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Understanding the Needs <br />of <br />Transgender Clients<br />Renée Baker, Ph.D., LMT<br />GenderPower.Com<br /> 2009 b...
Contents<br />Introduction<br />Part 1:  From My Heart to Yours - A Personal Transgender Sharing (oral) <br />Mystery of g...
Part 1 <br />From My Heart to Yours <br />A Personal Transgender Sharing<br />(oral presentation)<br />
Younger Years<br />
Transitional Changes<br />December 2004<br />Circa 2000<br />First Day of Hormones<br />August 30, 2005<br />Right Before ...
Part 2 <br />Working With Transgender Individuals<br />
Terminology <br />
Males & Females<br />Help!<br />Biologically speaking, the onlydefining factor for whether an organism is male or female i...
The Origins of Sex: Biological Hermaphrodites*<br /><ul><li> Hermaphrodite
The most common reproductive system
 Produces both large and small gametes during a lifetime (biological term)
 Simultaneous hermaphroditic
both gametes made same time</li></ul>Most flowering plants are simultaneously hermaphroditic<br />as are many deep sea fis...
both gametes made different times</li></ul>About ¼ of the fish near coral reefs are hermaphroditic.<br />*Do not use this ...
Sex<br />Traditional<br />Sex is defined as whether a human is either male or female, or by which gamete they produce.<br ...
Commonality of Intersexed Conditions<br /><ul><li>Intersexed people or mammals
 Produce eggs & sperm
And/or have combinations of egg/sperm related genitalia
Intersexed beings play an important role in society and in biology</li></ul>Commonality of Intersexed Conditions Among Mam...
Varying Effects of Intersexed Conditions<br /><ul><li>There are over 70 types of chromosomal and hormonal conditions causi...
Effects are quite diverse
Varying penis or clitoris size
Varying location of urethra opening along penis
Closure of labia / scrotal appearance
Varying vaginal depth or no vagina
Varying size testes or partially descended or not descended
No uterus or cervix or fallopian tubes
Varying degrees of feminization or masculinization
Varying body shapes
Many intersexed people are raised as the “opposite sex” to their chromosomes
Many intersexed people are given genital surgery for “correction”
Many consider this practice unethical
About five baby girls have their clitorises operated on each day (Ms. Mag.)
Many intersexed people also identify as transgendered</li></li></ul><li>More on Sex<br />Modern or Better Definition<br />...
Hormones
Morphology,
Biochemistry
Anatomical </li></ul>In short, there are more than two sexes, even if we only legally have two.<br />*See A. Lev<br />
Sexism<br />Sexism is when an individual is judged to be certain way by virtue of their sex.<br />See!  As I said, all men...
Sex Myth Busters*<br />Males and females are males and females for life.  False!<br /><ul><li>The most common form of plan...
Half of the animal kingdom is simultaneously male or female or changes throughout life
Females always give birth.  False!
In many species, the female deposits the eggs in the male’s pouch and the male tends the nest</li></ul>The male seahorse c...
No, in many species such as fish, the female is the biggest
Males always have XY chromosomes and females have XX.  False!
In birds, the reverse is true (ZZ is male, ZW is female)
In many species, males and females have the same chromosomes.  </li></ul>The turtle’s sex is determined by temperature of ...
Sex Myth Busters II<br />There are only two genders.  False!<br /><ul><li>Many species have three or more genders
Each sex can have more than one form</li></ul>Males and females always look different.  False!<br /><ul><li>In some specie...
The male fruit bat of Borneo for example produces milk in mammary glands</li></ul>Males always control females.  False!<br...
Females don’t always prefer a dominant male</li></ul>Females always prefer monogamy and males want to fool around.  False!...
Lifelong monogamy is rare</li></ul>Sometimes the male of a species lactates<br />
Sex Myth Busters III<br />No animal species changes their sex.  False!<br /><ul><li>Many fish families change their sex (b...
The moray eel changes its sex</li></ul>sex change<br />Nature sometimes seeks a balance<br />of males and females<br />Pro...
Feminine	- differing attributes of females</li></ul>Modern<br />Gender is defined in terms of attributes we ascribe to an ...
Thoughts
Desires
Behaviors</li></ul>Gender and Sex are not synonymous<br />I am a<br /> real man!<br />
Gender<br />Our gender role is the social roles we play in life, conscious or not.<br />Our  gender identity is how we des...
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Phrc2009 Renee Baker Lowres

  1. 1. Understanding the Needs <br />of <br />Transgender Clients<br />Renée Baker, Ph.D., LMT<br />GenderPower.Com<br /> 2009 by Renée Baker. All rights reserved. No part of this work may be reproduced or utilized in any form by any means, electronic or mechanical, including photocopying, microfilm and recording, or by any information storage and retrieval system, without permission in writing from Renée Baker. <br />
  2. 2. Contents<br />Introduction<br />Part 1: From My Heart to Yours - A Personal Transgender Sharing (oral) <br />Mystery of gender, a childhood look<br />Growing up and family life<br />Coming out<br />Journey to self<br />Transitional experiences from HRT to surgery <br />Special discussion on hair removal experiences<br />Q&A<br /> <br />Part 2 – Working With Transgender Individuals (slides)<br />Terminology<br />History<br />Etiquette<br />Equality, rights and current events<br />Transgender standards of care<br />Marketing to Transgender Clients<br />Back Matter<br />
  3. 3. Part 1 <br />From My Heart to Yours <br />A Personal Transgender Sharing<br />(oral presentation)<br />
  4. 4. Younger Years<br />
  5. 5. Transitional Changes<br />December 2004<br />Circa 2000<br />First Day of Hormones<br />August 30, 2005<br />Right Before FFS<br />May 2006<br />One week after FFS<br />
  6. 6. Part 2 <br />Working With Transgender Individuals<br />
  7. 7. Terminology <br />
  8. 8. Males & Females<br />Help!<br />Biologically speaking, the onlydefining factor for whether an organism is male or female is the gamete size it produces.<br />Males – sperm or small gametes<br /> Females – eggs or large gametes<br />Pssst…we haven’t talked about sex and gender yet.<br />
  9. 9. The Origins of Sex: Biological Hermaphrodites*<br /><ul><li> Hermaphrodite
  10. 10. The most common reproductive system
  11. 11. Produces both large and small gametes during a lifetime (biological term)
  12. 12. Simultaneous hermaphroditic
  13. 13. both gametes made same time</li></ul>Most flowering plants are simultaneously hermaphroditic<br />as are many deep sea fish<br /><ul><li>Sequentially hermaphroditic
  14. 14. both gametes made different times</li></ul>About ¼ of the fish near coral reefs are hermaphroditic.<br />*Do not use this to refer to intersexed people.<br />
  15. 15. Sex<br />Traditional<br />Sex is defined as whether a human is either male or female, or by which gamete they produce.<br />Assumptions about what genitalia should then look like are then made.<br />The Problem<br />Secondary sex characteristics and sexual anatomy are much more diverse. <br />There is spectrum of human males and human females.<br />About 2% of the human population is intersexed having a sexed body outside of what society “expects”.<br />We’re X girl stuff<br />I am Y boy stuff<br />*See A. Lev<br />
  16. 16. Commonality of Intersexed Conditions<br /><ul><li>Intersexed people or mammals
  17. 17. Produce eggs & sperm
  18. 18. And/or have combinations of egg/sperm related genitalia
  19. 19. Intersexed beings play an important role in society and in biology</li></ul>Commonality of Intersexed Conditions Among Mammals<br />Percent of Species<br />
  20. 20. Varying Effects of Intersexed Conditions<br /><ul><li>There are over 70 types of chromosomal and hormonal conditions causing intersexed syndromes or ambiguous genitalia (Lev)
  21. 21. Effects are quite diverse
  22. 22. Varying penis or clitoris size
  23. 23. Varying location of urethra opening along penis
  24. 24. Closure of labia / scrotal appearance
  25. 25. Varying vaginal depth or no vagina
  26. 26. Varying size testes or partially descended or not descended
  27. 27. No uterus or cervix or fallopian tubes
  28. 28. Varying degrees of feminization or masculinization
  29. 29. Varying body shapes
  30. 30. Many intersexed people are raised as the “opposite sex” to their chromosomes
  31. 31. Many intersexed people are given genital surgery for “correction”
  32. 32. Many consider this practice unethical
  33. 33. About five baby girls have their clitorises operated on each day (Ms. Mag.)
  34. 34. Many intersexed people also identify as transgendered</li></li></ul><li>More on Sex<br />Modern or Better Definition<br />Sex is the anatomical and physiological makeup of a human being, referred to as the biological or natal sex. <br />Sex is not bipolar in one type of male and one type of female. <br />Sex is a complex interaction of determinates that affect the body physiology and sexual differentiation in the brain<br /><ul><li>Genetics
  35. 35. Hormones
  36. 36. Morphology,
  37. 37. Biochemistry
  38. 38. Anatomical </li></ul>In short, there are more than two sexes, even if we only legally have two.<br />*See A. Lev<br />
  39. 39. Sexism<br />Sexism is when an individual is judged to be certain way by virtue of their sex.<br />See! As I said, all men clowns<br />No we aren’t!<br />
  40. 40. Sex Myth Busters*<br />Males and females are males and females for life. False!<br /><ul><li>The most common form of plant life is simultaneous male & female
  41. 41. Half of the animal kingdom is simultaneously male or female or changes throughout life
  42. 42. Females always give birth. False!
  43. 43. In many species, the female deposits the eggs in the male’s pouch and the male tends the nest</li></ul>The male seahorse carries the baby and gives birth<br /><ul><li>Males are always bigger than females. False!
  44. 44. No, in many species such as fish, the female is the biggest
  45. 45. Males always have XY chromosomes and females have XX. False!
  46. 46. In birds, the reverse is true (ZZ is male, ZW is female)
  47. 47. In many species, males and females have the same chromosomes. </li></ul>The turtle’s sex is determined by temperature of egg laying environment <br />*See Joan Roughgarden reference<br />
  48. 48. Sex Myth Busters II<br />There are only two genders. False!<br /><ul><li>Many species have three or more genders
  49. 49. Each sex can have more than one form</li></ul>Males and females always look different. False!<br /><ul><li>In some species, males and female look alike</li></ul>The male always has a penis and the female lactates. False!<br /><ul><li>The female hyena for example has a penis like structure
  50. 50. The male fruit bat of Borneo for example produces milk in mammary glands</li></ul>Males always control females. False!<br /><ul><li>In some species, females actually dominate
  51. 51. Females don’t always prefer a dominant male</li></ul>Females always prefer monogamy and males want to fool around. False!<br /><ul><li>In many species, males and females play around
  52. 52. Lifelong monogamy is rare</li></ul>Sometimes the male of a species lactates<br />
  53. 53. Sex Myth Busters III<br />No animal species changes their sex. False!<br /><ul><li>Many fish families change their sex (both ways)
  54. 54. The moray eel changes its sex</li></ul>sex change<br />Nature sometimes seeks a balance<br />of males and females<br />Protogyny<br /><ul><li> Females change into males</li></ul>Protandry<br /><ul><li>Males change into females</li></li></ul><li>Gender<br />Traditional<br />Gender is defined as a way a person expresses their sexual identity in a given society. The assumption is that all men have something in common and women differ from men. Men are considered the norm and women deviate.<br /><ul><li>Masculine - differing attributes of males
  55. 55. Feminine - differing attributes of females</li></ul>Modern<br />Gender is defined in terms of attributes we ascribe to an individual regardless of their sexual identity<br /><ul><li>Emotions
  56. 56. Thoughts
  57. 57. Desires
  58. 58. Behaviors</li></ul>Gender and Sex are not synonymous<br />I am a<br /> real man!<br />
  59. 59. Gender<br />Our gender role is the social roles we play in life, conscious or not.<br />Our gender identity is how we describe ourselves in terms of gender <br />Including man, woman or androgyne and so on. It is a self description.<br />Person of gender is a term not used much, but I am promoting as <br />an alternative to transgendered and is inclusive of all humans. It <br />puts the focus on that we are persons first.<br />The gender community is an inclusive term for gender variant <br />Individuals and SOFFA (significant others, friends, family, allies)<br />
  60. 60. Transgender<br />Crossdressers<br />Masculine Females<br />Feminine Males<br />Transsexuals<br />Drag Queens<br />Intersexed?<br />Gender Queer<br />Stone & Soft Butch<br />Trans Men<br />Trans Women<br />
  61. 61. Transgender<br />An umbrella term encompassing all those gender expressions that<br />fall outside of the expected range for a given sex.<br />A term of empowerment <br />for those that use it.<br />
  62. 62. DRAG Queens<br />Dressed As a Girl (DRAG)<br />Most DRAG Queens are male identified female performers, often gay<br />Some DRAG Queens are female identified female performers, often lesbian<br />A typical performance is song and dance with lip syncing and comedy<br />It is common for DRAG Queens to support local GLBT community fundraising (e.g., Lone Star Court / Gay Bingo)<br />It is common for DRAG Queens to perform at clubs, organizations and schools as part of GLBT outreach<br />DRAG Queen competitions are common and many earn money by performing<br />DRAG is not universally accepted<br />Miss and Mr. Texas Gay Rodeo Association hosting the UT Dallas DRAG Queen GALA, benefiting the Resource Center of Dallas, 2008.<br />Source: Renee Baker<br />
  63. 63. Cross Dressers<br />Cross dressers are those that occasionally wear clothes outside the socially prescribed gender norms<br />Cross dressers are typically male identified and cross dress outside of their functioning male roles<br />Women that wear men’s casual clothes occasionally generally don’t define themselves as cross dressers<br />Many early cross dressers will later identify as trans women<br />Many cross dressers do not identify with the term transgendered<br />Cross dressers often just want to be a “girl for a night” to break from the male role. <br />Majority of CDs are closeted in some respect. <br />Derogatory and Passé - Transvestite<br />A male identified cross dresser with a supportive spouse at Southern Comfort Conference, 2005. Source: Renee Baker<br />
  64. 64. Crossdressing Accessories<br />Corsets<br />Hip pads<br />Breast Forms<br />Gaffs<br />Wigs<br />Crossdressers and transgender individuals will often go to great lengths to “pass” or “blend”<br />The opposite of passing is “being read”.<br />Part of the unfolding is to learn not to worry what others think. Passing no longer is a priority and instead self-expression is the key.<br />Dermablend<br />Makeup<br />
  65. 65. Bi-Gender<br />Many people reject the notion that we have one gender as male or female<br />Some are androgynous displaying masculine and feminine traits simultaneously<br />Some are gender neutral like “Pat” on Saturday Night Live<br />Other common names<br />Two-Spirit <br />Gender Queer,<br />Third Sex<br />Gender Bender<br />Gender Warrior <br />
  66. 66. Trans Men and Women<br />Transsexuals are people that alter their bodies (surgically or hormonally) with the desire to change their sex<br />The term transsexual is a medical term and has a pathological history of abuse by the psychological and psychiatric community<br />“Trans” is often preferred, or just man or woman<br />Transgenderist is someone that feels they are more than a cross-dresser, but not a transsexual<br />Ethan St. Pierre<br />A Female to Male (FTM)<br />Trans Man<br />photo courtesy of www.transfm.org<br />
  67. 67. Transition<br />Transition is that time of life we go from one state to another.<br />Three Steps<br /><ul><li>An ending occurs
  68. 68. A challenging neutral zone of disorienting and reorienting is experienced
  69. 69. A new beginning</li></ul>The big transgender question: Should I transition?<br />Transition is often a painful time, fraught with uncertainty, sadness, depression and loss. <br />Transition is a time that is disorienting and reorienting.<br />Solitude is needed for a time of reflection to break patterns and awaken.<br />
  70. 70. Possible Steps in a Male to Female (MTF) Transition<br />
  71. 71. Coming Out<br />Coming out is allowing self-disclosure<br />We have a choice at each moment of encounter<br /><ul><li> To share who we are
  72. 72. To hide who we are </li></ul>LGB people come out about their sexuality<br />T people come out about their gender identity<br />The more educated people become about gender and sexuality, the more accepting they are.<br />Acceptance by allowing others to simply be is a great gift of love.<br />Avoiding judgment allows others a chance to discover their authentic selves.<br />
  73. 73. MTF Hormone Therapy*<br /><ul><li> Typically, trans women take
  74. 74. Estrogen: feminizing growth hormone
  75. 75. Spironolactone: anti-androgen to decrease masculinization
  76. 76. Typical feminizing effects
  77. 77. Breast development
  78. 78. Softening of skin
  79. 79. Emotional changes similar to experienced in puberty
  80. 80. An increase in fat
  81. 81. Subcutaneous below the skin
  82. 82. Hips and buttocks
  83. 83. Decrease in size of testes and prostate gland
  84. 84. Decrease in ejaculate and frequency of erections
  85. 85. Eventual infertility
  86. 86. Effects NOT expected
  87. 87. Decrease in beard growth
  88. 88. A change in one’s voice or increase in pitch</li></ul>Estradiol 2 mg<br />Spironolactone 100 mg<br />*Not medical advice. See doctor for proper treatment.<br />
  89. 89. History<br />
  90. 90. Roman History<br />Eunuchs were well known throughout ancient Roman times. There were two types<br /><ul><li> Eunuchs by nature
  91. 91. Eunuchs by castration </li></ul>Served as guardians for women and children<br />Many were strongly female identified<br />Many became priestesses to the goddess Cybele<br />In the Middle East, Mukhannathun were a group of “feminine men” that would be considered modern day MTF transgendered<br />
  92. 92. Medieval History<br />Jehanne or “Joan” is a popular hero for trans men<br />Born in France in 1412<br />A military leader who defeated the English at Orleans making the way for Charles to receive the crown<br />Dressed as a man as religious duty<br />Burned at the stake alive at age 19<br />Jehanne D’ Arc<br />Source: wikipedia, public domain<br />
  93. 93. Modern History<br />“Ex-GI Becomes Blonde Beauty” – NY Daily, 1952<br />Christine Jorgensen was the first widely known transsexual <br />Woman in the U.S. <br />The first modern day “sex change” was in 1945<br />The stonewall riots of 1969 were in response of<br />police brutality towards transgender women<br />Transgender women and bi-gender individuals <br />Ignited riots to protest<br />Stonewall was the launch of the modern day <br />gay rights movement.<br />
  94. 94. Etiquette<br />
  95. 95. Bathrooms<br />Generally we should allow people to use bathrooms in the gender they are presenting in.<br />A business has a right to decide which bathrooms people can use, or can escort the client off premises.<br />
  96. 96. Terms of Endearment*<br />*See GLAAD.org<br />
  97. 97. Phrases to Avoid<br />
  98. 98. Defamatory*<br />*See GLAAD.org<br />
  99. 99. Names and Pronouns*<br />*See GLAAD.org<br />
  100. 100. Equality, Rights and Current Events<br />
  101. 101. Equality<br />Equality for transgender individuals is the same as equality for anyone else<br />Everyone wants the same opportunity for life, liberty and the pursuit of happiness<br />If we can understand that everyone has a masculine and feminine side, then we recognize that equality for transgender people is equality for all.<br />
  102. 102. Rights<br />Rights are moral principles defining a human&apos;s freedom of action in society<br />Title VII of the Federal Civil Rights Act of 1964 prohibits workplace discrimination based upon sex<br />In 2004, it was ruled that transgender people were included under Title VII<br />However, violence and discrimination is commonplace<br />
  103. 103. Example: Jet Pilot Fired<br />Jamy Spradlin was fired in 2006 and lost her flying license<br />It took two years of fighting to get back in the air<br />She still has not found another flying job to replace her first one<br />Jamy Spradlin<br />Source: Renee Baker<br />
  104. 104. Example: Police Beating<br />In June of 2008, footage was leaked to the press of a police beating caught on tape<br />Two officers were fired<br />The transgender woman filed suit<br />She was mysteriously murdered “execution style” before trial<br />Grainy security camera footage at Memphis police station shows police officers brutally beating Duana Johnson    <br />Source:WMC-TV Memphis, Tennessee<br />Duanna Johnson<br />Murdered Nov. 9, 2008<br />
  105. 105. International Bill of Transgender Rights<br />Right to a Gender Identity<br />Right to Freedom From Involuntary Psychiatric Diagnosis & Treatment <br />Right to a Enter Marital Contracts<br />Right to a Conceive, Bear or Adopt Children…to be Parents<br />Right to Sexual Expression<br />Right to Change One’s Body<br />Right to a Gendered Space<br />Right to Free Gender Expression<br />Right to Medical and Professional Care<br />Right to Employment<br />
  106. 106. Current Event – Transgender Regret<br />Sometimes, transgender people regret their transition.<br />Christine Daniels, a sports reporter for the LA Times, decided not to transition.<br />He is returning to live as Mike Penner.<br />Data is sketchy, but about one in twenty that begin transition change their minds.<br />Christine Daniels<br />Source: USA Today 2/26/09<br />
  107. 107. Days of Importance<br />Lawrence King<br />Murdered Feb 12, 2008 <br />
  108. 108. Transgender Standards of Care<br />
  109. 109. WPATH<br />The World Professional <br />Association For Transgender Health<br />Mission is “to promote evidence based care, education, research, advocacy, public policy and respect in transgender health.”<br />Publish the “Standards of Care and Ethical Guidelines” for gender transition<br />
  110. 110. Marketing to Transgender Clients<br />
  111. 111. Marketing to the Gender Community<br />
  112. 112. Marketing to the Gender Community<br />
  113. 113. A Few Organizations to Know<br />
  114. 114. Thank You!<br />
  115. 115. Back Matter<br />
  116. 116. References<br />R. Baker, “The Mystery of Coming Out”, EDGE Publications, Aug. 20, 2008<br />R. Baker, “Transgender Pilot Regains Her Wings”, EDGE Publications, June 20, 2008<br />R. Baker, “Police Beating of Transgender Woman Ignites Controversy”, EDGE Publications, June 27, 2008<br />R. Baker, “Metroplex Crossdressers Feel Support From Dallas Police”, EDGE Publications, Oct. 10, 2008<br />A. Beall and R. Sternberg, 1993, The Psychology of Gender<br />K. Bornstein, 1998, My Gender Workbook <br />P. Currah, R. Juang, S. Minter, 2006, Transgender Rights<br />A. Lev, 2004, Transgender Emergence.<br />J. Roughgarden, 2004, Evolutions Rainbow.<br />P. Sherman and J. Alcock, 1998, Exploring Animal Behavior: Readings from American Scientist, 2nd ed. <br />
  117. 117. Presentation Description<br />Understanding the Needs of Transgender Clients<br />Renee Baker, Ph.D. <br />www.genderpower.com<br /> <br />Most male-to-female transgender individuals undergoing gender reassignment surgery will undergo partial or complete facial hair removal. As transgenderism is an area not always widely understood, many individuals are unsure of how to approach and work with transgender individuals. In this talk, Dr. Renee Baker will present an overview of transgenderism as pertinent to those in the professional hair removal industry. In Part 1, Dr. Baker will share her life experiences as a post-operative transgender woman. She will share her journey in life so others can gain a more heart-felt understanding of some of the challenges one faces in transitioning from male to female. In Part 2, Dr. Baker will present a slide presentation covering issues and etiquette that an electrologist could be made aware of when working with transgender clients. Dr. Baker enjoys interaction and encourages questions even if they are of a personal nature. <br />
  118. 118. Renee Baker Biography<br />Dr. Renee Baker was originally from New England, but grew up mainly on the Great Plains of South Dakota. Her father was a Spanish teacher and her mother taught ESL, so her home was that of international diversity. Her brother is a children’s educator and teaches the value of character. Though Renee grew up in a generally happy family, she struggled for years with her own sense of gender. While in her early forties, Renee was finally able to come to terms with being a transgendered woman and made the decision to surgically and hormonally transition from male to female. Renee now feels strongly that we have a long way to go in society to reach gender equality. She speaks whenever she can to help others understand our gender inequality is rooted in fear. Renee holds a doctorate in engineering and spent over 20 years in industry and academia. Renee currently owns her own massage practice providing mind-body-spirit therapy. She also owns her own transgender outreach practice providing diversity training, professional speaking and mentoring. Renee is a volunteer and past board member at Youth First Texas, a nonprofit organization supporting LGBT youth. She also writes stories of human interest for EDGE Publications. Renee has one son Alex and currently lives in Dallas with her partner Wendi and their furry, four-legged animal friends.<br />Renee Baker, Ph.D. <br />www.genderpower.com<br />3530 Forest Lane, #306<br />Dallas, TX 75234<br />214-607-5620<br />

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