The overwhelming success gender role transition has enjoyed world wide in the last four decades, leads me to believe that the current reference to gender issues in the DSM IV---as a subset of the sexual disorders---is inaccurate and should be revised.
The examples and perspective in this article deal primarily with the United States and do not represent a worldwide view of the subject. You may improve this article, discuss the issue on the talk page, or create a new article, as appropriate.
Acculturation is the process of social, psychological, and cultural change that stems from blending between cultures. The effects of acculturation can be seen at multiple levels in both the original (native) and newly adopted (host) cultures.
Early pioneers in gender-reassignment surgery and recent clinical studies agree that a majority of transgender people suffer from co-occurring psychological disorders, leading tragically high numbers to commit suicide.