There is a lot of
brouhaha going on about what bathrooms transgender folk use.
Politicians trying to avoid having to face real issues, generate
false issues to divert attention from the real problems. That is
unfortunate. What is even more unfortunate is the recent attacks on
transgender people. It would appear that they see an easy target
because most people are ignorant of transgender issues. I commented
online after reading something a transwoman wrote as I found it a
well thought out article regarding the bathroom issues and the affect
it might have on cisgender women. Cisgender is a term that refers to
people whose gender identity is in agreement with their biological
sex. It was suggested that I should write about this and try to shine
a light of knowledge to disperse the darkness of ignorance. I will do
my best to illuminate. I have my own way of perceiving some of this
and have found that some things I say are not well received in the
transgender community, but I think it is the best way I can think of
to present it to people who aren't knowledgeable in this area. So
please, this is not meant to offend anyone, I am just trying to bring
a little understanding.
Let us start with
the medical/science/psychological part of it. I understand that many
do not read technical journals let alone medical journals, but this
snippet is taken directly from the DSM-5 on Gender Dysphoria. The DSM
is the Diagnostic and Statistical Manual used by
psychologists/psychiatrist and counselors to diagnose and treat those
suffering from Gender Dysphoria. After reading it, you may understand
why many don't “get” transgender issues.
“The need to
introduce the term gender arose with the realization that for
individuals with conflicting or ambiguous biological indicators of
sex (i.e., "intersex"), the lived role in society and/or
the identification as male or female could not be uniformly
associated with or predicted from the biological indicators and,
later, that some individuals develop an identity as female or male at
variance with their uniform set of classical biological indicators.
Thus, gender is used to denote the public (and usually legally
recognized) lived role as boy or girl, man or woman, but, in contrast
to certain social constructionist theories, biological factors are
seen as contributing, in interaction with social and psychological
factors, to gender development. Gender assignment refers to the
initial assignment as male or female. This occurs usually at birth
and, thereby, yields the "natal gender." Gender-atypical
refers to somatic features or behaviors that are not typical (in a
statistical sense) of individuals with the same assigned gender in a
given society and historical era; for behavior, gender-nonconforming
is an alternative descriptive term. Gender reassignment denotes an
official (and usually legal) change of gender. Gender identity is a
category of social identity and refers to an individual's
identification as male, female, or, occasionally, some category other
than male or female. Gender dysphoria as a general descriptive term
refers to an individual's affective/ cognitive discontent with the
assigned gender but is more specifically defined when used as a
diagnostic category. Transgender refers to the broad spectrum of
individuals who transiently or persistently identify with a gender
different from their natal gender. Transsexual denotes an individual
who seeks, or has undergone, a social transition from male to female
or female to male, which in many, but not all, cases also involves a
somatic transition by cross-sex hormone treatment and genital surgery
(sex reassignment surgery).
Gender dysphoria
refers to the distress that may accompany the incongruence between
one's experienced or expressed gender and one's assigned gender.
Although not all individuals will experience distress as a result of
such incongruence, many are distressed if the desired physical
interventions by means of hormones and/or surgery are not available.
The current term is more descriptive than the previous DSM-IV term
gender identity disorder and focuses on dysphoria as the clinical
problem, not identity per se.” DSM-5, page 451.
To over-simplify,
basically a person who suffers Gender Dysphoria feels that they have
the mind of one gender in the body of another. The affect on the
afflicted person could be anything from a mild discomfort with who
they are to such discomfort as to cause suicidal thoughts and
behaviour. In 2014, the Williams Institute did a study on suicide
within the transgender community in which they reported in their
Executive Summary:
“The prevalence of
suicide attempts among respondents to the National Transgender
Discrimination Survey (NTDS), conducted by the National Gay and
Lesbian Task Force and National Center for Transgender Equality, is
41 percent, which vastly exceeds the 4.6 percent of the overall U.S.
population who report a lifetime suicide attempt, and is also higher
than the 10-20 percent of lesbian, gay and bisexual adults who report
ever attempting suicide. Much remains to be learned about underlying
factors and which groups within the diverse population of transgender
and gender non-conforming people are most at risk.” - Williams
Institute - Suicide Attempts among Transgender and Gender
Non-Conforming Adults – Jan 2014
The whole report can
be read here for those who wish to know more.
http://williamsinstitute.law.ucla.edu/wp-content/uploads/AFSP-Williams-Suicide-Report-Final.pdf
So, gender dysphoria
is very real. This isn't just some guy wearing a dress as some
ignorant people dismiss it. This is a real issue and to those who
suffer from gender dysphoria, they can feel trapped. To make matters
worse, for many, if they come out to others, they are ostracized.
Referring once again to that Williams Institute study:
“— Family chose
not to speak/spend time with them: 57%
— Discrimination,
victimization, or violence at school, at work, and when accessing
health care
• Harassed or
bullied at school (any level): 50-54%
• Experienced
discrimination or harassment at work: 50-59%
• Doctor or
health care provider refused to treat them: 60%
• Suffered
physical or sexual violence:
— At work:
64-65%
— At school
(any level): 63-78%
— Discrimination,
victimization, or violence by law enforcement
• Disrespected
or harassed by law enforcement officers: 57-61%
• Suffered
physical or sexual violence: By law enforcement officers: 60-70”
- Williams
Institute - Suicide Attempts among Transgender and Gender
Non-Conforming Adults – Jan 2014
So this is very
real. For many, the way out is death.
I am going to switch
tracks for just a moment. I have given you the facts. Now I want to
share my feelings and thoughts on this. I may not be very eloquent,
but when I write, I try to speak from the heart. So bear with me.
I note that many
people reject being transgendered as a life choice. Of course, many
of the same people feel the same way about Gays and Lesbians. Science
says otherwise, but some people you will never be able to convince.
Oh and please don't cite passages from the Bible to support your
hate. They come from the Old Testament and have passages in there
about not eating bacon or shrimp or wearing that nylon/polyester
shirt. Though when you counter bible thumpers with those passages
they tell you they don't count. Of course not, they affect them. They
prefer only to put faith in those that can support their hate and
ignorance. They claim to be Christians, but Jesus said nothing
against Gays, Lesbians, or Transgendered. Jesus said that he was the
way and the light and left us with one commandment, Love. Not love
if, or but, just love.
Okay, enough said
about religion. I have been fortunate to know many in the
transgendered community. We have shared laughs and tears together.
They are very wonderful people. Maybe you should get to know some of
them before condemning them. At odds with the workplace
discrimination, one study found that many transgendered people are
actually highly intelligent. They found that they were the most
under-utilized segment of the population due to discrimination. This
is changing as more and more companies adopt policies to prevent
discrimination, but still has a long way to go. HRC's release of its
Corporate Equality Index (CEI) back in March, I believe, showed the
status of companies becoming more accepting and getting a perfect 100
appears to be the goal for many of the top companies.
I think that as more
and more companies come out in support of transgender people, the
backlash from those who feel the need to bully and control others is
getting worse. Hopefully, this will change.
Okay, so what do I
think is at the root? This is where I get the most flack from the
transgender community. I see this as a birth defect. As the DSM notes
there are those that are intersexed. These are people who were born
with both genitalia. In the past, doctors would often make the
decision on which sex to assign with or without the parents input.
Often times, they guessed wrong. The old belief was that environment
decided what gender you accepted. So if you were assigned a boy at
birth, you were raised a boy and compelled to do boy things. If you
were a girl, you would be raised as a girl and do girl things.
Unfortunately, for some, it isn't so cut and dried. We are all born
neo-female. At some point in vitro we get a burst of hormones that
cause the physical changes that then end up defining us as male or
female. However, sometimes those hormones are disrupted, or replaced
by other influences that may cause things to “go wrong”. We can
see the physical result with intersexed people. However, and this is
just my thoughts, sometimes the physical change gets completed, even
ata odds with what our brain believes us to be.
That raises the
question, could the rise in transgender population be attributed to
people feeling freer to come out and express themselves as they truly
are? Or is it because we have mucked up our environment so badly that
there are endocrine disruptors and other influeneces that are causing
what might have once been a rare occurrence to become more
commonplace? I'll leave that to the scientist to figure out.
Unfortunately, there hasn't been much studies done on transgender
people. I would suppose that is in part because for many they
preferred to stay under the radar and not draw attention to
themselves. There have been some though. One study looked at the
brain and found that there is actually a difference between male,
female, and transgendered brains. So there is scientific research,
modest, but still there, that maybe warrants a deeper study. There
was one study that actually proffered that maybe there is a third
gender. Wrap your heads around that kiddies.
Okay, so between the
all the studies, the documentation, there is evidence that this is a
real thing. So why do we still keep hating? We hear about the courage
it took for a transgender person to transition. Why is it so
courageous if it is just slapping on a dress as some ignorant people
say? Unfortunately it is not that simple.
A person suffering
from gender dysphoria, cannot just decide one day to be the other
sex. They have to be in the care of a
counselor/psychologist/psychiatrist. This professional often has to
write letters to the doctors before doctors will begin treatment.
Back in the 90's, this was the old Benjamin Protocols. The mental
health professional, oh let's shorten that to MHP, would have to
challenge you and make you have to prove that you were truly
transgendered. As time went on, it was found a gentler approach was
needed and WPATH became the standard of care for transgendered people.
A copy of the recent version of the Standards of Care (SOC) can be
downloaded from here,
http://www.wpath.org/site_page.cfm?pk_association_webpage_menu=1351&pk_association_webpage=3926
So a person
suffering gender dysphoria would seek out a MHP to help them find a
resolution, whether it was simply coping, or going the full route to
transition. After a diagnosis of gender dysphoria was ascertained,
the person affected would have to seek out a endocrinologist to set
up a course of treatment. In the past, the MHP would have to write a
letter to the doctor before treatment could begin, however, in recent
versions of the SOC, that has been revised. Some doctors may still
require it to cover themselves. Now, I haven't read the new version
of the SOC, but in the past, you would eventually have to transition
and live your life as the opposite sex for one year before getting
approval for gender reassignment surgery or sexual reassignment
surgery, I have heard it referred to both ways. I believe in the past
it also required two letters from two different MHP, but I believe
that has been removed from the SOC in the recent version. I guess I
should read it at some point to get caught up.
So besides the
discrimination that a transgendered person faces in their day to day
life, they had to prove their way to the mental health and medical
professionals. I also have to note that often they are left to find
these professionals on their own. That is not very helpful when you
encounter a MHP that doesn't believe in LGBTQ issues. I have heard of
a number of websites that have cropped up to offer this information.
I believe in the Boston area, many go to Fenway Health.
Of course, that is
just the medical side of things. There is also many hours of
electrolysis for male to female transfolk. They could opt for laser
too. They might also undergo facial surgery to better contour the
face to look more feminine. They may also go for a tracheal shave to
remove a prominent adam's apple. The costs are phenomenal and often
times not covered by insurance as the insurance companies have been
allowed to discriminate. So for many, they look to the sex trade or
making pornos to raise the money.
So there is a lot of
information here, but I have barely touched upon it. It is a
complicated issue. However, I feel that we can make the lives of
transgender people a whole lot easier if we can just remove our own
ignorance and help them on their journey. There have been many people
who have transitioned and are having successful careers. Some who are
better known, Chaz Bono, Laverne Cox, Janet Mock, and Catilyn Jenner.
Oh and the Wachowski Brothers who are now the Wachowski Sisters.
All transgendered
people want is to be loved and accepted just like everyone else. They
didn't ask to be born the way they were. No one would choose that as
a life choice. Who would choose to live in a world that hated and
despised you? We need to learn to accept everyone for who they are
and what they do. I hope this brought a little insight and
awareness. Thank you for taking the time to read it.
My heart to your
heart, one heart, one spirit.