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Feminist social constructionists have not accepted this biological explanation. In the first and still the most comprehensive feminist critique of the medical profession's construction of the phenomenon of transsexualism (first published in 1979), Janice G. Raymond explains that the "first cause" of the phenomenon is the political idea that there should be two distinct genders that founds patriarchal society (Raymond, 1994). She sees transsexualism as a construction of medical science designed to achieve three purposes: profit from the surgery, experimentation towards the achievement of mastery over the construction of body parts, and the political purpose of the allocation to acceptable gender categories of those gender rebels who are seen to be disrupting the two-gendered system of male dominance. The transsexual, she argues, simply exchanges one stereotype for the other and thus reinforces the sexist social fabric of society. Transsexualism, in this analysis, is deeply reactionary, a way of preventing the disruption and elimination of gender roles which lies at the basis of the feminist project, and "The medical solution becomes a 'social tranquilizer' reinforcing sexism and its foundation of sex-role conformity" (Raymond, 1994, p. xvii).
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