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Because of both peer and parental pressure, those growing up with the most ambiguous appearances had the most troubled childhoods and difficulties later in life.
Sell also discovered similarities between the third genders of the East and those of the West.
In March 2017, an Australian and Aotearoa/New Zealand community statement called for an end to legal classification of sex, stating that legal third classifications, like binary classifications, were based on structural violence and failed to respect diversity and a "right to self-determination".
It also called for the criminalization of deferrable intersex medical interventions.
This may be a result of the notion of reincarnation, which reduces not only gender categorization but also sex and species, allowing for more fluid and mutable categorization.
I argue that to understand whether a system is more or less oppressive than another we have to understand how it treats its various members, not only its 'thirds'.
This is seen as a mediation between the spirit and mundane worlds.
It is seen as a positive and is almost revered in most Eastern cultures, whereas in Western cultures, people who don’t conform to heteronormative ideals are often seen as sick, disordered, or insufficiently formed.
However, the state of personally identifying as, or being identified by society as, a man, a woman, or other, is usually also defined by the individual's gender identity and gender role in the particular culture in which they live.
Not all cultures have strictly defined gender roles.
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In Africa, a woman can be recognized as a “female husband” who enjoys all of the privileges of men and is recognized as such, but whose femaleness, while not openly acknowledged, is not forgotten either.