Gender dysphoria is a condition where one feels discomfort due to a mismatch between their biological sex and gender identity. Treatments may include hormone therapy and surgery to make physical appearance consistent with gender identity. There are debates around allowing treatments for minors and in religious institutions. Proper psychotherapy and medical approvals are required before undergoing medical or surgical transition treatments.

1. Assignment 8 – Draft 2
By: Luara

2. Draft 2 feedback

3. Gender Dysphoria
What is gender Dysphoria?
Gender dysphoria • They have a strong desire to
is a condition in live according to their gender
which a person identity, rather than their
feels that there is a biological sex.
mismatch between • Some people undergo
their biological sex treatment so that their
and their gender physical appearance is more
identity consistent with their gender
identity.
For example, a person
may have the anatomy
of a man, but gender
identify as a woman.

4. Debates.
Should the surgery
be allowed?
PRO: Free will, feeling
better. Government
allowing
CON: Religion, after
the surgery problems
( psychological)

5. Should children under the
age of 18 be allowed to Should Transgenderims be allowed in the
undergo the treatment? church?
They feel trapped in their bodies.
PRO: Respect, and human
rights, law.
CON: They do not have CON:As said in the bible, there
enough maturity to make needs to be reproduction within
such a decision. humans. In church it is taught
that god decides your sex .

6. Some symptoms.
The symptoms of gender
Adults with gender
dysphoria can appear at a
dysphoria can feel
very young age. For
trapped inside a body
example, a child may
that does not match
refuse to wear typical
their gender identity.
boys' or girls' clothes, or
This can cause feelings
dislike taking part in
of discomfort and
typical boys' or girls'
anxiety
games and activities
In most cases, this type of behaviour
is just a normal part of growing
up, but in cases of gender
dysphoria, it persists into later
childhood and through to adulthood.

7. More information
It is estimated that 1 in 11,500 people
experience gender dysphoria.
Scientific explanation.
Boys are XY
Girls are XX
• When this chromosomes get together it already produces the sex cells, Which
immediately sends a message to the brain and the foetus is already born knowing
what gender they are .
• However children with gender dysphoria is when this happens , but the message isn't
send to the brain properly, therefore they are mixed between their sex and their
gender.

8. Another possibility.
one in 100 or so babies is born with some
kind of sex differentiation anomaly
This can also cause
gender dysphoria.
This can be caused when the pregnant
mother has additional hormones in her
system, which she has absorbed
from, say, medication or the
environment, and which she has passed
Such as :
on to the foetus, or the foetus,
47,XXY, 47,XYY, 45,XO, 49,XXXYY
With this it can cause
strange chromosomes
pattern.

9. Processes of Psychotherapy.
• Psychotherapy is a series of interactive communications
between a therapist who is knowledgeable about how
people suffer emotionally and a patient who is
experiencing distress.
• regularly held 50-minutes sessions.
• Psychotherapy is not intended to cure the gender identity
disorder.
• Its usual goal is a long-term stable life style with realistic
chances for success in relationships, education, work, and
gender identity expression.

10. Choices given by the Psychotherapy.
Biological Males:
1. Cross-dressing in a feminine fashion;
2. Changing the body through: hair removal through electrolysis or body waxing;
minor plastic cosmetic surgical procedures;
3. Increasing grooming, wardrobe, and vocal expression skills
4. Hormone Treatment
Biological Females:
1. Cross-dressing:r in a masculine fashion
2. Changing the body through breast binding, weight lifting, applying theatrical facial
hair;13
3. Padding underpants or wearing a penile prosthesis.
4. Hormone treatment.
There needs to a psychotherapist treatment done before any sex change and also
after , so that people can be sure of what they are doing.

11. Restrictions four undergoing hormone
treatment .
- Age 18 years;
- Demonstrable knowledge of what hormones medically can
and cannot do and their social benefits and risks
- A period of psychotherapy of a duration specified by the
mental health professional

12. The ‘sex change’.
The surgery is called by many ways such as:
o Sex reassignment surgery
o gender reassignment surgery.
o genital reconstruction surgery
o sex affirmation surgery
o sex realignment surgery
o sex-change operation

13. What are the procedures?
o complete hysterectomy,
o bilateral mastectomy,
o chest reconstruction or augmentation
including breast prostheses if necessary
o genital reconstruction
o and certain facial plastic reconstruction
o In addition, other non-surgical procedures are
also considered including facial electrolysis.
In America benefits are given to those that wants to go under the
treatment , and in 2003 there was a law settled up saying it was
discrimination if the hospitals denied doing the treatment.

14. Differences between Trans man and
Trans woman.
• For trans women, genital reconstruction usually involves the
construction of a vagina.
• whereas in the case of trans men, genital reconstruction may involve
construction of a penis through either phalloplasty or metoidioplasty.
• In both cases, for trans women and trans men, genital surgery may
also involve other medically necessary secondary procedures, such as
orchiectomy or laminectomy.
• For Trans man take out the breast and for Trans woman do facial
surgery to look feminine.

15. The medical considerations.
• People with HIV or hepatitis C may have difficulty finding a surgeon
able or willing to perform surgery.
• Some surgeons charge higher fees for HIV- and hepatitis C-positive
patients
• medical professionals assert that it is unethical to deny surgical or
hormonal treatments to transsexuals solely on the basis of their HIV
or hepatitis status.
• Other health conditions such as diabetes, abnormal blood
clotting, and obesity do not usually present a problem to
experienced surgeons.
• Surgeons may require overweight patients to reduce their weight
before surgery and smoking patients to refrain from smoking before
and after surgery.

16. Some information.
Thailand is the place where there is the most
amount of these procedures.
There are websites for this specific changes :
Has a list of the
number of surgeries
that could be done.
Had a map of the
place in Thailand so
that they can get
there.

17. Procedures to undergo the treatments.
ONE LETTER from TWO LETTERS. From psychiatrics and
psychiatrics doctor.
Two letters for Genital surgery
• One Letter is for biologic males:
Required for -orchiectomy, penectomy, Clitoroplasty, labiaplasty
Instituting Hormone creation of a neovagina;
Therapy, or for for biologic females
Breast Surgery. -hysterectomy, salpingo-oophorectomy, vaginectomy,
• One letter from a Metoidioplasty, scrotoplasty,urethroplasty,
mental health - placement of testicular prostheses,
professional
• therapy or for a
referral for breast
surgery
(e.g., mastectomy, ch
est
reconstruction, augm
entation There needs to
mammoplasty) be a approval for
each treatment.

18. Requirements to undergo the
treatment.
- Legal age of majority in the patient's nation.
- Usually 12 months of continuous hormonal therapy
- 12 months of successful continuous full time real-life
experience.
- regular responsible participation in psychotherapy
throughout the real-life
- 5. Demonstrable knowledge of the cost, required
lengths of hospitalizations.
- likely complications, and post surgical rehabilitation
requirements of various surgical approaches;
• 6. Awareness of different competent surgeons.

19. The youngest boy to have
the sex reassignment
surgery.
• Name : Jamie
• Nationality : Australian
o The boy, known as Jamie, has lived as a girl for two years, dressing in
feminine clothes using the girls' toilet at school and has a long blond hair.
o Jamie's parents, doctors and psychiatrists feared early puberty could lead to
self-harm or suicide and supported an urgent need for the child to receive
sex-change therapy.
o The mother said the family had started treating Jamie as a female in 2008
after her non-identical twin brother accepted her condition and announced:
"I have a sister."

20. o The doctor said he was concerned about Jamie's
rapid-onset puberty, which was equivalent to that
of a 14-year-old, and that sex-change treatment
should start immediately.
o At the moment Jamie can live comfortably as a
girl, is socially confident and suffers no teasing or
social isolation.
o Court has allowed the child to undergo the
treatment.

21. Legal Issues.
• If you have undergone the treatment know as transition, which is
- Living a year in the gender you prefer
- Surgery
Then you are known as a transsexual with this legal rights come along.
• In the UK, driving licences and passports may be re-issued according
to the individual’s post-transition gender status.
• The Gender Recognition Act (2004)has been in operation since 2005.
This Act enables trans men and women to obtain a Gender
Recognition Certificate and (as long as the birth was originally
registered in the UK) they may obtain a new birth certificate.
• They are now able to marry in their newly recognised gender.
• The Sex Discrimination Act (Gender Reassignment) Regulations
protect trans people against discrimination in the workplace.

22. The law of Transsexuals within each
EUROPE
continent.
SPAIN POLAND UK
March 2007, new law in In 1964 to change one's Have birth certificate and
Spain allows transsexual legal gender after their driving license changed.
people to change their genital reassignment Marriage also allowed.
name and legal gender in surgery had been
all documents conducted
This doesn’t matter if In 1983- Court said that Parliament passed
they have undergone the some cases, when the the Gender Recognition
surgery. preferred gender was Act 2004, which
leading, it is possible to effectively granted full
change the legal gender legal recognition for
even before genital transgender people.
reassignment surgery.
There needs to be gender Anna Grodzka the first They need only
dysphoria symptoms. MP to undergo the demonstrate that they
surgery have suffered gender
dysphoria, and have lived
in the 'acquired gender'
for two years
If there are health risks its and intend to continue
not allowed and age doing so until death.
boundaries

23. Germany ireland
One can either obtain a change of Before it was not possible for a
name alone transsexual person to alter their
proceed later with a change of legal birth certificate.
gender, if possible or desired, or
obtain both in a single legal
procedure.
a person with only a name change After a serious case that the
has the right to be called "Herr" or government did not approve the
"Frau" (Mr. or Mrs.) documents change, and it was
proved that Ireland was going
against the law of 2004 in Europe
they changed.
Job references, certifications and The Government has since dropped
similar from the time before the its appeal and may introduce
change of name may to be reissued legalisation recognising one's
with the new name biological sex following sex
reassignment surgery.
No minimum age so a name and legal gender change
on one's birth certificate is now
possible.

24. AFRICA
SOUTH AFRICA
The Constitution of South Africa forbids discrimination on
the basis of sex, gender and sexual orientation.
allows a transgender person who has undergone medical
or surgical gender reassignment to apply to
the Department of Home Affairs to have the sex
description altered on their birth record.
Once the birth record is changed they can be have a
new birth certificate and identity document, and are
considered "for all purposes" to be of the new sex.
Thus the transgender person is not required to have had
genital surgery in order to have the sex description
altered.

25. NORTH AMERICA
UNITED STATES CANADA
IN THE UNITED STATES CANADA DIFFERS FROM
IN DIFFERS FROM STATE. PROVINCE AND
TERRITORIES
THE GOVERNMENT IS GENDER
ALLOWED TO UNDERGO CLASSIFICATION VARIES
ANY JUDGEMENT THEY FROM ONE AUTHORITY
WANT TO HAVE UPON TO THE ANOTHER.
THE CASE.

26. ASIA
JAPAN SOUTH KOREA MALAYSIA PHILIPPINES
enables transsexual people it is possible for transgender no legislation expressly The Philippine Supreme
to change their legal sex individuals to change their allowing transsexuals to Court has also ruled that
legal gender legally change their gender Filipino citizens do not have
in Malaysia. the right to legally change
their sex on official
documents
the applicants be both depends on the decision of judges currently exercise serious and wide-ranging
unmarried and childless the judge for each case. their discretion in legal and public policy
interpreting the law and consequences,
defining the gender.
Family Court in Okinawa does not prevent marriage Depends on the case,
Prefecture, allowed an once a person has changed the court chooses.
official sex-change of a their legal gender.
transsexual woman, believed
to be the first court approval
under the new law.
sex change is not paid for by A trans woman can be
national health insurance. registered, not only as
female, but also as being
'born as a woman'.
marital status of 'female'
automatically when she
marries to a man, even if she
has previously been a 'male'
on paper.

27. AUSTRALIA
AUSTRALIA
transsexuals to be re-issue passports with the new sex
choice.
A recent "clarification" by the Minister for foreign affairs
and Trade, Mr. Alexander Downer, stated that a person may
not have a new passport or interim passport issued without
a birth certificate stating their gender
A document of identity it is called

28. Transsexuals within religion.
• I went out asking people if transsexuals should be
allowed in churches:
68% said no
20% said yes
12% preferred not to answer
This to me proves that in society and law transsexuals are
accepted however not in church.
I also came to a conclusion that people sometimes fear of
talking about the topic.

29. Views within some religion.
JUDAISM CHRISTIANITY ISLAM
Conservative Judaism has had Follow the bible They see it as a cure for
mixed views within The old testament is more homosexuality which is
transsexuals there had been closed and the new testament. punishable by death under
no stories of rabbinical
Iranian law
Reform Judaism had positive the Faith concludes that the mukhannathun is used to
views of transgender people. sex-change procedures do not describe gender-variant
It is allowed. change a person’s gender in people
the eyes of the Church.
Several non-denominational Changes the outside but not They believe god made
Jewish groups provide the personality them that way.
resources for transgender
people.
Transgender pastor Drew
Phoenix could keep his
position.
Some Christian denominations
accept transgender people as
members and clergy.

30. DEVELOPING THE TOPIC
Purpose: To inform people what Transsexuals are, the surgery and treatments and to
also show it is something normal.
What effects I want it to have:
People: That it is something normal and that anyone could have this, and that there
shouldn't be embarrassment about it.
Society: to be more accepting and understand others.
Word: To be informed about this, so that even them can define what they feel.

31. WHAT WOULD PEOPLE LEARN?
• THE LAWS OF TRANSEXUALS WITHIN
DIFFERENT CONTINENTS
• ABOUT THE TREATMENTS
• ABOUT THE SURGERY
• ABOUT TRANSEXUALS WITHIN RELIGION

32. What type of documentary would it
be?
• According to Bill nichols theory my documentary would be
THE OBSERVATIONAL MODE AND INFORMATIVE
• Observational objective reality with filmmaker as neutral observer. See Fly
on the Wall.
CONVENTIONS
• The filmmaker remains hidden behind the camera, ignored by the
surrounding environment
• he/she neither changes nor influences the actions/events being captured.
Why? :
Because in my documentary I dont want to give personal opinion, i want to just
send out information to the audience about the topic so that they are more
informed and also to have a possible debate however never on my opinion
but what is actually in the media and in people’s mind.

33. EPISODES
• EPISODE 1: Beginning of everything.
HOW DOES GENDER DYSPHORIA OCCUR AND
HOW IT CAN BE SEEN ( CASE STUDY 1)
• EPISODE 2: Treatments
THE HORMONAL, SURGERY AND OTHER
TREATMENTS ( CASE STUDY 2)
• EPISODE 3: Views within society, government and
beliefs
LAWS WITHIN EACH COUNTRY AND VIEWS WITHIN
RELIGION.

34. AUDIENCE