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Shemale (also known as she-male) is a term primarily used in sex work to describe a trans woman with male genitalia and female secondary sex characteristics, usually including breasts from breast augmentation or use of hormones.

Many transgender people regard the term shemale as offensive, arguing that it mocks or shows a lack of respect towards transgender individuals; A gynandromorph is an organism that contains both male and female characteristics.

Another study found that in most cases when children did disclose abuse, the person they talked to did not respond effectively, blamed or rejected the child, and took little or no action to stop the abuse.

Non-validating and otherwise non-supportive responses to disclosure by the child's primary attachment figure may indicate a relational disturbance predating the sexual abuse that may have been a risk factor for the abuse, and which can remain a risk factor for its psychological consequences.

In a 1998 review of related literature, Martin and Fleming state "The hypothesis advanced in this paper is that, in most cases, the fundamental damage inflicted by child sexual abuse is due to the child's developing capacities for trust, intimacy, agency and sexuality, and that many of the mental health problems of adult life associated with histories of child sexual abuse are second-order effects." Kendler et al.

(2000) found that most of the relationship between severe forms of child sexual abuse and adult psychopathology in their sample could not be explained by family discord, because the effect size of this association decreased only slightly after they controlled for possible confounding variables.

The associations are expressed as odds ratios: for example, women who experienced nongenital sexual abuse in childhood were 2.83 times more likely to suffer drug dependence as adults than were women who were not abused." Child abuse, including sexual abuse, especially chronic abuse starting at early ages, has been found to be related to the development of high levels of dissociative symptoms, which includes amnesia for abuse memories.

Besides dissociative identity disorder (DID) and posttraumatic stress disorder (PTSD), child sexual abuse survivors may present borderline personality disorder (BPD) and eating disorders such as bulimia nervosa.

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Reports of both physical and sexual abuse were associated with a 113% increase. Because the abused subjects' verbal SAT scores were high, they hypothesized that the low math SAT scores could "stem from a defect in hemispheric integration." They also found a strong association between short-term memory impairments for all categories tested (verbal, visual, and global) and the duration of the abuse.Various studies have suggested that severe child sexual abuse may have a deleterious effect on brain development. (1998) found "reversed hemispheric asymmetry and greater left hemisphere coherence in abused subjects;" Teicher et al.(1993) found that child sexual abuse was associated with a reduced corpus callosum area; various studies have found an association of reduced volume of the left hippocampus with child sexual abuse; used the "Limbic System Checklist-33" to measure ictal temporal lobe epilepsy-like symptoms in 253 adults.Gynandromorphy is a term of Greek etymology which means to have some of the body morphology and measurements of both an average woman and man.Slang terms for individuals with such preferences include transfans, tranny chasers and admirers.' In Japan, the term "New Half" is used for trans people.In her 1990 book, From Masculine To Feminine And All points In Between, Jennifer Anne Stevens defined she-male as "usually a gay male who lives full-time as a woman; a gay transgenderist." French professor John Phillips writes that shemale is "a linguistic oxymoron that simultaneously reflects but, by its very impossibility, challenges [gender] binary thinking, collapsing the divide between the masculine and the feminine." Trans author Leslie Feinberg writes, "'he-she' and 'she-male' describe the person's gender expression with the first pronoun and the birth sex with the second.

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