Which of the following is NOT a characteristic of "two-spirits"?

Question

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Two-spirits are individuals in Native American cultures who embody a mix of masculine and feminine qualities and may take on gender roles that differ from their biological sex. They are often respected members of their communities who fill ceremonial and social roles, and may be considered as shamans or healers. While the history and acceptance of two-spirits varies among tribes, they have not been completely driven out of existence in Native American cultures.

Which of the Following Is NOT a Characteristic of "Two-Spirits