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In a study of people in the United States who thought themselves to be members of a third gender, Ingrid M. Sell found that they typically felt different from the age of 5.<ref name="SellIngrid_a">Sell, Ingrid M.  "Third gender: A qualitative study of the experience of individuals who identify as being neither man nor woman."  The Psychotherapy Patient.  13.1/2 (2004): p.139</ref> 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. Nearly half of those interviewed were healers or in the medical profession. A majority of them, again like their Eastern counterparts, were artistic enough to make a living from their abilities. The capacity to mediate between men and women was a common skill, and third genders were oftentimes thought to possess an unusually wide perspective and the ability to understand both sides.<ref name="SellIngrid_a" /> A notable result of Sell's study is that 93% of the third genders interviewed, again like their Eastern counterparts, reported “paranormal”-type abilities.<ref>Sell, Ingrid M.  "Third gender: A qualitative study of the experience of individuals who identify as being neither man nor woman."  The Psychotherapy Patient.  13.1/2 (2004): p.141</ref>
In a study of people in the United States who thought themselves to be members of a third gender, Ingrid M. Sell found that they typically felt different from the age of 5.<ref name="SellIngrid_a">Sell, Ingrid M.  "Third gender: A qualitative study of the experience of individuals who identify as being neither man nor woman."  The Psychotherapy Patient.  13.1/2 (2004): p.139</ref> 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. Nearly half of those interviewed were healers or in the medical profession. A majority of them, again like their Eastern counterparts, were artistic enough to make a living from their abilities. The capacity to mediate between men and women was a common skill, and third genders were oftentimes thought to possess an unusually wide perspective and the ability to understand both sides.<ref name="SellIngrid_a" /> A notable result of Sell's study is that 93% of the third genders interviewed, again like their Eastern counterparts, reported “paranormal”-type abilities.<ref>Sell, Ingrid M.  "Third gender: A qualitative study of the experience of individuals who identify as being neither man nor woman."  The Psychotherapy Patient.  13.1/2 (2004): p.141</ref>
In recent years, some Western societies have begun to recognize non-binary or genderqueer identities. Some years after Alex MacFarlane, Australian [[Norrie May-Welby]] was recognized as having unspecified status.<ref name="Daily">[http://www.nydailynews.com/news/world/2010/03/16/2010-03-16_no_sex_for_me_please_extranssexual_briton_is_first_legally_genderless_person.html "No sex for me, please! Ex-transsexual Australian Norrie May-Welby is first legally genderless person"], New York Daily News. 16 March 2010.</ref><ref name="Telegraph">[https://www.telegraph.co.uk/news/newstopics/howaboutthat/7446850/Briton-is-recognised-as-worlds-first-officially-genderless-person.html "Briton is recognised as world's first officially genderless person"], The Telegraph. 15 Mar 2010.</ref> In 2016, an Oregon circuit court ruled that a resident, [[Jamie Shupe]], could legally change gender to non-binary.<ref>{{cite web|last1=O'Hara|first1=Mary Emily|title='Nonbinary' is now a legal gender, Oregon court rules|url=http://www.dailydot.com/lifestyle/oregon-court-rules-non-binary-gender-legal/|website=The Daily Dot|accessdate=June 10, 2016|date=June 10, 2016}}</ref>


The Open Society Foundations published a report, ''License to Be Yourself'' in May 2014, documenting "some of the world's most progressive and rights-based laws and policies that enable trans people to change their gender identity on official documents".<ref name=License>{{cite book|last=Byrne |first=Jack |author-link= |title= License to Be Yourself |year=2014|publisher=Open Society Foundations |location=New York |isbn=9781940983103 |url=http://www.opensocietyfoundations.org/reports/license-be-yourself | accessdate=2014-12-28 }}</ref> The report comments on the recognition of third classifications, stating:
The Open Society Foundations published a report, ''License to Be Yourself'' in May 2014, documenting "some of the world's most progressive and rights-based laws and policies that enable trans people to change their gender identity on official documents".<ref name=License>{{cite book|last=Byrne |first=Jack |author-link= |title= License to Be Yourself |year=2014|publisher=Open Society Foundations |location=New York |isbn=9781940983103 |url=http://www.opensocietyfoundations.org/reports/license-be-yourself | accessdate=2014-12-28 }}</ref> The report comments on the recognition of third classifications, stating:
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