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Childhood Trauma Survivor Misdiagnosed as Transsexual with Gender Dysphoria

Started by Virginia, October 23, 2014, 06:32:46 PM

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Virginia

I have been a member of the discussion group for several years but just noticed this new forum. It seemed like a few of you might like to read my story.

I am not and have never have been transgender. There is nothing natural or normal about my need to express myself as my gender not assigned at birth. I have Dissociative Identity Disorder (DID; sometimes referred to as Multiple Personality Disorder/MPD). My innate ability to dissociate enabled me to survive childhood trauma by splitting my mind into me and separate 7-year-old child, bulimic tweenage girl, Protector and Inner Self Helper personalities. It was a highly successful coping mechanism that enabled me to do an amazing job of simulating a healthy person. I have had an amazing life life, got through my first wife's death, retired early after a successful career as a graduate level engineer, have been married to an amazing woman for 20+ years who has stood by my side through all of this. And I never had a clue...

In 2009 an external event triggered System decomposition. I suffered a midlife breakdown and my 13 year old female alter (Virginia) became self-aware. Virginia is strong, fronted for my System through junior high. But so am I; I was System host the other 46 years. The battle between us for control of the body was a bloody one. DID is a disorder of secrecy; the victim's life depended on hiding it. My condition flew under the radar of a full psychological profile and THREE years of therapy with a GT and a cognitive psychologist. The more my doctors insisted I was in denial of my transgenderism, the more I refused to come out or transition. When I began to experience time/memory loss, nightmares and flashback, I was rediagnosed with DID and referred for trauma recovery therapy.

My wife and I are retired and arranged our schedules so Virginia has 2 days a week to live her own life. We do our best to accommodate the occasional things she wants to do with her friends on other days but she is simply not capable of fronting anymore on a regular basis. A few close friends know Virginia and I are DID and there is no controlling triggered shifts between the five personalities in my System. But no one in either of our worlds, even my wife, knows both of us. Virginia has her own ID, credit cards and wardrobe. Unlike my child alter, she is a good driver so she is allowed to come and go as she pleases on the days she fronts. Like any 13 year old, she gets an allowance, is not allowed to drink alcohol and has a curfew. I am tall and skinny so Virginia has never had any problems with people recognizing she is a girl. She's built like a model, can wear virtually anything and looks nice in a modest bikini at the beach. We have lived as separate cisgender people with absolutely no crossover in our lives for over 5 years.

My Child, Protector and inner Self Helper are not narcissistic alters but finding a balance in sharing the body that worked for Virginia and me was a long painful process Virginia's body dysphoria centered on hair. It was the biggest difference between my 50 year old body and the prepubescent one she remembered when she fronted for my System when I was 13.  Settling on wearing my hair in a shoulder length grunge was easy. I have wanted long hair since it was in style when I was a kid and I'm just one more longhaired country boy here in the South. We agreed on laser/electrolysis to remove my facial hair, keeping my Van Dyke because of the importance of facial hair to my sense of self as a man, and reshaping my bushy adult eyebrows so they were more like they were in my grade-school pictures. Our big sticking point was what to shave. My body hair made Virginia dysphoric and shaving my chest underarms and legs made me dysphoric. Fortunately the full transition level estrogen HRT regimen I was given to treat GD reduced my body hair to fine vellum. A year and a half on hormones and I was able to stop shaving my body altogether. Virginia being a tween tomboy rather than a real girly girl made things a lot easier. She is into the whole back to nature, fuzzy underarm and leg, surfer chick thing and the fine vellum hair that covers my chest and legs is important to my sense of self as a man.

We were both extremely worried about growing breasts when I started hormones. At 13, womanly curves are no more a part of Virginia's self image than they are mine. The A cups I developed from HRT turned out to be surprisingly important to her sense of self, and don't keep me from going without a shirt in the summer. But it has taken nearly five years of therapy to understand the psychological relief I get from estrogen has nothing to do with giving my brain the right hormones. The peace came from chemical castration and meeting my need as a trauma victim to end the cycle of abuse once and for all.

An eighth inch of white is a good balance for my nails and Virginia occasionally uses clear polish when she fronts. She agreed to me keeping my Van Dyke so I put up with a French pedicure for her. Trading in my tightie whities for colored mens bikinis and replacing my wardrobe of over-sized cut mens clothes that are in style today with things that are more form fitting like the ones I wore back in the 70's, Virginia is pretty comfortable on the days I front. For her part, she reciprocates by doing the clean natural thing with her makeup and except for the clingy stuff she wears to yoga, stays away from over the top female fashion. My cognitive psychologist was an immense help with learning to share the body. In hindsight, Virginia wasn't really asking for all that much; she just wanted to look like I did back in the 70's when she fronted for the System in junior high. (Scratching head) It seemed like a helluvalot to ask for 5 years ago...

Two years after my breakdown Virignia and I were in a stable enough place for my mind began to explore the things that happened when I was child in flashbacks and nightmares. My wife's therapist, my trauma specialist and cognitive psychologist and our couples psychologist have all told me trauma recovery therapy is the most horrible therapy anyone can go through. They were right. I wouldn't wish what I have gone through the last 2 ½ years on my worst enemy. But the consolation of truth is peace. I have recovered my memories of my near downing and being raped, my parents psychological abuse, the gender confusion in only having girls for playmates and being given my female hand-me me-downs as a child, and the strict delineation in the things men and women were and were not allowed to feel or do. I see my childhood for what it was and I understand with my adult mind the affect it had on me. My marriage not only survived but my wife and I have grown closer than I ever dreamed was possible.

The solitary self does not win when one part gains at another's expense. Catering to one of my alter's needs would have done nothing to fix the underlying cause of my need to express myself as male and female. Transitioning would have cost me my marriage and the life I spent 50 years building; I would be just as unhappy being stuck living as a girl as Virginia was living as a guy; And I would still be battling the demons my child's mind locked away nearly 50 years ago... if I hadn't chose suicide.
~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
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Zoidberg

Thank you for sharing your story. It's something I've questioned may be going on in my own life (likely just because when I came out as a teenager my mother suggested this was the underlying cause, but mild disassociation and thoughts/feelings that don't seem to make sense have made me wonder), so hearing that if that's what therapy uncovers there is still a chance of peace means a lot too me.
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Eva Marie

i'm glad that you seem to have found a balance in your life Virginia. I know you've had a very, very rough road getting to this point.
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kittylover

I sort of have DID too.... I don't officially have it because I lack the dramatic "switching" and time loss needed for a diagnosis but I definetly have a few different people in my head. Kitty my host/person in charge ,the 18 year old girl (our body is only 18) left us abruptly when I went to college a couple months ago. I am jason ,an 18 year old boy. I still share a body with a six year old girl and a twelve year old girl . almost everyone thinks I'm jus a normal FTM and doesn't understand why i'm so afraid to do anything permanent......the truth is it's because I'm worried about upsetting the littles and if kitty comes back......am I actually not trans too?
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Virginia

"Natural born" multiplicity aside, dissociation is a sliding scale and there are a whole host of dissociative disorders, ranging from PTSD to DID.  The correlation is so strong, standard therapy protocol is to assume something very serious happened to a person at a very young age to fragment their mind into separate personalities until it can be established there wasn't. I am a firm believer in the SOC requirement for therapy prior to any sort of transition- even more so for a Multiple. Until you understand the exact nature and reason for your System, changing something as your gender to satisfy an individual alter's needs could be devastating the psyche.
~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
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kittylover

I was sexually and emotionally abused as a child , so I do know why I'm this way....
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Virginia

I just read this in another thread and I am so very very sorry...

Something I realized I failed to mention in my original post (correction made above), is that Virginia is bulimic. Bulimia is a common way young teenagers (more typically girls) who were traumatized before they were 10 attempt to gain a sense of control over their lives. Our couples psychologist picked up on it at one of our first sessions based on my 5'10" 146 pound build. I vehemently denied having an eating disorder, just as I had her suggestions that I had been molested or had anything less than a perfect childhood. I carefully controlled my weight my entire life, a combination of eating like a horse, working like a dog and fasting for health reasons once a week for years. I lived a healthy lifestyle. As my DID continued to manifest itself, Virginia started making herself vomit during flashbacks and thjere was no denying my doctor was right.
~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
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Bunter

I agree that some sort of therapy is a good idea before transitioning. I have seen a couple of people break down during transition or with symptoms that were something else than being trans.
I just want to add that it's possible to be trans and traumatized. And it would be very difficult to established cause and effect in that case.
During the 80s, trauma was always assumed to be the cause for transgender, especially for ftm. There was no difference between that and the older assumption that all lesbians had "bad experiences" with men. Only that now lesbian, "progressive" and feminist therapists applied (and still apply) that theory to trans patients.
People who suffer from DIID, strong dissociation, self harm or intense PTSD need help for that. But it can be turned into a transphobic script if you happen to meet a transphobic (though otherwise "liberal") therapist.
So I'm warning against buying into types of therapy that assume from the start that trauma is the cause for being trans (the therapist won't always tell you head on).
The therapist should be open to the possibility that someone is trans and traumatized at the same time, otherwise they are biased.

Add: Generally speaking, suggesting "repressed memories" is also a problematic practice. A good therapist doesn't suggest anything, but only works with what the client brings into the session.
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Virginia

Interesting flip side to the GT who insisted I needed to transition. And she professes to be not only be experienced with gender but in working with adult survivors of childhood abuse and Dissociative Identity Disorder. It may be the pendulum has just swung too far in the other direction with all the current media attention on transsexualism.

It is certainly inappropriate to assume trauma is always the cause for a person being transgender with as much as we have learned since the 1980's. Given child molestation rates about four times the percentage of the population who are transgender (20% girls/5% boys molested vs 2-5% transgender), it is reasonable for a therapist to begin therapy under the assumption that a patient is suffering from the effects of trauma rather than being transgender- even less likely a person has been traumatized and is transgender. But the correlation between child abuse and DID is so strong, protocol is to treat a person was abused as a child until it can be established they were not.

The distinction between recovered and false memories becomes apparent in DID flashback (the conscious mind simply cannot relive the memory as if it is actually happening the way the subconscious mind can), but a therapist suggesting repressed memories is very poor practice. In my case I was fortunate my Mother is still alive to confirm all of my recovered memories. Taking away the doubt has been extremely validating and has brought me a great sense of acceptance and peace. It is actually kind of creepy how little my trauma recovery therapist speaks in session. Other than asking how something makes me feel or repeating what I have said to affirm it's truth/untruth, she hardly says a word. Our sessions remind me of the old TV series MASH when Sidney the psychologist would visit the 4077.

Binter wrote:
it's possible to be trans and traumatized. And it would be very difficult to established cause and effect in that case.

I don't understand. Transgenderim and trauma are two very different things. Could you please elaborate?


~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
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paxi1334

Yeah, I agree that trauma can really confuse the clinical picture.  I haven't yet worked through all of the pieces in my own puzzle, but I can say that it is very complicated and much caution is needed. 

Emotional and sexual trauma, especially at certain vulnerable ages, can effect the normal process of consolidating gender identity in the first place.  In some cases, those with PTSD can have "gender dysphoria" as a symptom because they were never given the chance to fully consolidate their birth gender - and of course, DID can really make things even more complex.  So, in this sense, trauma at certain points in development can really do a number on gender identity & in these cases, "therapy" means working through the trauma and embracing yourself as the gender in which you were born.

But its more complicated-
Some people are, apparently by genetics, trans.  And these people will be trans whether they grow up in the 3rd world or as heirs to a Hollywood movie star.  They are born trans in the same way as someone is born left-handed, it just is what it is.  But our world doesn't really embrace these people and instead punishes them.  So it becomes a chicken / egg question...

Did I start out as young person, say age 4 or 5 and present as a girl when others thought I should be a boy?... and did this make people hurt me?...in other words, did I start off trans and then get traumatized as a punishment for being trans?  In these cases, what is done to a young person CAN be severe enough even to cause DID.  In fact the condition of being trans in and of itself can be severe enough to cause dissociation (how else can some trans kids survive?). 
OR
Did I start off as my birth gender indicates and get traumatized for some other reason but because of what happened it skewered my development and/or caused DID?

As with all areas of therapy and treatment, trauma is an unforgiving wound and complicates everything.  My thoughts and prayers are with you as work towards finding, understanding, accepting and embracing yourself so that you can be the person you need to be.
September 2008 - Began Therapy
November 2008 - GID diagnosis, "Full time"
December 2008 - Began Estrogen Replacement Therapy
March 2009 - Bilateral orchie
April 2009 - Legally changed name, gender & all documents (birth certificate, etc.)
May 2009 - Began electrolysis
November 2009 - "Sex reassignment" surgery
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Beth Andrea

Thanks for sharing, Virginia.

I also have DID, and am trans. For "us", once the former ("primary") male knew he was...ummm...vacating the post, I became the new primary. He was 47 (also the body's age, although he had only been primary for a handful of years), while I was--and still--28. I've been out for 3 years now.

The only caution I was given, by the TG/TS community as well as my the*apist and those "inside", was to take transition slowly...making sure everyone is onboard with further transition. At first it was nails and hair (growth and removal, depending on location), and now its to the point we are going to complete the physical process next year.

The Others just needed to know that they are safe with us being as we are...and some have started their own transition inside our System.

Love and accept all your Parts/Alters, even the seemingly mean and angry one(s); they're a part of you just as you are and the Out male.

*hugs* if safe, and happy life!
...I think for most of us it is a futile effort to try and put this genie back in the bottle once she has tasted freedom...

--read in a Tessa James post 1/16/2017
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Virginia

Excellent discussion, Everyone!

I appreciate your example, paxi1334, that makes the idea clear for me. It would certainly be difficult to know which condition preceded the other in the case you describe, even more so if a child experienced non gender related trauma and also happened to be transgender.  it is vital to get to the underlying cause of a person's need to express themselves as their GNAAB; jumping to any conclusions can have devastating effects.

Beth Andrea wrote:
Love and accept all your Parts/Alters, even the seemingly mean and angry one(s); they're a part of you

Tears. Words of wisdom, Beth Andrea. And so painfully hard to do...

Beth Andrea wrote:
At first it was nails and hair (growth and removal, depending on location).

Interestingly these were also the first two things that happened to me. The urges were completely uncontrollable. Within 5 months I was sitting to pee and tucking 24-7, had lost over 30 pounds; quit a 40 year nail biting habit, grown them out to an 1/8" of white and was using clear polish; groomed my eyebrows; started growing out my flattop haircut; begun to develop a female voice; shaved my legs, chest and underarms; and begun laser hair removal of my beard. I was wearing lip gloss foundation, eyeliner, a bra and (masculine styled) women's blouse, slacks and shoes to work, and had been accepted as a women when I went out for the evening to Church and dinner. All sold as a few small changes to satisfy what I then called my "female self." I had no idea what was happening or how far I had gone. Virginia played the same bait and switch game to get her way that my Mother did when I was a child.
~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
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Beth Andrea

QuoteThe urges were completely uncontrollable. Within 5 months I was sitting to pee and tucking 24-7, had lost over 30 pounds; quit a 40 year nail biting habit, grown them out to an 1/8" of white and was using clear polish; groomed my eyebrows; started growing out my flattop haircut; begun to develop a female voice; shaved my legs, chest and underarms; and begun laser hair removal of my beard. I was wearing lip gloss foundation, eyeliner, a bra and (masculine styled) women's blouse, slacks and shoes to work, and had been accepted as a women when I went out for the evening to Church and dinner. All sold as a few small changes to satisfy what I then called my "female self." I had no idea what was happening or how far I had gone. Virginia played the same bait and switch game to get her way that my Mother did when I was a child.

I/we also did these things, except for the shaving legs, chest, and arms (all of them)...well, we shaved the first time, but then went to waxing.

After we got on HRT, waxing became far too physically painful...it had been painful before, but not as much as the emotional pain from experiencing a hairy man-body. HRT reduced the emotional pain to a degree we'd never EVER experienced. Spiro especially reduced the emotional pain...OMG testosterone is a poison to us.

Interesting also, that our former male self often referred to me as his "female self." This was before we realized we were DID. He waited to let me name myself, which I did (Beth, not Elizabeth). He knew prior to my appearance that his time was very short--either suicide or another Alter--and together we worked to get me up to speed about his work and other roles (husband, father, etc). But the Others inside would not have the confidence in me unless I could present an "authentic" appearance. The more we did, the more content (dare I say, "happy"?) the Others became.

For us, there was no bait and switch. There was life--or death. Life meant we must transition. In fact, some of the changes were suggested by the male self; he despised the masculine things in our life which had become too-obviously false to him.

Also, the more femme we presented, the more interaction we had with other humans. It's incredible that on one day we could be "male", and we were invisible to everyone (i.e., no hellos or goodbyes, unless we initiated...and even then, most people simply did not notice we were there at all)...next day we'd be "Beth", and nearly everyone greeted us with hellos and talked freely about all sorts of things. They noticed us, and in a good way.

QuoteThe more my doctors insisted I was in denial of my transgenderism, the more I refused to come out or transition.

This kinda jumped out at me just now when I re-read your first post...is it possible that you are transgender (even though you currently deny it), and you (or your male self) see it as a threat? Hence the refusal and the later "restrictions" on Virginia? (Understandable, considering the "world" you've created--a good one).

Having said that, of course it is your Self/Selves who would have to discuss it in the safety of your own mind, and with your the*apist. It is a given that repression--whether of the male or the female--is a bad thing. So far, it sounds like you've achieved a sort of balance between the two.
...I think for most of us it is a futile effort to try and put this genie back in the bottle once she has tasted freedom...

--read in a Tessa James post 1/16/2017
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Virginia

It's interesting the male alter of both of our Systems referred to our female alters as "female self." Even though we had not as yet been diagnosed with DID, at some level he and I must have sensed they were not personas of a solitary self.

Like you, Virginia has a much lower tolerance for pain than I do. Handling physical pain is part of my role in my System. Virginia handles psychological pain, my Child alter fear and my Protector rage. I have come to thrive on it from the years of guilt and self punishment, have used my ability quite constructively over my life to push me to my competitive edge. And it makes me the logical choice for host given I live in constant pain from degenerative scoliosis.

Virginia enjoys being around people more than me, but I did too when I was young. That said, most people perceive me to be an extrovert although my preference is to be alone. She and I both prefer a handful of close relationships to being social butterflies. As is generally the case with the contrasting characteristics of alters, people just accept our flipflopping back and forth as an idiosyncrasy without thinking much of it.

Authentic is extremely important to both me and Virginia, a reaction to the "non" authenticity of my parents. But my female alter's personality was so highly developed from the years she spent with other girls as a child and fronting for the System through junior high, being much more coconscious with me than I was of her there was really nothing she needed to do to "get up to speed" so she could front again. A few grooming changes, some clothes, a little makeup, develop her voice, but no learning per se'. I suspect this was the reason she was able to move so rapidly with the things that were important to her when she became self aware. I absolutely understand the need for a slow transition in your case to be certain all of the alters, especially the children, feel safe.

Virginia is and has always been extremely secure about who she is (many thanks to my Mother for instilling both of us with overwhelming self confidence). Although she enjoys expressing her femininity, she is only 13 and makes a game out of fooling people into thinking she is me by stepping in while I am fronting. The androgynous way we keep the body makes it extremely easy for us both to be accepted as the man/woman we are by simply coming to the front. When I am clean shaven I can literally walk into the mens room wearing jeans and a tee shirt, comb my hair differently and when Virginia comes to front on the way out people will see a female.

A few notes about my System:
None of my alters including me (host) are my body age of 54 although I am the oldest at ~30. It seems after my first wife was killed when I was in my late 20's my mind said it just didn't want to get any older...

I mentioned above that Virginia is bulimic. My Child alter rarely talks because he is self conscious of his stuttering. Two wives and 25 years of marriage, I have never been able to bring myself to have intercourse. It's amazing the things we can explain away...

I am extremely trans-homophobic from having been raped by an older boy. Given the fundamental difference in my System being cisgender and yours being transgender, it's easy to understand why our paths began to diverge from here. My Inner Self Helper made sure Virginia and I reached our balance long before it began to reveal to me the things that happened when I was a child. As alters she and I are female/male to fill our rolls in my System- hormones can't affect that. Testosterone is no more poisonous to Virginia than estrogen is to me, of course I happen to be fortunate to be in a body consistent will my identity as an alter. The complete lack of psychological effects and desire to transition I experience having been on a full transition level HRT regimen for almost 5 years now makes no sense from a transgender point of view. From the perspective of reducing Virginia's body dsyphoria by making it more closely resemble the way it was when I was ~13 and chemical castration to meet my System's need as a trauma victim to end the cycle of abuse once and for all, it becomes clear why HRT gave me peace for very different reasons.

Beth Andrea rote:
is it possible that you are transgender (even though you currently deny it), and you (or your male self) see it as a threat? Hence the refusal and the later "restrictions" on Virginia? (Understandable, considering the "world" you've created--a good one).

Just as the transsexual will transition, the System will do what the System must do for the good of the Self. I had no idea when Virginia first became self aware it was not possible, but she certainly threatened to takeover. Five years later I still kid myself that as host that I have some control over my alters, but the reality is I was no more able to restrict Virginia when she first became self-aware (or now) than she is able to restrict me. Decision like that are made at a level above both of our pay grades by my ISH.

My System's need to express itself as female is wholly contained in my female alter. I thrive on being a guy as much as she thrives on being a girl (I hate to keep leaving my other three alters out of this discussion but they just don't have the narcissistic needs to express themselves as we do). My MMPI-II/MCMI-III inventories indicated that I was not only gender dysphoric to a level indicating MTF SRS, but to a level indicating FTM SRS. The changes Virginia needed when she first became self aware were tearing me to shreds. It was even worse when we attempted to find a middle ground with an androgynous appearance. It was just as important to her as it was to me that there was no question in how people saw us; it stood squarely in the face of both of our needs for "authenticity." It was at this point my ISH revealed to us both the best balance was compartmentalization so Virginia could be 100% female as much as she needed and I could be 100% male the rest.

My trauma therapist has observed that between Virginia and I we "almost" make a whole person. The way my mind not only split up feelings but abilities between us, we are each incapable of living without the other. What ultimately made this clear for us both was each of us in turn attempting to take over the body. I made it almost 30 days before I had devolved into a state of complete dissociation. She made it a week before she simply disappeared (My psychologist was FURIOUS at me for attempting this stunt). Virginia is not strong enough to front more than 2 days a week on a regular basis, and she is happy to turn things back over to me, experiencing life coconsciously and occasionally bleeding though if something triggers her the rest of the time. I plod along the other 5 days exactly as I have for the last 54 years.

Virginia made her needs clear to my System before I even started therapy. Five years of a transition level estrogen regimen, therapy, diagnoses of transsexual, androgyne, bigender, PTSD and finally DID; giving Virginia 2 out of 7 days a week to live her life continues to be the balance that meets the needs of the entire System. The Solitary Self does not win when one part gains at another's expense.
~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
  •  

Bunter

"Bunter wrote:
it's possible to be trans and traumatized. And it would be very difficult to established cause and effect in that case.

I don't understand. Transgenderim and trauma are two very different things. Could you please elaborate? "

That's what I meant, too. It would be difficult to know if someone would turn out trans anyways, in cases where the abuse happened early.

A therapist suggesting that someone *needs* to transition is just as problematic as the other way around. Therapists need to stay neutral.

I have a question- how did you know you had DIID? I mean before a diagnosis?

And here is another thought, that a professional therapist once told me in a conversation: What does it matter? If a woman had been raped and now lives only with women, and is happy with her relationships? Would it be ethical to treat her for being a lesbian, because it might have been "caused" by the abuse? Should she be treated to become "normal" again?

QuoteGiven child molestation rates about four times the percentage of the population who are transgender (20% girls/5% boys molested vs 2-5% transgender), it is reasonable for a therapist to begin therapy under the assumption that a patient is suffering from the effects of trauma rather than being transgender- even less likely a person has been traumatized and is transgender.

I'm not sure that makes sense logically- why would anyone present as transgender to a therapist just because they have been abused? What correlation is there?
And if there were a correlation, shouldn't the numbers of presenting mtf be *much* lower than the numbers of ftm?
If a girl wanted to be a boy to be protected from abuse (or whatever the theory is), shouldn't an abused boy prefer to stay a boy for the same reason? Or if the boy was abused by a man, and thus wants to avoid being a man (another such theory) why would the girl want to become "like the abuser" and the boy not?

Added: I agree that when the wish to transition happens very suddenly and out of the blue, and someone pushes through with everything at breakneck speed, that's a warning sign.
Though on the other hand, you never know, and I have seen people with no trans past who transitioned and were super happy afterwards, and very well adjusted. The thing is- we just don't know what transgender is (despite what some people might say, nothing is certain scientifically). It could just be a normal variant that happens spontaneously because of the physically androgynous nature of us all. Some people could even have shifting genders naturally.
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Virginia

Thank you for continuing to share your thoughts and experiences in this thread, Bunter. It is vital for people who are questioning their gender to understand the nuances of the various reasons a person may have a need to express themself as their GNAAB.

You ask several excellent questions and I will do my best to share my perspectives.

Bunter wrote:
how did you know you had DIID? I mean before a diagnosis?

I began to suspect I was DID when I started to experience flashbacks and time/memory loss on the days my female alter fronted. The pieces began fitting together at that point for me and my psychologist (other dissociative behaviors, uncontrollable actions like shaving my body, thinking in different voices, triggered changes in my speech, facial expressions, mannerisms and behavior).

Bunter wrote:
What does it matter? If a woman had been raped and now lives only with women, and is happy....

(I am assuming this was meant for me to consider so I am answering from my perspective)
I see the key word here as "happy." My DID was having a very negative impact on my ability to live my day-to-day life. I was, and still am, very unhappy with the impact having a female alter has on my life.

Bunter wrote:
I'm not sure that makes sense logically- why would anyone present as transgender to a therapist just because they have been abused? What correlation is there?

Not a correlation; I was just pointing out that given the likelihood of other factors that can lead to gender confusion is significantly greater than then likelihood of being transgender, it would be reasonable for a therapist to begin therapy under the assumption that a patient is suffering from the effects of another condition, not that they are transgender (ie. it is more likely you have indigestion than are having a heart attack).

Bunter wrote:
If a girl wanted to be a boy to be protected from abuse (or whatever the theory is), shouldn't an abused boy prefer to stay a boy for the same reason? Or if the boy was abused by a man, and thus wants to avoid being a man (another such theory) why would the girl want to become "like the abuser" and the boy not?

From a DID perspective, it is common for people with MPD/DID to have opposite gender personalities in their systems. Male alters give female trauma victims the strength they do not believe themselves to possess as women. Female alters give men a way to justify in their minds the horror of having been molested and a way to resolve the resulting sexual confusion. I was no exception.

~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
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Bunter

Quoteother factors that can lead to gender confusion

Yeah but that's exactly the point- why should trauma lead to "gender confusion"? And what exactly is meant by "gender confusion"? I don't see there is an established connection between trauma and gender confusion.

You say that the differently gendered alters are the cause for the trans behavior. But isn't multiple personality disorder *extremely* rare? Much more so that being trans? So that the probability that someone is multiple is even rarer that someone being trans?
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Beth Andrea

I've read an article that suggests up to 6% of the population may be DID, but for most of them it isn't a problem. I know before I was diagnosed with it, I would joke with coworkers that I don't take my work home, because the moment I got in my car, I'd forgotten the entire day! The next day I'd  come to work, and did not think at all about problems at home, because work was "the world" for that Alter. And there were other areas and activities that were simply not accessible--or even remembered--unless I was right there doing it.

Trauma could create a TS person by the Self rejecting the body if it's perceived as being the abuser. My first foray into modifying my body was not a need to transition, but simply a way of getting rid of the feeling of being "trapped" inside the abuser's body (he had a hairy chest and it sickened me to have that.)
...I think for most of us it is a futile effort to try and put this genie back in the bottle once she has tasted freedom...

--read in a Tessa James post 1/16/2017
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Virginia

Nodding knowingly. Thank you for sharing the very personal reasons for your foray into modifying your body, Beth Andrea. It makes complete sense and I can relate from my female alter's wanting to make my body look more like she remembered it being when I was 13. I don't think I will ever quite get over the shock of seeing how amazingly similar the experiences of others with DID is to my own.

I too have seen estimates of upwards of 6% of the population as having DID. Dissociation is a highly effective coping mechanism and many people live out their lives as "healthy multiplicities." My System worked so well I went 48 years before I even became aware of it; my 84-year-old Mother's multiple personalities (at least one is male) enabled her to survive a drunken Father and being molested by her older brother to go on to live a happy productive life.

@ Bunter:
Having different gendered alters could give the appearance of a person being transgender, but in and of itself is not the cause of true transgender behavior. I was using the terminology "gender confusion" as an umbrella term for all of the reasons a person may feel a need to express themself as their GNAAB other than being transgender. I did not mean to limit my comments to DID because of the high occurrence of child molestation.

Trauma, specifically molestation and rape, have devastating effects on a child. The effects are clearly established in the psychological literature. Leonard Shengold's "Soul Murder" is an excellent reference. The actual psychological condition varies depending on whether a child has an innate ability to dissociate, from dissociative disorders on one end to sexual dysfunction, and the gambit of psychotic disorders on the other. Their innocent brains have simply not developed to the point of being able to handle the over stimulation of orgasm; it literally exploding their minds. The child's attempt to understand and rationalize what happened to them can lead to gender confusion. For someone with DID this could be through the function of male/female alters for female/males, respectively, as I described above.
~VA (pronounced Vee- Aye, the abbreviation for the State of Virginia where I live)
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