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In , Janice Raymond employed the term as a derogatory descriptor for transsexual women in her controversial book, The Transsexual Empire: Perspectives on Modern European Pornography, The term is used by some psychologists to refer to male-to-female transsexual people who have transitioned to female, but never have undergone genital surgery. Cassell's Dictionary of Slang. The term came to have a more negative connotation over time and been used to describe a "hateful woman" or "bitch. The term has since become an unflattering term applied to male-to-female transsexual people.

Many transgendered women are offended by this categorization and call themselves T-girls or trans. Some mental health researchers consider attraction to transgender people to be a paraphilia. Furthermore, we are removing the 'You've got she-mail' intro from new episodes of the series. Patient-Centered Collaborative Care 8 ed. Remaking the City Icon. Dictionary of American Regional English.