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"Essentialists" typically believe that sexual preferences are determined by biological forces, while "constructionists" assume that sexual desires are learned.

The philosopher of science Michael Ruse has stated that the social constructionist approach, which is influenced by Foucault, is based on a selective reading of the historical record that confuses the existence of homosexual people with the way in which they are labelled or treated.

Confucianism, being primarily a social and political philosophy, focused little on sexuality, whether homosexual or heterosexual.

Ming Dynasty literature, such as Bian Er Chai (弁而釵/弁而钗), portray homosexual relationships between men as more enjoyable and more "harmonious" than heterosexual relationships.

In 1886, the psychiatrist Richard von Krafft-Ebing used the terms homosexual and heterosexual in his book Psychopathia Sexualis.

Krafft-Ebing's book was so popular among both laymen and doctors that the terms "heterosexual" and "homosexual" became the most widely accepted terms for sexual orientation. recommend against using homosexual as a noun, instead using gay man or lesbian.

As such, the current use of the term has its roots in the broader 19th-century tradition of personality taxonomy. Similarly, some recommend completely avoiding usage of homosexual as it has a negative, clinical history and because the word only refers to one's sexual behavior (as opposed to romantic feelings) and thus it has a negative connotation. The first letters are frequently combined to create the initialism LGBT (sometimes written as GLBT), in which B and T refer to bisexual and transgender people.

Typically, this individual was recognized early in life, given a choice by the parents to follow the path and, if the child accepted the role, raised in the appropriate manner, learning the customs of the gender it had chosen.In East Asia, same-sex love has been referred to since the earliest recorded history.Homosexuality in China, known as the passions of the cut peach and various other euphemisms, has been recorded since approximately 600 BCE.Since the end of the 19th century, there has been a global movement towards increased visibility, recognition, and legal rights for gay people, including the rights to marriage and civil unions, adoption and parenting, employment, military service, equal access to health care, and the introduction of anti-bullying legislation to protect gay minors.The word homosexual is a Greek and Latin hybrid, with the first element derived from Greek ὁμός homos, "same" (not related to the Latin homo, "man", as in Homo sapiens), thus connoting sexual acts and affections between members of the same sex, including lesbianism.

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