Transsexuality For Beginners

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I visit Zoe Brain's blog regularly, and she frequently produces posts that summarize issues well. She's done it again with her post on TS 101.

Go read it; go share it.

Somehow the facts need to get out, and this is a good start.

Nicole ( a.k.a. Itinerant)

Comments

Decent article, except...

A lot of the information in there about intersex and Klinefelter's Syndrome and Genetic Mosaics is incorrect. I happen to be all three, and while intersex can result from either of the other two, they are three separate issues. She essentially says that Genetic Mosaic (Chimerism) is the same thing as Klinefelter's and that is COMPLETELY off the mark. Also, she oversimplifies both Klinefelter's and Chimerism to an extreme.
Edeyn Hannah Blackeney
Wasn't it Jim Henson who said, "Without faith, I am nothing," after all? Wait, no, that was God. Sorry, common mistake...

Not Transsexualism

Even before we get to Edeyn's very correct criticism of Zoe Brain's scrambled descriptions of intersex conditions, is a far more basic issue.

While the concept might be counter-intuitive to the general population, intersex conditions are NOT transsexualism. While to the layman, anything that makes boys into girls must have something in common, this is simply not true. Further, in my humble opinion, munging over the difference, as Zoe Brain does by including intersex conditions in her explanation of transsexualism, does a great disservice both to transsexuals and to the intersexed.

Here's why. The DSM-IV includes transsexuals, but not the intersexed.

Transsexuality is a psychological issue, at least in the way the infrastructure now handles it. Whether it's organic or developmental or whatever is still being roundly debated in some circles, although the science is clearly pointing to it either being organic or at such an early developmental stage that it might as well be organic. The societal and legal aspects of it are in some cases quite brutal, depending on where you live and what jurisdiction you are in. Many people in the general population bring in moral and religious arguments contending that it's voluntary and perverted. The medical community will treat it only after extensive psychiatric evaluation establishes the existence of the condition in an individual.

Intersex conditions, on the other hand, are "purely" medical, at least in the diagnosis. Either a gross chromosome imaging, as in the case of Klinefelter's and its variants, or CAIS, or more specific testing as in the case of PAIS and other conditions. No psychiatrist. No year of real-life-test. No "moral objections" should affect it's diagnosis or treatment. I realize that this is a wishful thought on my part, what with some states even denying evolution in their science classes, but medical ethics as promulgated by the AMA, should at least make its diagnosis possible everywhere.

As for intersex treatment, some real horrors go on in its name, at least for infants. Universally, even in the deepest bible-belt, or maybe more so in the deepest bible-belt, parents of grossly intersex babies are routinely "offered", or pressured into, surgery on their newborn "monster" to "clean them up." Babies with indeterminate external sex organs, or signs of more than one, are too-often mutilated for life in the name of "avoiding confusion." (For more on this issue, please visit ISNA.ORG online, one of the best places to start for loads of information on the subject of intersex conditions.)

Intersex children, adolescents and adults have a great legal argument when it comes time to choosing their gender, if they so choose. Scientifically, and medically, they are neither gender, or both, or perhaps simply and provably not the gender on their birth certificate. They are in a position to legally argue their sexing at birth, force courts to change it, demand medical treatment for their birth defects, wave their genes in the face of the god's-image-fire-and-brimstone crowd ("GIFAB"), and avoid the entire psychiatric rigamarole.

Why is it important for them to be able to do this, and to get special legal treatment if they can? Well, besides the obvious reason that they are entitled to it... if they can be treated with respect and appropriate medical care, it might make it easier further down the road for transsexuals to get respect and treatment, too. In a sense, the rights of the intersexed might be a wedge which can be used to break the grip of the GIFABers on legislatures, courts, and county medical societies.

As for the intersexed, perhaps some day in the not too distant future, being classified as neither M nor F might be legally an option, on birth certificates, drivers licenses and census forms. Even then, of course, societal pressure and personal desire will make most people want to choose M or F if it's an option to them.

Intersex issues

It's sad that so many people are pushed into things by religion rather than using judgement or thinking first about what's best for the child.

I am fortunate to live in a fairly liberal environment, where religion is there if you want it, but you're not criticised if you don't.

Where situations like these are concerned, the fact is that these anomalies do occur with probably more regularity than is realised and unfortunately the religious factions are too quick to jump in and make the decision for the infant without truly understanding what the implications may be later on in the child's life.

This should not be a religious matter, but a medical one and if the child is not allowed to grow into the gender that best suits it are we not guilty of abuse - forcing the child to be something it's not or may not be, just for the sake of propriety?

One cannot tell whether the child is going to be heterosexual or gay from that stage in its development, so how the hell can we tell if an intersexed child is going to fall into one or other gender category at that stage either?

I'm sorry to say that in my opinion, religion has a lot to answer for and does not take into account that the rules it professes to be true and just are not always healthy. Being Christian or being true to the way of God in general has nothing to do with whether one's body has grown the right bits or not. It's about living life and sticking to the ideals that the deity concerned laid down.

In my experience, I have met more hipocritical religious people than I feel is right; so called God fearing folks turning away someone in need because it didn't suit them to help at the time; so called religious people who pressure others by turning the words in the bible to suit themselves.

This to me is just another reason to keep the hell away from religion and start thinking sensibly as what they suggest regarding intersexed infants is nothing short of barbaric.

Peace

Transgenderisim

If I have my numbers right, being gay occurs in about 5% of the population. I think that the transgendered piece is about 1% of that set. I think it is probably twice that because over half of us kill ourselves. I imagine that intersex people probably have a high suicide rate too.

I too think that the church has a lot to answer for. I was a very devout fundamentalistic christian before it all hit the fan for me. I am still devout, but now my brain is working.

I just happen to live in a city where weirdness reigns. I have not had to cope with a lot of the Bible belt stupidity that many do, and I am thankful for it.

Gwenellen

Being Intersex

happens a lot more than folks realize. More than 1% of all the people in the world are intersexed in one way or another -- granted, most of those will never know, themselves. However, at least one out of every 100 people you know are intersexed in some way. If you sit and count, 100 people isn't a lot.
Edeyn Hannah Blackeney
Wasn't it Jim Henson who said, "Without faith, I am nothing," after all? Wait, no, that was God. Sorry, common mistake...

Stranger than Fiction

1985 Diagnosis at the local Fertility Clinic : Undervirilised Fertile Male Syndrome (PAIS-1)

2005 Diagnosis after some really interesting somatic changes, followed by thousands of dollars worth of tests and diagnosis by experts this time: Severe androgenisation of a non-pregnant woman. Treatment on that basis started shortly therafter.

According to an assessment at the Gender Centre in Sydney, psychologically I'm a standard TS woman, with a life story straight out of "True Selves". Didn't crossdress, but otherwise I fitted the "standard transsexual narrative" to a T. So to speak.

My unusual (natural) transition was also not the first case they'd seen, but it's rare.

I find it very difficult to believe under these circumstances that TS is not just a subset of IS, and here in Australia, the Family Court agrees.

http://www.austlii.edu.au/au/journals/DeakinLRev/2004/22.htm...

At paragraph [252]: ‘The traditional analysis that they are "psychologically" transsexual does not explain how this state came about. For example, there seems to be no suggestion in the evidence that their psychological state can be explained by reference to circumstances of their upbringing. In that sense, the brain sex theory does not seem to be competing with other explanations, but rather is providing a possible explanation of what is otherwise inexplicable’.

At paragraph [253]: ‘In other words (as I understand it) the brain of an individual may in some sense be male, for example, though the rest of the person’s body is female’.

At paragraph [270]: ‘But I am satisfied that the evidence now is inconsistent with the distinction formerly drawn between biological factors, meaning genitals, chromosomes and gonads, and merely "psychological factors", and on this basis distinguishing between cases of inter-sex (incongruities among biological factors) and transsexualism (incongruities between biology and psychology)’.

At paragraph [272]: ‘In my view the evidence demonstrates (at least on the balance of probabilities) that the characteristics of transsexuals are as much “biological” as those of people thought of as inter-sex’.

I identify as TS rather than IS: the fact that my transition was 80% or so the result of natural causes is just a minor detail. It did "fast track" me for treatment though, with surgery being authorised the same time HRT was (retroactively).

Instead of the usual sequence, I went fulltime (as I no longer passed as male), then was given HRT by my endo (to try to reset my dangerously unstable system to a safe state), then 5 months later, I saw a shrink. The first time I could get an appointment. Two months later, I had my letters.

There is no SOC for GIDNOS - the diagnosis of GID when other, physical Intersex conditions are present. Sometimes this can be good, other times bad. You may be fast-tracked, or you may be denied surgery altogether. It depends on your medical team.

Zoe

There is no situation so complex it can't get even worse

There is no situation so complex it can't get even worse