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* RedHerring: When a student takes on the form of a BlackKnight and starts obsessing over Mashiro's gender in the dream world, the latter thinks that it must be Sou who's assumed the form. This initially seems to be the case in real life as well until it's revealed later that the BlackKnight's true identity is [[spoiler:Mashiro's Kendo club sempai Kurosaki]].
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It is about a biologically intersex teenager, Mashiro Ichijo, whose body is male from the waist up but female from the waist down. Mashiro was raised as a boy but is terribly afraid that his various weaknesses and failings mean that he is actually a girl.

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It is about a biologically an intersex teenager, Mashiro Ichijo, whose body is male from the waist up but female from the waist down. Mashiro was raised as a boy but is terribly afraid that his various weaknesses and failings mean that he is actually a girl.
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* AFormYouAreComfortableWith: The mysterious clinician takes on the form of a participating student's mother depending on who she interacts with.
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* BlackKnight: [[spoiler:Kurosaki]] takes on this form in the dream world, relentlessly antagonizing Mashiro and trying to challenge him to a fight while also fixating on his gender.

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* BlackKnight: [[spoiler:Kurosaki]] A student takes on this form in the dream world, relentlessly antagonizing Mashiro and trying to challenge him to a fight while also fixating on his gender.gender. Mashiro initially thinks it must be Sou who's the black knight, as the latter has also been fascinated with him in that regard in real life. It turns out to actually be [[spoiler:his Kendo club sempai Kurosaki]].

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* {{Bifauxnen}}: Mashiro's gender identity makes up a key part of the plot, as while he identifies as a boy, he tends to be perceived more as a girl, and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.



* IntersexTribulations: Mashiro's gender identity makes up a key part of the plot, as while he identifies as a boy, he tends to be perceived more as a girl due to his {{Bifauxnen}} appearance; and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.

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* IntersexTribulations: Mashiro's gender identity Mashiro has a genetic condition that makes up a key part of the plot, as while he identifies him half-male and half-female. He was raised as a boy, he tends to be perceived more as a girl due to boy but is terribly afraid that his {{Bifauxnen}} appearance; various weaknesses and failings mean that he even worries this might is actually be the case. Not helping matters is when he experiences a girl. The manga begins with Mashiro experiencing gender dysphoria after getting his first period at the beginning of the manga.period.

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* {{Bifauxnen}}: Mashiro's gender identity makes up a key part of the plot, as while he identifies as a boy, he tends to be perceived more as a girl and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.


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* IntersexTribulations: Mashiro's gender identity makes up a key part of the plot, as while he identifies as a boy, he tends to be perceived more as a girl due to his {{Bifauxnen}} appearance; and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.
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* IfItsYouItsOkay: Upon Sou's and Mashiro's first meeting, Sou thinks of Mashiro as a cute girl despite Mashiro insisting he's anything but. Sou, however, isn't distressed by his attraction to Mashiro. Of course, Mashiro isn't necessarily a man or a woman to begin with.
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''After School Nightmare'' (''Houkago Hokenshitsu'', literally translated as ''After School Infirmary'') is a {{shoujo}} PsychologicalHorror {{manga}} written and drawn by Creator/SetonaMizushiro, which was serialized in the magazine ''Princess'' from 2004 to 2007 and compiled into 10 volumes. The manga was licensed in English by ''Go! Comi'', but the English editions went out of print after the imprint was shut down and the license has expired.

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''After School Nightmare'' (''Houkago Hokenshitsu'', literally translated as ''After School Infirmary'') is a {{shoujo}} PsychologicalHorror {{manga}} written and drawn by Creator/SetonaMizushiro, which was serialized in the magazine ''Princess'' from 2004 to 2007 and compiled into 10 volumes. The manga was licensed in English by ''Go! Comi'', but the English editions [[KeepCirculatingTheTapes went out of print after the imprint was shut down and the license has expired.
expired]].
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* ArtisticLicenseBiology: Mashiro is intersex, brought on by a genetic condition where he is male from the waist up and female from the waist down. In real life, no such condition exists. The closest one that resembles what Mashiro has would be Swyer syndrome, and even then he wouldn't be able to menstruate without treatment.
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* RayOfHopeEnding: [[spoiler:In "the real world," a fire breaks out in the hospital where the lead characters' mothers are staying. Mashiro escapes to be born, while all her classmates are erased from existence as their mothers die or their fetuses are miscarried. Also, Mashiro's memories are torn to shreds by the birth]]. However, [[spoiler:Real World Mashiro meets a Real World Sou in the final few pages]], which makes it a ''little'' bit sweeter in the end, [[spoiler:albeit they have no memory of each other]].

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* RayOfHopeEnding: [[spoiler:In "the real world," a fire breaks out in the hospital where the lead characters' mothers are staying. Mashiro escapes to be born, while all her classmates are erased from existence as their mothers die or their fetuses are miscarried. Also, Mashiro's memories are torn to shreds by the birth]]. However, [[spoiler:Real World Mashiro meets a Real World Sou in the final few pages]], which makes it a ''little'' bit sweeter in keeps the end, [[spoiler:albeit ending from getting ''any more'' bleak, [[spoiler:though they have no memory of each other]].
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%%* KendoTeamCaptain: Kurosaki

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%%* * KendoTeamCaptain: KurosakiKurosaki serves as Mashiro's mentor and sempai in the Kendo club, and he's always willing to help his fellow students out. This proves to be shocking to Mashiro when Kurosaki is revealed in the dream world to be [[spoiler:the black knight]].
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* {{Bifauxnen}}: Mashiro's gender identity makes up a key part of the plot, as while he identifies as male, he tends to be perceived more as a girl and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.

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* {{Bifauxnen}}: Mashiro's gender identity makes up a key part of the plot, as while he identifies as male, a boy, he tends to be perceived more as a girl and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.
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* {{Bifauxnen}}: Mashiro's gender identity makes up a key part of the plot, as while he identifies as male, he tends to be perceived as a girl and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.

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* {{Bifauxnen}}: Mashiro's gender identity makes up a key part of the plot, as while he identifies as male, he tends to be perceived more as a girl and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.
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* {{Bifauxnen}}: Mashiro's gender identity makes up a key part of the plot, as while he identifies as male, he tends to be perceived as a girl and he even worries this might actually be the case. Not helping matters is when he experiences gender dysphoria after getting his first period at the beginning of the manga.
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* RapeAndSwitch: DamselInDistress Kureha falls in love with Mashiro for this reason: she was [[spoiler:raped when she was in kindergarten, and overheard her father saying some very brutal things to her mother]], which led her to severely distrust and hate men. So when she finds out that Mashiro is pretty much a [[{{Bifauxnen}} flat-chested girl that looks like a guy]], she falls in love with them.

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* RapeAndSwitch: DamselInDistress Kureha falls in love with Mashiro for this reason: she was [[spoiler:raped when she was in kindergarten, and overheard her father saying some very brutal things to her mother]], which led her to severely distrust and hate men. So when she finds out that Mashiro is pretty much a [[{{Bifauxnen}} flat-chested girl that looks like a guy]], she falls in love with them.him.

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* FirstLawOfGenderBending: Mashiro Ichijo was born male above the waist and female below. Mashiro starts out identifying as a male but struggles with his femininity. [[spoiler:Towards the end of the series, he accepts his femininity and chooses to be female. The series ends with the revelation that Mashiro's male and female "halves" were actually a pair of HalfIdenticalTwins struggling for survival in the womb; the female twin lives.]]

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* EverybodyWantsTheHermaphrodite: Mashiro finds himself in a BisexualLoveTriangle between BrokenBird Kureha who, due to [[spoiler:being raped as a five-year-old]], has a very strong [[DoesNotLikeMen aversion to men]] until she finds herself falling for him; and Kou, who is intent on trying to protect him after discovering his gender and is big on {{stalk|erWithACrush}}ing and a small hint of rapist undertones.
* FirstLawOfGenderBending: Mashiro Ichijo was born male above the waist and female below. Mashiro starts out identifying as a male but struggles with his femininity. [[spoiler:Towards the end of the series, he accepts his femininity and chooses to be female. The series ends with the revelation that Mashiro's male and female "halves" were actually a pair of HalfIdenticalTwins struggling for survival in the womb; the female twin lives.]]
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* RapeAndSwitch: DamselInDistress Kureha falls in love with Mashiro for this reason: she was [[spoiler:raped when she was in kindergarten, and overheard her father saying some very brutal things to her mother]], which led her to severely distrust and hate men. So when she finds out that Mashiro is pretty much a [[{{Bifauxnen}} flat-chested girl that looks like a guy]], she falls in love with them.
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* NearRapeExperience: This happens to Mashiro when Sou attacks and strips him, intending to rape him to "prove" he is a girl. When Sou taunts him, telling him he's "nothing like a real guy", Mashiro replies that if a real man is someone willing to hurt anyone to get what they want, then Mashiro really isn't one. Taken aback, Sou lets Mashiro go.
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* AbusiveParents: Kureha's father treats her and her mother rather poorly at home. He's part of the reason why Kureha is a misandrist.

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* AbusiveParents: Kureha's father treats her and her mother rather poorly at home. He's Plus, [[spoiler: he deemed her DefiledForever after she was raped as a five-year-old girl while coming home from school]]. He serves as part of the reason why Kureha is a misandrist.
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* BodyHorror: In the DreamLand, Midori [[TheBlank does not have a face]]. There's a giant hole where her facial features should be.

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