SOS), in which he assigned transsexuals and transvestites to one of six categories based on their reasons for cross-dressing and the relative urgency of their need (if any) for sex reassignment surgery.people who meet Benjamin's definition of a "true transsexual" but do not desire SRS include Miriam Rivera.Drag performance includes overall presentation and behavior in addition to clothing and makeup. Drag queens have been considered caricatures of women by second-wave feminism.Drag artists have a long tradition in LGBT culture.

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