克里斯·波萨、雷·布兰查德和肯尼斯·扎克(英语:Kenneth J. Zucker)(2004)还提出了一个论点,认为法阿法芬可以归类于“跨性别同性恋”。虽然没有提供明确的因果关系,但波萨、布兰查德和扎克使用跨同一词来指代法阿法芬这种对男性有性冲动的男跨女,这表明性取向和性别认同之间存在明显的联系。提到对于男同也发现了类似的出生次序的影响时,这一事实就加强了这种联系。但是没有考虑从作为女性性别身份中产生(而不是导致)对男性的性取向的可能性。
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