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Tanya's Tale

Started by TanyaG, September 27, 2024, 02:30:30 PM

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Mrs. Oliphant

Quote from: TanyaG on April 15, 2025, 03:34:56 AMI've arranged the traits into a list because it makes it easy to paste them in complete with their numbers into a word processor and I've renamed a couple to make them easier to understand, as well as adding a couple.
I completed the 'test' using the original traits. I also tested in compliance with 'non-binary' guidelines (two rounds). Guess I'll find out how queer I really am (I almost hope I fail. All in all, I would rather be a woman) Thanks, TanyaG, for taking the time and effort to help me know myself.
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TanyaG

Quote from: Mrs. Oliphant on April 15, 2025, 12:17:55 PMI completed the 'test' using the original traits. I also tested in compliance with 'non-binary' guidelines (two rounds). Guess I'll find out how queer I really am (I almost hope I fail. All in all, I would rather be a woman) Thanks, TanyaG, for taking the time and effort to help me know myself.

Okay I'll work out a sort for the traits you used and post that so you can score yourself and once Lillis is done we can discuss what they mean!

Lilis

Quote from: Mrs. Oliphant on April 15, 2025, 12:17:55 PMI completed the 'test' using the original traits. I also tested in compliance with 'non-binary' guidelines (two rounds).

Quote from: TanyaG on April 15, 2025, 12:44:48 PMonce Lillis is done we can discuss what they mean!

Done! And same as Annika, original traits, non-binary, 2-rounds.
More about me:
Emerging from Darkness  ✨ | GAHT - 6/10/2024. ⚕️ | Electrolysis - 2/23/2025 ⚡| Progesterone - 3/24/2025 ⚕️ | Body laser - 3/26/2025 👙

"I'm still exploring what it means to be me". 💭
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Mrs. Oliphant

Quote from: Lilis on April 15, 2025, 05:30:43 PMnon-binary, 2-rounds.
Wow! Lilis, I've never met a woman more female than you. If you're gender confused, there's hope for me.
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Lilis

Quote from: Mrs. Oliphant on April 15, 2025, 05:52:58 PMWow! Lilis, I've never met a woman more female than you. If you're gender confused, there's hope for me.
Internally, there are two of us, me and him. He's just as real as I am, but he never visits spaces like this.

If you're curious to learn more about us, feel free to check out my blog.

I don't want to take over Tanya's thread with my own story.

So no, not gender confused, just fully aware of who we are.


~ Lilis 🫂
More about me:
Emerging from Darkness  ✨ | GAHT - 6/10/2024. ⚕️ | Electrolysis - 2/23/2025 ⚡| Progesterone - 3/24/2025 ⚕️ | Body laser - 3/26/2025 👙

"I'm still exploring what it means to be me". 💭
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Mrs. Oliphant

Quote from: Lilis on April 15, 2025, 06:02:42 PMjust fully aware of who we are.
I can't speak for TanyaG, but I think she understands. I have read and reread every word of your blog. Like you, I am him and I am her. Unlike you, sometimes I don't which I am. The 'her' you present in this space is perfect. But, I have little doubt if you shared the 'him' with us, he, too, would be perfect. Gender and sexuality matter. They matter a lot. I mean, I've spent so much of my life looking for me. I'm getting closer to finding him and her. I can feel that in my soul. But that is the part that matters, the soul. I'm not sure gender has a darn thing to do with my soul. Or with yours. You're a mother/father. And I'm a father/mother. What could be more beautiful? What could matter more?
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TanyaG

Quote from: Lilis on April 15, 2025, 06:02:42 PMI don't want to take over Tanya's thread with my own story.

I don't mind because all our stories are intertwined for at least some part of their way and stories from one of us illuminate them all.

TanyaG

This is a fun thing I remembered after getting involved in a discussion which touched on sexuality and another member's changing perception of their own. It also casts light on my scripts and how they have very likely confined my own sexuality.

To give you the full picture, I considered myself straight for years and if you'd asked, would have replied I'd only ever been romantically or sexually attracted to women. You'd have got that answer without me thinking about it.

Somewhere in my playing around with what analysis might do for me and my never ending process of trying to disentangle the gender I was brought up in from the gender identity I would naturally have without my upbringing, I had an idea. For a long time, I set the idea aside because it was a can of worms that was separate to my gender identity and one that wasn't causing me any distress, but I began to wonder exactly what was in this particular can.

The reason for the wondering was that just as I'd come to accept my gender identity wasn't aligned with my sex assigned at birth (SAB), so I began to wonder how well my sexual orientation might align to my gender identity too.

Mentally, I put my gender identity in one can, and my sexual orientation in another can. Both had labels on them, which read 'masculine' and 'heterosexual'.

Reading the label on the sexual orientation can, it was aligned to the gender I'd been brought up in, but hey, I'd spent years reading the label they'd slapped on my gender identity without asking me and having peeled it off at last, I'd found a different one underneath!

Like everyone else, or most anyway, of the people here, my first reaction was to put the label I'd been given at birth back on, but peeling if off so often eventually did something to the glue so it wouldn't stick any more.

I began wondering what I'd be like if I'd grown up alone on a desert island with the ability to make everything the way I was comfortable with in terms of my gender identity. This was so enlightening I'd recommend anyone to do it, because it's so simple.

Just imagine if you could dress how you like, live the gender traits you are most comfortable with, wear make up or not (depending on which sort of trans you are) and everyone else on the island would be completely comfortable with it. No one would ever question your clothes, look at you in a funny way, or do anything except say hello, how you doing, been a long time, etc.

Every time I tried that, I came up with the same answer and one that matched my plays through the Gender Game. On my island I was a bubbly mix of feminine and masculine, which is in character with every aspect of me which isn't gendered. It helped me accept and understand many daydreams I'd had because my island paradise fitted with them like a glove.

It took time to process all that, but once I'd accepted I was trans I quit trying to put the label that had originally been on my gender identity can and learned to be happy with the one I'd found underneath.

But what to do with the sexual orientation can? Did I dare look? Would my head explode if I found I wasn't totally straight?

People often assume that someone who hasn't had ever had a homosexual experience is straight but that's a definition of default. Besides, it depends what you think of as sex, so definitions are important. Many straight people turn out to have had occasional dreams or fantasies that aren't straight, something you learn very quickly if you do therapy. They are 'mostly straight' and might have been bisexual (better called mixed sex attracted) if they'd been brought up differently, or met different people.

So, how to find out if the label on my sexual orientation was right? I had some clues, because I have had some fantasies about having sex with men, though they have been rare and I've no experience of it in real life, nor am I likely to because I'm monogamous (this is another can?) and happily married to a wonderful woman.

I can touch type, and can type so fast that whole paragraphs come out without me thinking, and sometimes even words so completely out of context I can't work out where they came from. So as piecework, I wrote stories which explored that side of my sexuality on the desert island principle and guess what? The label on my sexuality is probably never going to go back on again, either.

The rules for Susan's are very clear, no erotica can be posted here, so I'm not going to post what I've written and on no account should anyone reading this do it either. Just an absolute niet. But once I dismantled the scripting that got in the way to begin with, I discovered I could write seriously hot stories of a sort I'd have bet money against me writing ten years previously. I wouldn't even have considered the idea back then because my sexual orientation would have reacted against it.

Did the stories change my sexual orientation? No, they just revealed an aspect of it I'd never allowed space for.

So if you are reading this and you can write stories, it's worth trying. I particularly wish I'd done it when I was conjuring up my 'gender identity desert island'; for me, I think story writing would have been incredibly helpful there. It would also have given me something else to bring to my poor analyst, but then again, maybe it was good I didn't, because the experience nearly blew their brain up :-)
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davina61

Well I think its the person I would fall for not their gender but I do lean towards a female partner. Not that I am looking as happy on my own!
a long time coming (out) HRT 12 2017
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Know a bit about everything but not enough to be clever
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TanyaG

Quote from: davina61 on April 18, 2025, 07:50:36 AMWell I think its the person I would fall for not their gender but I do lean towards a female partner. Not that I am looking as happy on my own!

That's how most of us are I think, and it's easier to think of sexual orientation as 'toward males' or 'toward females' once we accept we're trans because on one hand it aligns with scripts we own about hetero and homsexuality and on the other is less complicated to understand, so I'm with it as an idea.

In me, disconnecting the scripts revealed I wasn't as completely attracted to females as I thought.

Lori Dee

Quote from: TanyaG on April 18, 2025, 07:58:06 AMIn me, disconnecting the scripts revealed I wasn't as completely attracted to females as I thought.

The same for me. When it was revealed to me in therapy that I was asexual (not physically attracted to males or females), it explained why so many of my prior relationships had failed. I was attracted to the person, not their body. I learned through experience that for many people, that is not enough. I suspect my lack of attention to that aspect of the relationship may have left them feeling unattractive. They expected more, and they sought it elsewhere when they didn't receive it from me.

I have finally reached a point in my therapy that I fully understand this and can stop blaming for what has happened. No one, including me, knew back then that I was asexual or transgender, so it really was no one's fault. It just didn't work out the way we thought it would.
My Life is Based on a True Story
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/ 2024 - Voice Training / 2025 - Passport & IDs complete
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TanyaG

Quote from: Lori Dee on April 18, 2025, 09:37:59 AMI have finally reached a point in my therapy that I fully understand this and can stop blaming for what has happened.

I completely get that, Lori. All of these aspects of us are so tangled together and held up with so many buttresses and bodges that it's hard to see the person underneath. Yet once you take down one of the props holding the edifice up, the rest become more visible and you can get closer to what's really underneath. I'm really pleased it worked for you.

TanyaG

If you've ever owned a dog, or shared your home with cats (bearing in mind that cats, being cats, can't be owned,) especially if the animals have come from a few different breeds, you'll have noticed that how some behaviours are common to some breeds. Most dogs will fetch you things, as will cats, though they mostly fetch things you don't want fetched.

Like half a mouse.

Labradors eat so fast their food is gone before they know what it was, terriers are grazers, many breeds of spaniel naturally quest, Siamese cats tend to be noisy and destructive, Burmese are affectionate, Persians are plain hard to please and so on.

Dogs are much more trainable than cats, but some breeds are more trainable than others and within breeds some dogs learn faster. I've lost count of the times I've accidentally trained a dog something, but I've also marvelled at how much some dogs value routine to the point of being OCD, while others are laid back to the point of horizontal.

One time we owned two sisters, one of whom knew the time her walks should happen to the minute, the other of whom hated walks with a passion, because she took an instant dislike to all other dogs but her sib. The second was easily trainable, but a complete non-conformist, while the first was harder to train but vastly more confident than her sis. They both ate food like a speed run through a platform game and none of our friends could tell them apart when they sat together, yet the moment either dog moved, they could name her.

We had those two from six weeks old and we treated them just the same.

So it is with us. Some of how we are seems to be inherited, other elements of our personalities seem innate (as in we're born that way,) and yet another tranche are learned. It can be very hard to tell which element is nature and which is nurture.

The elements we learn are taught first by our parents, secondly by our wider families, then by people outside our family, like teachers and people we're at school with and finally by a third set of friends, partners and fellow workers in adult life.

We can't choose the first group, but we have to live by their rules, so their values take root in us the deepest, many of them before we're old enough to realise what's going on. Though we get to choose some of the second group, we still have to conform under the pressure of school rules and peer pressure, and because our brains are still maturing, this group's values remain influential throughout our lives too, though less so than the first.

Mixing with the third group can be revelatory, but when we first meet them, we still carry with us everything we've absorbed from the first two groups. If you can remember the first time you sat down with someone who challenged a firm assumption you held about some core value, what happened?

Your first reaction was probably it was bull, followed by a wave of 'hey, I'd never thought about it like that!' only for a few minutes, hours, or days later when you maybe began to realise something you intrinsically believed either wasn't right, or wasn't right for everybody.

The most powerful experience of this type I had was during my teens, with a 'second group' contact, my friend Ginny. My parents were conservative, as was my school, the men in the family highly masculine and everyone religious. On the one hand I was subjected to a drip feed of norms telling me not only that their way was normative, but also that any deviation from the path would lead to a sorry end, while on the other I lived a relationship which trampled on their rules and made me so happy I still warm at the memory all these decades later.

Yet, as I've written before, I'm a good act as a man. So how does this even compute?

I'm the human equivalent of a labrador. I'm confident, outgoing, enjoy fetching things, love being patted and an incurable optimist. Yet, just as dogs and cats are born with some characteristics true to their breed and others at variance, and just as two labs from the same litter and brought up together will share some traits and differ in others, so do I both share and differ from my family. That's what nature and nurture do to you in the complex process of growing up.

Because I'm fundamentally curious and like finding out how things work, I spent a lifetime acquiring the skills to take my mind apart, understand why I'm trans and deal with the bits of me that don't like it. I didn't want to change my trans-ness, because it brings me all kinds of good things. One thing that really surprised me during my unofficial, intermittent and often hilarious analysis was one of my motivations for going to medical school may have been it was the only place I could at that time find the tools I needed to begin digging. Which seems crazy, but in the context of me, not so crazy.

Where did this get me and what's it to do with cats and dogs?

In a society with different norms, my trans-ness would challenge no-one because it wouldn't trigger the zero-sum assumptions some groups are trying to bake in around gender identity. Just as we accept not all labradors fetch things, so we would accept not all men need to be masculine. For those people my comfort with feminine traits and gender expression is their discomfort, leading them to portray me as a threat when I'm not. As I watch their anxiety boiling over and the increasingly polarised positions activists on both sides are taking, I think of the reaction by men to women who aren't feminine, which is mostly one of acceptance.

If we could open up a dialogue between moderates on both sides in a situation where fear did not overwhelm the exchange, we could find a way out of this stand off and work toward a solution where both parties could have most of what they want. A political dogfight is not going to resolve this and given the lawyers haven't managed to adequately define biological sex yet (which we desperately need if we're to help people born intersex) or begin to consider non-binary people, then a dialogue between ordinary folk might not only be the best solution, but allow us to understand each other.

Who knows, we might even get to like each other?

TanyaG

I'll begin with a trigger warning, because this includes some details of the story of someone who was brought up in a gender identity they did not wish to be brought up in and ended their life because of it.

Some members of Susan's will be aware of the sad case of David Reimer, who was brought up as a girl after a botched circumcision damaged his penis beyond repair seven months after his birth in 1965. Like almost all circumcisions, the operation was clinically unnecessary, but unlike almost all boys who have undergone it, David paid a high price.

It's a long and harrowing story, but on the advice of an American psychologist called John Money, at 22 months old David had an orchiectomy and surgical creation of something approaching a vagina. Money's theory was that gender identity was nothing more than a learned behaviour and, according to a book Frank Colapinto wrote, went to extreme lengths to enforce his view on David.

This included what Money called 'childhood sexual rehearsal play' involving his twin as a male partner. If Colapinto's account of it is correct, it was abuse, although for reasons I cannot begin to understand no-one seemed to call it that at the time. Nor, bizarrely, does virtually anyone who brings up David's case even here seem to regard this dimension of his treatment as anything other than a distraction, when it must have been intensely traumatic.

Money saw David as the perfect opportunity to prove his theory, because David had a twin brother who was brought up as a boy. Unfortunately for David and his brother, he reached fourteen before he could convince his parents that he didn't want to be a girl, by which time he already had breast development and needed a string of further operations. His twin committed suicide in 2002 and David followed suit in 2004.

Reporting of Colapinto's book leaves the impression David's case was unique, but it is not, and there are records of countless people with 46,XY chromosomes (i.e. male genetically) who have been brought up as girls, 388 of them collected together in one paper alone. The decisions about them were justified on a wide variety of grounds, all of which can be summarised as a failure of their genitalia to develop 'adequately', or in some cases, at all.

The authors of the 2005 paper, which collected together the 388, searched the literature to find cases retrospectively and went to great lengths to follow up and establish what gender they were living in, making it an intimidatingly thorough piece of work. I'd stress that the authors did no more than chronicle cases that others had managed and weren't involved in any of them.

As far as can be told, none of the 388 were subjected to the coercion Colapinto's book suggests David Reimer underwent and all were free to take on whichever gender identity felt right to them once they were old enough to express an opinion.

One finding was that the majority of the 46,XY patients who had been brought up with a female gender identity had not changed their gender identity to male. Amongst those who continued to live as women, dysphoria was rare, which seems to have been because all of the cases who had experienced it had been allowed to change their gender identity.

Another finding was that the proportion of patients who had changed their gender identity to male was considerably higher than the (then) estimates of how many transgender people there were in the community as a whole. The authors' conclusion was that at some level both nature and nurture had a part to play in gender identity, but there's a potential question mark over this because few of the 388 had been given an independent psychological evaluation.

Anyone who makes life decisions based on a single paper should think twice, because gender identity and sexual development are so complex we've only scraped the surface, but for me, the 2005 paper highlights something much more chilling.

Until comparatively recently, it was technically easier to do a vaginoplasty than it was to create a penis. Back to the 'if you have a hammer in your hand, everything looks like a nail.' Surgical techniques have since advanced to the point where either operation has much the same chance of success and so today, the parents of those 388 would likely be recommended a phalloplasty for their child without a vaginoplasty being considered.

There are other papers which deal with similar cases, making it clear this has been a worldwide issue, but one which particularly caught my eye was published in 2007. Up until that time, in India, it was traditional to assign children with a penile length of less than 20mm at birth as 'unsuitable to be raised as males'. After vaginoplasty was developed as a technique, it became the solution for these 'problematic' babies.

The incidence of 'congenital inadequacy of the penis' in India is 1:15000 male children. The population of India when the paper was published was 1.1 billion, so even my most wildly optimistic estimate says there are 10,000 46,XY people alive in India who fall into this category and very likely twice that number. That's a problem, because Indian culture simultaneously celebrates and discriminates against transgender people, many of whom have little choice but to live within Hijra communities (which are more diverse than many people think but where they needn't have ended up at all.)

That is just India. Other countries are known to have pursued similar policies and have shared similar cultural attitudes to gender identity over a lengthy period.

Far from poor David Reimer being an isolated case, he is one of many. Societies which discriminate against those who are uncomfortable with the gender they were brought up in, including the US, India and the UK, have seen no problem assigning a gender identity to babies when it suited them. In this case, the excuse was one of pure convenience: the surgical construction of a penis was technically more difficult than constructing a vagina.

Why isn't this more widely known? I think it's a scandal of epic proportions.

TanyaG

My exploration of the question 'Why are we trans?' has mostly looked at the 'nurture' side of the equation, but I'm going to double back now and look at the 'nature' side, because in human beings, hardly anything has a single cause.

Before DNA sequencing became possible, the most practical way to work out if something had a genetic basis or not was to do twin studies. The TL;DR is you look at a bunch of twins and work out in how many pairs both have what you're interested in compared to how many where only one twin has it.

Sounds simple? First find enough twins, second it matters whether they are identical (monozygotic) or non-identical (dizygotic) and finally, if the condition you're looking for is rare, you'll need to sort through an awful lot of twins before you can find enough cases to make the stats work.

Amazingly there are several studies where this has been done and they mostly point the same way. Which is unheard of in science because there's always one paper that spoils the party. For some reason, in this case that hasn't happened.

So what do the results show?

In adolescents the heritability of gender dysphoria lies somewhere between 38-47% in people assigned female at birth and 25-43% in people assigned male at birth. In adults the numbers for the two groups are 11-44% or 28-47% respectively.

For non-identical twins the numbers aren't so clear cut, with one paper finding a similar levels to the figures above, while another found no evidence of heritability. With different sex twins, the figures are plain hard to interpret, with one study finding a much higher chance of both presenting with dysphoria than same sex twins.

The reason for the spread of percentages is they come from six different studies, but if you take the averages it's impossible to walk away from those numbers without seeing them as the strongest possible hint that genetics plays a part in why at least some of us are trans.

Mrs. Oliphant

Quote from: TanyaG on April 24, 2025, 11:22:10 AMThe reason for the spread of percentages is they come from six different studies, but if you take the averages it's impossible to walk away from those numbers without seeing them as the strongest possible hint that genetics plays a part in why at least some of us are trans.
Thanks for recommending As Nature Made Him (John Colapinto). I could not put it down and read it in one sitting. Mr. Reimer's story was a tragic reminder of the frailty of being human and a celebration of the resilience of the human spirit. In my particular instance, I don't believe genetics were a significant factor. I think my gender variance was due to in utero hormonal exposure. But I don't remember that far back with any degree of clarity. Either way, it's still 'Nature.' I believe that, for the most part, 'Nurture' either affirms our sense of self, or, is the primary causal factor of gender dysphoria. I do vividly remember the moment I decided I would no longer affect 'girlishness'. I was four years old. I relapsed a few times into 'girlishness' but the consequences were so severe such 'relapses' were few and far between. I have met so many people inside Susan's home with stories so similar to mine, we could merely have a space labeled: insert name here. 
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TanyaG

#96
In the process of answering the 'Why am I trans?' question, one of the theories that's around is hormone transfer in the womb.

The background to this hypothesis is that numerous studies have shown a complex interplay of hormonal,
neuroanatomic, neurofunctional and genetic factors in the development of core gender
identity in utero.

As this process is currently understood, it works like this.

1. Depending on the presence or absence of a Y chromosome, a foetus will develop testes or ovaries (from cells which could become either,) but this also depends on the presence of the SRY gene on the Y chromosome.
2. Between six and twelve weeks in utero, testosterone begins to be converted to dihydrotestosterone, (which can only happen if the foetus has functional 5alpha reductase type 2 enzyme.) Dihydrotestosterone is essential for further development of testes or ovaries and, crucially, for external genitalia.
3. In the second half of pregnancy, enough genital steroids (aka oestrogen and testosterone, but especially the latter) build up to cause permanent structural changes in the brain and in behaviour.

If a foetus isn't sensitive to genital steroids, it will be essentially female, even if it has testes.

The prenatal hormone transfer (PHT) hypothesis rests on the concept that that gender identity is primarily determined by prenatal genital steroid exposure.  If this is true, the PHT theory is tempting, because the reasoning is that if a female twin sharing a womb with a male twin is exposed to higher levels of testosterone than a female twin sharing a womb with another female twin. Conversely, a male twin sharing a womb with a female twin is exposed to higher levels of oestrogen than a male twin sharing a womb with another male twin.

To say that studies on prenatal hormone transfer conflict is an understatement and if there is any consistency to be found it's that prenatal hormone transfer hasn't been proven to have any correlation with indicators like gendered play, cross gendered behaviour or dysphoria. Prenatal hormone transfer might have an effect on emotional, cognitive and biophysical gender markers but none of the studies have been powerful enough to confirm it.

So prenatal hormone transfer remains an unproven hypothesis and further work is needed either to prove or disprove it.

TanyaG

Quote from: Mrs. Oliphant on April 24, 2025, 01:09:21 PMdo vividly remember the moment I decided I would no longer affect 'girlishness'. I was four years old. I relapsed a few times into 'girlishness' but the consequences were so severe such 'relapses' were few and far between.

There go you and many of us. Most of us first suspect somethings not quite right at about that age and it comes up in too many introductions to dismiss, besides it's been noted many times in the research. It happens then because that age is when all children wake up to the idea that everyone isn't the same and begin to wonder why.

What's amazing, to me, anyway, is that there's a tendency to excuse parents for doing what yours did and mine did, but objectively, there's no clear water between them and what happened to David in that book, minus the operation. Parents who suppress a child's natural gender identity are doing what Money did.

I think that a century from now, maybe less, society may not look so kindly on gender identity suppression?

Mrs. Oliphant

Quote from: TanyaG on April 25, 2025, 09:35:57 AMI think that a century from now, maybe less, society may not look so kindly on gender identity suppression?
I pray you're right, TanyaG. And greatly appreciated your discussion of in utero hormonal effects. I have a brother and sister who are fraternal twins and neither experienced (as far as I know) any significant degree of gender variance (my sister was more of a tomboy than any of my other four sisters but otherwise seemed to experience a 'normal' female trajectory after pubescence). I really didn't understand much of what you said, but it all made sense. The only counter argument I can formulate is my mother may have sustained a different hormonal mix during her pregnancy with them than with me. However, I will gladly accept a genetic explanation in lieu of a developmental or congenital one. Or, a spiritual explanation. Perhaps my soul has always been female regardless of the shape of the body in which it abides. 
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TanyaG

I came across a paper recently which did a good job of summarising the psychological issues trans people struggle with, so I've translated it from psychosocial speak into English!

I'm posting it because if you're in the early stages of suspecting you are trans, or dealing with having accepted you are trans, it provides a checklist which may help you make sense of some of the thoughts and emotions messing up your mind. It may also help when you first engage with a therapist, because you'll be able to pick up on important themes straight away and make faster progress.

The authors picked up on four main branches, which I've reduced to three along with adding some background and explanations to help get you going. It's as brief as I can make it and isn't exhaustive, but picks up on the major things that bug us.

1. Distress caused by between the clash between your preferred gender identity and the one you were brought up in

This is called dysphoria and describes a tumult of negative emotions ranging from constant edginess to full blown distress. it can be overwhelming and extraordinarily hard to manage, particularly early on, when you have little or no idea what's driving it and simply want rid of it.

a. body dysphoria

Dysphoria can be caused by beard and breast growth, voice changes and erections can be extremely hard to deal with. Many of us experience dysphoria over the genitalia we are born with, but 'secondary sexual characteristics' including the ones mentioned in the previous sentence are often triggering when they develop.

b. gender expression dysphoria

Having to live on a daily basis wearing clothes and having to behave like someone belonging to the wrong gender is a challenge all of its own. It is particularly hard when we're at school. It's common for people only to begin dealing with their dysphoria properly after they leave home because unsympathetic families leave them no choice and that can make it a lot worse.

c. confusion

People who suffer from a and b above and who don't yet understand why (and even if they do) usually have trouble processing their feelings because they don't know where they come from. The confusion can reduce your self confidence and leave you feeling out of control.

d. denial and suppression

We commonly go through this when we begin to suspect we are trans. The easiest way out (or so it can appear) is to block out the growing awareness of our trans-ness, which can lead to periods of hyper-gendering (over emphasising we belong to the gender we've been raised in), purges of clothes, and even outbursts of transphobia. It can happen in repeating cycles.

e. fear of what's next

It's common to worry about the implications life changing decisions, like coming out, starting hormones or having surgery will have for us. If you're at this stage, even if you have supportive friends and family, therapy is the way.

2. Distress about how others will react to us

a. fear of being unable to pass as a member of another sex.

This is common, if not universal, despite there being no shortage of cis people who don't look cis. 'Gender policing' is so common it's almost impossible to grow up without experiencing it at first hand, even if you're cis. We learn to fear it.

b. conflict between how we've been taught our gendered behaviour and appearance should be and how we would naturally express them

This can catch you out, because it takes a long time to match our subconscious learning about how we should behave with our natural preference for behaving as a member of another sex. That learning's in us so deep it's hard to get out. What this feels like is discomfort at finding yourself behaving or reacting a particular way when you didn't intend to; it's as if you're not in charge of yourself.


3. Internal processing of rejection by others and of transphobia


a. feelings of sadness and loss when others aren't supportive

The majority of us experience this, most powerfully with family members and close friends, which is where therapy and places like Susan's can prove so helpful, because others can offer the support we're missing.

b. hypervigilance for transphobia

An expectation of rejection can put us on edge when we meet new people after social or medical transition. Hypervigilance can backfire if the people we meet pick up on it and wonder why it's there. If that happens, they too will become vigilant.

c. internalised transphobia

This is more common than you'd think. Just as some gay people struggle to eliminate negative concepts of gayness they've been brought up with, so some trans people struggle with negative perceptions of being trans. It's likely a problem if you've been brought up in a conservative household where transphobic views are common.

d. fear of loneliness

This is common, what will happen if nobody accepts us? But now you're here, you know that isn't true :-)