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J Clin Oncol 14619袪627, 1996.

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0 Sexual Maturation Disorder: The patient is suffering from uncertainty about his gender identity or sexual orientation, causing anxiety or depression. Most commonly this occurs in adolescents who are not certain whether they are homosexual, heterosexual or bisexual in orientation, or individuals who, after a period of apparently stable sexual orientation (often with a longstanding relationship), find that their sexual orientation is changing. (italics added) In the KSDC version, the italicized phrase above has been replaced by: older married individuals who after a period of apparently normal heterosexuality, often within marriage, find themselves experiencing homosexual feelings.]