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Experiences Trans* Identified Individuals Encounter When Accessing Health Care Services. Survey

Do trans* identified patients experience perceived discriminatory, non-competent, or paternalistic behavior and attitudes when accessing health care related to their gender identity, and does this negatively impact the how they access medical providers and utilize services?

Hello folks!

I’ve just opened up my survey around trans* healthcare experiences in the U.S. that recently got IRB approval! I hope that many of you will be able find some time to take this survey and share it with folks identifying along the trans* gender spectrum. The survey covers experiences with trans* specific and non-trans* specific health care providers, so whether you’re interested in hormones/surgery or not, your voice would be valued. With this survey I’m especially interested in capturing how people experience their trans* related health care if they identify outside male, female, FTM, and MTF boxes. Please Please Please, help me spread the word and make this survey accessible.

* It is completely confidential, and no identifiers will be collected, including your IP address. 

Join Sean and Jesse for our interview with Walidah Imarisha and discussion of the Prison Industrial Complex (PIC), its roots in slavery and the 2.7 MILLION people in prison now in the US.  We will discuss the concept of borders around identity, around physical bodies, and how it is especially harmful to trans people of color.  Walidah will also cover the Black Codes and mass incarceration of people of color. We discuss prison abolition vs. criminal justice/prison reform strategies and how some abolition theory and work is coming out of queer/trans youth of color communities.

Episode 21: Transmisogyny: Interview with Tobi Hill-Meyer

Episode 22: What IS Masculinity Anyway?

Not Another Aiden: FAQ: Gay Men And Gay FtMs Redux

gaytransmenshit:

Alright, this post is one of the most popular pages on here, but it’s a bit outdated so I’ve decided to write a new one.  Let’s start with the basics: what is a gay FtM?  In this case I’m using it to mean trans men (however you want to define that) who are attracted to men,including cis men.  There are plenty of trans men who are attracted to other trans men without being attracted to cis men, but this isn’t going to focus on them.  For many of us the bigger question is whether or not a cis guy will ever be willing to date/sleep with us.  The answer is…it’s complicated.  It depends on a variety of factors that I’m going to try to cover here.  This is all based on my own experiences in various cities and countries at different stages of transition.  Like everything on this site, your experiences may be different.  Yay for diversity.

  1. Perceived gender.  The ‘perceived’ part of this is important.  I know, you’re a guy.  That’s great.  That doesn’t matter if no one else can see it.  If you go to a gay club or group or event and all anyone sees is a straight woman or lesbian you’re not going to have much luck.  Why?  Gay men are (get this) attracted to men.  If they don’t know you’re a man they’re probably not going to be attracted to you.  Are there exceptions to this?  Yeah, of course.  I know I dated gay cis guys before coming out, some of whom knew I was a girl and others who didn’t, but that’s fairly uncommon.  It also tends to cause issues as the guys question their sexuality.  So if you’re no-ho or pre-T or early-T or whatever don’t expect to pull at a night club.  Coming out to a group of guys and then eventually dating one of them?  Bit more likely.  The random, anonymous sex bit is harder to do when not passing though.
  2. Perceived gender expression.  Again, ‘perceived’ is important.  If you’re like most trans guys chances are you’ve vastly overestimated how effeminate you are.  Here’s a hint: if you prefer a lumberjack look most guys will consider you butch.  They don’t know about your My Little Pony collection or ballet training.  Even if they did, they may not consider that enough to override the flannel and cargo jeans.  Consider it a bonus, effeminate guys of any orientation or genital configuration tend to have a harder time finding dates/sex.  Sissyphobia is still alive and well in the world, including the gay community.  Biggest difference between you and a cis guy here is that you’ll probably get at least one variation on “why didn’t you just stay a girl?”  Yes, it sucks.  No, chances are you won’t be alone forever.  It just makes everything a little more difficult.
  3. Age.  The world has changed a lot in recent years.  There’s more knowledge of trans guys, including gay ones, than ever before.  We’ve been on the news, in TV shows, and in gay men’s publications.  Sometimes this is useful, it means we have less educating to do.  It can also be a problem when guys think they know everything already.  I’ve found the younger a guy is the more likely he is to be open to the idea of dating/sleeping with a trans guy.  It’s not a 100% thing, but in general younger guys don’t have all the “oh crap, they’re trying to make me straight” hangups older guys do (for good reason) and tend to know at least enough to not think you’re a drag king or something.  That doesn’t mean go for 18 year olds if you’re 40 or something (that tends to not go well regardless of genitalia), but keep it in mind when deciding how to go about coming out.
  4. Subcommunity.  I will never understand why this is, but bears and leather daddies have always been the nicest, most accepting guys I meet.  If I was into them I’d totally be having more sex right now.  If gay trans guys blogging about their sexual experiences are any indication, they’re also pretty open to trans guys in their community.  I wouldn’t know, it’s not my thing.  Go you if it’s yours though.
  5. Preferred ‘type’.  This goes in combination with your own perceived gender expression.  Guys who are perceived as neutral or masculine tend to be able to go for anyone they want.  Guys who are perceived as effeminate get strange looks when we’re attracted to other effeminate guys (exception being hipster effeminate).  It’s stupid and heterocentric, but that’s the way things are for now.  It is entirely possible to be an effeminate guy who is into other effeminate guys and still find sex/dates, it’s just another thing that’s a bit more difficult to navigate.  It also seems to be getting easier as time goes on which is nice.  Just be prepared for straight people constantly asking “so who’s the girl?”
  6. Sexual preferences.  This is in combination with all of the above.  Guy who’s read as a feminine straight girl and is into effeminate guys and really wants front hole sex is going to have more trouble than a masculine, passing guy into neutral guys who hates anyone going near his vagina.  In my experience if you’re effeminate the assumption is you like stuff up your ass so if you prefer strapping one on you’re going to have to say that.  Only not in those words, they’re likely to make people think “lesbian”.  Which brings in the next factor.
  7. Language and how you try to pull.  Guys, this isn’t straight girl flirting.  Being coy is more likely to turn other guys off than get you laid.  Spend a few weeks just watching gay guys interact without trying to get any.  Learn what the cues are and how they’re different from whatever messages you’ve internalised.  Then go practice without expecting to actually succeed.  Be prepared in case you do of course, but don’t be too disappointed if you don’t.  It takes a while, even for cis guys.  Unless you areexceptionally hot you’re going to have to work at it a bit.  Everyone does.  Only difference is that you also have to find a good way to come out.
  8. Confidence.  This is probably the one I’ve seen guys (cis and trans) have the most trouble with.  Remember what you learned in middle school?  That idea that no one wants to be with someone who doesn’t like themself?  It’s true.  If you walk around with body language that says “I’m so disgusting, no one will ever love me” then chances areno one will.  I know, that sounds harsh.  Unfortunately, the world at large is not going to accommodate your self-esteem issues.  If you don’t believe that you’re hot then fake it.  Stand in front of a mirror and pretend you are the hottest guy in the world.  You will feel like a moron at first because it’s just an awkward thing to do, but eventually you’ll get over it.  Keep doing that until it feels natural.  While you’re doing that work on youractual confidence. Find a good therapist, start volunteering, whatever works.  You will be amazed at how big a difference being comfortable with yourself makes.
  9. Sociability.  I want to make something clear: you do not have to be a club kid.  You don’t even really have to be all that outgoing.  If you don’t like partying or going out with large groups then don’t do it.  Honestly, why would you want to attract someone who’s into that if you don’t want to participate in it?  However, I keep seeing trans guys sitting on their computers all day and whining that they’re not getting laid.  Well no shit!  You’re not even trying.  Get up off your ass and go meet people.  Sign up for Match.com for all I care, just don’t expect the universe to send you a boyfriend via FedEx.

…I wanted to make this an even 10, but that’s all I can come up with right now.  Really guys, there are a wide variety of factors that play into whether or not you’ll get laid.  Some of them are related to being trans and some of them aren’t.  Just get out there and start trying.  Be prepared for disappointments, everyone experiences them.  Don’t let fear hold you back though.  Only person that’s hurting is yourself.

Whitney

I’m not much of a writer and I don’t really journal, but these last few months I have found myself to be super reflective and then remembered I had a blog. While this isn’t usually something I would dialogue about I just had some insight. These last few days I have myself moved by the passing of Whitney Houston. As I was up late and watching a special about her I began thinking. Why was I so affected  by her death?  I hadn’t listened to her music in years with the exception of hearing a recent recording in the club from time to time. I found myself obsessed with listening to her old hits on you tube and then it me. Her music had the ability to instantly transport me back into a time of my childhood and moments I had with my family and friends. I remember getting my first tape recorder with a mic attached and busting out The Greatest Love of All for a family performance. It’s when I began to fall in love with music and singing, and the start of a dream to be a singer, which was also thwarted in my teen years when I realized I didn’t have much of a voice, but none the less a love affair. It was amazing seeing all those old videos and recalling where I was when I watched her perform at the superbowl. What I thought of the world, the family that was still together, and the time I felt safe and that my parents could always protect me. I miss those days, and as I get older I realize when times of old are gone as in this case, where I’ll never see her in a film or hear her at an award show,  a little piece of my childhood goes with it, and I mourn for it. The accessible marker of a song or performance that validates my life era, where I am now, and where it originated.  Maybe this is what usually ties up in our feelings of loss and mourning. With all the changes this year I feel like this sentiment is pervasive and strong. I have been in mourning to some degree as I have embarked on this new life with this new body, and sometimes I miss the simplicity and comfort of my old one. A community that I new was solid and that embraced me, all of me. The time where I wasn’t othered or forced to live half in one community and half in the other. Where my full identity resonated. Where my masculinity wasn’t challenged, seen as less, or just was known.…. Food for thought I guess.

Jun 6

Hi Sean,

I think your blog is a really great resource for both trans and non-trans people. You are very brave to show the world your private journey with such candor (and humor).

I am writing today as a sister of a transgender person. Though she has not come out to her family (which is why I continue to use "she"), the changes are obvious. The deeper voice, facial hair etc. is hard not to notice. I have tried reaching out to her as she has become more and more distant. I know we can't know what she is going through, but we love her no matter if she identifies a he or she. The hormones also seem to be having some negative affects (aggression/anger) that are making her interactions with the family more contentious.

Do you have resources for family members who want to support the transgender person in their lives? I feel like my sister is pushing us away because she fears we will not accept her. I have reached out to her, but she is extremely private so I don't know if I will get a response.

Thank you for your time.

Anonymous

Anonymous,

Thank you for the feedback on this blog and for writing in. First, I want to say I appreciate your words of acceptance, and for the efforts you are making in trying to educate yourself around trans issues, as well as become a positive support for your sibling.  Many people do not take the time to do this, but instead judge and cling to what is often myth around gender, and the what transition process is like and why people decide to go ahead with transition all together. Hormones effect us all differently and the negative side effects you mentioned may have less to do with the hormones, and more to do with feelings surrounding the transition such as isolation, frustration at having to transition at all, because society isn’t flexible, body issues, etc…. I hope that if they are not able to connect with the family at this moment, for whatever reason, that they are getting support from friends, a professional, or from support groups/community. As far as resources go, The Transgender Child is a good book ( http://www.glbtrt.ala.org/reviews/archives/116) I came  across written for family members, mainly for parents, on how to recognize and respond to a child that is trans or gender non-conforming. This might help with the gap of knowledge around some things trans persons experience and some ways that can aid your approach to open the channel of communication with your sibling. I haven’t seen anything specifically for family’s beside this book, but I haven’t spent a huge amount of time looking either. I also am always a big fan of social media, as that’s the format most of the trans community can both access and contribute to easily. Many trans folks, myself included, seek out vlog’s on you tube as one of the first steps of investigation, since many guys blog about the transition process from start to finish and one can indulge in investigation anonymously. The videos on you tube talk about a myriad of things that may help you get some insight into your siblings current situation, prepare you for things that might come up, or present things you can dialogue about whether it be about physical changes, hardships around passing or obtaining documentation, relationships, etc…

Here are some good sources:

http://www.youtube.com/watch?v=lkEJjfj8fyY&feature=feedu ( ItsAMansWorldFTM1 )

http://www.youtube.com/watch?v=PvZ21CeAllw

http://www.youtube.com/watch?v=O_PZNo1AbCg

Also the podcast my buddy an I do is the only transmasculine one out there at the moment and we talk about some of these issues, as well as the importance of building community.

http://gendercast.libsyn.com/

Just as another source of info. If you live on the west coast and/or have the financial resources to attend this conference : gender odyssey family conference. http://www.genderodysseyfamily.org/ 

It’s the only one of it’s kind and brings people from everywhere together in addition to licensed professionals that are teaching and learning about these issues, and the impact they can have on the family and the trans identified person.

Hope this helps,

Sean

Jun 2
positivetrans:

Your friends will be so jealous of your monstercock packer. ;)

positivetrans:

Your friends will be so jealous of your monstercock packer. ;)

 Gendercast: Our Transmasculine Genderqueery

Episode 9 -Feminism 101: Roots and Foundations for the Gender Movement is up! You won’t want to miss this discussion with Kari. Bet you can’t listen just once!

Episode 7 is up!

The Seattle Transgender Film Festival

Our interview with Cresdan Maite, co-founder of Translations and Jason Plourde, Programming Director of Three Dollar Bill Cinema.  We discuss the 2011 Translations festival coming up in May (12-15) as well as transgender film in genderal, current themes and future directions