Transgender, from (Latin) derivatives [trans <L, combination form meaning across, beyond, through] and [gender <ME <MF gendre, genre <L gener- meaning kind or sort]) is a general term applied to a variety of individuals, behaviors, and groups involving tendencies that diverge from the normative gender role (woman or man) commonly, but not always, assigned at birth, as well as the role traditionally held by society.
Transgender is the state of one's "gender identity" (self-identification as woman, man, or neither) not matching one's "assigned sex" (identification by others as male or female based on physical/genetic sex). "Transgender" does not imply any specific form of sexual orientation; transgender people may identify as heterosexual, homosexual, bisexual, pansexual, polysexual, or asexual. The precise definition for transgender remains in flux, but includes:
- "Of, relating to, or designating a person whose identity does not conform unambiguously to conventional notions of male or female gender roles, but combines or moves between these."
- "People who were assigned a sex, usually at birth and based on their genitals, but who feel that this is a false or incomplete description of themselves."
- "Non-identification with, or non-presentation as, the sex (and assumed gender) one was assigned at birth."
A transgender individual may have characteristics that are normally associated with a particular gender, identify elsewhere on the traditional gender continuum, or exist outside of it as "other," "agender," "intergender," or "third gender". Transgender people may also identify as bigender, or along several places on either the traditional transgender continuum, or the more encompassing continuums which have been developed in response to the significantly more detailed studies done in recent years.
- 1 Evolution of the term transgender
- 2 Lexical class of transgender
- 3 Transgender identities
- 4 Transgender in contrast with sexual orientation and transsexuality
- 5 Transgender and healthcare
- 6 Transgender and the law
- 7 Transgender people in non-Western cultures
- 8 Criticism
- 9 See also
- 10 Discuss
Evolution of the term transgender
The term transgender (TG) was popularised in the 1970s (but implied in the 1960s) describing people who wanted to live cross-gender without sex reassignment surgery. In the 1980s the term was expanded to an umbrella term and became popular as a means of uniting all those whose gender identity did not mesh with their gender assigned at birth. In the 1990s the term took on a political dimension as an alliance covering all who have at some point not conformed to gender norms, and the term became used to question the validity of those norms or pursue equal rights and anti-discrimination legislation, leading to its widespread usage in the media, academic world and law. The term continues to evolve.
Lexical class of transgender
Transgender should be used as an adjective, not as a noun. Do not say, "Tony is a transgender," or "The parade included many transgenders." Instead say, "Tony is a transgender man," or "The parade included many transgender people."
The adjective transgender should never have an extraneous "-ed" tacked onto the end. An "-ed" suffix adds unnecessary length to the word and can cause tense confusion and grammatical errors. It also brings transgender into alignment with lesbian, gay, and bisexual. You would not say that Elton John is "gayed" or Ellen DeGeneres is "lesbianed," therefore you would not say Chaz Bono is "transgendered."
While people identify as transgender, transgender identity includes many overlapping categories. These include cross-dresser (CD); transvestite (TV); androgynes; genderqueer; people who live cross-gender; drag kings; and drag queens; and, frequently, transsexual (TS). Usually not included because it is considered to be a paraphilia (rather than gender identification) are transvestic fetishists. In an interview, artist RuPaul talked about society's ambivalence to the differences in the people who embody these terms. "A friend of mine recently did the Oprah show about transgender youth," said RuPaul. "It was obvious that we, as a culture, have a hard time trying to understand the difference between a drag queen, transsexual, and a transgender, yet we find it very easy to know the difference between the American baseball league and the National baseball league, when they are both so similar." These terms are explained below.
The extent to which intersex people (those with ambiguous genitalia or other physical sexual characteristics) are transgender is debated, since not all intersex people disagree with their gender assigned at birth. The current definitions of transgender include all transsexual people, although this has been criticized. (See below.)
The term trans man refers to female-to-male (FtM or F2M) transgender people, and trans woman refers to male-to-female (MtF or M2F) transgender people, although some transgender people identify only slightly with the gender not assigned at birth. In the past, it was assumed that there were far more trans women than trans men, but a Swedish study estimated a ratio of 1.4:1 in favour of trans women for those requesting sex reassignment surgery and a ratio of 1:1 for those who proceeded. There is a school of thought that says terms such as "FtM" and "MtF" are subjugating language that reinforces the binary gender stereotype.
Main article: Transsexual
Many transsexual people have a wish to alter their bodies. These physical changes are collectively known as sex reassignment therapy and often include hormone replacement therapy and sex reassignment surgery. References to "pre-operative", "post-operative" and "non-operative" transsexual people indicate whether they have had, or are planning to have sex reassignment surgery. People who have transitioned, who do not necessarily identify as transgender or transsexual any longer; they identify as simply a man or a woman. Those that continue identifying as transsexual don't want to ignore their pre-transition life and may continue strong ties with other trans people and raising social consciousness.
The term 'cross-dresser' is not exactly defined in the relevant literature. Michael A. Gilbert, professor at the Department of Philosophy, York University, Toronto, offers this definition: "[A cross-dresser] is a person who has an apparent gender identification with one sex, and who has and certainly has been birth-designated as belonging to one sex, but who wears the clothing of the opposite sex because it is the clothing of the opposite sex." This excludes people "who wear opposite sex clothing for other reasons". Also, the group doesn't include "those female impersonators who look upon dressing as solely connected to their livelihood, actors undertaking roles, individual males and females enjoying a masquerade, and so on. These individuals are cross dressing but are not cross dressers." Cross-dressers may not identify with, or want to be the opposite gender, nor adopt the behaviors or practices of the opposite gender, and generally do not want to change their bodies medically. The majority of cross-dressers identify as heterosexual.
A transvestite is somebody who cross-dresses. The term "transvestite" is used as a synonym for the term "cross-dresser", although it has been stated that "cross-dresser" is the preferred term. The term "transvestite" and the associated term "transvestism" are conceptually different from the term "fetishistic transvestism" (a.k.a. "transvestic fetishism"), as "transvestic fetishist" describes those who intermittently use clothing of the opposite gender for fetishistic purposes, and "transvestite" does not. In medical terms, transvestic fetishism is differentiated from cross-dressing by use of the separate codes 302.3 in the DSM and F65.1 in the ICD.
Drag kings and queens
Drag is a term applied to clothing and make-up worn on special occasions for performing or entertaining as a hostess, stage artist or at an event (e.g. Lypsinka). This is in contrast to those who cross-dress for other reasons or are otherwise transgender. Drag can be theatrical, comedic, or grotesque, and female-identified drag has been considered a caricature of women by second-wave feminism. Within the genre of drag are gender illusionists who do try to pass as another gender. Drag artists explore gender issues and have a long tradition in LGBT culture. Drag has been regarded as an area where transgender people can find more acceptance and financial support than mainstream work environments. Generally the terms drag queen covers men doing female drag, drag king covers women doing male drag, and faux queen covers women doing female drag.
Genderqueer is a recent attempt to signify gendered experiences that do not fit into binary concepts, and refers to a combination of gender identities and sexual orientations. One example could be a person whose gendered presentation is sometimes perceived as male, sometimes female, but whose gender identity is female, gendered expression is butch, and sexual orientation is lesbian. It suggests nonconformity or mixing of gendered stereotypes, conjoining both gender and gayness, and challenges existing constructions and identities. Genderqueerness is unintelligible and abjected in the binary sex/gender system.
People who live cross-gender
People who live cross-gender live always or mostly as the gender other than that assigned at birth. If they want to be or identify as their gender assigned at birth, then the term "crossdresser" may be used. If they want to be or identify as the gender they always or mostly live in, then the term "transsexual" may be used. The term "transgender" or "transgenderist" has been applied to people who live cross-gender without sex reassignment surgery.
An androgyne is a person who does not fit cleanly into the typical gender roles of their society. Androgynes may identify as beyond gender, between genders, moving across genders, entirely genderless, or any or all of these. Androgyne identities include pangender, bigender, ambigender, non-gendered, agender, gender fluid or intergender. Androgyny can be either physical or psychological; it does not depend on birth sex and is not limited to intersex people. Occasionally, people who do not define themselves as androgynes adapt their physical appearance to look androgynous. This outward androgyny has been used in fashion, and the milder forms of it (women wearing men's pants or men wearing two earrings, for example) are not seen as transgender behavior.
Transgender in contrast with sexual orientation and transsexuality
Transgender vs. Sexual Orientation
Gender identity and transgender identity are fundamentally different concepts to that of sexual orientation. Transgender people have more or less the same variety of sexual orientations as cisgender people. In the past, the terms homosexual and heterosexual were used for transgender folks based on their birth sex. Professional literature now uses terms such as attracted to men (androsexual), attracted to women (gynosexual), attracted to both or attracted to neither to describe a person's sexual orientation without reference to their gender identity. Therapists are coming to understand the necessity of choosing terms with respect to their clients' gender identities and preferences.
Despite this distinction, throughout history the gay, lesbian, and bisexual subculture was often the only place where gender-variant people were socially accepted in the gender role they felt they belonged to; especially during the time when legal or medical transitioning was almost impossible. This acceptance has had a complex history - like the wider world, the gay community in Western societies did not generally distinguish between sex and gender identity until the 1970s, and generally perceived gender variant people more as homosexuals who behaved in a gender-variant way than as gender-variant people in their own right.
In the years following the sexual revolution of the 1960s, transgender sexuality has often been accepted into the fold of the burgeoning LGBT movement. The nature and degree of this acceptance has not been without controversy, however, and has drawn criticism from LGB and transgender people alike.
Transgender vs. Transsexual
Transsexual is a more precisely defined term than transgender in that researchers and clinicians use the term to describe people who undergo or want to undergo sex reassignment. Those engaging with the medical community organized around the term frequently passing through a series of understandings of themselves in relation to the term "transsexual": (1) unaware of the term, (2) wondering if it applies to them, (3) seeing how their medical needs mean it does, and (4) later identifying themselves as "having been" transsexual while engaged with the medical process but simply being men or women . The term "transsexual" thus retains a stable meaning relative to treatments that would be impossible without scientific knowledge regarding things like sex hormones and surgical techniques.
Some individuals who are technically "transsexual" initially feel squeamish around the term simply because it contains the term "sex" within it, and it mentally primes for imagery around genitals and the act of sex. In most cases they chose to personally identify as "transgender" for a period of time without realizing any of the history or socio-political structures that have developed around the term. Thus, depending on the speech community the difference between transgender and transsexual is purely one of semantics (that is, some speakers say "transgender" and intend to denote basically the same thing as clinicians denote with "transsexual"). And because the incidence of transsexuality is so low, it is difficult for transsexual people to find each other and affiliate. Socially speaking the "transsexual community" is more of an archipelago than a continent.
Some transsexuals also take issue with the term because Charles "Virginia" Prince, the founder of the cross dressing organization Tri-Ess and coiner of the term "transgender", did so because she wished to distinguish herself from transsexual people. In "Men Who Choose to Be Women" Prince wrote "I, at least, know the difference between sex and gender and have simply elected to change the latter and not the former". There is a substantial academic literature on the difference between sex and gender, but it is possibly worth noting that pragmatic English this academic distinction is ignored and "gender" is used mostly to describe the categorical male/female difference while "sex" is used mostly to describe the physical act.
This serves as an example of a broader set of issues with "transgender" as an umbrella term for "gender variant people." There are three major factors at play:
- Trans women are a small but highly visible group of people who serve as a prototype for both the category transsexual and transgender. They are deployed as lurid or tragic characters in television and film. They are written about by a variety of cisgender authors who use them as extreme examples to make theoretical points (EG Janice Raymond and Michael Bailey). Also, they are frequently used (especially when they're young and attractive) as vivid examples of women unfairly mistreated by social and political and economic systems - hence they can be deployed as "a worthy liberal cause".
- Most transgender people are not trans women. Trans men are also uncommon but draw less attention. And transsexual men and women are outnumbered by cross dressing males such as Helen Boyd's husband (described in "My Husband Betty"). The term can also be extended to drag kings and drag queens, and for that matter (to the degree that "transgender" is seen as a term encompassing all people who deviate from ideals of straight masculinity or straight femininity) to gays, lesbians, metrosexuals, infertile men and women, tomboys, men with lisps, and so on (whether or not these groups see themselves as transgender or not). The transgender political cause (in its broadest form ) advocates for the elimination of all social and political sanctions for deviating from social expectations around gender. In this sense it is consistent with some forms of feminism. One might be tempted to say that "transgender" functions as a replacement for "queer" except (1) gay men are decentered from prototype status in favor of transsexual women and (2) cross dressing heterosexual males don't object to being called "transgender".
- When a person deviates from the script handed to them by they culture when they were born, they are likely to face stigma. If they are unwilling or unable to follow the script they must rethink a substantial amount of their identity, explaining to themselves and others the illegitimacy of their stigma. Their justification is pointless unless it permits the person retain their dignity while doing what they deem necessary for survival and/or happiness, but smaller claims will be more likely to be broadly accepted. An "umbrella justification" is necessarily radical (and unlikely to succeed politically, for example) while particular justifications are likely to both conflict and be inadequate for all groups. Moreover, the issue is likely to arouse controversy because it substantially involves matters of self esteem.
These factors help explain tensions and divisiveness within the communities falling under the "transgender" political umbrella. For example, transsexual men and women who can pay for medical treatments (or who have institutional coverage for their treatment) are likely to be concerned with medical privacy and establishing a durable legal status as men and women later in life. Extending insurance coverage for medical care is a coherent issue in the intersection of transsexuality and economic class. Most of these issues can appeal even to conservatives if framed in terms of an unusual sort of "maintenance" of traditional notions of gender for rare people who feel the need for medical treatments. Some trans people might express this by saying "I don't challenge the gender binary, I just started out on the wrong side of it."
This "conservative friendly" framing is actively threatened (and made less politically viable) by fuzzier notions of "transgender" issues where it is precisely the maintenance or support of identity boundaries based on gender that is considered unjust. Sometimes the more radical "transgender" cause is characterized as an effort to "tear down the gender binary," a key element of Third-wave feminism.
When the term "transgender" frames a policy debate the issue is more likely to revolve around issues of "men in women's bathrooms", violence targeting gender variant people, and employment (see ENDA). Some transsexuals (especially as their medical treatment fades into their history) object to being used as a central example of a political category when the issues advanced under that category are far from their primary concerns. An extreme example of this can be found in the text of "Harry Benjamin Syndrome" (HBS) activist Charlotte T. Goiar who advocates the abandonment of not just the term "transgender" but also the term "transsexual" and writes:
- My own opinion is that all others in this umbrella category are using the arguments for HBS to undergird their arguments in favour of their specific psychopathology. In effect, they attempt to ride upon the backs of those with HBS to gain sympathy for their cause. In terms of numbers, people with HBS are perhaps only 1% of this group. We are silent in comparison with the often loud and strident "transgender activists". Therefore, one can see that much of the misconception in the public perception of HBS comes from those who do not have the condition in the first place. All people with HBS should distance themselves from transgenderists completely and totally.
At the same time the incidence of transsexualism is so low that if active lobbying is to be done on behalf of transsexuals, it appears pragmatically to require their forming a coalition with more numerous and homogeneous communities like gays, lesbians, cross dressers, and/or feminists (all of these alliances requiring the broader/inclusive "transgender" framing which can be seen as hostile to the less culturally radical transsexual framing to the degree that two political frames are difficult to sustain around a small group of women who serve as the underlying prototypes for the term "transgender" and "transsexual"). For example, Lambda Legal filed a brief in support of the validity of a marriage in Texas between a cissexual man and a trans woman who had been post-op for many years, but while doing so the lawyer, Jennifer Middleton, used the press coverage to simultaneously argue for same sex marriage even though the presumed point of her legal argument was that the marriage was actually between a man and a woman .
The "conservative" framing of transsexuality is thus in a sort of political limbo. The transsexual men and women who welcome it are vastly outnumbered by their potential allies, all of whom offer help in the service of a larger progressive agenda to dismantle hierarchies around gender that can fall apart  when conservative notions of "boundary maintenance" are not respected.
The term "trans" is an emerging term with many of the same underlying issues as "transgender". In some support communities it is used as a term that synonymous with "transsexual" but better because it lacks the embedded "sex" and accompanying mental associations.
In more publicly visible communities focused on education and activism, "trans" is being used as an synonym for the umbrella term "transgender" that has not yet been polluted by interfactional controversy. For example, Leslie Feinberg has called for the replacement of transgender as an umbrella term with the term trans ( see page xi). This terminological effort focuses on issues of identity formation and attempts to privilege no group in the transgender communities. It has successfully served as a bridging term in places like the Survivor Project . Also, Remembering Our Dead  memorializes while refraining from labeling those memorialized as transgender - or indeed as any sex or gender category - unless it was documented as used by the person memorialized.
It is unlikely that those who commit hate crimes against gender variant people care to grapple with the specifics of their victims' identities.
Transgender and healthcare
Beginning therapy is recommended for all people who are frustrated by their gender, especially if they desire to transition. People who experience discord between their gender and the expectations of others or whose gender identity conflicts with their body benefit by talking through their feelings in depth with someone who will listen indefinitely. However, gender identity is new to psychology and research is still in its infancy.
Transgender people may be eligible for diagnosis of gender identity disorder (GID) "only if [being transgender] causes distress or disability." This distress is referred to as gender dysphoria and may manifest as depression or inability to work and form healthy relationships with others. This diagnosis is often over-simplified to mean that simply being transgender means a person suffers from GID which is not true. This has caused much confusion to transgender people and those who strongly seek to either criticize or affirm them. Transgender people who are comfortable with their gender, whose gender does not directly cause inner frustration or impair their functioning, do not have GID and are not applicable for a related mental disorder. Further, GID is not permanent and is usually resolved through therapy and transitioning, especially its social aspects. GID does not refer to people who feel oppressed by the negative attitudes and behaviors or others including legal entities in the same way that racist institutions do not create a "race disorder." Neither does GID imply an opinion of immorality - the psychological establishment holds the position that people with any kind of mental or emotional problem should not receive stigma. The solution for GID is whatever will alleviate suffering and restore functionality; this often, but not always, consists of undergoing a gender transition.
The terms "transsexualism", "dual-role transvestism", "gender identity disorder in adolescents or adults" and "gender identity disorder not otherwise specified" are listed as such in the International Statistical Classification of Diseases (ICD) or the American Diagnostic and Statistical Manual of Mental Disorders (DSM) under codes F64.0, F64.1, 302.85 and 302.6 respectively.
Transgender issues are both new in the scientific field and affect relatively few people, so understandably many mental healthcare providers know little about transgender issues. People seeking help from these professionals often end up educating the professional rather than receiving help. Among those therapists who profess to know about transgender issues, many believe that transitioning from one sex to another the standard transsexual model is the best or only solution. This usually works well for those who are transsexual, but is not the solution for other transgender people, particularly genderqueer people who do not identify as exclusively male or female.
Medical and surgical procedures exist for transsexual and some transgender people. (Most categories of transgender people as described above are not known for seeking the following treatments.) Hormone replacement therapy for trans men induces beard growth and masculinises skin, hair, voice and fat distribution. Hormone replacement therapy for trans women feminises fat distribution and breasts. Laser hair removal or electrolysis removes excess hair for trans women. Surgical procedures for trans women feminise the voice, skin, face, adam's apple, breasts, waist, buttocks and genitals. Surgical procedures for trans men masculinise the chest and genitals and remove the womb and ovaries and fallopian tubes. The acronyms "GRS" and "SRS" refer to genital surgery. The term "sex reassignment therapy" (SRT) is used as an umbrella term for physical procedures required for transition. Use of the term "sex change" has been debated. Availability of these procedures depends on degree of gender dysphoria, presence or absence of gender identity disorder, and Standards of Care in the relevant jurisdiction.
Transgender and the law
Legal procedures exist in some jurisdictions allowing an individual to change their legal gender, or their name, to reflect their gender identity. Requirements for these procedures vary from an explicit formal diagnosis of transsexualism, to a diagnosis of gender identity disorder, to a letter from a physician attesting to the individual's gender transition, or the fact that one has established a different gender role.
Transgender people in non-Western cultures
In Thailand and Laos, the term kathoey is used to refer to male-to-female transgender people and effeminate gay men. The cultures of the Indian subcontinent include a third gender, referred to as hijra in Hindi. Transgender people also have been documented in Iran, Japan, Nepal, Indonesia, Vietnam, South Korea, Singapore, and the greater Chinese region, including Hong Kong, Taiwan, and the People's Republic of China.
In what is now the United States and Canada, many Native American and Canadian First Nations peoples recognised the existence of more than two genders, such as the ZuÃ±i male-bodied Åa'mana, the Lakota male-bodied winkte and the Mohave male-bodied alyhaa and female-bodied hwamee. Such people were previously referred to as berdache but are now referred to as Two-spirit, and their spouses would not necessarily have been regarded as gender-different. In Mexico, the Zapotec culture includes a third gender in the form of the Muxe.
In early Medina, gender-variant male-to-female Islamic people were acknowledged in the form of the Mukhannathun. In Ancient Rome, the Gallae were castrated followers of the Phrygian goddess Cybele and can be regarded as transgender in today's terms.
Among the ancient Middle Eastern Akkadian people, a salzikrum was a person who appeared biologically female but had distinct male traits. Salzikrum is a compound word meaning male daughter. According to the Code of Hammurabi, salzikrÅ«m had inheritance rights like that of priestesses; they inherited from their fathers, unlike regular daughters. A salzikrum's father could also stipulate that she inherit a certain amount.
Transgender issues are controversial in both the public and scientific spheres. Critics believe that trans people are unhealthy varying from an innocent confusion to a mental disorder to an immoral perversion. They believe that trans people who embrace their feelings by transitioning either socially, surgically, or both are especially harmful to themselves emotionally and physically. Trans-affirming people may call these criticisms "transphobia" or "trans-bashing", considering them personal attacks based on hatred and/or fear.
Gender tied to sex
The conservative view is that sex determines gender, and that there is no practical difference between the two. In this view, genitalia or "birth sex" or chromosomes or something (positions vary) deeply and permanently determines one's essential identity as a woman or man. Trying to violate this divide is both impossible, unnatural, and unhealthy. It is often pointed out that chromosomes are immutable and that a male will always look like a male, not a female, even after sex reassignment surgery and hormones. Surgery and hormone therapy have medical risks which typically include infertility. While trans people may claim to feel like a certain gender, only a biological female can genuinely feel what it is to occupy a woman's body, including having experiences such as childbirth.
In the words of Jerry Leach (who formerly identified as a transvestite then very briefly as a transsexual and now is the director of Reality Resources):
- "Rather than cutting tissue by invasive surgery and starting a new life, which for the most part doesn't work, people need to find help psychiatrically."
These arguments are examples of biological determinism. They do not generally address people who are infertile, or both intersex and trans identifying, or passing transsexuals (all of whom actually exist).
While religions have a variety of attitudes about transgender people, the traditions of Abrahamic religions look upon crossdressing as wrong. They see the Adam and Eve narrative as showcasing that God created the pattern of humanity as only female and only male.
As a mental disorder
The wording of the condition's name, gender identity disorder (GID), (and even being just listed in DSM-IV and ICD-10) can imply to some that it is simply a psychological disorder, entirely in one's imagination, or a matter of being "crazy". The stigma of mental disorder isn't necessarily well founded but exists nonetheless. People who dismiss transgender people on this basis tend to believe that birth sex is final, gender issues are mostly confusion, and psychiatric treatment should be aimed at ameliorating the confusion rather than supporting gender reassignment. This method has been proven very ineffective, whereas transitioning socially and medically (to various parts of the spectrum) has proven extremely effective.
As driven by libido
The controversial Blanchard, Bailey, and Lawrence theory characterizes trans women as having one or another sexual motivations for transition. For example, Anne Lawrence, an openly autogynephilic transsexual, has hypothesized that the desire by persons with autogynephilia, including some cross dressers and some transsexuals, to alter their body can be compared with apotemnophilia (alternately body integrity identity disorder if framed as an identity issue rather than a fetish). Characterizations related to libido like these have been criticized by many in the medical and transgender communities alike as being potentially unscientific and transphobic.
The issues around psychological classifications and associated stigma (whether based in paraphilia or not) of cross dressers, transsexual men and women (and for that matter lesbian and gay children who may be difficult to tell apart from trans children early in life) have recently become more complex since it was announced that CAMH colleagues Kenneth Zucker and Ray Blanchard would serve of the DSM-V's Sexual and Gender Identity Disorders Work Group. Within the trans community this has mostly produced shock and outrage, including a petition against the appointments and attempts to organize other responses.
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- Ryan, Caitlin C., Futterman, Donna (1998), Lesbian and Gay Youth: Care and Counseling, published by Columbia University Press, ISBN 0231111916, p. 49.
- Interview with RuPaul, David Shankbone, Wikinews, October 6, 2007.
- LandÃ©n, M., WÃ¥linder, J., Lundstrom, B. (1996) "...Results: During the 20-year period of the study, 233 requests for sex reassignment were processed, and the incidence data were calculated on the basis of this group. This means that the average annual frequency was 11.6 cases. The number of inhabitants in Sweden over 15 years of age increased during the study period from 6.5 million to 7.1 million, i.e. there was a mean population of 6.8 million (12), which gives an annual incidence of request for sex reassignment of 0.17 per 100 000 inhabitants. The sex ratio (male:female) is 1.4 :1. To resolve the question of whether transsexualism increases or decreases, we divided the group into two 10-year periods. As can be seen from Table 1, not only do our results agree with the Swedish incidence data published in the 1970s, but also they remain remarkably stable over time. Separating from all applications the group with primary transsexualism yielded 188 cases, i.e. 9.4 cases annually. As is shown in Table 2, this corresponds to an incidence of primary transsexualism of 0.14 per 100000 inhabitants over 15 years of age. It should also be noted that primary transsexualism is equally common in women and men..." in Incidence and sex ratio of transsexualism in Sweden from Acta Psychiatrica Scandanavica, Volume 93, pages 261-263. Retrieved on 2007-09-22.
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- APA task force (1994) "...There must be evidence of a strong and persistent cross-gender identification, which is the desire to be, or the insistence that one is of the other sex..." in DSM-IV: Sections 302.6 and 302.85 published by the American Psychiatric Association. Retrieved via Mental Health Matters on 2007-04-08.
- World Health Organisation (1992) "...The desire to live and be accepted as a member of the opposite sex..." in ICD-10, Gender Identity Disorder, category F64.0 published by the World Health Organisation. Retrieved on 2007-04-09.
- Author and date unknown. "...For some, maintaining a link to their transness or their otherly-gendered-past is highly significant, while for others, they view themselves as no longer trans, but now fully as a man or woman..." Post transition identification as a man or ftm or other from FORGE (For Ourselves: Reworking Gender Expression), an American education, advocacy and support umbrella organization supporting FTMs and others. Retrieved 2007-04-03.
- Swartz, Jacqueline (1999) "Professor in drag" in Ivory Tower from Salon.com. Retrieved on 2007-10-09.
- Gilbert, Michael â€˜Miqqi Aliciaâ€™ (2000) "The Transgendered Philosopher" in Special Issue on What is Transgender? from the The International Journal of Transgenderism, Special Issue July 2000. Retrieved on 2007-10-09.
- Docter, Richard F., Prince, Virginia (1997). Transvestism: A survey of 1032 cross-dressers. Archives of Sexual Behavior 26(6), 589-605.
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- various (2006) "transÂ·vesÂ·tite...(plural transÂ·vesÂ·tites), noun. Definition: somebody who dresses like opposite sex:" in Definition of the word "transvestite" from the EncartaÂ® World English Dictionary (North American Edition). Retrieved on 2007-08-13.
- Raj, R (2002) "transvestite (TV): n. Synonym: crossdresser (CD):" in Towards a Transpositive Therapeutic Model: Developing Clinical Sensitivity and Cultural Competence in the Effective Support of Transsexual and Transgendered Clients from the International Journal of Transgenderism 6,2. Retrieved on 2007-08-13.
- Hall, B. et al. (2007) "...Many say this term (crossdresser) is preferable to transvestite, which means the same thing..." and "...transvestite (TV) - same as cross-dresser. Most feel cross-dresser is the preferred term..." in Discussion Paper: Toward a Commission Policy on Gender Identity from the Ontario Human Rights Commission Retrieved on 2007-08-13.
- Green, E., Peterson, E.N. (2006) "...The preferred term is 'cross-dresser', but the term 'transvestite' is still used in a positive sense in England..." in LGBTTSQI Terminology from Trans-Academics.org Retrieved on 2007-08-13.
- World Health Organisation (1992) "...Fetishistic transvestism is distinguished from transsexual transvestism by its clear association with sexual arousal and the strong desire to remove the clothing once orgasm occurs and sexual arousal declines...." in ICD-10, Gender Identity Disorder, category F65.1 published by the World Health Organisation. Retrieved on 2007-08-13.
- APA task force (1994) "...The paraphiliac focus of Transvestic Fetishism involves cross-dressing. Usually the male with Transvestic Fetishism keeps a collection of female clothes that he intermittently uses to cross-dress. While cross dressed, he usually masturbates..." in DSM-IV: Sections 302.3 published by the American Psychiatric Association. Retrieved on 2007-08-13.
- Wilchins, Riki Anne (2002) â€˜Itâ€™s Your Gender, Stupidâ€™, pp.23-32 in Joan Nestle, Clare Howell and Riki Wilchins (eds.) Genderqueer: Voices from Beyond the Sexual Binary. Los Angeles:Alyson Publications, 2002.
- Nestle, J. (2002) "...pluralistic challenges to the male/female, woman/man, gay/straight, butch/femme constructions and identities..." from Genders on My Mind, pp.3-10 in Genderqueer: Voices from Beyond the Sexual Binary, edited by Joan Nestle, Clare Howell and Riki Wilchins, published by Los Angeles:Alyson Publications, 2002:9. Retrieved on 2007-04-07.
- Hale, J.C. (1998) "...[O]ur embodiments and our subjectivities are abjected from social ontology: we cannot fit ourselves into extant categories without denying, eliding, erasing, or otherwise abjecting personally significant aspects of ourselves . . . When we choose to live with and in our dislocatedness, fractured from social ontology, we choose to forgo intelligibility: lost in language and in social life, we become virtually unintelligible, even to ourselves..." from Consuming the Living, Dis(Re)Membering the Dead in the Butch/FtM Borderlands in the Gay and Lesbian Quarterly 4:311, 336 (1998). Retrieved on 2007-04-07.
- Blumenfeld, W.J. (date unknown) "...full-time cross-dressers..., people who live and work in the other (of their physical anatomical) sex..." in A Glossary of Transgender Terms from OutProud, an American National Coalition for Gay, Lesbian, Bisexual & Transgender Youth. Retrieved on 2007-04-09.
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- Author and date unknown, "...Transgender (TG) - A person whose anatomical sex and gender identity are not congruent. They may live full-time in their self-identified gender role and may use hormone therapy but do not feel the need for SRS (Sex Reassignment Surgery)..." in A Glossary of Queer-Related Terms from Positive Images, an American community education resource and support group for Gay, Lesbian, Bisexual, Transgender, Intersex, Queer and Questioning youth and young adults. Retrieved on 2007-04-09.
- Bakker, A; Acta Psychiatrica Scandinavica The prevalence of transsexualism in The Netherlands
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- APA task force (1994) "...For sexually mature individuals, the following specifiers may be noted based on the individualâ€™s sexual orientation: Sexually Attracted to Males, Sexually Attracted to Females, Sexually Attracted to Both, and Sexually Attracted to Neither..." in DSM-IV: Sections 302.6 and 302.85 published by the American Psychiatric Association. Retrieved via Mental Health Matters on 2007-04-06.
- Lev, A.I. (1998) "...As therapists working with clients struggling to attain a sense of gender integration, it is incumbent upon us to engage in thoughtful discussion of language with each person and not make assumptions about the meaning of words on their identity..." Transgender Lesbians? from Choices Counseling and Consulting, an American practice providing counseling on sexual, gender identity and other issues. Retrieved on 2007-04-06.
- Goethals, S.C. and Schwiebert, V.L. (2005) "...counselors to rethink their assumptions regarding gender, sexuality and sexual orientation. In addition, they supported counselors' need to adopt a transpositive disposition to counseling and to actively advocate for transgendered persons..." Counseling as a Critique of Gender: On the Ethics of Counseling Transgendered Clients from the International Journal for the Advancement of Counselling, Vol. 27, No. 3, September 2005. Retrieved via SpringerLink on 2007-04-06.
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- Answers to Your Questions About Transgender Individuals and Gender Identity
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- APA task force (1994) "...preoccupation with getting rid of primary and secondary sex characteristics..." in DSM-IV: Sections 302.6 and 302.85 published by the American Psychiatric Association. Retrieved via Mental Health Matters on 2007-04-06.
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- Author unknown, (2003) Human Rights Violations against the Transgender Community: A study of kothi and hijra sex workers in Bangalore, India, full text,summary, by the Peoplesâ€™ Union for Civil Liberties, Karnataka (PUCL-K), September 2003. Retrieved on 2007-04-07.
- Harrison, F. (2005) "...He shows me the book in Arabic in which, 41 years ago, Ayatollah Khomeini wrote about new medical issues like transsexuality. "I believe he was the first Islamic scientist in the world of Islam who raised the issue of sex change," says Hojatulislam Kariminia. The Ayatollah's ruling that sex-change operations were allowed has been reconfirmed by Iran's current spiritual leader..." in Iran's sex-change operations, from the BBC. Retrieved on 2007-07-22.
- Mitsuhashi, J. (2006) "...the male to female cross-dressing (MTFCD) community in Shinjuku, Tokyo, which plays an important role in the overall transgender world and how people in the community think and live..." in The transgender world in contemporary Japan: male to female cross-dressers, translated by Kasumi Hasegawa, from the Journal of Inter-Asia Cultural Studies, Vol. 7, No. 2. Retrieved on 2007-07-22.
- Haviland, C. (2005) "...The Gurung people of western Nepal have a tradition of men called maarunis, who dance in female clothes..." in Crossing sexual boundaries in Nepal, from the BBC. Retrieved on 2007-07-22.
- Graham, S. (2002) "...Among the Bugis of South Sulawesi, possibly four genders are acknowledged plus a fifth para-gender identity. In addition to male-men (oroane) and female-women (makunrai)..., there are calalai (masculine females), calabai (feminine males), and bissu..." in Priests and gender in South Sulawesi, Indonesia from the Transgender ASIA Research Centre. Retrieved on 2007-07-22.
- Walters, I. (2006) "...In Vietnam, male to female (MtF) transgender people are categorised as lai cai, bong cai, bong lai cai, dong co, or be-de..." in Vietnam Some notes by Ian Walters from the Transgender ASIA Research Centre. Retrieved on 2007-07-22.
- Shim, S. (2006) "...Rush, catering especially to crossdressers and transgenders, is a cafe owned by a 46-year-old man who goes by the female name Lee Cho-rong. "...Many people in South Korea don't really understand the difference between gay and transgender. I'm not gay. I was born a man but eager to live as a woman and be beautiful," said Lee..." in S. Korea in dilemma over transgender citizens right to choose from the Yonhap News Agency. Retrieved on 2007-07-22.
- Heng, R. (2005) "...Even if we take Bugis Street as a starting point, we should remember that cross-dressing did not emerge suddenly out of nowhere. Across Asia, there is a tradition of cross-dressing and other forms of transgender behaviour in many places with a rich local lexicon and rituals associated with them...." in Where queens ruled! - a history of gay venues in Singapore from IndigNation. Retrieved on 2007-07-22.
- Emerton, R. (2006) "...Hong Kong's transgender movement at its current stage, with particular reference to the objectives and activities of the Hong Kong Transgender Equality and Acceptance Movement..." in Finding a voice, fighting for rights: the emergence of the transgender movement in Hong Kong, from the Journal of Inter-Asia Cultural Studies, Vol. 7, No. 2. Retrieved on 2007-07-22.
- Hung, L. (2007) "...there are many archetypal flamboyant embodiments of female-to-male transgender physicality living and displaying their unrestrained, dashing iconic presence..." in Trans-Boy Fashion, or How to Tailor-Make a King from the Gender Studies programme of The Chinese University of Hong Kong. Retrieved on 2007-07-22.
- Ho, J. (2006) "...specificities of Taiwanese transgender existence in relation to body- and subject-formations, in hope to not only shed light on the actualities of trans efforts toward self-fashioning, but also illuminate the increasing entanglement between trans self-construction and the evolving gender culture that saturates it..." in Embodying gender: transgender body/subject formations in Taiwan, from the Journal of Inter-Asia Cultural Studies, Vol. 7, No. 2. Retrieved on 2007-07-22.
- Hahn, L. (2005) "...Aware that he often felt more like a woman than a man, Jin Xing underwent a sex change in 1995; a daring move in a conservative Chinese society..." in Jin Xing TalkAsia Interview Transcript - June 13, 2005 from CNN. Retrieved on 2007-07-22.
- Wang, Z. and Xie, F. (2006) "...While it is true that not everyone turns into a drag queen when they are feeling stressed out, many young people do seem to be caught up in the fad of androgyny..." in Cross-dressers captivate people across China from China Daily. Retrieved on 2007-07-22.
- Goldkorn, J. (2006) "...At one point in 2003, there was so much media coverage of transsexuals in China that Danwei started a special section for it..." in Transsexuals in the Chinese media again from Danwei. Retrieved on 2007-07-22.
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- Marks, J. (2004). "...The specific issue was whether the book (The Man Who Would Be Queen) was transphobic...The judges looked at the book more closely and decided it was..." quoted by Letellier, P (2004) in Group rescinds honor for disputed book from Advocate Online News on Gay.com, retrieved on 2007-09-11.
- "Lesbian, Gay, Bisexual, and Transgender/Transsexual Individuals" - Chapter on LGBT issues and public health (co-authored with Emilia Lombardi). Social Injustice and Public Health (eds. Barry Levy and Victor Sidel), Dr. Talia Mae Bettcher, Dr. Emilia Lombardi, Oxford University Press, 2005.
- Transgender is an adjective. Not a noun. Or a verb! by RMJ (blog)
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