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After School Nightmare (Houkago Hokenshitsu, literally translated as After School Infirmary) is a Shoujo psychological-horror Manga written and drawn by Setona Mizushiro. 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.

The manga begins with young Mashiro getting his first menstrual period. He comes across a strange woman, the clinician at a school clinic that he never noticed before, who tells him he must attend a special class once a week if he wishes to 'graduate'. In this class he and other troubled teens enter a Dream World, where they take on the form of their "true selves" and must fight for the right to "graduate". Mashiro also finds himself in a Love Triangle with Kureha, a pretty girl who fears men and likes him because he is not quite male, and Sou, a handsome boy who believes that Mashiro is a girl.

Angst, drama and Freudian symbology ensue...

After School Nightmare provides examples of:

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