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Countries with higher rankings, especially the ones at the top, stand out for their multiple concerted efforts to promote the inclusion of gay and lesbian soldiers.In many of them special support and advocacy organizations are present.In The Sims 2, while editing a Sim in Sim PE, a preference scale for males and females, can be found.

One of the disorders under this category is "persistent and marked distress about one’s sexual orientation”, which can be considered similar to what WHO describes as ego-dystonic sexual orientation.It describes not innate sexual orientation itself, but a conflict between the sexual orientation one wishes to have and the sexual orientation one actually possesses.The World Health Organization (WHO) lists ego-dystonic sexual orientation in the ICD-10, as a disorder of sexual development and orientation.They also shed light both on the routine discrimination, violence, and hardship faced by LGBT-identified soldiers, as well as arguments for and against a ban on their service.The LGBT Military Index is an index created by The Hague Centre for Strategic Studies that uses 19 indicative policies and best practices to rank over 100 countries on the inclusion of lesbian, gay, bisexual and transgender service members in the armed forces.

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