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Your browser is running in "compatibility mode" which means this web site may not work correctly. In contrast, people whose sense of personal identity corresponds to the sex and gender assigned to them at birth — that is, those who are neither transgender nor non-binary or genderqueer — are called cisgender.
The term transsexual was introduced to English in by David Oliver Cauldwell [note 2] and popularized by Harry Benjamin in , around the same time transgender was coined and began to be popularized.
Distinctions between the terms transgender and transsexual are commonly based on distinctions between gender psychological, social and sex physical.
In his book Transgender, an Ethnography of a Category , anthropologist David Valentine asserts that transgender was coined and used by activists to include many people who do not necessarily identify with the term and states that people who do not identify with the term transgender should not be included in the transgender spectrum.
The THP recommends that clinicians ask clients what terminology they prefer, and avoid the term transsexual unless they are sure that a client is comfortable with it.
Harry Benjamin invented a classification system for transsexuals and transvestites, called the Sex Orientation Scale SOS , in which he assigned transsexuals and transvestites to one of six categories based on their reasons for cross-dressing and the relative urgency of their need if any for sex reassignment surgery.
Benjamin's scale was designed for use with trans women , and trans men 's identities do not align with its categories. Non-binary or genderqueer identities are not specifically male or female.
They can be agender, androgynous, bigender, pangender, or genderfluid ,  and exist outside of cisnormativity. A transvestite is a person who cross-dresses , or dresses in clothes typically associated with the gender opposite the one they were assigned at birth.
Michael A. Gilbert, professor at the Department of Philosophy, York University , Toronto, offers this definition: "[A cross-dresser] is a person who has an apparent gender identification with one sex, and who has and certainly has been birth-designated as belonging to [that] sex, but who wears the clothing of the opposite sex because it is that of the opposite sex.
These individuals are cross dressing but are not cross dressers. The majority of cross-dressers identify as heterosexual. The term transvestite and the associated outdated term transvestism are conceptually different from the term transvestic fetishism , as transvestic fetishist refers to those who intermittently use clothing of the opposite gender for fetishistic purposes.
Drag is clothing and makeup worn on special occasions for performing or entertaining, unlike those who are transgender or who cross-dress for other reasons.
Drag can be theatrical, comedic, or grotesque. Drag queens have been considered caricatures of women by second-wave feminism.
Drag artists have a long tradition in LGBT culture. Generally the term drag queen covers men doing female drag, drag king covers women doing male drag, and faux queen covers women doing female drag.
Drag performers are not inherently transgender. Some drag performers, transvestites, and people in the gay community have embraced the pornographically-derived term tranny for drag queens or people who engage in transvestism or cross-dressing; however, this term is widely considered offensive if applied to transgender people.
The concepts of gender identity and transgender identity differ from that of sexual orientation. Despite the distinction between sexual orientation and gender, throughout history the gay, lesbian, and bisexual subculture was often the only place where gender-variant people were socially accepted in the gender role they felt they belonged to; especially during the time when legal or medical transitioning was almost impossible.
This acceptance has had a complex history. Like the wider world, the gay community in Western societies did not generally distinguish between sex and gender identity until the s, and often perceived gender-variant people more as homosexuals who behaved in a gender-variant way than as gender-variant people in their own right.
In addition, the role of the transgender community in the history of LGBT rights is often overlooked, as shown in Transforming History.
Most mental health professionals recommend therapy for internal conflicts about gender identity or discomfort in an assigned gender role, especially if one desires to transition.
People who experience discord between their gender and the expectations of others or whose gender identity conflicts with their body may benefit by talking through their feelings in depth; however, research on gender identity with regard to psychology, and scientific understanding of the phenomenon and its related issues, is relatively new.
The validity of the diagnosis and its presence in the forthcoming ICD is debated. France removed gender identity disorder as a diagnosis by decree in ,   but according to French trans rights organizations, beyond the impact of the announcement itself, nothing changed.
The DSM-5 refers to the topic as gender dysphoria GD while reinforcing the idea that being transgender is not considered a mental illness. Transgender people may meet the criteria for a diagnosis of gender dysphoria "only if [being transgender] causes distress or disability.
This diagnosis is often misinterpreted as implying that all transgender people suffer from GD, which has confused transgender people and those who seek to either criticize or affirm them.
Transgender people who are comfortable with their gender and whose gender is not directly causing inner frustration or impairing their functioning do not suffer from GD.
Moreover, GD is not necessarily permanent and is often resolved through therapy or transitioning. Feeling oppressed by the negative attitudes and behaviors of such others as legal entities does not indicate GD.
GD does not imply an opinion of immorality; the psychological establishment holds that people with any kind of mental or emotional problem should not receive stigma.
The solution for GD is whatever will alleviate suffering and restore functionality; this solution often, but not always, consists of undergoing a gender transition.
Clinical training lacks relevant information needed in order to adequately help transgender clients, which results in a large number of practitioners who are not prepared to sufficiently work with this population of individuals.
Those who seek help from these professionals often educate the professional without receiving help. Instead, therapists can support their clients in whatever steps they choose to take to transition or can support their decision not to transition while also addressing their clients' sense of congruence between gender identity and appearance.
Acknowledgment of the lack of clinical training has increased; however, research on the specific problems faced by the transgender community in mental health has focused on diagnosis and clinicians' experiences instead of transgender clients' experiences.
Prior to the seventh version of the Standards of Care SOC , an individual had to be diagnosed with gender identity disorder in order to proceed with hormone treatments or sexual reassignment surgery.
The new version decreased the focus on diagnosis and instead emphasized the importance of flexibility in order to meet the diverse health care needs of transsexual, transgender, and all gender-nonconforming people.
The reasons for seeking mental health services vary according to the individual. A transgender person seeking treatment does not necessarily mean their gender identity is problematic.
The emotional strain of dealing with stigma and experiencing transphobia pushes many transgender people to seek treatment to improve their quality of life, as one trans woman reflected: "Transgendered individuals are going to come to a therapist and most of their issues have nothing to do, specifically, with being transgendered.
It has to do because they've had to hide, they've had to lie, and they've felt all of this guilt and shame, unfortunately usually for years!
Problems still remain surrounding misinformation about transgender issues that hurt transgender people's mental health experiences.
One trans man who was enrolled as a student in a psychology graduate program highlighted the main concerns with modern clinical training: "Most people probably are familiar with the term transgender, but maybe that's it.
One class out of the huge diversity training. One class. And it was probably mostly about gay lifestyle. The issues around psychological classifications and associated stigma whether based in paraphilia or not of cross-dressers, transsexual men and women and lesbian and gay children, who may resemble trans children early in life have become more complex since CAMH Centre for Addiction and Mental Health colleagues Kenneth Zucker and Ray Blanchard were announced to be serving on the DSM-V 's Sexual and Gender Identity Disorders Work Group.
Within the trans community, this intention has mostly produced shock and outrage with attempts to organize other responses.
Autism is more common in people who are gender dysphoric. It is not known whether there is a biological basis. This may be due to the fact that people on the autism spectrum are less concerned with societal disapproval, and feel less fear or inhibition about coming out as trans than others.
Medical and surgical procedures exist for transsexual and some transgender people, though most categories of transgender people as described above are not known for seeking the following treatments.
Hormone replacement therapy for trans men induces beard growth and masculinizes skin, hair, voice, and fat distribution.
Hormone replacement therapy for trans women feminizes fat distribution and breasts. Laser hair removal or electrolysis removes excess hair for trans women.
Surgical procedures for trans women feminize the voice , skin , face , Adam's apple , breasts , waist , buttocks , and genitals.
Surgical procedures for trans men masculinize the chest and genitals and remove the womb , ovaries, and fallopian tubes.
The term " sex reassignment therapy " SRT is used as an umbrella term for physical procedures required for transition. Use of the term " sex change " has been criticized for its emphasis on surgery, and the term "transition" is preferred.
Trans men who have not had a hysterectomy and who take testosterone are at increased risk for endometrial cancer because androstenedione , which is made from testosterone in the body, can be converted into estrogen , and external estrogen is a risk factor for endometrial cancer.
Legal procedures exist in some jurisdictions which allow individuals to change their legal gender or name to reflect their gender identity.
Requirements for these procedures vary from an explicit formal diagnosis of transsexualism , to a diagnosis of gender identity disorder , to a letter from a physician that attests the individual's gender transition or having established a different gender role.
In many places, transgender people are not legally protected from discrimination in the workplace or in public accommodations.
In November , the Federal Constitutional Court ruled that the civil status law must allow a third gender option. The ruling came after an intersex person, who is neither a man nor woman according to chromosomal analysis, brought a legal challenge after attempting to change their registered sex to "inter" or divers.
Jurisdiction over legal classification of sex in Canada is assigned to the provinces and territories. This includes legal change of gender classification.
On June 19, Bill C , after having passed the legislative process in the House of Commons of Canada and the Senate of Canada , became law upon receiving Royal Assent which put it into immediate force.
The bill also added "gender identity and expression" to the list of aggravating factors in sentencing, where the accused commits a criminal offence against an individual because of those personal characteristics.
Similar transgender laws also exist in all the provinces and territories. Exceptions apply to certain types of employers, for example, employers with fewer than 15 employees and religious organizations.
Harris Funeral Homes Inc. Equal Employment Opportunity Commission. She argued that being denied access to her high school's women's restroom was a violation of Maine's Human Rights Act; one state judge has disagreed with her,  but Maines won her lawsuit against the Orono school district in January before the Maine Supreme Judicial Court.
On June 30, , the United States Department of Defense removed the ban that prohibited transgender people from openly serving in the US military. In California, the School Success and Opportunity Act authored by Assemblyman Tom Ammiano , which became state law on January 1, , says "A pupil shall be permitted to participate in sex-segregated school programs and activities, including athletic teams and competitions, and use facilities consistent with his or her gender identity, irrespective of the gender listed on the pupil's records.
Sexual assault, including molestation, rape, forced anal and oral sex, gang rape and stripping is being committed with impunity and there are reliable statistics and materials to support such activities.
Hijras face structural discrimination including not being able to obtain driving licenses, and being prohibited from accessing various social benefits.
It is also common for them to be banished from communities. The Roman Catholic Church has been involved in the outreach to LGBT community for several years and continues doing so through Franciscan urban outreach centers, for example, the Open Hearts outreach in Hartford, Connecticut.
Some feminists and feminist groups are supportive of transgender people, but others are not. Though second-wave feminism argued for the sex and gender distinction , some feminists believed there was a conflict between transgender identity and the feminist cause; e.
Many transgender feminists, however, view themselves as contributing to feminism by questioning and subverting gender norms.
Third-wave and contemporary feminism are generally more supportive of transgender people. A study of Swedes estimated a ratio of 1.
Twin studies suggest that there are likely genetic causes of transsexuality, although the precise genes involved are not fully understood.
Little is known about the prevalence of transgender people in the general population and reported prevalence estimates are greatly affected by variable definitions of transgender.
According to Amnesty International , 1. The Trans PULSE survey conducted in and suggest that as many as 1 in adults may be trans transgender, transsexual, or transitioned in the Canadian province of Ontario.
The Social Security Administration, since , has tracked the sex of citizens. Harris found that such changes had occurred as early as He estimated that 89, individuals included in the Census had changed to an opposite-gendered name, 21, of whom had also changed sex marker.
Pauly, estimated that about 2, transsexual people were living in the United States, with four times as many trans women as trans men. One effort to quantify the population in gave a "rough estimate" that 0.
This would put the total number of transgender Americans at approximately 1. A survey by the Pew Research Center in found that American society is divided on "whether it's possible for someone to be a gender different from the sex they were assigned at birth.
In Latin American cultures, a travesti is a person who has been assigned male at birth and who has a feminine, transfeminine, or "femme" gender identity.
Travestis generally undergo hormonal treatment, use female gender expression including new names and pronouns from the masculine ones they were given when assigned a sex, and might use breast implants, but they are not offered or do not desire sex-reassignment surgery.
They are framed as something entirely separate from transgender women, who possess the same gender identity of people assigned female at birth.
Other transgender identities are becoming more widely known, as a result of contact with other cultures of the Western world.
In Thailand and Laos ,  the term kathoey is used to refer to male-to-female transgender people  and effeminate gay men. The cultures of the Indian subcontinent include a third gender , referred to as hijra in Hindi.
In India , the Supreme Court on April 15, , recognized a third gender that is neither male nor female, stating "Recognition of transgenders as a third gender is not a social or medical issue but a human rights issue.
In what is now the United States and Canada, some Native American and First Nations cultures traditionally recognize the existence of more than two genders,  such as the Zuni male-bodied lhamana ,  the Lakota male-bodied winkte ,  and the Mohave male-bodied alyhaa and female-bodied hwamee.
Among the ancient Middle Eastern Akkadian people, a salzikrum was a person who appeared biologically female but had distinct male traits.
Salzikrum is a compound word meaning male daughter. A salzikrum's father could also stipulate that she inherit a certain amount.
In early Medina , gender-variant  male-to-female Islamic people were acknowledged  in the form of the Mukhannathun. Mahu is a traditional third gender in Hawai'i and Tahiti.
Mahu are valued as teachers, caretakers of culture, and healers, such as Kapaemahu. Also, in Fa'asamoa traditions, the Samoan culture allows a specific role for male to female transgender individuals as Fa'afafine.
Transgender people vary greatly in choosing when, whether, and how to disclose their transgender status to family, close friends, and others.
Fear of retaliatory behavior, such as being removed from the parental home while underage, is a cause for transgender people to not come out to their families until they have reached adulthood.
The internet can play a significant role in the coming out process for transgender people. Some come out in an online identity first, providing an opportunity to go through experiences virtually and safely before risking social sanctions in the real world.
As more transgender people are represented and included within the realm of mass culture, the stigma that is associated with being transgender can influence the decisions, ideas, and thoughts based upon it.
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