Sex : Refers to the designation of the biological differences between females and males.
Drag Queen : Is a term historically used by gay men who dress in the clothing usually associated with women for the purposes of entertainment or personal fulfillment. There are also drag kings who are biologically female and dress as men.
Transsexual : People who seek to live in a gender different from the one assigned at birth and who may seek or want medical intervention for them to live comfortably in that gender.
MYTH: You can tell someone is transgender by looking at them.
FACT: There’s no one way Transgender people look. Transgender people represent a cross-section of the general population. Some transgender people pass, some don’t, and others don’t want to. Further, there is a difference between identity and expression/behavior.
MYTH: All transgender individuals want or have had sex reassignment surgery.
FACT: Actual or desired surgical status is separate from one’s gender identity. Some transgender individuals feel “complete” once they have had surgery, while others opt to not have surgery because of limited funds and/or lack of medical insurance coverage, medical complications, or because they are dissatisfied with current technological limitations.
MYTH: Transgender individuals go from either male-to-female or from female-to-male.
FACT: “Transgender” is an umbrella term, which includes people who do not conform to gender stereotypes, roles, and expectations. Some transgender individuals appreciate an androgynous or gender queer identity. Many drag monarchs (kings and queens), cross-dressers, butch women and feminine men also consider the transgender community home.
MYTH: Being transgender is a birth defect that can be corrected through hormones and surgery.
FACT: While some transgender individuals believe this, some believe that their transgender identity is a gift or a blessing. Some transgender individuals also feel that there isn’t anything defective about their transgender identities.
No, but this remains a stereotype about transgender people. However, Gender Identity Disorder is listed in the Diagnostic and Statistical Manual-4th Edition (DSM-IV), a guide used by mental health professionals to diagnose psychological conditions.
Transgender identity is not a mental illness that can be cured with treatment. Rather, transgender people experience a persistent and authentic difference between our assigned sex and our understanding of our own gender.
Many transgender people do not regard their cross-gender feelings and behaviors as a disorder.
Some trans people object on the grounds that there may be a physical cause, as suggested by recent studies about the brains of transsexual people. Many of them also point out that the treatment for this disorder consists primarily of physical modifications to bring the body into harmony with one's perception of mental (psychological, emotional) gender identity, rather than vice versa
In order to access “treatment”—meaning hormones and, perhaps, surgery—you first have to be diagnosed. But calling trans people sick creates the same stigma gay/lesbian/bisexual people faced for decades.
Developed in the early 1990s, the Health Law Standard (HLS) takes an entirely different approach from the medical-model paradigm of the original SOC.
Informed consent approach, and is written in the form of a contract between client, doctor, and legal spouse. Clients sign the HLS, indicating they understand and take full responsibility for all risks inherent in the transition process.
Once they have signed the HLS, they may access hormones and any surgical procedures related to transition, bypassing the therapeutic process altogether if they so choose.
Guidelines outlined in Gianna Israel and Donald Tarver's classic 1997 book "Transgender Care".
Several LGBT health clinics in the United States (e.g. Tom Waddell in San Francisco, Callen Lorde in New York City, Mazzoni in Philadelphia) have developed “protocols” for transgender hormone therapy following a “harm reduction” model which is coming to be embraced by increasing numbers of providers. These are also called informed consent models.
In their 2005 book Medical Therapy and Hormone Maintenance for Transgender Men , Dr. Nick Gorton et al suggest a flexible approach based in harm reduction
While there are many costs associated with transitioning, there is also a cost when people who desire it do not do so . They may live a lifetime in which they never feel congruence between their body and their sense of self. They may be depressed and unhappy, or even suicidal, because they are not able to dress, live or work as they are comfortable. They may not have the opportunity to fulfill their dreams or live as they wish to live.
Discrimination against LGBT persons has been associated with:
high rates of psychiatric disorders 1
substance abuse 2, 3
Personal, family, and social acceptance of sexual orientation and gender identity affects the mental health and personal safety of LGBT individuals 5
1. McLaughlin KA, Hatzenbuehler ML, Keyes KM. Responses to discrimination and psychiatric disorders among black, Hispanic, female, and lesbian, gay, and bisexual individuals. Am J Public Health. 2010;100(8):1477-84. 2. Ibanez GE, Purcell DW, Stall R, et al. Sexual risk, substance use, and psychological distress in HIV-positive gay and bisexual men who also inject drugs. AIDS. 2005;19(suppl 1):49-55. 3. Herek GM, Garnets LD. Sexual orientation and mental health. Annu Rev Clin Psychol. 2007;3:353-75. 4. Remafedi G, French S, Story M, et al. The relationship between suicide risk and sexual orientation: Results of a population-based study. Am J Public Health. 1998;88(1):57-60. 5. US Department of Health and Human Services. Healthy People 2010. [Internet]. Available from: http://www.hhs.gov
Marketing materials, brochures, ways services are introduced. Are they representative of the diversity of the populations within the service area? Will trans people feel like the advertised facility is a comfortable place for them? How is this communicated? What is the current reputation in Trans community? Is there a need to address past negative experiences?
Display health info, magazines, posters, and other decorations that reflect the faces and interests of clients served. Staff should also be representative of clients served. Consider posting a written non-discrimination policy that gender identity and gender expression.