Social construction - argues that gender identity does not reflect underlying biological differences between people and believes that these concepts are invented by societies
For individuals with GD, the gender confusion results because society forces people to be a man or a woman - they must pick a side and act accordingly
GD is not a pathological condition but a social phenomenon which arises when only 2 choices are forced upon people
AO3 - not all cultures have two genders
The fa’afafine of Samoa are biological males who adopt the traditional gender role of women and are known for their hard work in a domestic context and dedication to the family
They are not considered gay as no such label exists in Samoa
5 million people in India, Pakistan and Bangladesh live as transgender. The Hijra in India are all now recognised as having legal identities on passports - third identity