A person is anatomically a man but identifies as a woman. He assumes female dress and gender role. In his culture, he has high status and privileges, and it is believed that he has great spiritual power. This man is likely to be

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The description fits a two-spirit, which is a term used by some Indigenous North Americans to describe individuals who have both male and female spirits or who identify as having a third gender. Two-spirits traditionally held a respected and honored role in their communities, often serving as healers, teachers, and spiritual leaders.

A Person Is Anatomically a Man but Identifies as a Woman