Since a transsexual's mind cannot be changed to harmonize with their genetic
gender, the only successful treatment is the gender reassignment process. The full process involves:
Extensive evaluation and counseling, typically by two psychologists or
psychiatrists.
The "Real Life Test" (RLT): Living as a person of their perceived gender
for a year or more.
Taking hormones.
Perhaps undergoing sex reassignment surgery. This final step is generally
restricted to adults.
The American Psychiatric Association considers such a mismatch between gender
perception and genetic gender to be a disorder, not a disease or mental
illness.
The distress caused by gender dysphoria can be overwhelming; it leads to an
unusually high suicide rate. Some suggest that about half of all transsexuals die by
the age of 30, usually by their own hand." 1 This may
have been true in the past. However, with advances in sex reassignment surgery
(SRA) and growing public acceptance of transsexuals, this number is probably
significantly
lower today, and still in decline.
The essays in this section will deal mainly with
conflicts between genetic gender and gender identity, as well as the protection of
transsexual people from discrimination.
The topics of gender identity, transsexual and transgender are a bit of a
minefield. There are many conflicting definitions for each of these terms:
Some define a transgendered person as one who experiences gender
dysphoria but has
not undergone sex reassignment surgery. Others define transgender very broadly to include everyone who doesn't fit
into conventional gender norms: Included are:
transsexuals, cross dressers, drag queens, etc.
Some transsexuals are proud to be referred to as transsexuals. Some transsexuals are offended by the term and wish to be called simply "he" or
"him"/ "she" or "her" according to their perceived gender identity.
Some transgendered persons object to use of the word "disorder" in "gender
identity disorder (GID)." Others accept the term.
We will try to use commonly used definitions. However, not everyone will
agree with them.
The Diagnostic and Statistical Manual of Mental Disorders will be
updated in 2012. Some in the transgender community are urging that GID be
removed from the book just as homosexuality was deleted in 1973.
Transsexuals are frequently caught in a multiple Catch 22 situation:
Their employment is often terminated when they transition from male to
female or vice versa. They often experience difficulties in obtaining re-employment.
Not having an income, many become homeless. Some enter the sex trade in
order to survive.
The vast majority of private health insurance plans do not cover sex
reassignment surgery (SRS). Neither do Medicare and most Medicaid programs.
Without SRS, they are often refused access to homeless shelters.
Some support groups for lesbians, gays,
bisexuals, and transsexuals are now actively advocating for equal protection for
persons of all gender identities. However, many social and religious
conservatives are strenuously resisting this change.
The Transgender symbol:
Nancy R. Nangeroni of Nangeroni Design
created this symbol and has made it generally available to the transgendered
community, for everyone's use. It combines the international symbols for make
and female with a third symbol representing transgender. She writes:
"The circle is a symbol
of wholeness, and represents the wholeness of a society which includes the
transgender. The misdirection of a society that ridicules the transgender is
implied."
The symbol is used by both transgendered persons and those friends and
supporters who support sexual
equality. 2
References used:
The following information sources were used to prepare and update the above
essay. The hyperlinks are not necessarily still active today.