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Topic : 10/29 Gender Confused Children

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Created on : Friday, October 24, 2008, 02:51:47 pm
Author : DrPhilBoard1
Dr. Phil tackles the sensitive topic of children who identify more with the opposite sex. What do you do if your son wants to wear dresses and play with dolls? Or if your daughter tells you she wants to be a boy? Should parents chock it up to being a phase that their children will grow out of, or should they intervene right away? Meet Melissa and Tim, whose 8-year-old son declared himself to be a girl when he was just 3 years old. Now, they allow their child to live as a girl and wonder if and when they should begin hormone therapy. Then, when Mary’s son was 8, he told her he felt like a girl, and Mary allowed him to experiment with dressing as a female. Now a teenager, her son is more comfortable living as a male -- but Mary wonders if she caused his confusion. Joining the discussion are experts with differing points of view: Dr. Dan Siegel, professor and clinical psychiatrist at UCLA School of Medicine, and Glenn Stanton, author and research fellow with the organization Focus on the Family. Is gender identity something we’re born with, or is it influenced by parents and environment? Don’t miss this heated discussion, then talk about the show here..

Find out what happened on the show.

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November 15, 2008, 9:25 am PST

... Confusing

Quote From: iyfnewyorker

That's really messed up, but what does it have to do with the topic of being transgender? 

        I have to ask, if a person born with only male genetials and with the guidance of a professional transexually to female genetials. This person would already be female despite a birth defect of her genetials. True or False?

 

      If she lives in Stark County, calls 911, and recieves the same treatment as Hope Steffey, would she have been mistreated by her correcting her genetials?

 
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November 15, 2008, 2:58 pm PST

10/29 Gender Confused Children

Quote From: x15gal

It is applicable because a similar situation ocurred to a transgender lady by the name of Duanna Johnson. She was beat up by police and left on the floor of the  squad room. Even the station nurse refused to give her aid. It is supposedly good people that stand by and do nothing and allow the bad people to get away with it. On November 9, Duanna was shot and killed. Speculation is that it may have been one of the police officers who was fired because of her case and the city not wanting to go through with the lawsuit she had filed against the department.

This is the type of reality that transgender people have to contend with every day. Someone might simply take offense at how we look and we could literally die for it.

Michelle
Ahhh... I see what you mean.
 
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November 16, 2008, 12:58 am PST

10/29 Gender Confused Children

Quote From: seenfff

        I have to ask, if a person born with only male genetials and with the guidance of a professional transexually to female genetials. This person would already be female despite a birth defect of her genetials. True or False?

 

      If she lives in Stark County, calls 911, and recieves the same treatment as Hope Steffey, would she have been mistreated by her correcting her genetials?

 Yes, she would be female. I would go so far as to say it does not matter if the physical transition has actually ocurred yet (due to financial hardship or whatever) that a female transgender should be considered female no matter where they are in transition.

As far as any treatment by law enforcement, anyone who is treated as Hope was in Stark County, no matter if they are straight, gay, trans, or anything, is just plain wrong and would definitely be classified as mistreatment. Everyone must be treated with dignity and respect, especially if they have been brought into custody.

Michelle
 
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November 16, 2008, 6:09 am PST

The way TG's are viewed!

OK, I've pretty much been neutral on this subject but after seeing an upcoming documentary that is going to be on TV I have to say something. Has everyone seen that man who is giving birth? Where do we draw the lines? You take a woman who wants to be a male, OK, that's fine. But then she also decides she/he wants to have a baby. Then he/she is actually willing to do a documentary about it. You see a man pushing to give birth, doesn't this look odd to anyone besides me? Pick the sex you want or need to be and then stick to it. You wonder why TG's aren't accepted? Does this really help the cause any? No, instead it turns it into a freak show. I feel that if this TG wanted to have that child then he/she should have been much more private about it. TG's don't want to be judged, yet they are on TV showing a man giving birth! Yes, I know I'm being redundant here but it just blows my mind. All of this talk about violence and not being accepted, maybe if things were done where society had a chance to get used to it instead of having it shoved in their face. I can't help but wonder how many people out there will watch this, or just see the ad and become even more judgmental instead of understanding. Shouldn't the wishes of TG's be tempered with a little common sense?

 
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November 16, 2008, 1:22 pm PST

TG Male Pregnancy

Quote From: jewelsf

OK, I've pretty much been neutral on this subject but after seeing an upcoming documentary that is going to be on TV I have to say something. Has everyone seen that man who is giving birth? Where do we draw the lines? You take a woman who wants to be a male, OK, that's fine. But then she also decides she/he wants to have a baby. Then he/she is actually willing to do a documentary about it. You see a man pushing to give birth, doesn't this look odd to anyone besides me? Pick the sex you want or need to be and then stick to it. You wonder why TG's aren't accepted? Does this really help the cause any? No, instead it turns it into a freak show. I feel that if this TG wanted to have that child then he/she should have been much more private about it. TG's don't want to be judged, yet they are on TV showing a man giving birth! Yes, I know I'm being redundant here but it just blows my mind. All of this talk about violence and not being accepted, maybe if things were done where society had a chance to get used to it instead of having it shoved in their face. I can't help but wonder how many people out there will watch this, or just see the ad and become even more judgmental instead of understanding. Shouldn't the wishes of TG's be tempered with a little common sense?

As a transgender person, I might agree that it could have been better if they had chosen to do this quietly, on the other hand however, as I watched the show, I definitely came around to their side of the picture. This was their only alternative to have a child who had some biological connection to the parents (at least one of them). And as was pointed out, there have been others who have done this previoulsy, but have kept quiet.

Is it okay to have gay marriage, as long as it is kept quiet? Is it okay to have segregation, as long as no one says anything about it. The list could go on from both sides of the issue. Someone has to be the first. This isn't something that can just slide in the backdoor and no one notice. Whenever it was done, ten years or hundred years from now, the public reaction would probably be the same. (deep sacrasm here:) "Can you imagine those colored folks wanting to drink from the same water fountain as the rest of us? What's next, the right to vote, or to marry a white woman?" Someone had to be first to step up and say something and to break the sterotypes. Contrary to what many might think, I believe this is a very positive mnove for the long term for everyone.

Michelle
 
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November 16, 2008, 8:58 pm PST

hamster on the wheel...

Quote From: x15gal

As a transgender person, I might agree that it could have been better if they had chosen to do this quietly, on the other hand however, as I watched the show, I definitely came around to their side of the picture. This was their only alternative to have a child who had some biological connection to the parents (at least one of them). And as was pointed out, there have been others who have done this previoulsy, but have kept quiet.

Is it okay to have gay marriage, as long as it is kept quiet? Is it okay to have segregation, as long as no one says anything about it. The list could go on from both sides of the issue. Someone has to be the first. This isn't something that can just slide in the backdoor and no one notice. Whenever it was done, ten years or hundred years from now, the public reaction would probably be the same. (deep sacrasm here:) "Can you imagine those colored folks wanting to drink from the same water fountain as the rest of us? What's next, the right to vote, or to marry a white woman?" Someone had to be first to step up and say something and to break the sterotypes. Contrary to what many might think, I believe this is a very positive mnove for the long term for everyone.

Michelle
Imagine a world where people are just people. No one cares who you sleep with, who you love, what colour you are, how much you weigh, if you have a mustache while pushing out a kid... come to think of it, I'm sure that has happened before, waxing is a pain in the last trimester. I don't care what clothes you wear, how you look, who you love, as long as you are happy, I am happy for you. I love the energy at the pride parades. I love the fact that no one is hiding what they are. Silence is pain and death. People don't hate, or judge harshly... uh huh. Just cover your mess would ya. We won't burn you at the stake, if you keep your nasty secret to yourself. Being transgendered, or gay or intersexed is fine as long as you are a eunuch. The concepts of love, freedom, justice, and equality have become too broad for most people to understand. If these concepts do not encompass all they are worthless. Anyone that cannot or will not see that is unevolved, and when was the last time you saw a Neanderthal? In the mean time continue to be loud and proud it is your right.
 
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November 17, 2008, 10:17 am PST

crossdressers wife

Quote From: mindyjai

Dear Choirmouse,

I also found out about my husband's crossdressing after we were married. I was very hurt, confused and overwhelmed. I understand what you are saying. The best thing I ever did was go to therepy with my husband, but it needs to be with right person who is a specialist and can answer your questions. Your husband might need to learn to communicate better wth you about his needs and you should also set boundries. My support and information comes from Dr. Virgina Erhardt, Ph.D. (http://www.virginiaerhardt.com ) and from the Southern Comfort Conference(SCC) in Atlanta in the fall each year.  Dr Virginia's book, Head Over Heels is excellent. Many husband's and wives go to SCC together and there is a wives group called The Comfort Zone. It has been a blessing to me and our marriage.( http://www.sccatl.org/comfortzone.htm) I wouldn't let my husband meet with his crossdressing friends without me. We should talk.

Cyndi

  Thank you for your response.  My husband and I did go to theraapy.  I have taken a different road.  I allow him to meet with his cd friends.  Its my problem there.  I get physically ill when I think of my husband in heels and a wig let alone be with several others who are cds.  My biggest problem is the fact that i was raped several times before we were married.  He was my hero then and sex at first was great.  Now I cannot tolerate the way he wants to have sex.  I do love him and he knows it.  I will not leave him.  My demands are that he only meet people out of town.  He actually had to leave his job because someone found out that he wears womens underwear and the taunting was too much for him.  I would die and so would he if our children found out.  One is grown the other has mr/dd and could never understand.

  I have to say at this point if he found someone accepting of this I would be devastated but at the same time happy for him and would let him go,  I guess I am a bit crazy.

  Thanks again- Choirmouse

 

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November 18, 2008, 3:29 pm PST

hm

Quote From: jewelsf

OK, I've pretty much been neutral on this subject but after seeing an upcoming documentary that is going to be on TV I have to say something. Has everyone seen that man who is giving birth? Where do we draw the lines? You take a woman who wants to be a male, OK, that's fine. But then she also decides she/he wants to have a baby. Then he/she is actually willing to do a documentary about it. You see a man pushing to give birth, doesn't this look odd to anyone besides me? Pick the sex you want or need to be and then stick to it. You wonder why TG's aren't accepted? Does this really help the cause any? No, instead it turns it into a freak show. I feel that if this TG wanted to have that child then he/she should have been much more private about it. TG's don't want to be judged, yet they are on TV showing a man giving birth! Yes, I know I'm being redundant here but it just blows my mind. All of this talk about violence and not being accepted, maybe if things were done where society had a chance to get used to it instead of having it shoved in their face. I can't help but wonder how many people out there will watch this, or just see the ad and become even more judgmental instead of understanding. Shouldn't the wishes of TG's be tempered with a little common sense?

       Are you talking about the man who announced his pregnancy on April 1, 2007? At least that's when the situation was on the news in Ohio.

       Locally, If I recall correctly, the majority of people are waiting for the due date, others believe the announcement was a April Fool's Day prank and an utter hoax.

       Personally, I'm waiting for the birth, but I am highly suspicious.

 
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November 18, 2008, 5:41 pm PST

On Parents Being Accountable for a Birth anomaly

Hello.there..I'm curious as to the expanation that parents are responsible for there children being transgendered,as it happens on the 52 day of pregnancy and is a type of birth anomaly,not a choice.

How do I know?..I'm a Transsexual.I live fulltime in my identified gender of female.

I feel there needs to be a little education here.

Parents are NOT responsible for a childs gender identity or sexual preference.This isnt the dark ages anymore,we have tons of scientific and medical evidence to support this.

I personally cant believe this opinion was even brought forth.

But on regidtering with this show,i read the legal disclaimer that this isnt real advice,its entertainment.

Perhaps the show should show the same disclaimer in large print on its intro,for many seem to believe its all scientific fact.

Perhaps you should read this..

 

Definition and Synopsis of the Etiology of Adult Gender Identity Disorder and Transsexualism

1.Gender Identity Disorder is defined as an incongruence between the physical phenotype and the gender identity[1], that is, the self identification as male or female. The experience of this incongruence is termed Gender Dysphoria. The most extreme form, in which individuals need to adapt their phenotype with hormones and surgery to make it congruent with their gender identity, is called transsexualism[2], Those individuals experiencing this condition are referred to as trans people, that is, trans men (female to male) and trans women (male to female).

2.Transsexualism can be considered to be a neuro-developmental condition of the brain. Several sexually dimorphic nuclei have been found in the hypothalamic area of the brain (Allen & Gorski, 1990; Swaab et. al., 2001). Of particular interest is the sexually dimorphic limbic nucleus called the central subdivision of the bed nucleus of the stria terminalis (BSTc) which appears to become fully volumetrically sexually differentiated in the human brain by early adulthood. This nucleus has also been found to be sexually dimorphic in other mammalian and avian species (Miller et. al., 1989; Grossmann et. al., 2002). In human males the volume of this nucleus is almost twice as large as in females and its number of neurons is almost double (P <0.006) (Zhou et. al., 1995; Kruijver et. al., 2000; Chung et. al., 2002).

3. The Kruijver et. al. study, cited above, indicates that in the case of transsexualism this nucleus has a sex-reversed structure. This means that in the case of trans women (n=7), the size of this nucleus and its neuron count was found to be in the same range as that of the female controls (n=13) and, therefore, women in the general population. In the only available brain of a trans man, the volume and structure of this nucleus was found to be in the range of the male controls (n=21) and, therefore, men in the general population. It is hypothesised that this male-like BSTc will be present in other trans men as well. These findings were independent of sexual orientation and of the use of exogenous sex hormones. In the 42 human brains collected for this study, the BSTc was found to have a structure concordant with the psychological identification as male or female. It is inferred that the BSTc is an important part of a sexually dimorphic neural circuit, and that it is involved in the development of gender identity (Kruijver et. al., 2000).

4. Sexual differentiation of the mammalian brain starts during fetal development and continues after birth (Kawata, 1995; Swaab et. al., 2001). It is hypothesised that in humans, in common with all other mammals studied, hormones significantly influence this dimorphic development although, at present, the exact mechanism is incompletely understood. It is also postulated that these hormonal effects occur at several critical periods of development of the sexual differentiation of the brain during which gender identity is established, initially during the fetal period, then around the time of birth; and also post-natally. Factors which may contribute to an altered hormone environment in the brain at the critical moments in its early development might include genetic influences (Landèn, 1999; Coolidge et. al, 2002) and/or medication, environmental influences (Diamond et. al., 1996; Whitten et. al., 2002), stress or trauma to the mother during pregnancy (Ward et. al., 2002; Swaab et. al., 2002).

5. Gender identity usually continues along lines which are consistent with the individual's phenotype, however, a very small number of children experience their gender identity as being incongruent with their phenotype. Adult outcomes in such cases are varied and cannot be predicted with certainty. It is only in a minority of these children that, regardless of phenotypical socialisation and nurture, this incongruence will persist into adulthood and manifest as transsexualism (Green, 1987; Ekins, 1997; Prosser, 1998; Di Ceglie, 2000; Ekins & King, 2001; Bates, 2002).

6. As stated, in trans people, a sex-reversed BSTc has been found. The findings of a specific sex-reversed brain organisation in trans people provides evidence consistent with the concept of a biological element in the etiology of transsexualism. The evidence for an innate biological predisposition is supported by other studies, one example of which, indicates a higher than average correlation with left-handedness (Green & Young, 2001). Where the predisposition for transsexualism exists, psycho-social and other factors may subsequently play a role in the outcome, however, there is no evidence that nurturing and socialisation in contradiction to the phenotype can cause transsexualism, nor that nurture which is entirely consistent with the phenotype can prevent it (Diamond, 1996). There is further clear evidence from the histories of conditions involving anomalies of genitalia, that gender identity may resolve independently of genital appearance, even when that appearance and the assigned identity are enhanced by medical and social interventions (Imperato-McGinley, 1979; Rösler & Kohn, 1983; Diamond, 1997; Diamond & Sigmundson, 1997; Kipnis & Diamond, 1998; Reiner, 1999; Reiner, 2000). It is not possible to identify one single cause for transsexualism: rather, its causality is highly complex and multifactorial. The condition requires a careful diagnostic process, based largely on self-assessment, facilitated by a specialist professional.

7. In conclusion, transsexualism is stongly associated with the neurodevelopment of the brain. (Zhou et. al., 1995; Kruijver et. al., 2000). The condition has not been found to be overcome by contrary socialisation, nor by psychological or psychiatric treatments alone (Green, 1999). Individuals may benefit from an approach that includes a programme of hormones and corrective surgery to achieve realignment of the phenotype with the gender identity, accompanied by well-integrated psychosocial interventions to support the individual and to assist in the adaptation to the appropriate social role (Green and Fleming, 2000). Treatments may vary, and should be commensurate with each individual's particular needs and circumstances.

[1] The term 'gender identity' is used, in the UK, to indicate the self-identification as male or female. However, terminology varies around the world, and the term 'sexual identity' is preferred by many in the US. (pace Professor Milton Diamond). See "Sex and Gender are different: Sexual Identity & Gender Identity are Different", (2000) Clinical Psychology & Psychiatry, Vol 7 (3):320-334.

[2] The transsexual condition is also referred to in various ways (Diamond M, 2002 In Press) "What's In a Name? Some terms used in the discussion of Sex and Gender". Transgender Tapestry.

n.b.The UK government recognises that transsexualism is not a mental illness. See Lord Chancellor's Department - government policy concerning transsexual people. www.lcd.gov.uk/constitution/transsex/policy.htm

Signatories {original authors are asterisked}

Dr Henk Asscheman, MD, PhD (The Netherlands)*

Professor Michael Besser, DSC, MD, FRCP, SmedSci. (UK)

Dr Susan Carr, MPhil. MFFFP. DDRCOG. (UK)

Professor Peggy Cohen-Kettenis PhD (The Netherlands)

Professor dr Petra De Sutter, PhD (Belgium)

Professor Milton Diamond , PhD (Chair) (USA)*

Dr Domenico Di Ceglie, FRCPsych., DIP. PSICHIAT (Italy) (Child Section) (UK)*

Professor Louis Gooren, MD, PhD (The Netherlands)

Professor Richard Green, MD, JD, FRCPsych. (UK)

Dr Lynne Jones, MP, PhD. (UK )

Dr Frank Kruijver, MD (The Netherlands)*

Dr Joyce Martin, MRCGP, MB ChB, D.Obst.RCOG. (UK)*

Dr Zoe-Jane Playdon, BA(Hons), PGCE, MA, MEd, PhD, DBA, FRSA. (UK)*

Mr David Ralph, MBBS, BSc, FRCS, MS. (UK)

Mrs Terry Reed, JP, BA(Hons), MCSP, SRP, Grad Dip Phys. (UK)*

Dr Russell Reid, MB. ChB, FRCPsych. (UK)*

Professor William Reiner, MD. (USA)

Mr Michael Royle, MBBS, FRCS (Urol). (UK)

Professor Dick Swaab , MD, PhD. (The Netherlands)

Mr Timothy Terry, BSc, MB, BS, LRCP, FRCS (Urol), MS (UK)

Mr Philip Thomas MBBS, FRCS (Urol). (UK)

Professor James Walker, MD, FRCP, FRCOG. (UK)

Dr Philip Wilson, DPhil MRCP MRCPCH FRCGP. (UK)

Dr Kevan Wylie, MB, MmedSc, MD, FRCPsych, DSM. (UK)

References:

1. Allen LS & Gorski RA. (1990) Sex Difference in the bed nucleus of the stria terminalis of the human brain,
J Comparative Neurology 302:697-706.

2. Bates DJ. (2002) Locating the transsexual narrative in the gendered landscape. The University of Waikato; New
Zealand. 437 pages

3. Chung WCJ, De Vries GJ, Swaab D. (2002) Sex differentiation of the bed nucleus of the stria terminalis in
Humans may extend into adulthood, J of Neuroscience , 22(3):1027-1033.

4. Coolidge, FL, Theda LL, & Young SE (2002) The heritability of gender identity disorder in a child and adolescent
sample. Behavior Genetics 32:251-257.

5. Diamond , M (1996) Self-Testing Among Transsexuals: A Check on Sexual Identity. Journal of Psychology &
Human Sexuality 8(3): 61-82.

6. Diamond M, (1997) Sexual Identity and Sexual Orientation in Children with Traumatized or Ambiguous Genitalia. Journal of Sex Research 34 (2 May): 199-222.

7. Diamond MT & Sigmundson HK, (1997), Sex reassignment at birth. Long term review and clinical implications.
Archives of Pediatrics and Adolescent Medicine 151: 298-304.

8. Di Ceglie D, (2000) Gender identity disorder in young people, Advances in Psychiatric Treatment, 6:458-466.

9. Ekins R, (1997); Male Femaling. London, New York, Routledge, 185 pages.

10. Ekins R & King D, (2001) Telling body transgendered stories in Unseen Genders: Beyond the Binaries, editors: F
Haynes & T McKenna. Peter Lang, New York.

11. Green, R (1987) The "Sissy Boy Syndrome" and the Development of Homosexuality. New Haven CT, Yale Univ.

12. Green, R (1999) Cited in Bellinger v Bellinger, Ct of Appeal, para 32 July 17th ( Judgement,2001)TLR 22-11-2000

13. Green R & Fleming DT, (2000); Transsexual Surgery Follow-up: Status in the 1990s, Annual Review of Sex
Research, editor J Bancroft, 1:163-174.

14. Green R, & Young R, (2001) Hand Preference, Sexual Preference, and Transsexualism. Archives of Sexual Behavior 30:565-574.

15. Grossmann, R, Jurkevich A, Kohler A. (2002) Sex dimorphism in the avian arginine vasotocin system with special
emphasis to the bed nucleus of the stria terminalis. Comp Biochem Physiol A Mol Integr Physiol 131(4):833-7.

16. Imperato-McGinley, J. Peterson RE, Gautier T, Sturia E. (1979) Male pseudohermaphroditism secondary to
5 a-reductase deficiency-a model for the role of androgens in both the development of the male phenotype and
the evolution of a male gender identity. J. Steroid Biochem, 11(1B):637-645.

17. Kawata M (1995) Roles of steroid hormones and their receptors in structural organization in the nervous system. Neuroscience Res 24:1-46.

18. Kipnis K and Diamond M. (1998) Pediatric ethics and the surgical assignment of sex. J Clinical Ethics 9(4)
398-410.

19. Kruijver FPM, Zhou J-N, Pool CW, Hofman MA, Gooren LJG, Swaab DF. (2000) Male to Female Transsexuals
Have Female Neuron Numbers in a Limbic Nucleus. J Clinical Endocrinology and Metabolism 85(5):2034-2041.

20. Landèn M (1999). Transsexualism, Epidemiology, phenomenology, aetiology, regret after surgery, and
public attitudes. PhD Göteborg University.

21. Miller MA, Vician L, Clifton DK, Dorsa DM (1989) Sex differences in vasopressin neurons in the bed nucleus of
the stria terminalis by in situ hybridization. Peptides 10(3):615-9.

22. Prosser J. (1998) Second skins: The body narratives of transsexuality. New York, Columbia University Press.
270 pages.

23. Reiner WG, Associate Professor, Division of Pediatric Urology, Johns Hopkins Medical Institutions,
featured speaker at NYU Child Study Center Grand Rounds Summary September 29, (2000) The Genesis of
Gender Identity in the Male: Prenatal Androgen Effects on Gender Identity and Gender Role.

24. Reiner, WG. (1999). Assignment of sex in neonates with ambiguous genitalia. Current Opinions in Pediatrics
11(4):363-365.

25. Rösler A & Kohn G. (1983) Male pseudohermaphroditism due to 17b-hydroxysteroid dehydrogenase deficiency:
studies on the natural history of the defect and the effect of androgens on the gender role. Journal of Steroid
Biochemistry 19(1):663-674.

26. Swaab DF, Chung WCJ, Kruijver, FPM, Hofman MA, Ishunina TA. (2001) Structural and functional differences
in the human hypothalamus. Hormones and Behavior 40:93-98.

27. Swaab DF, Chung WCJ, Kruijver FPM, Hofman MA. Hestiantoro A. (2002) Sex differences in the human
hypothalamus in the different stages of human life. Neurobiology of aging, in press.

28. Ward OB, Ward IL, Denning JH, French JA, Hendricks SE. (2002) Postparturitional testosterone surge in male
offspring of rats stressed and/or fed ethanol during late pregnancy. Hormones and Behavior 41:229-235.

29. Whitten PL, Patisaul HB, Young LJ. (2002) Neurobehavioral actions of coumestrol and related isoflavonoids in
rodents. Neurotoxicology and Teratology 24:47-54.

30. Zhou J-N, Hofman MA, Gooren LJG, Swaab DF. (1995) A sex difference in the human brain and its relation to
transsexuality. Nature 378:68-70.

Funded by Gender Identity Research & Education Society, the King’s Fund & the BCC Trans Group

The King’s Fund bears no responsibility for the text

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November 18, 2008, 7:21 pm PST

..and further

There is also a huge difference in crossdressing and transvestism (both sexual kinks or fetishes)and transsexuality(gender identity).Most cds tho not all are male brained ,i mean a husband for example who likes to wear panties or whatever obviously doesnt consider himself a female inside his whole life.,to those who are farther along the Benjamin scale of standards..low numbers being the afore mentioned husband ,a high 6 being someone who cannot handle their birth sex to the point of suicide or self mutilation.This being the eve of the International Day of Rememberance for Transgendered who have lost their lives due to hatred misunderstanding fear bigotry..and even more terrible suicide.

I myself would be a low five as I'm now in the third year of hormonal replacement therapy.. and feel almost complete just with hormones,breast development and being fulltime.That may change..but for some theyre not satisfied until theyve had Sexual Reassignment Surgery.

Also,gender identity and sexual preference are completely different issues.

Not all trans women(male to female) want men..not all transmen(female to male} want women.

 

Dr. Harry Benjamin's Gender Disorientation Scale

 

Type One: Transvestite (Pseudo)

Gender Feeling: Masculine
Dressing Habits and Social Life: Lives as a man. Could get occasional kick out of dressing. Normal male life.
Sex Object Choice and Sex Life: Hetero, bi, or homosexual. Dressing and -- more --exchange may occur in masturbation fantasies mainly. May enjoy TV literature only.
Kinsey Scale: 0-6
Conversion Operation: Not considered in reality.
Estrogen Medication: Not interested or indicated.
Psychotherapy: Not wanted and unnecessary.
Remarks: Interests in dressing is only sporadic.

Type Two: Transvestism (Fetishistic)

Gender Feeling: Masculine
Dressing Habits and Social Life: Lives as a man. Dressing periodically or part of the time. Dresses underneath male clothes.
Sex Object Choice and Sex Life: Heterosexual. Rarely bisexual. Masturbation with fetish. Guilt feelings. Purges and relapses.
Kinsey Scale: 0-2
Conversion Operation: Rejected
Estrogen Medication: Rarely interested. Occasionally useful to reduce libido.
Psychotherapy: May be successful (in a favorable environment.)
Remarks: May imitate double (masculine and feminine) personality with male and female names.

Type Three: Transvestism (True)

Gender Feeling: Masculine (but with less conviction.)
Dressing Habits and Social Life: Dresses constantly or as often as possible. May live and be accepted as woman. May dress underneath male clothes, if no other chance.
Sex Object Choice and Sex Life: Heterosexual, except when dressed. Dressing gives sexual satisfaction with relief of gender discomfort. May purge and relapse.
Kinsey Scale: 0-2
Conversion Operation: Actually rejected, but idea can be attractive.
Estrogen Medication: Attractive as an experiment. Can be helpful emotionally
Psychotherapy: If attempted is usually not successful as to cure.
Remarks: May assume double personality. Trend toward transsexualism.

Type Four: Transsexual (Nonsurgical)

Gender Feeling: Undecided. Wavering between TV and TS.
Dressing Habits and Social Life: Dresses as often as possible with insufficient relief of his gender discomfort. May live as a man or woman; sometimes alternating.
Sex Object Choice and Sex Life: Libido often low. Asexual or auto-erotic. Could be bisexual. Could also be married and have children.
Kinsey Scale: 1-4
Conversion Operation: Attractive but not requested or attraction not admitted.
Estrogen Medication: Needed for comfort and emotional balance.
Psychotherapy: Only as guidance; otherwise refused or unsuccessful.
Remarks: Social life dependent upon circumstances.

Type Five: True Transsexual (moderate intensity)

Gender Feeling: Feminine (trapped in male body)
Dressing Habits and Social Life: Lives and works as woman if possible. Insufficient relief from dressing.
Sex Object Choice and Sex Life: Libido low. Asexual auto-erotic, or passive homosexual activity. May have been married and have children.
Kinsey Scale: 4-6
Conversion Operation: Requested and usually indicated.
Estrogen Medication: Needed as substitute for or preliminary to operation.
Psychotherapy: Rejected. Useless as to cure. Permissive psychological guidance.
Remarks: Operation hoped for and worked for. Often attained.

Type Six: True Transsexual (high intensity)

Gender Feeling: Feminine. Total psycho-sexual inversion.
Dressing Habits and Social Life: May live and work as a woman. Dressing gives insufficient relief. Gender discomfort intense.
Sex Object Choice and Sex Life: Intensely desires relations with normal male as female if young. May have been married and have children, by using fantasies in intercourse.
Kinsey Scale: 6
Conversion Operation: Urgently requested and usually attained. Indicated.
Estrogen Medication: Required for partial relief.
Psychotherapy: Psychological guidance or psychotherapy for symptomaticrelief only.
Remarks: Despises his male sex organs. Danger of suicide or self-mutilation, if too long frustrated.

 
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