3. Intersections
Gender Identity and Sexual Orientation
are different. One is about who we are.
The other is about who we want to be in
relationship with.
Transgender people can be heterosexual,
homosexual, and asexual. The
proportions are about the same as in the
cisgender population.
5. G ender Nonc onformity Is Not the S ame as G ender
Dys phoria
Ge nd e r no nc o nf o r mit y r f r t t e
ees o h
e t n t w ic ap r o ’sg n e id n it , r l ,
xe t o h h e s n edr ety oe
o e p e s nd f r f o t ec l u a n r s
r x r s io if e s r m h u t r l o m
p e c ib df rp o l o ap r ic l rs x
r s r e o e pe f a t u a e.
Ge nd e r d y s p ho r ia r f r t d c m o t r
e e s o is o f r o
d t e st a isc u e b ad c e a c b t e na
is r s h t a s d y is r p n y e w e
p r o ’sg n e id n it a dt a p r o ’ss x
es n edr et y n ht es n e
a s n da b t ( n t ea s c t dg n e r l
s ig e t ir h a d h s o ia e e d r o e
a d o p im r a ds c n a y e
n / r r ay n e o d r sx
c a a t r t s.
h r c e is ic )
On y o me g n e n n o f r in p o l
ls e d r o c n o m g e pe
e p r n eg n e d s h r a s o me p in in
x e ie c e d r y p o ia t o t
te l e.
h ir iv s
WPATH SOC V7
6. Defining Terms
Transgender
• Often considered
an umbrella term
for gender variant
people
• Attributed to
Charles Virginia
Prince 1960s/70s
13. Possible Causes?
• Nature vs. Nurture
• Pre-natal stress and medications
• Genetic Traits
• Mental Illness – The APA, Gender
Identity Disorder and other
conditions that can mimic it
14. Prevalence
incidence—t en m e o n wc s sa is ginag e p r d( .g ay a )
h u b r f e a e r in iv n e io e ., er
prevalence—t en m e o in iv u l h v gac n it n d id db t e
h u b r f d id a s a in o d io , iv e y h
n m e o p o l int eg n r l o u a io
u b r f e pe h e e a p p lt n
Data collected in ten recognized studies over 39 years suggests the
following:
• MtF – 1 1 0 t 1 5 0
:1 ,9 0 o :4 ,0 0
• FtM – 1 0 0 t 1 0 ,0 0
:3 ,4 0 o :2 0 0
These figures primarily represent transsexuals, and so the prevalence
of gender variant/ dysphoric people is believed to be much higher.
16. • When did you first know?
• Acting Out/ Expression Through Art
• Depression and Anxiety
• Self-Acceptance
• Choosing A Name
• Coming Out to Family and Friends
• Seeking Help
17. The Process
• Harry Benjamin –
1885-1986
Endocrinologist
Published The Transsexual Phenomenon in 1966
• The WPATH –
Established in 1979
Formerly know as the Harry Benjamin International Gender Dysphoria
Association
T eW r dP o e s n l s o ia io f rT a s e d r
h o l r f s io a A s c t n o r n g n e
He l hisa in e n t n l u t is ip in r , p o e s n l
at n t r a io a ,m l id c l a y r f s io a
a s c t nw o em s nist p o o ee id n e a e
s o ia io h s is io o r m t v e c - sdb
c r , e u a io , r s a c , a v c c , p b icp l y a d
a e d c t n e e r h d o a y u l o ic , n
r s e t o t a s e d rh a t .
e p c f r r n g n e e lh
20. The Standards of Care
• First version published in 1979
• Latest version published in 2011
• T eo e a l o l ft eSOC ist p o id c in a
h vr l g a o h o r v e l ic l
g id n ef rh a t p o e s n l t a s t
u a c o e l h r f s io a s o s is
t a s e u l t a s e d r a dg n e
r n sxa, r n g n e , n e d r
n n o f r in p o l w hs f a de f c iv
o c n o m g e p e it a e n f e t e
p t w y t a h v gl s in p r o a c m o t it
a h a s o c ie in a t g e s n l o f r w h
t e g n e e s l e , ino d rt m x iz t e
h ir e d r d e v s r e o a im e h ir
o e a l e l h p y h l g a w l - e g a ds l -
v r l h a t , s c o o ic l e l in , n e f
b
f l il m n . T isa s t n em y c u ep im r c r ,
u f l e t h s is a c a in l d r a y a e
g n c l g a du o o icc r , r p o u t e
y e o o ic n r l g a e e r d c iv
o t n , v ic a dc m u ic t nt e a y m n a
p io s o e n o m n a io h r p , e t l
h a t s r ic s( .g a s s m n , c u s l g
e l h e v e e ., s e s e t o n e in ,
p y h t e a y, a dh r o a a ds r ic l
sc o h r p) n o m n l n u g a
tet e t.
r a mn s
21. • Finding a therapist
• Establishing a diagnosis
• Finding a doctor
• Starting Hormone Replacement Therapy
22. HRT
• Treatment depends on birth sex, age, body mass,
starting hormone levels, and health
• FtM – Testosterone
• MtF – Anti-Androgens and Estrogen
• Delivery
• Goals
• Risks
23. Relearning to Live
• Clothes
• Make-Up
• Hair
• Mannerisms
• Walking
• Voice
24. Toward A Final Goal
• Different for Everyone
•The Real Life Experience
• Coming Out EVERYWHERE
• Legal Name and Gender Change
• Obtaining Letters
• Researching Doctors for SRS
25. Benefits
• An End to Shame, Depression, Anxiety
• New Self-Confidence
• Healthier Self-Image
• New Relationships
• Meeting Other Transgender People
• Reconnecting to My Faith
26. Consequences and Social Issues
• Discrimination in the work place
• Bathroom Laws
• Marriage Issues
• Don’t Ask, Don’t Tell
• Hate Crimes, Violence, and the Day of
Remembrance
November 20th
In Remembrance of Rita Hester who was murdered in Allston,
Massachussetts on November 28th, 1998.
27. Progress
State
November 17th, 2010 longtime Houston activist Phyllis Randolph Frye became the first
transgender judge in Texas, when Mayor Annise Parker appointed her as an associate
municipal judge. (dallasvoice.com)
May of 2011, Hawaii's governor signed House Bill 546 into law, prohibiting discrimination on
the basis of gender identity or expression in employment.
Also in May, Nevada passed bills providing protections to transgender people in the
workplace, housing and public accommodations.
October of 2011, the New York City Fire Department hired their first transgender woman.
October of 2011, the Seattle Office for Civil Rights announced that 'Starting on January 1,
2012, transgender health care procedures will be included in all [healthcare benefit] plans.
October of 2011, California Governor Jerry Brown signed two transgender rights bills into
law, one making it easier to obtain a new birth certificate and the other providing greater
protections against discrimination in employment and housing.
October 19, 2011 Illinois passed a bill that makes it possible for transgender people to
recieve gender appropriate identification markers without undergoing genital surgery.
November 16th, 2011 Massachussetts passed a bill protecting against workplace
discrimination.
28. Progress
National
Early last year President Obama appointed Amanda Simpson to the position of senior technical adviser at
the commerce department in the bureau of industry and security.
Last year, the State Department eased restrictions on gender markers in passports, now requiring only a
letter of diagnosis from a healthcare provider rather than proof of reassignment surgery.
Nov. 2, 2010, Victoria Kolakowski became the first transgender trial judge in the nation when she won a
seat on the Alameda County (Calif.) Superior Court. (dallasvoice.com)
September of 2011, the IRS stopped sending Gender No Match letters to employers of transgender
individuals.
October of 2011, the U.S. Agency for International Development issued a policy encouraging 'all USAID
contractors and recipients, including those performing solely overseas, to apply comprehensive
nondiscrimination policies that include sexual orientation, gender identity, pregnancy, marital status,
parental status, political affiliation, and any other conduct that does not affect performance.' The policy is
not, however, mandantory.
November of 2011, the IRS agreed that medical expenses related to transgender care can be deducted
on taxes.
The Federal Bureau of Prisons changed a long standing policy that prevented proper care of transsexual
inmates from being provided.
29. Progress
Worldwide
October of 2011, Australia's highest court ruled that transgender people don't need surgery to change
gender markers on official documents.
November of 2011, Poland elected a transgender woman to its parliament.
The European Parliamant adopted new asylum rules for the European Union that include gender identity
as a ground of persecution.
30. Progress
General
In March of 2011, Parker United Church of Christ in Colorado called Malcolm Himschoot to be its pastor.
Walmart added gender identity and expression to its non-discrimination policy.
Davie, Florida's McFatter Technical High School became the first public school in the US to have a
transgender prom queen.
The first new WPATH standards of care document in ten years was published and among the many
positive changes, gender dysphoria was delisted as a mental illness, repairative therapy was denounced,
and the guidelines for transgender care were updated in many helpful ways. To view them, here is the
link:
The Girl Scouts of America officially stated that transgender children are welcome to join and participate
in all Girl Scout activities.
57. Resources
Books
• True Selves
• Sexual Metamorphosis
• Mom, I Need to be a Girl
• The Danish Girl
• She’s Not There
• I’m Looking Through You
• Almost Perfect
58. Resources
Movies
• Normal
• Call Me Malcolm
• Becoming Chaz
• Two Spirits
• Trinidad
• Trans
• My Life in Pink
• Breakfast on Pluto
• Boys Don’t Cry
• Gun Hill Road
• TransAmerica
59. Resources
World Professional Association for Transgender Health
Human Rights Campaign
Transgender Education Network of Texas
National Center for Transgender Equality
TSRoadmap
Transformations Psychotherapy
Central Family Practice
Phyllis Randolph Frye
Lambda Legal
The Gathering San Angelo -United Church of Christ Open and
Affirming Congregation
Transfaith Network
Genderfold Action Alliance