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There is actually a psychiatric disorder called Gender Identity Disorder (it's in the DSM under "sexual and gender identity disorders). The patients actually identify themselves as the opposite gender and feel very uncomfortable in their own gender's role. In children it manifests by make believe play in which they play as if they were another gender and they have definite preferences for playmates of the opposite sex. It's interesting stuff. There are lots of causes for it, most of it revolving around past sexual abuse or parental neglect/overinvolvement. This holds true for a lot of psych disorders.
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