What does sexual preference have to do with self identity?
Being trans is an issue of who I am. Sexual preference is an issue of to whom I am attracted. The two things are only peripherally related. Furthermore, since the brain biology basis of being trans continues to grow over the last 20+ years of gathering evidence, and since similar mechanisms (hormonal levels in utero) are also now being implicated by the AMA in sexual preference, it explains why so many trans persons also often have atypical sexual preferences.
The following is about 70 minutes long and consists of lecture plus slides. The presentation was made at a January 2011 AMA annual meeting. This is the official position of the AMA on both sexual orientation and gender identity.
Origins of Diversity of Sexual Orientation and Gender Identity and How Discrimination Impacts HealthAs Brenda notes, I've considered the question of do I want to live the rest of my life as male and the answer to that is a resounding "NO!"
And to KatieJ, my answer would be yes, yes, and yes! And in fact it has been yes, yes, and yes, including the familial rejection, yet I am happier today than I can ever recall being as an adult.
Finally, when I started this entire process and my therapist diagnosed me trans, my spouse absolutely refused to accept it, so she took me to her therapist, who, after an hour of probing questions and discussions turned to my spouse and simply said, "She's trans. She has to do this." In sheer anger, my spouse stormed out, called a
third therapist, made an appointment and had us both go to her. Again, within an hour of probing and asking questions she got the same answer yet again. At that point, my spouse swore off ever talking to any "witchdoctor" therapist ever again, because none of the "dealt with reality". But I know who was really in denial about reality and it wasn't me or any of those three therapists.