The term sissy has historically been used among school children as a "relentlessly negative" insult implying immaturity and gender or sexual deviance.[3] It has been identified as "sexist" in guidance issued to schools in the United Kingdom[4] and described as "just as unacceptable as racist and homophobic language."[5] The terms gender creative,[6] pink boy,[7] and tomgirl[8] have been suggested as polite alternatives. The Japanese word bishōnen is also a polite term for a man or boy with gentle or feminine attributes.