The Issue Of Medical Practitioners

Spade articulates these institutions as gatekeepers who reinforce a narrative mold that SRS patients must internalize and use strategically to be seen as “authentic” transsexuals, erasing ambiguous gender identities by only granting access to those who appear to thoroughly reject all aspects (both physical and social) of the anatomical gender they were born to. Spade enthusiastically injects his experience as a way to guide and personalize his discourse, making a break from the tradition of portraying the trans experience as a routinely shared narrative rather than the wide array of individual experiences they

Transgender is ‘an umbrella term that refers to those with identities that cross over, move between,or otherwise challenge the socially constructed border between the genders. While this can include medical or social transition, it may not.’ There is a difference between transgenders and transsexuals. Transsexuals do not identify with the sex they were assigned at birth and wish to ‘correct’ their gender through the use of medical intervention. These two terms however, are nearly synonymous in our culture and we tend to refer to people who wish to live as a different gender than the one they were assigned when they were born as transgenders, since the term is broader and more recognizable.

Perhaps the most significant contributing cause of the poor quality of healthcare afforded to transgender patients is the fact that the majority of healthcare providers do not know how to treat trans patients. According to a study done by the Royal College of Nursing, it was discovered that “78% [of surveyed nursing staff] had not had training on how to care for transgender people, and only 13% of those surveyed said they had felt prepared to meet the needs of trans patients they had cared for” (Duffy, 2016). Additionally, around four out of five staff had “no training

Topics concerning transgender can be very overwhelming for some. When one thinks of the term transgender, one may think of the process of an individual identifying as the opposite sex. The opposite sex of what he or she was born as. For some, this may involve undergoing surgical procedures or taken hormonal medications to fulfill their desire. However, when thinking of this process, one automatically thinks of transgender adults. This is rarely a topic that one would assume would be racing through the minds of young children, but in fact it is. More children today than ever, are either speaking out about their identity concerns, or displaying it in their lives. In fact, according to Date Line NBC, “The handful of American doctors who specialize

With the establishment of these gender identity clinics, and the financial backing of philanthropist Reed Erickson, a transsexual man, the health care needs of transsexual people gained increased attention and support. Despite this new attention, the clinics used Benjamin’s model of “true” transsexuals. This differentiation between “true” transsexuals and other gender variants became a serious and highly important diagnostic decision as gender affirming surgeries were irreversible. This resulted in many transsexual individuals to be denied access to hormones and surgery. Specifically, transsexual men encountered difficulties, as transsexuality was primarily seen as a male-to-female only transition. In fact, during the late 1960s the United States leading UCLA Gender Identity Research Clinic debated whether trans men should be considered transsexuals. Many trans men themselves did not label themselves as transsexuals as they only knew about other transsexual women (Meyerowitz, 2002; Beemyn, 2014).

In “Intro-How Sex Changed: A History of Transsexuality in the United States,” Joanne Meyerowitz writes about the beginnings of transsexuality. She beings the article by defining cross-gender identification, as “the sense of being the other sex, and the desire to live as the other sex” (Meyerowitz 432), while transsexuality, “being the quest to transform the bodily characteristics of sex via hormones and surgery” (Meyerowitz 432). According to Meyerowitz, transsexuality began in the early 20th century. Experiments on changing sex, began in europe on animals. Then in 1920, on humans. Joanne Meyerowitz writes that “the debate on the visibility and mutability of sex” began after Christine Jorgensen, an american who went to Denmark to get a sex change in 1950, became a media sensation in America. While professionals were figuring this out, people “who identified as transsexuals, transvestites, lesbians, and gay men” (Meyerowitz 433) were having the conversation and creating the language within themselves. This conversation on sex change, occurred alongside the sexual revolution in the 60’s, opening “the movement of the organizing of programs, clinics, conferences, and associations to promote study of and treatment for transsexuals” (Meyerowitz 434).

Of the study’s 25 participants, 20 were female-to-male. The authors determined the main problem for the participants was the struggle to find transgender-sensitive health care. The subjects described discrimination by healthcare systems, lack of knowledge and hostility by providers, and lack of health insurance to cover transgender-specific healthcare needs. Some of the FtM participants who had problems with pelvic pain, abnormal uterine bleeding, and a history of abnormal Pap tests kept their gender as female on their insurance so they could still get the care they needed. Using a national cross-sectional survey data set, Shires and Jaffee (2015) reported similar findings. Of the 1,711 FtM participants included in this study, 41.8 percent reported verbal harassment, physical assault, or denial of equal treatment in a doctor’s office or

In the article “America’s Transition” Steinmetz reports that George traveled to Denmark to begin his transition to a woman named Christine Jorgensen (40). In the 1950s the transition from male-to-female was very rare. The subject of transition from an assigned sex at birth to the opposite was taboo. After Christine’s story was published in the New York Daily News and Time, American society began to question the definition of gender and why George was now Christine. Deceptively like today, as Time magazine mentions, “history is filled with people who did not fit society’s definition or gender (40).” Media talks about transgender, and it seems new, but it is not. Transgender is not something that just occurred today and had never been heard of before. This subject is just now coming out into the open more often than usual. In parallel to the “coming out” from transition, society is not far from the 1950’s because there is still stereotypes and discrimination against the transgender

Discussion of issues related to non-normative sexual and gender identities as related to mental health began in the 19th century (Drescher, 2010). Initially medical and psychiatric providers viewed issues related to gender identity as resulting from delusional thought processes (Drescher, 2010). As a result the concept of surgery as a solution to gender identity differences was viewed as unnecessary and ultimately an incorrect form of treatment (Drescher, 2010). In 1952 the first gender reassignment surgery was performed in Denmark on an American citizen (Drescher, 2010). The publicity in the American media that followed this surgery brought the concept of gender identity to the public eye. During the 1960s research about gender identity started to develop and it was the work of Money, Stoller, Benjamin, and Green that ultimately change professional and public concept of Gender Identity (Drescher, 2010). These four individuals were among the first to conduct clinical and academic research on gender identity and gender roles (Drescher, 2010). As a result of their research beliefs about non-normative gender identity shifted from a problem of the mind to a biological disorder that was fixed and should be treated with

While things like marriage and anti-discrimination laws have made it safer and more accepting in the mainstream for lesbian, gay, and bisexual people, the transgender community remains largely unchanged by these things. One area in particular has remained almost completely stagnant since the 1980s, medicine. Most medical professionals willing to aid transgender individuals in Hormone Replacement Therapy (HRT) and Sexual Reassignment Surgery (SRS) operate under the gatekeeper model. The gatekeeper model is loosely defined as the practice where any combination of doctors, therapists, and psychiatrists take the majority of responsibility for the diagnosing and, “treatment,” of a transgender person seeking either HRT or SRS. Under this model nearly sole responsibility falls to that group of professionals, and because of that many problems in terms of proper diagnosis, ethics, and safety have sprung up. More recently a very small amount doctors have been operating under a new model. This model, called informed consent, allows the transgender individual to take some responsibility for their treatment, and in a lot of cases subvert the massive amount of unreasonable hoops and rules the gatekeeper model has. The informed consent model of treatment for transgender individuals is the superior model by far in terms of diagnosis, safety, and ethical treatment.

Physicians in medical settings that treat mostly Black patients are less likely to be board certified and thus less competent than those in settings for Whites. The physician 's lack of certification manifests itself in lower knowledge about cancer prevention and screening, poorer management of chronic diseases, and a smaller likelihood to advise modifying one 's diet or smoking behavior. These factors of geographic proximity and health care personnel and facility all contribute to the disparity in quality of care.

These studies were published in response to the growing visibility of individuals who cross dressed, gender disguised, or to use the twenty-first century umbrella term, transgender. As a result of these studies, professionals concluded that such individuals suffer from mental disorders. Reports like these were published into the twentieth century. While these studies were conducted and written by doctors who were not and did not identify as gender nonconformists. One of the first known transgender persons to publish during this time was the British doctor, Michael Dillon. His 1946 work, “Self: A Study in Ethics and Endocrinology,” defends transgender people identify as a gender that is different from the one assigned to them by doctors. Dillon has undergone female-to-male sex change surgery. He also argues against doctor’s claims that transgender people suffer from mental disorders. This book failed to reach a broad audience and as a consequence, the 1950s and 1960s also brought numerous studies about transgender individuals by doctors who continued the tradition of claiming transgender people are

Between the Sexes is a compelling narrative. Through several anecdotes, it illustrates the devastating psychological implications of early surgical intervention on intersexuals. According to the article, the surgery robs individuals of their sexual gratification, their gender identity, and their innocence. It's argument is noble, yet flawed. Authors Christine Gorman and Wendy Cole spin several sad yarns of intersexed people who are upset with handling of their gender assignment. They tell horror stories of people kept in the dark about their intersex, about a child forced to stop acting like a boy and become a girl, a teen who was raised to be a girl, but developed into a male. Gorman and Cole stumble into the fallacy of hasty

While things like marriage and anti-discrimination laws have made it safer and more accepting in the mainstream for lesbian, gay, and bisexual people, the transgender community remains largely unchanged by these things. One area in particular has remained almost completely stagnate since the 1980’s, medicine. Most medical professionals willing to aid transgender individuals in Hormone Replacement Therapy (HRT) and Sexual Reassignment Surgery (SRS) operate under the gatekeeper model. The gatekeeper model is loosely defined as the practice where any combination of doctors, therapists, and psychiatrists take the majority of responsible for the diagnosing and, “treatment,” of a transgender person seeking either HRT or SRS. Under this model nearly sole responsibility falls to that group of professionals, and because of that many problems in terms of proper diagnosis, ethics, and safety have sprung up. More recently a very small amount doctors have been operating under a new model. This model, called informed consent, allows the transgender individual to take some responsibility for their treatment, and in a lot of cases subvert the massive amount of unreasonable hoops and rules the gatekeeper model has. The informed consent model of treatment for transgender individuals is the superior model by far in terms of diagnosis, safety, and ethical treatment.

Now, that is a lot of power. We often entrust a doctor’s judgement wholeheartedly because they just want the “best” for us, and in the cases of interesexed individuals, the physician simply wants to rid them of all the adjustment horrors that comes with such configuration, but seldom do they question the inadequacies of our role system, nor have they considered the possibility of such individuals developing into a perfectly happy and capable human beings without reassignment. Perhaps this is due to their inability to associate normalcy with anything outside of the binary. Inevitably, problems began to emerge from these reassignments. Some reassigned individuals felt aligned with their prescribed gender, but most did not. Some of these cases are extremely unfortunate, because their genitals had already been mutilated at birth. Such outcomes had prompted physicians to take more precaution when dealing with intersex babies. Sterling’s noble effort in assimilating intersex individuals through further categorization will help them find a classification system where there is a place that they can fall under, but it does not change the views of the masses, nor does it make it much easier for them to appreciate themselves as who they are, although it is a