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Why must we have to justify our identities to gatekeepers?

Started by Alex201, December 29, 2010, 12:16:26 PM

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Alex201

This forces some of us (like me) to edit our narratves just to get horomones.
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Espenoah

You don't have to edit your narratives at all if you have the right therapist. I've been reading your posts, and I haven't replied to any of them, but now is the time. My narrative is very similar to yours. I haven't known since birth, I had a long period where I thought I was okay with being a girl, and I went through a lot of the confusion you've showed. But in a couple of weeks, even when I've not lied to my therapist once about my narrative, not even stretched the truth, I've got a consult for hormones. That's basically a green light. So my advice to you is to try to find a new therapist your parents approve of and tell the truth. That's how you can get the best help.
"If a bullet should enter my brain, let that bullet destroy every closet door." -Harvey Milk
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xAndrewx

He's right. Really the only reason they exist is to help us. Well, that's why they are supposed to exist. Sadly some don't follow that but a good therapist will. They are there to help a questioning person be sure they are trans because they don't want someone to start hormones and see that they've made a choice not right for them. The problem is that some take that to the wrong extent. You really just need to find a new therapist because clearly this one is not working and if anything is making things worse.

My therapy went like this: I told my therapist I was trans first visit and that I was there to get my letter. We had some visits later before I got my letter but most of those visits were going through my life to make sure I was ready for the change and could handle it. The others were showing him that I knew what things would happen and I knew the potential bad side effects and could handle those if they happened. He wanted to know that I could handle living in the world as male. That's it.

cynthialee

I must agree with the others.
If androgynes can get HRT for partial transition then so can you.
So it is said that if you know your enemies and know yourself, you can win a hundred battles without a single loss.
If you only know yourself, but not your opponent, you may win or may lose.
If you know neither yourself nor your enemy, you will always endanger yourself.
Sun Tsu 'The art of War'
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Tad

I'm not your average trans, and I didn't have to edit my narrative at all. They saw I was happier living full time as male versus Dr reports from a year ago when I was super depressed, anxious etc./not out and living as female. Asked some questions about that, asked if I thought most of my previous depression and anxiety was related to that, and about what activities I enjoyed now and as a child and that was it. Really none of that childhood stuff was really discussed.
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spacial

It is impossible to know if a therapist is good or bad. All you can do is try one and see what happens.

It's wonderful that many have found good therapists. Equally, it's tragic that some seem to fall into the hands of bad one and really bad ones.

The the point of the gate keeper is that we have to beg in the first place.

But as has been suggested by others, go there and see what happens.
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tekla

You don't.  You can find places that practice informed consent.
FIGHT APATHY!, or don't...
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Aikotribs

transsexualism/->-bleeped-<- is for the biggest part self diagnosed, your past isn't as important as the books or the outside world portray it to be. If you can find a good gender shrink they will understand.
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Janet_Girl

I never change my narrative one bit,  Ether help me of get the hell out of my way.   And all anyone has done is say "Yes Ma am".
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RAY

We live in a world that wants to only see female and male, not in between or abnormal by those whom feel insecure to their personal being. You have the right to be whom are and choose to live as such.
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yin_haan

Chalk me up as a big informed consent advocate. I walked into the Mazzoni Center in Philadelphia, requested a prescription for HRT, and walked out that day with the Rx in my hand for spiro (not to mention a negative result on my HIV test). One month later, after the results of my blood work came back, I had a brief counseling visit so they could be comfortable I knew what the hell I was doing, and walked out with an Rx for estradiol in my hand.

Both scripts were filled immediately at the Walgreens pharmacy attached to the Mazzoni Center, where they were kind enough to enter my prescriptions under my preferred name. I'm self-pay, and the scripts cost me about 25 USD/mo to maintain. Easy peasy.

At my three month followup for more blood work, my endo pretty much forced me to take the form for changing the gender marker on my DL. I wasn't sure it was really necessary, but now I'm glad I got it (and did it).

After that, it's new blood work every six months, unless something weird happens. That's all. No gatekeeping, no justification, no nonsense. Next thing, I'll be changing my passport.
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spacial

There seems to be a majority reporting positive attitudes, while very few with negative. Surprising, given the numbers of our members here, reporting negative experiences.

If you will, I'd like to make a few points about these therapists.

Firstly, I am referring to those that call themselves psychologists and wave degrees around, to the therapists who set themselves up, based upon a 6 week correspondence source cut out of a comic.

These people are not professionals

I am a registered nurse. I am also trained to be a therapist, indeed, many nurses have job titles where they are called therapists.

My training was based upon international standards. I could meet a nurse from New York, Delhi, Timbuktu and we would all have had, basically similar training.

There is no standard for these people. Some have degrees, even doctorates. But there are no standards. A doctorate that is not based upon standards, is as relevant as the opinions of a drunken sailor.

I was trained to deal with babies up to infant, adults, the elderly. I have no training in adolescence or children. I would never even think of attempting any sort of professional interaction in an area I have not been trained for.

These people have no training standards. There are numerous instances, on these pages, of people reporting that their therapist has admitted they have no experience in the field.

These people have no ethics.

As a registered nurse, like any other professional, I am governed by a system of ethics. I am also a qualified and registered electrician, again, with a standard of ethics.

Trusting yourself, your personal life, even your liberty, to people without ethics is something that, still leaves me gasping for breath.

These people have no governing body.

This is kinda obvious really. To suggest that someone regaling themselves with a degree would even want to be associated with someone armed with a certificate in concealing and therapy, from the upstairs college of Peckham, is unlikely.

What all his amounts to is that you are putting yourselves, your personal life, into the hands of people whose motivations can and frequently are, little more than their own egos and opinions. Even political and religious opinions.

I really feel very sad for people who are so desperate and in need of consolation, that they would, in essence, put themselves into the ministrations of the first person you meet on a street corner claiming to be a friend for a fee'.

It is very gratifying that some have had positive experiences. It is tragic, to say the least, that some have not. There is a member here, who over a number of posts, has described the complete breakdown in the child/parent relationship. Yet their therapist reported back the the mother, details of an interview, which were made in private.

Now if that therapist had an ounce of honesty, they would have simply recorded the entire interview, added on a pile of speculation and fabrication and broadcast it to create maximum humiliation. That therapist is a disgrace, a disgrace to humanity.

Yet, that is not an isolated example, as these pages have show.

It would be astonishing if every therapist was so utterly evil and psychopathic. That some have reported positive experiences is not in the least surprising. A random selection of people will always bring up a few who fit a criteria. But how many people, would ask a person, at random, in a crowd to fix the breaks on their car?

I have heard, here and elsewhere, claims, mostly by Americans, that their state has governing standards!

Would those be the same governing standards that exist in Texas, where the legislature passed a bill, but someone 'accidental' inserted the word 'not'? Or the standards that exist in the UK where Tony Blair lied to Parliament leading to the deaths of a million people?

How exactly are these local standards administered? A check on qualifications? Qualifications that have no standards?

Supervision? Buy whom? What are the qualifications of the supervisors?

Regulations that say you must be nice? Regulations that say you may not repeat, (except in certain circumstances) 'Well, you see, it's like this, but you can't repeat this, I'm building a bomb'.

I'm sorry, but I will repeat the assertion made many times on these pages.

Give only the information that is necessary.

Stick to the point. Don't trust any therapist, no matter what qualifications they claim, with anything that you don't want repeated.

Keep your mind on the subject in hand and keep their attention on the same.

Your only need to get past this gate so you can see the real professionals.

And good luck.
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Atreyu

don't ever change your story. it's yours and only you will know who you are. if you must change your story to get hormones then you either need to soul-search or you need to get a new therapist.
if you're determined enough to change your narrative, then likely its the latter.
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MillieB

I disagree with just about everything that Spacial has said as it isn't true, but I will say check that you do have a qualified therapist, that they do belong to a governing body with a published code of ethics and practice (In the U.K this is BACP) That way if your confidentiality is broken then you can lodge a complaint and have them struck off, and this does happen. The biggest problem with the U.K is there is no compulsory standard so anyone can set up as a therapist with little to no comeback, this however is not true with the NHS and again your therapist does have to be well qualified and not six weeks from a comic or whatever.

However, If you do feel that your therapist is gatekeeping, ask for another one, I would be extremely worried about a therapist who tried to influence the choices that I made regarding my life, that is not their job, you are quite within your rights to do this.
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spacial

I just noticed you gave me a neggie rep.  ;D

Sorry if I rattled you somewhat.

But I really do know what I'm talking about, even if I sometimes comes across as a bit of an old fool.  ???

http://www.cpcab.co.uk/

http://www.psychotherapy.org.uk/

http://www.bacp.co.uk/

http://www.bps.org.uk/

Huggs.
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Tad

Really depends where you are from too. Here in Alberta we have a gatekeeper - he is reffered to as the gatekeeper. He is the only one that can legally sign off on surgeries, and is the only specialist when it comes to GID. Sure there are psychologists that deal with it - but all you need to do to practice pyschology here is have a Bachelors degree and be supervised by someone with a Masters, or have a Masters degree and youre free, and they can't sign off for surgeries or anything. Most people are uniwlling to deal with GID anyways, so our specialist is often the one who writes HRT referals anyways. It's where I had to go for mine. And since we need two psychs agreeing on diagnosis and such, he just gets one of the psychs on duty at the hospital to sit in on his appointments.
But then again, he's pretty open, most people get their HRT in the end. Even if it takes a while.
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MillieB

Spacial, I fail to see how linking to the organisations who do ensure that practitioners are qualified and working to a set of ethics and standards proves that you know what you are talking about, if anything it suggests the opposite.

You will see from the CPCAB website that it takes 5 years to qualify as an independent practitioner. Not 6 weeks. And seeing as I have done four of those years with them, I know exactly what it entails.

Just suggesting that someone's qualifications are meaningless because they are not nursing is a little childish. I know good and bad psychotherapists, I know good and bad nurses but I wouldn't dismiss a whole profession because of it.
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spacial

That's really nice Millie. I honestly wish you well in your chosen career.

But if you will, I didn't suggest and never would, that non nursing qualifications are meaningless. I said that qualifications without standards are meaningless.

I'm sure you and others in your particular group will all be an absolute credit to community welfare.

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VeryGnawty

Quote from: MillieB on December 30, 2010, 10:07:05 AM
I disagree with just about everything that Spacial has said as it isn't true

That depends.  At least in some of the States, it is actually quite easy to set up your own psychology practice.  In some areas, you only need a license.

I agree with Spacial.  One should be checking the background experience, degrees, and general knowledge of psychologists.  It is very easy to call oneself a psychologist, and even to set up a psychology practice, without really knowing much about how to deal with people.

This isn't to say that psychology is bad.  I am just saying that "psychologist" is a very poorly defined title in some areas of the world.  Just because someone is called a psychologist doesn't mean you will strike gold.  You might end up with a lump of lead.
"The cake is a lie."
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MillieB

Which is exactly what I said! And is a far cry from 'these people have no ethics' 'they will break your confidentiality' etc. It's a wise precaution to check the credentials of anyone that you need to trust whether that is a therapist or a plumber.

I think that it is also time to separate 'psychologist' from 'psychotherapist' as they are very different things particulaly within the world of gender therapy. You will need a psychologists report for referal purposes and to an extent, I think that this is wrong and where the whole 'gatekeeping' issue comes into play, I for one do not believe that we should need to have the go ahead from some 'expert' to be who we are. Once serious mental health issues that may affect your judgemnt are ruled out then I don't really see any need for their involvement and it becomes a medical issue. A psychotherapist will just help you to navigate the emotional minefield that is transition and help you to clarify your own feelings so that you can move forward with confidence, it is not their job to judge you or be a gatekeeper in any sense.
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