Transsexual identity development - a case study

Danya (imported)
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Re: Transsexual identity development - a case study

Post by Danya (imported) »

Gender and Sexuality

Some of the events from my life I write about here I have described elsewhere. It has been important for me to re-examine some of this today because, for the first time in a long while, I have felt very lonely. I think this feeling arose because I am not well physically. My annual summer asthma attack has returned. Feeling physically out of sorts often leaves me vulnerable to self-doubt about my life decisions. This is not at all logical but there you have it. :) I do not feel well, so today I do not notice the usual happiness I have experienced much of the time since I transitioned. That must mean there is something wrong with my decision to transition (I do not doubt my transsexual identity). My thought process is more convoluted than that, but that's the basic way it goes. Then I can feel adrift and alone. Once I come to my senses and realize what is going on in my head, I am fine. These days that usually does not take long. Today was a bit of an exception, although I am now back to a place of emotional stability.

Writing about my life banishes these doubts when they occasionally come up, even if l do not feel well. Other things that help can include receiving a simple email greeting from a friend who knows me well.

When I was a child, I never felt that I was a boy. I never clearly articulated “I am a girl” and I cannot state that I ever felt quite that way as a child. Why not? I identify as a male to female transsexual now. Some gender researchers would say I am likely a ‘secondary transsexual’ because I did not insist I was a girl as a child and I identified as transsexual after the age of 40. A ‘primary transsexual’ would clearly know from a very young age that he or she was in the wrong body and insist upon being treated as they perceived themselves to be. Other investigators will insist there is no significance attached to the age at which one self-identifies as transsexual or transgender. I find this argument pointless for my situation.

On the other hand, if I buy into the view expressed in a paper by William Henkin (whom I cite below, several times it now turns out :) ) I may be more of a 'classical' or 'true' transsexual. Henkin here is describing one group of clients he sees: "“gay men” coming out as heterosexual women. This last category deserves some special attention because it is comprised of the male-bodied people Harry Benjamin identified as “true” transsexuals of the “high intensity” type for whom transition is both “urgently requested” and “indicated.” Relative to the rest of my transgender practice and experience this has been a small enough component to put in perspective the academic literature that claims, as the Diagnostic and Statistical Manualof Mental Disorders has repeatedly done, a ratio of 1:30,000 morphological males and 1:100,000 morphological females in the American population who are sufficiently gender dysphoric to seek what is still called sex reassignment surgery (SRS)."

I always suspected, starting from early puberty, that I might be homosexual. I certainly knew I had some type of attraction to men. It turns out that many transgender persons experience life in the gay community as part of the process of figuring out their true identities. This is the path I have taken and for a time, after a 20-year marriage, I identified as a gay man. Even before I married, I told my future wife that I thought I might be gay. During our marriage, I was in agony over my erotic attraction to men. I never experienced sex with a man until the end of our marriage. My first experience having sex with a man was liberating but later encounters were nearly devoid of any type of fulfillment. So the gay identity never worked well for me and I had trouble understanding that. It was a gay therapist who first suggested I might be transsexual when I was seeing him because of this issue.. I had been out several years as gay by that point. Today, I am still physically attracted to men while I now identify as female.

The Henkin's paper is turning out to be a gold mine of information for me. He expresses the provacative view that some adults who identify as transgender may not have been trans as children: "But just as most people who question, explore, or confront transgender identity issues are not transsexual, so, clearly, there are many people who do not come out either to themselves or to others until they are adults, and some may not even be transgendered till then – although it is not at all clear to me whether some people in this position merely tried so hard to be the gender they were not that they hid it even from themselves for many years. Being transsexual is a very hard life road for most people.

Yet, while the dilemma is not as severe in adulthood when one’s ostensible power in the world is equal to that of other people’s, the issues that underlie it are the same as they are in childhood. Even in adulthood – perhaps especially in adulthood, when we are all supposed to “know” better – the relation between transgressive orientations and transgressive identities remains as confusing for most people as do the distinctions between sex and gender. This confusion is what Riki Anne Wilchins observed leads bashers to call transwomen “faggots”; it is probably what underlies the academic and clinical distinctions between sexual orientation and gender identity; and it is why we have not – yet – heard much discussion about sexual identity or gender orientation."

I certainly knew, on a child's level, that I had gender issues growing up. Nonetheless, Henkin's insightful comments on the difficulties faced by even mature adults when they probe transgender questions are relevant to my situation. His use of the terms 'sexual identity' and 'gender orientation' opens up new possibilities for understanding who I am. Considering how those concepts may help explain my own development and identity, particularly in light of the fact that I have not run across them before, will take no small amount of time. I am very interested in the interplay of gender and sexuality. I am finding, since I transitioned, that my sexuality may not be solely oriented toward men. This goes against what I have long thought and felt. This sexuality piece alone is a complex issue for me because I am still undeniably physically attracted to men. Somehow, there is something else going on in the background that leaves me attracted to women in a sexual way that is unrelated to any physical connection. More on this at another time.

There were a few times, certainly before the age of eight, when I told my parents variations on “I will not do that because girls don’t do that”. During those young years of development, I suspect this meant I had at least a suspicion on some level that I was, indeed, a girl. I can think of no other reason why I would justify my own behavior based on what girls could or could not do. It was not as if I was trying to get out of an unpleasant task by pleading ‘but girls don’t have to do that’. I was simply refusing to run around on a hot day without a shirt, for example. I had no sisters for comparison so I never felt that they were receiving preferential treatment that I then wanted for myself.

Conversely, I never refused to do somethng or be a certain way because 'boys don't do that'. It never entered my thoughts to try that as an excuse, for example, to get out of helping wash the dinner dishes even when I was much older.

After the age of eight or nine, I no longer refused to go without a shirt because ‘girls don’t have to’. Instead, I simply didn’t go around without a shirt. I would occasionally state “I am not like any of the other boys”. Comments like these would invariably be met with stern parental responses something like “Don’t ever say that, you are exactly like all the other boys”. I doubt my parents truly believed this. They had to have known I was very different although they may not have known what that really meant. Their immediate rebukes were likely intensified by their own perceptions that I indeed was different. They had no clue what to do about that but they ‘knew’ it could not be good.

In the article Coming Out Trans: Questions of Identity for Therapists Working with Transgendered Individuals (Trans Identity from the Queer Perspective) , by William A. Henkin, Ph.D. , © 2001, 2007 by William A. Henkin (http://www.ejhs.org/volume11/Coming_out_trans.htm), the author describes the difficulties with self-acceptance that gay and trans children face. He gives examples of children who are different from the majority in areas such as ethnic background. These children may be harassed and tormented on the school playground but they can go home to their families who assure them that they are really alright and loved.

Henkin mentions the work of educator Brian McNaught (sources are listed at the bottom) who points out that “If you’re a kid of almost any kind of minority at all, at least at the end of the day you can go home to parents who share your experience, and so can hold you and say, I know, Darling: I understand, and you can believe them and feel some little comfort that you are not alone: that a most important Someone understands you, and you have some hope and maybe even protection in the world.”

McNaught goes beyond this to state that if you are a gay or lesbian child you cannot tell your parents anything, even if you are tormented by other kids. You know your parents agree with everyone else. You are no good, bad, sinful and on and one because of who you are. The reassurance of a loving family is absent and you are left on your own with a secret you may learn to hide from yourself. You may go so far as to attempt suicide to hide your secret.

The situation for trans youth can be even more damaging. “If you’re transgendered, on the other hand, the secret you have that you can’t tell anyone is even more overwhelming than if you’re gay, because as soon as you say “I’m not a girl” or “I’m not a boy,” people point to your body, sometimes literally, and tell you you’re wrong about your very own identity. In the face of your still relatively innocent, trusting, and unencumbered awareness, the people you must trust and upon whom you must rely tell you that you are not who you know yourself to be. Especially when they derive from the mostly adult world of appearances, these assertions establish an element of identity conflict in the trans child unlike any other developmental identity conflict we know. (Except, possibly, in some cases of severe, persistent abuse that begins very early in childhood, such as those in which the abused child is forced or coerced to deny what happened to him.)

That is why coming out trans is not like coming out gay, lesbian, or bisexual. Where sex is concerned, including orientation, a person’s value may be questioned and demeaned, but where gender is concerned the person’s identity itself is indicted, and so it’s no wonder transgendered people have a suicide rate even higher than that of the gay population. (reference 4, below)“

[When I was searching for a new gender therapist in April of this year, I contacted a social worker who is an ex-ex-gay. He wrote me a very gentle note in which he said he realized it was much more difficult to come out as trans than as gay and that he had a great deal of respect for out transgender persons. I have come out as both gay and trans in my life. Until the last week or two, I did not agree with this kind man on the greater difficulty of coming out as trans. In fact, I have tended to downplay any problems I have faced in transitioning because everything has felt so right. For various reasons that I may go into at another time, I now agree with this therapist.]

On one level, I desperately wanted to believe my parents when they sternly informed me that I was just like all the other boys. They were the people I trusted most in the world and I did want their validation and love. Deep down, though, I knew they were wrong and I was not at all who they wanted me to be. If I dwelled on that difference too long or mentioned it too often, I risked losing the only support I had in the world. I had to hide from myself. I could never reconcile who I was with the person my parents unwaveringly declared me to be. There was no hope for happiness. Through my teen years, I often thought of suicide.

Of the few memories I have of the years before I turned nine, my fondest is playing with the girl down the street. We used paper dolls and played house. I was in heaven or so it seems looking back on that time. I have mentioned this time before and guess I was around 3 or 4 at the time. During this period, my father held down multiple jobs in order to bring in enough income to pay the bills and take care of a wife and three sons, of which I was the oldest. He was seldom home. There was a time when he was not away at work when he found me playing with my female friend. He dragged me away and soon after got me involved in playing some kind of ball game with the neighbor boys. As soon as my father left the area, I stopped playing with these kids. I never went back to joining boys in any activities, sports related or not, throughout my years living at home.

A clear memory from a time after I was forbidden (just now it has come back to me that my parents did indeed forbid this) to play with my girl pal, was being by myself on a swing in a city park. My family was off in the distance interacting with other people and laughing. I remember looking at the others and feeling horribly alone and depressed. I very much remember feeling I did not fit in with anyone. In those days, as I later found out, professionals did not believe young children could be depressed. I have experienced deep depression as an adult and I am certain I was a very depressed throughout my childhood. I have no memory of being depressed when I was able to play with my female friend down the street. Perhaps, though, at the age of 3 or 4 I truly was too young to be depressed. I don’t know the answer to that and I do not have time to look into it.

So, as I described above, I did not feel like a boy as a child. I stated this to my parents on a number of occasions in different words, even to the point of saying I would not do something because girls do not have to. There may be several reasons why I never actually stated “I am a girl”. The fact that my parents clearly disapproved and sanctioned cross-gender play may be part of it.

In addition, my own awareness that I inhabited a body that matched that for a boy may have confused the issue for me. I have always been a deep thinker and I would not be surprised if I was convinced that somehow I had to be a boy no matter what I felt like. My attraction to science education was in part based on my desire to describe and classify things. I could observe that my body fit the description of a boy child. It may be significant that my mother often said that I was such a deep thinker as a child that it frightened her. Most likely, I was so withdrawn from people that even if I were not a deep thinker, though I believe I was, it would have appeared to others that this was the case.

As I matured, I remained withdrawn and pursued solitary activities. Things like playing the piano, gardening and taking long walks in the woods with my dog “Princess” occupied my time outside of school. I was at peace with myself when I was alone.

I will delve deeper into the period where I have clear memories of my life, after reaching age nine, in my next post. For now, I will say that this during this later period of my childhood I felt even more alienated from boys and men. I stood by myself waiting for the school bus, unwilling to associate with boys my age. I knew I could not be one of them. I had a few male friends in high school more or less by default. They were not part of the ‘in’ crowd and, besides, I excelled in school and they appreciated my help with their homework. I never really related to these friends.

While it is therapeutic for me to write about my life, it is also emotionally draining. As I have stated before, bringing up memories unavoidably brings up associated feelings. I cannot do this kind of thing on a daily basis. :) Life really is very good for me now and the present will remain my main focus.

Specific references used in the sections of the Henkin paper I discuss:

McNaught, B. (1988) On being gay. New York: St. Martin’s

McNaught, B. (1993) Gay issues in the workplace. New York: St. Martin’s

McNaught, B. (1997) Now that I’m out what do I do? New York: St. Martin’s

4. An admittedly old reference cited in the paper: Transsexuals may be at higher risk than homosexuals and much higher risk than the general population to suicidal behavior. Fifty-three percent of transsexuals surveyed had made suicide attempts (Huxdly, J., and Brandon, S., 1981).
plix (imported)
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Re: Transsexual identity development - a case study

Post by plix (imported) »

Saying that you didn't want to do something becaue girls don't do it implies that you are a girl, and therefore qualifies you as a primary transsexual since you indeed did have cross-gender feelings at an early age. It's not always simple as clearly stating, "I am a girl." Sometimes the cross-gender feelings manifest themselves differently.

Ah, the feelings of not fitting in with anyone. I know those feelings all too well. They are still present today, and I have no reason to believe they will ever disappear.

Do I believe you were depressed at age 3 or 4? Well, it depends on what you mean by "depressed." Do I believe that you had a "mental illness" caused by a "chemical imbalance" at only 3 or 4, and that you needed SSRIs to treat it at that young age? No, I do not. Do I believe that you felt depressed at that age? Yes, I do.

The word "depressed" is tossed around quite freely these days, and it is difficult to determine whether people who say they are depressed are saying that they are feeling down or they are experiencing the "mental illness" known as depression. Then again, is it possible to feel depressed without having the mental illness known as depression? Or does everyone who feel depressed automatically have a mental illness by default? I really don't know what the current views are anymore, but I do know what my own thoughts on the matter are. Not that they matter much to anyone else, since I am not a supposed expert in the field. But they do matter quite a bit to me :)

So I suppose a lot of it depends on what you believe about feelings of depression, and whether you think such feelings automatically mean mental illness. And are you actually saying that they now think 3 year-old children can suffer from the mental illness known as depression? I hadn't heard that. But it doesn't surprise me. I just wonder when infants are going to start being diagnosed with mental illnesses and offered SSRIs :)

I am looking forward to hearing more about your childhood because I know it will be similar in many ways to my own, and also because I am interested in learning about how your gender identity developed and expressed itself throughout the years :)
Danya (imported)
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Re: Transsexual identity development - a case study

Post by Danya (imported) »

plix (imported) wrote: Sun Jul 20, 2008 11:34 pm Saying that you didn't want to do something becaue girls don't do it implies that you are a girl, and therefore qualifies you as a primary transsexual since you indeed did have cross-gender feelings at an early age. It's not always simple as clearly stating, "I am a girl." Sometimes the cross-gender feelings manifest themselves differently.

Hey plix,

I think you were probably writing this response as I was updating my last post for about the sixth time tonight (or rather, this morning by now)! I noticed you were looking at this thread then.

The last thing I added was another quote from the Henkin's paper that would indicate I am a 'true' transsexual, for whatever that is worth. It is all very interesting. The end result is what matters and the fact that I am happy and doing really well is the ultimate proof I am on the right path.
plix (imported) wrote: Sun Jul 20, 2008 11:34 pm Ah, the feelings of not fitting in with anyone. I know those feelings all too well. They are still present today, and I have no reason to believe they will ever disappear.

I agree and I will never entirely fit in, either. Now that I have transitioned, though, the fit is much better than I would have dreamed possible.
plix (imported) wrote: Sun Jul 20, 2008 11:34 pm Do I believe you were depressed at age 3 or 4? Well, it depends on what you mean by "depressed." Do I believe that you had a "mental illness" caused by a "chemical imbalance" at only 3 or 4, and that you needed SSRIs to treat it at that young age? No, I do not. Do I believe that you felt depressed at that age? Yes, I do.

The word "depressed" is tossed around quite freely these days, and it is difficult to determine whether people who say they are depressed are saying that they are feeling down or they are experiencing the "mental illness" known as depression. Then again, is it possible to feel depressed without having the mental illness known as depression? Or does everyone who feel depressed automatically have a mental illness by default? I really don't know what the current views are anymore, but I do know what my own thoughts on the matter are. Not that they matter much to anyone else, since I am not a supposed expert in the field. But they do matter quite a bit to me :)

So I suppose a lot of it depends on what you believe about feelings of depression, and whether you think such feelings automatically mean mental illness. And are you actually saying that they now think 3 year-old children can suffer from the mental illness known as depression? I hadn't heard that. But it doesn't surprise me. I just wonder when infants are going to start being diagnosed with mental illnesses and offered SSRIs :)

What I am saying is I do not know what they say about depression existing in children as young as three. I hope I never hear of SSRIs being presribed for infants.

Most people I talk with lack a real understanding of what depression is as an ongoing, serious problem versus feeling down for a few days.
mrt (imported)
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Re: Transsexual identity development - a case study

Post by mrt (imported) »

Depression like pain is often defined by how long you have it. So, stub your toe and its one thing. Have throbbing pains for more then 6 months and its a "condition." Mental illness is such an art to detect and correct. I see it like Impotence was 20 years ago. Everyone then said "Its in your head" and the only treatment was mental health therapy. Then someone injected his penis with some unspellable drug and he got an erection. About 95% of the men with "mental" impotence were cured and they had to rethink everything.

Mental health meds right now are at a (My opinion) primitive state. They discovered most by giving them to hamsters and rats and finding out that when they were loaded full of this stuff poking them with a pencil no longer bothered them. *No joke btw check it out!

The really sad thing is that there is no lab test for mental depression. You can't draw blood, send it to the lab and say "Ahh... Mr Smythe you have Serious Mental Depression" Its all very subjective like those early impotence diagnosis.

I think based on the volume of drugs sold that some are going to the right people. They sell enough to float the Navy with so some HAVE to be going to the right place.

Oh we...
Danya (imported)
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Re: Transsexual identity development - a case study

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Turns out writing my last long post here was more emotionally draining that I had anticipated. It took me over a day to recover my equilibrium. For a few days, then, I have wondered if it is wise for me to continue telling my life story and how it relates to transsexual identity development. I concluded that it will not destroy my sanity if I try, at least, to deal with events in smaller pieces.

That is what I am trying to do tonight by introducing some of the people and events in my life after I reached the age of nine. We had moved to the suburbs of a very eastern city almost exactly one month before my ninth birthday. For whatever reason, my memory suddenly improved along with the move! Before that, some major things stand out but I have nothing like a continuous recollection of happenings. In fact, it seems like entire years from that earlier time are totally unavailable for recall. I will go back to that earlier period if I remember something worth telling.

For tonight then, I am going to limit my comments to summary observations of some of the people and events in my life at age nine and beyond. At another time, I will expand on these and look at details tied to gender identity.

People and events are not necessarily in chronological order:

I was in the fourth grade when we moved to the 'burbs on December 1. Before the move, I have no memory of what school was like in the city. I have no idea who my teachers were even through the third and fourth grades. I remember my fourth grade teacher in the 'burbs, what the school building looked, sitting in class being bored and so on. I spent most of my time trying to fit in as a boy. That work mostly consisted of not drawing attention to myself for being different. I had no male friends at school.

Fifth grade was pretty much a repeat of fourth. My teacher this year, however, stated in front of the entire class that she wished everyone of her students were as conscientious and thoughtful as me. This was not a good thing for one trying to be inconspicuous.

During this same period, I started taking over much of the available furniture top and counter space in the 'family room' at home. I used it for growing many different kinds of house plants. During the next summer, I got more heavily involved with gardening and in fact greatly expanded the existing vegetable garden started by my father. This was probably the time I also began the first of many flower beds that increased in size in each of the succeeding years.

Sixth grade was perhaps my best year ever and not to be repeated before HS graduation. My teacher, Mrs 'L', was a very kind, perceptive woman and I know she saw that I was different. I had trouble going on the playground during recess and interacting with boys. She told me that was OK and I need not participate in everything. I still have a photo of our class play for Christmas. I was clearly having a good time.

I think it was during sixth grade that I finally got the piano I had been asking for for several years. While we still lived in the city, I was interested in learning trombone or accordion. I never got started on either of those and I am not sure why. The piano my parents got for me as a very old, out of tune player piano purchased from neighbors across the street. It was a steal, I guess, at $25. It was in pretty pathetic condition but at least I was able to start lessons so I was happy.

Writing about this piano reminds me of events from earlier in my life. I will go back to that another time.

So from roughly about sixth through 12th grades, my parents and brothers somehow tolerated my practice sessions in what was not a large house. During summer vacation, I could practice 8 hours without a break. I am sure this was difficult on the rest of the family.

Seventh grade: I was placed in the most advanced class called 701 (versus 702 though 708 or something like that). There were many new things in what was then considered the start of junior high school. I was not yet a freshman but certainly this was a different experience from grade school.

701 was taught by Mr 'S' who was a gentle man. He determined it was important for me to learn to walk like a boy so I would not be hassled by others. He meant well. We went out in the hallway where he demonstrated the correct way for a boy to walk. I didn't get it right away! Once I did, though, the lesson remained with me until I recently let go of it. For decades, I was always monitoring the way I walked and making corrections if I seemed to slip out of the ideal.

I continued to feel that I did not fit in with boys but this had not yet caused me the major grief I experienced during and after puberty. At college, well after the end of most of puberty's changes, I was very uncomfortable with my male body.

Seventh grade also was my introduction to final exams and I was terrified of failing. Although I was very nervous, I did well. On my math test, I scored one point higher than Mr. 'S', who wrote the test himself. I was never quite sure how that worked out.

During the summer between seventh and 8th grade, a neighbor girl, 'J' from down the street would stop by. We would sit outside, play cards and talk. One fine summer day, we decided to try a kiss which would be the first for both of us. We sat against the trunk of a beautiful, old red oak in the back yard. Then we did the evil deed by exchanging a light peck on the lips. We were caught in the act by one of her friends riding by on her bike. She told J's parents who then called mine. J was forbidden to see me for five, yes count them, five whole years. My parents were clearly unhappy with my reported behavior. I was asked if the kiss had happened and I responded, meekly, "no". This was the beginning of a time when I felt further alienation from my parents.

This experience was another sign that I could not share with my parents any of the real concerns of my life as they later developed. Like thoughts of being attracted to men. My occasional attempts at verbally setting myself apart from all other boys, stating that 'I am not like any of them', were met with forceful rebukes.

In the eighth grade I was placed in section 801. I could see what puberty was doing to older boys and I was depressed to think this would happen to me. I remember before puberty started, I stroked my fingers across my smooth cheeks thinking it would not be long before I could no longer enjoy that sensation. Sometime during 8th grade, obvious signs of changes started occurring. Like getting the seemingly constant erections that can be very embarrassing for many boys. Particularly when they occur without any thought, seemingly popping up on their own with amazing frequency and in very public places.

Sometime during puberty, my youngest brother proudly pointed out the hair that was growing in my nose. I was very embarrassed by this. He thought it was cool.

Similarly, we were visiting my father's parents one summer. We saw them once or twice a year as they were a 350-mile drive from our home. A male first cousin 'G' was close to my age. He had on shorts which I had refused to wear for some time. We were sitting on my grandparents' patio late one evening. G was very proud of his new leg hair and was stroking it with his hands. I was horrified by this and the fact that he was doing this in front of the adults. I had on my nice long pants. It got worse when my grandmother said to me, in front of everyone else, that she would be proud of this if she were a young man. Wouldn't I be proud, too? I didn't respond but I did not think this was something I would ever be proud of. Turned out, I never was. Looking back at this, I think my grandmother, who was a very sweet German woman, knew I was different. She was trying to gently nudge me along toward masculine behavior.

Sometime in the midst of puberty, I had a physical scheduled with the school doctor. I shaved off all body hair because I did not want to be embarrassed in front of the nurse and doctor. Around that time, I also stopped wearing shorts and short-sleeved shirts. I continued refusing to go without a shirt inside or out on warm days. Years earlier, I had refused to go shirtless because the was not something girls did. Years later, after I had been married several years I still would not go without a shirt in public. My ex-wife's pleading finally coaxed me out of my shirt on some visits to the beach. I kept my shirt off for as little time as I thought I could get away with without looking totally out of place as a man. That usually meant removing it right before going in the water and then, after a brief swim, running back to the beach blanket to put my shirt back on.

One summer, my youngest brother became tired of 'sandlot' ball in the nearby field and decided he and his buddies should be able to play in the back yard. There was one problem with this. My gardens were in the way. He and his friends trampled some of my plants. This left me in tears and brought back memories of the 5 year old I once was and that younger boy's first ever garden zinnias being tossed in the city street. This brother, whom I generally got along with, could not seem to understand why the loss of a few plants should bother me.

Ninth grade started, the beginning of my 'life' as a freshman. During the school year, we had 'health' class which was taught by one of the gym instructors. I walked in first one day and the very handsome young teacher was there behind the desk. He said to me something like 'it is OK to be different, you know'. Although I knew I was different I did not like it. I also thought by this time my difference would not be so blatantly obvious that even this man who had only seen me once or twice before would know that I was different. I did not respond, as if keeping silent would make the incident disappear. Years later, I regretted not having told this kind man that I appreciated his comment. Unlike my well-meaning seventh grade teacher who wanted me to change to fit in, this man was looking me in the eye and saying I was OK being different. What a gift that was back in the mid-1960s.

At some point in ninth or tenth grade, I decided I needed to get straight A's on my report cards. So I did. What was remarkable about this is that I had only gotten C's in gym before. Along with all the other A's that now showed up on my report cards, I was suddenly receiving A's for gym, too. I can assure you, my performance in gym class was the one thing that had not changed a bit. The school administrators must have let the gym instructors know that they had to now give me A's in gym so as not to ruin my string. Or else they simply changed the C's to A's without consulting the teacher.

Sometime in junior high or high school, I started wearing nothing but dark clothing, maybe with some white shirts. I wore only long-sleeved shirts to hide the hair on my arms. At school, I always buttoned my shirts to the top button. My parents did not understand why I would not dress in livelier colors and wear shorts.

I took the school bus to classes. In the mornings I could not bring myself to stand with the other boys. I felt more alone through school as this feeling of apartness grew. I looked at the other boys and their behavior and could not believe that I could possibly be one of them. They were loud and constantly making sexual comments. They did this in a crude way that is probably typical for boys this age and to be expected.

My parents wanted me to date. Certainly by the time I was a sophomore they were expecting me to go to the prom or whatever it was. I never dated in high school.

I did get propositioned for gay sex by several students. They wanted to meet in the woods and have at it. I was terrified and never went.

As I progressed through high school, I thought I was at least on speaking terms with some of the boys. One by one, they all eventually refused to speak with me until near the end of my senior year my last 'friend' refused to sit with me on the bus one day. The bus stopped for him first and then, once I got on, I would sit next to him. One day, he told me he could no longer sit with me. At graduation he sort of apologized saying that he could not be seen with me and be on good terms with the other boys.

Throughout high school, gym class was a bad experience. There were periods when I regularly went to the nurses office to be checked for a fever. Somehow, my temperature was always a bit elevated and I would get an excuse from gym. I hated gym class. The boys were bullies and I was regularly called 'faggot'. I had no idea what that meant but their tone made it clear this was not considered a good thing.

I was tormented daily by boys beating on me, even in class. They would bide their time until the teacher was not looking and then punch me very hard. I dared not tell my parents about this because this would be seen as further evidence that I was not masculine. They had already made clear that I was not to say anything about not feeling like a boy.

I never once fought back against the bullies and I am not exactly sure why. I have some ideas and may come back to this. Part of it was from a misguided interpretation of 'turn the other cheek'. Throughout high school, I dreamed of becoming a Lutheran minister.

Church was a genuine sanctuary for me then. I started playing the organ in the ninth grade. Women commented on how gracefully I walked while serving as an acolyte, lighting the candles before the service. They compared my graceful motions to the ungraceful movements of other boys. Apparently, the walking lesson provided by my seventh grade teacher never entirely 'took.'

Pastors I came to know at church seemed to not notice or care about how different I might be. I felt at home.

During my last year or two before high school graduation, I would spend Friday evenings at a female friend's home. She had a home organ and we would take turns playing and occasionally play a duet. We spent time watching TV and talking. The thought never entered my head to try anything physical with this young woman. Years later I learned she was disappointed nothing ever developed between us.

At the very end of my last day in high school, the principal came up to me and said what I wonderful student I had been. I had never spoken with the man before. He went on to say how better things would be if all the boys were like me. Ah, right, the other boys past, present and future would not be like me. They were being busy being boys. I was not.

Graduation day came and not a day too soon. There had been college recruiters at the school and it seemed school beyond 12th grade would be a relief.

The evening of graduation day, there was a party for departing seniors. This was the only school-sponsored event I ever attended. I did not feel free in who I was and people picked up on this. My eighth grade history teacher was there. Before that night I had really liked him. At the party though, he said in a loud voice something like "What the hell is wrong with you? Why can't you just relax and have fun?" This was my first and last high school party and it left me feeling more alienated from everyone. I was also glad I had not attended any previous high school dances. I was shocked that a teacher I looled up to would treat me this way at all, let alone in front of classmates.

The day after graduation, the mother of a female classmate brought 'E' to our home. She said E was very interested in getting to know young men who were smart and nice. I am sure there were a few other details that I do not recall. Somehow, I did not get the point that they were thinking about me as a potential prospect. I basically looked at them with what must have seemed like total indifference. It was more a total lack of comprehension at what was going on. They left and I never heard anything else from them

I attended college at a liberal arts school in the midwest well-known for its excellent programs in music, science and math. This was 1,200 miles from home and one reason I chose this school was to get away from home.

I never understood the mechanics of sex until I was a graduate student. In high school, I observed dogs mating with some interest but I made no connection between this and what people must do. I asked my father how people have babies and he was too embarrassed to explain. He did get a pamphlet from church that was supposed to explain things. It still was unclear to me. Finally, out of desperation for the information, in grad school I went to the medical library and found out all kinds of interesting things on sex. I had been out of touch with my body before then. The med school books opened my eyes and at the age of 22 I had my first orgasm.
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Re: Transsexual identity development - a case study

Post by Danya (imported) »

When I was writing the last post here, I found I was trying to hurry through all the childhood years of my life. I just had to get it over with all over again. This time, unlike the child I once was, I am in charge and as I wrote I thought 'enough!' It was getting to be too much to handle emotionally. Although it may look like I was merely listing events from my early life, there were all kinds of memories tied to those I left undiscussed. Later, I hope to go back and look at some of that more closely.

In the meantime, I need a break from my childhood. So I'm giving the poor kid a rest.

Instead, I am taking a little bit of a detour here to mention a paper written by two well-known electrical engineers. Femke Olysander and Lynn Conway take a novel approach to estimate the prevalence of male to female transsexuality. They look at real data and develop mathematical methods to estimate just how rare transsexualism is. By their calculations, transsexualism is not nearly as rare as everyone has assumed, at least the MtF type. The lower limit on its frequency may be closer to 1 in 500. Other sources, which I will bring in later, show figures more similar to 1 in 10,000 or even fewer.

As electrical engineers, the authors' technical backgrounds are not at all similar to that of the biologists, biochemists, developmental psychologists, gender researchers and others who have studied the origin of transgender individuals. Perhaps this is an advantage. They are certainly very capable 'number crunchers', though, and that is what they are doing in their analysis.

Lynn Conway is an internationally known engineer, now retired, who made a major impact on the development of computers. She also is a TS woman who has displayed a lot of courage throughout her life to be herself. Her own transgender status may cause some to doubt the validity of the paper's arguments. If you look closely at her web site you may conclude, as I have, that she is remarkably objective in her outlook in many areas. She does not hesitate, however, to speak out against what she views as faulty science on TG matters.
Danya (imported) wrote: Sat Jul 12, 2008 9:36 pm (http://ai.eecs.umich.e
Danya (imported) wrote: Sun Jul 20, 2008 8:45 pm du/people/conway/
). I h
ave found this site to be a gold mine of information on TG people, among other things.

The paper is:

On the Calculation of the Prevalence of Transsexualism

Paper presented at the WPATH 20th International Symposium, Chicago, Illinois, September 5-8, 2007.

Submitted for publication in the International Journal of Transgenderism (IJT).

By Femke Olyslager* and Lynn Conway**

September 6, 2007***

Copyright @ 2007, Femke Olyslager and Lynn Conway.
Prevalence/Reports/Prevalence%20of%20Transsexualism.pdf

I will come back to this discussion another time and look at the paper in detail. My main purpose tonight was to put out the suggestion that TS persons, and possibly by extension, TG people may not be nearly as uncommon as generally thought.
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Re: Transsexual identity development - a case study

Post by Danya (imported) »

I haven't posted here in some time because I have been exploring online sources to use as references for the Olyslager and Conway paper I introduced in the last post. I am still in the process of researching this.

Along the way, I have also found sources that seek to explain the types of transsexuals. I am not sure categorizing transsexuals is useful or even valid. What is interesting is the degree to which various researchers (and wannabe researchers or pseudo-researchers) will go to defend their positions against contrary evidence.

Right now, it seems I do not fit into any of the transsexual types. I include types that are generally accepted and other types that are not so well accepted. I am totally OK with this. In the end, it is my own experience of who I am that matters, after all. In addition, researchers typically state that 'most' transsexuals of a certain type had a given set of life experiences.

As an example, there is talk by some of 'homosexual transsexuals' and 'androphilic transsexuals'. These are described as early onset for TS identification with an erotic attraction to men. I have always had an erotic attraction to men but I certainly did not identify as TS at an early age. Some authors report that this type of transsexual is the most likely to be satisfied with the results of GRS.

It seems that there is no general agreement, however, on the types of transsexuals. Many suggest categorizing transsexuals is pointless.

A problem I have with the phrase 'homosexual transsexuals' is that it may further the view by some gay men that trans women are really failed homosexuals. They couldn't quite make it as the gay men they truly are so they decide to transition. Until quite recently, there has been a very real antipathy in parts of the gay community to transgender people. Fortunately, that is changing for the better.

I will put all this together in a more detailed way, with references, on a later date.
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Re: Transsexual identity development - a case study

Post by Danya (imported) »

...
Danya (imported) wrote: Sun Aug 03, 2008 9:59 pm I am taking a little bit of a detour here to mention a paper written by two well-known electrical engineers. Femke Olysander and Lynn Conway take a novel approach to estimate the prevalence of male to female transsexuality. They look at real data and develop mathematical methods to estimate just how rare transsexualism is. By their calculations, transsexualism is not nearly as rare as everyone has assumed, at least the MtF type. The lower limit on its frequency may be closer to 1 in 500. Other sources, which I will bring in later, show figures more similar to 1 in 10,000 or even fewer.

I will come back to this discussion another time and look at the paper in detail. My main purpose tonight was to put out the suggestion that TS persons, and possibly by extension, TG people may not be nearly as uncommon as generally thought.

Another time has arrived, sort of anyway. I was looking for other papers discussing or even mentioning the prevalence of transsexualism and came across An Interview with Walter Bockting, P.h.D. (http://www.positivelyaware.com/forum/in ... owtopic=39). This is a very recent publication. The main focus of the article is HIV in transgender persons. Bockting brings up some related points that are very pertinent to what I am discussing. Those are the parts I will post this evening.

Aug 6 2008, 02:50 AM

this article originally appeared in the July/August 2008 issue of Positively Aware magazine (http://positivelyaware.com/2008/08_04/w ... kting.html)

A leading expert on HIV in the transgender community explains why there's more work to be done.

Interview by Jeff Berry

Psychologist Walter Bockting is the author and editor of several books, including two on transgender people with HIV. He recently spoke with PA about some of his research and work within the transgender community. In his book Transgender and HIV, Bockting points out that transgender challenges our conventional understandings of sex, gender, and sexual orientation, and forces us to develop more effective HIV interventions for all. Bockting is Associate Professor at the Program in Human Sexuality, Department of Family Medicine and Community Health at the University of Minnesota Medical School in Minneapolis. He coordinates the University of Minnesota Transgender Health Services. He is the current President Elect of the World Professional Association for Transgender Health.

Danya: Bockting has this to say about the prevalence of transgenderism and transsexualism (for which he uses "at least" in talking about frequency of occurrence): "In other countries where there is centralized healthcare and everyone can access care to feminize or masculinize their bodies through hormones or surgery, the rate is at least 1 in every 12,000 for male-to female [MTF] and 1 in 30,000 for female-to-male [FTM]. But these are transsexuals who access the system and this does not include many more transgender people who don’t get their hormones this way, or are transgender and don’t feminize or masculinize their bodies. The entire transgender population is likely to be much larger, perhaps 1 in every 2,000."

As I said, much of the Bockting interview focuses on HIV in the transgender population. He makes some interesting observations on the TG experience and appears to equate TG and TS in some situations, but not unambiguously. Many trans women do not like the term transsexual because what it's all about isn't sex but rather gender. Sex can, of course, be an important part of the whole experience but the core point is what gender does the individual experience themselves as being. I found this next section fascinating for Bockting's discussion of differences in TG experiences from natal males and females. He doesn't mention a gender continuum in this section, but it can be inferred. TG individuals can have a gender ('gender' added by Danya) "identity and a sexuality that transcends that dichotomy" of male and female.

Jeff Berry: Are there any universal concepts or lessons learned in HIV prevention among MSMs (men who have sex with men - comment by Danya) that can better inform us on how to reach the transgender community—and can you even call it a community?

Walter Bockting I think you can definitely call it a community. I’m not saying there isn’t room for further community building, but there is definitely a strong transgender community. The Internet has definitely played a major role in the development of that. I think that there’s a need to affirm transgender identity and sexuality. There has been a shift from the 60s, 70s and even 80s, when transgenderism was all about men spending time as women, or men becoming women, and women becoming men. Since the 1990s we recognize that transgender people are different from both men and women, they have their own identity, and MTFs are not so much trying to make a transition from male sexuality to female sexuality, but rather are coming out and exercising their transgender sexuality. We need to increase our understanding of how transgender people are different from both men and women, and how their sexuality differs from both male and female sexuality.

We know that hormones play a role in how transgender people’s sexuality changes over time. We know that a male who gets feminizing hormones experiences a decrease in libido and develops a greater sense of vulnerability. The same thing for FTMs: when they take testosterone, they finally get what men have been talking about. But I think further along in their transition, they integrate both their male and female experience, and they’re really actualizing an identity and a sexuality that transcends that dichotomy. They have their own fantasies, their own behaviors, distinct from what non-transgender women and men experience.
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Re: Transsexual identity development - a case study

Post by Danya (imported) »

Danya (imported) wrote: Sun Aug 03, 2008 9:59 pm Instead, I am taking a little bit of a detour here to mention a paper written by two well-known electrical engineers. Femke Olysander and Lynn Conway take a novel approach to estimate the prevalence of male to female transsexuality. They look at real data and develop mathematical methods to estimate just how rare transsexualism is. By their calculations, transsexualism is not nearly as rare as everyone has assumed, at least the MtF type. The lower limit on its frequency may be closer to 1 in 500. Other sources, which I will bring in later, show figures more similar to 1 in 10,000 or even fewer.

The paper is:

On the Calculation of the Prevalence of Transsexualism

Paper presented at the WPATH 20th International Symposium, Chicago, Illinois, September 5-8, 2007.

Submitted for publication in the International Journal of Transgenderism (IJT).

By Femke Olyslager* and Lynn Conway**

September 6, 2007***

Copyright @ 2007, Femke Olyslager and Lynn Conway.
Danya (imported) wrote: Sat Jul 12, 2008 9:36 pm
Prevalence/Reports/Prevalence%20of%20Transsexualism.pdf

I will come back to this discussion another time and look at the paper in detail. My main purpose tonight was to put out the suggestion that TS persons, and possibly by extension, TG peopl
e may not be nearly as uncommon as generally thought.

This thread is turning out to be more of a mishmash of information than I had intended. I chalk that up to a busy life and too many things I really want to accomplish. Posting on the Archive is certainly one of those things but by no means the only one.

So,
Danya (imported) wrote: Sun Aug 31, 2008 6:07 pm ]
here I am tonight returning to
the discuss
[/quote]
ion of
Danya (imported) wrote: Sun Aug 03, 2008 9:59 pm the Femke Olyslager and Lynn Conway presentation from the WPATH 20th Internationa
l Symposium, Chicago, Illinois, September 5-8, 2007. WPATH stands for World Professional Association for Transgender Health (http://www.wpath.org/index.cfm). It is based in Minneapolis, Minnesota but holds meetings around the world. The organization was originally named after Harry Benjamin, M.D. (http://www.wpath.org/about_wpath.cfm), one of the pioneers in the treatment of persons with gender dysphoria.

The paper is well-referenced, providing a very scholarly argument. It is also very difficult reading because of the complexity of the arguments. In a way, it reminds me of one of my own chemistry publications on the two-dimensional Nuclear Magnetic Resonance determination of the molecular structure of newly synthesized poly(ether sulfones). If I had to read and make sense of that paper today I would find it difficult going even though I was the author. There is no way, then, that I have the time to even begin a proper summary of the WPATH presentation.

Because of this, I am going to do little more than quote sections of the Summary and Conclusions (Section 6) portion of the presentation. I have added emphasis to some words by changing the font to bold and italicized.

"Given the methods used in data collection and interpretation, those past reports have given the

erroneous impression that the inherent transsexual condition is far rarer than it actually is. However, we can now determine much more realistic lower bounds on the prevalence of the

inherent condition of transsexualism (under Wålinder s definition), by building upon improved

analyses of the prev
Danya (imported) wrote: Sun Aug 03, 2008 9:59 pm alence of HT and SRS and then ex
tending those results to estimate the

prevalence of the underlying condition."

Wålinder's definition from this quote is elaborated on earlier in the paper:

"1. A sense of belonging to the opposite sex, of having been born into the wrong sex, of being

one of nature s extant errors.

2. A sense of estrangement with one s own body; all indications of sex differentiation are

considered as afflictions and repugnant.

3. A strong desire to resemble physically the opposite sex via therapy including surgery.

4. A desire to be accepted in the community as belonging to the opposite sex.

Wålinder s definition gradually became a de-facto definition of transsexualism in the research

literature, and, as we will see, it was adopted as such by most of the later prevalence studies.

Because of this, we use it in our analyses and cross-comparisons of those later studies. Wålinder s

definition is a workable one for our purposes here, being very close to modern efforts at defining

transsexualism, such as in the WHO ICD-10:

Transsexualism: A desire to live and be accepted as a member of the opposite sex, usually

accompanied by a sense of discomfort with, or inappropriateness of, one's anatomic sex, and a

wish to have surgery and hormonal treatment to make one's body as congruent as possible with

one's preferred sex. [WHO07a]

It is most important to note that Wålinder s definition refers to the inherent condition of

transsexualism as a percept, rather than the condition of having actively sought help, much less

having undergone treatment to resolve the inherent condition. Wålinder thus implicitly indicated

that his prevalence numbers should be interpreted as minimums (i.e., as lower bounds ), in

part because they only counted those who had already sought help."

"The bottom line: The inherent prevalence of the transsexual condition, both P(TSImf) and

P(TSIfm), now appears to be nearly two orders of magnitude greater than the old figures of

1:30,000 and 1:100,000 so widely cited in the media. It is also appears to be more than one order

of magnitude greater than the 1:11,900 and 1:30,400 figures currently cited by WPATH.

These findings have major implications for WPATH and the medical community, since many of

the challenges and problems involved in providing for the health and well-being of
Danya (imported) wrote: Sat Jul 12, 2008 9:36 pm transgender

and transsexual people
are directly proportional to their inherent numbers. The findings also have major implications for the larger social and civil society while in

principle the problems of transphobia, prejudice and discrimination are as great an evil regardless

of how many transpeople there are, in practice the blight they represent becomes larger the more

people are suffering."
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Re: Transsexual identity development - a case study

Post by mrt (imported) »

I think "typing" and classifying people is pointless unless there is a difference that is worth talking about. When or how a person comes to the point of being TS seems to me to be of little interest.

Its difficult (I think) to make a serious count of TS people because we know we have a fair number who prefer to remain in stealth mode and even more that feel that transition was just a short step in their lives. Male once, now female of the other way around. And the goal has been to make this a private legal transition which I think many people support. If someone wants to do this under the radar? Why do we feel the need to put any spotlight on them?

One thing that I've been reading is the increased amounts of Psudo Estrogens in the world and how its effecting male sperm/testosterone levels. Some people hint that these contribute to changes in children in the womb and may be a factor in Transexual development.
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