Oliven of Columbia University coined the term transgender in his reference work Sexual Hygiene and Pathology, writing that the term which had previously been used, transsexualism , "is misleading; actually, 'transgenderism' is meant, because sexuality is not a major factor in primary transvestism. A Movement Whose Time has Come", circulated in , identified transgender as a term to unify all forms of gender nonconformity; in this way transgender has become synonymous with queer. These terms have now been superseded by " trans man " and " trans woman ", respectively, and the terms "trans-masculine" or "trans-feminine" are increasingly in use. However, the concerns of the two groups are sometimes different; for example, transsexual men and women who can pay for medical treatments or who have institutional coverage for their treatment are likely to be concerned with medical privacy and establishing a durable legal status as their gender later in life. Distinctions between the terms transgender and transsexual are commonly based on distinctions between gender psychological, social and sex physical.
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Alcestis Eshtemoa compares trans women, unfavorably, to eunuchs: There are two sexes and they are complementary. Instead the solipsism is projected elsewhere. El Bastardo seems to think that feminists are all as transphobic as he is: He, or perhaps she or it, has now set himself and his family up for years of delicious pain for his moronic self indulgence. Truly, the feminists who raised him, for that is the evil and solipsistic individuals his parents or at least his mother and wife had to have been. They destroyed who he was, and cheered him on as he jumped into an abyss for which there is no return.
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This widespread defamation has absolutely impacted the national perception of trans women as a group. It certainly had an impact on me growing up — not knowing any out trans women in real life, all I knew about them was what I saw on TV and in the movies. Trans women were pathetic, violent, disposable, or the butt of a joke. They endured misgendering and slurs from their loved ones and laughed along when humiliated. They were violently outed and interrogated about their penises, and this was considered okay.
Named after the band by an unnamed female employee at Capcom,  she was designed by Akira Yasuda to contrast against the bigger characters in the game and move about randomly. Commentary about her ending in the game in All About Capcom suggested that the character may have received sex reassignment surgery. Nishitani stated that he supposed the character "could be male", but added it was up to the viewer to decide. In North America, Poison is officially a post-op transsexual woman. But in Japan, she simply tucks her business away to look female.