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\"A psychologist's gripping, troubling, and moving exploration of the brutal murder of a possibly transgender middle school student by an eighth grade classmate. On Feb. 12, 2008, at E. O. Green Junior High in Oxnard, CA, 14-year-old Brandon McInerney shot and killed his classmate, Larry King, who had recently begun to call himself \"Leticia\" and wear makeup and jewelry to school. Profoundly shaken by the news, and unsettled by media coverage that sidestepped the issues of gender identity and of race integral to the case, psychologist Ken Corbett traveled to LA to attend the trial. As visions of victim and perpetrator were woven and unwoven in the theater of the courtroom, a haunting picture emerged not only of the two young teenagers, but also of spectators altered by an atrocity and of a community that had unwittingly gestated a murder. Drawing on firsthand observations, extensive interviews and research, as well as on his decades of academic work on gender and sexuality, Corbett holds each murky facet of this case up to the light, exploring the fault lines of memory and the lacunae of uncertainty behind facts. Deeply compassionate, and brimming with wit and acute insight, A Murder Over a Girl is a riveting and stranger-than-fiction drama of the human psyche\"-- Provided by publisher.

There is currently a lack of information available regarding the specific needs of young transgender men, and the barriers that they face. This can lead to professionals having to give generic advice, which may not be appropriate for the situation. Written to address this shortfall, this book provides professionals with the guidance they need to effectively and supportively work with young transgender men. It looks at some of the obstacles that trans men face across health and care services. Addressing topics such as the social impact of transitioning, the potential impact on mental health and emotional wellbeing and common myths and misconceptions about transitioning, this guide is essential for anyone working with young transgender men.

Transsexualism is a stimulating, proactive and important book. Colette Chiland does not back away from difficult issues. She forces all of us to look at our assumptions about t5ranssexualism and to re-examine what gender and sex really mean′ - Christine Ware, author of Where Id Was: Challenging Normalization in Psychoanalysis ′In a nutshell, the book offers a much-needed alternative view of transsexuality from a psychiatric and European point of view... Chiland′s interesting and well presented book is a valued reminder of how different the same topic can appear in an alternative perspective′ - Transgender Tapestry Colette Chiland exhibits a masterful and encyclopedic knowledge of transsexualism, drawing together the insights of depth psychology, psychoanalysis, history, anthropology and sociology for rethinking transsexualism in terms of identity, subjectivity and the wider socio-historical world. This book is written with considerable precision on complex, technical issues, whilst at the same time keeping the broader question of the relationship between transsexualism and society firmly in mind.

In DSM-5Gender dysphoria defined as marked in congruence between one's experienced/expressed gender and assigned gender. It often accompanied by dissatisfaction with physical appearance and body image problems, go beyond sex characteristics .An in congruent physical appearance may result in more difficult psychological adaptation and in more exposure to discrimination and stigmatization.. Several preliminary studies have shown benefits of hormone treatment and gender affirming surgery. However the impact of gender affirming treatment is lacking, hence this study tries to reveal impact of gender affirmity treatment method. 1. To identify impact of gender affirmity treatment (both medical and surgical) in gender congruence ,body satisfaction in our transgender population 83 transgender people(both male to female female to male) who attend transgender op in Govt.Rajaji hospital, Madurai without psychiatric illness, substance abuse were taken to the study, In which 43 were received gender affirmity treatment (both medical surgical), and 40 were not yet received treatment. Transgender congruence scale, Body image scale, Gender congruence and life satisfaction scale, WHO Quality of life scale, Presumptive stressful life event scale were administered to both groups. There is significant of improvement in gender congruence, body image, quality of life after gender affirmity treatment. Gender affirmity treatment improves gender congruence, body image in transgenders.

Background Some transgender men retain their uterus, get pregnant, and give birth. However, societal attitudes about gender have erected barriers to openly being pregnant and giving birth as a transgender man. Little research exists regarding transgender men’s reproductive needs. Anecdotal observations suggest that social change and increasing empowerment of transgender men may result in increasing frequency and openness about pregnancy and birth. Specific needs around conception, pregnancy, and newborn care may arise from transphobia, exogenous testosterone exposure, or from having had (or desiring) gender-affirming surgery. We undertook a qualitative study to understand the needs of transgender men who had given birth. Methods We interviewed 10 transgender men who had been recruited for a recently published online cross-sectional survey of individuals (n = 41). Subjects had given birth while identifying as male. Interviews were recorded, transcribed, and systematically coded. Analysis used a priori and emergent codes to identify central themes and develop a framework for understanding participant experiences. Results Participants reported diverse experiences and values on issues including prioritization and sequencing of transition versus reproduction, empowerment in healthcare, desire for external affirmation of their gender and/or pregnancy, access to social supports, and degree of outness as male, transgender, or pregnant. We identified structural barriers that disempowered participants and describe healthcare components that felt safe and empowering. We describe how patients’ strategies, and providers’ behaviors, affected empowerment. Anticipatory guidance from providers was central in promoting security and empowerment for these individuals as patients. Conclusions Recognizing diverse experiences has implications in supporting future patients through promoting patient-centered care and increasing the experiential legibility. Institutional erasure creates barriers to transgender men getting routine perinatal care. Identifying this erasure helps shape recommendations for how providers and clinics can provide appropriate care. Specific information regarding reproduction can be helpful to patients. We provide recommendations for providers’ anticipatory guidance during the pre-transition, pre-conception, prenatal, and postpartum periods. Ways to support and bring visibility to the experience of transgender men are identified. Improving clinical visibility and affirming gender will likely enhance patient experience and may support patient-centered perinatal healthcare services.

This video presents the endoscopic procedure of anterior glottic web formation for the purpose of voice feminization in male-to-female transsexuals, males with testicular feminization who were raised as females, and females with constitutional androphobia. The technique involves stripping the anterior one-third to one-half of both membranous vocal folds followed by suturing of the denuded vocal folds, and all steps are clearly described and illustrated in this video. Among the available surgical options for voice feminization, anterior glottic web formation affords various advantages, including endoscopic surgery without skin incision or scar, outpatient surgery, potential reversibility, and low risk for vocal fold and airway damage. One possible disadvantage is difficulty of the suturing technique, and the video will assist in overcoming this challenge. Some patients complain of inability to raise the intensity of their voice postoperatively, so it is to be borne in mind that while anterior glottic web formation is generally a successful option, additional surgery is occasionally necessary to achieve patient satisfaction.

This essay argues that the performed corporeality of performance artist Nina Arsenault demonstrates how gender can be constituted by two mutually exclusive theories of gender simultaneously. Specifically, Arsenault im/possibly embodies gender as performative and as an essential psychic sense of self. Her expression of a feminine identity onstage is incompatible with theories of gender performativity because it incorporates a voluntary act: performance in the theatre. Arsenault also opposes theories that claim gender is an essential psychic sense of self by expressing her sense of self in her art practice/everyday life. Arsenault highlights that the theatrical materiality she embodies, which also further establishes her femininity, is im/possibly performatively constituted. Put simply, Arsenault embodies gender through performance and performativity.

Honorable Mention, 2013 Ruth Benedict Book Prize presented by the Association for Queer Anthropology Honorable Mention, 2014 Distinguished Book Award presented by the Section on Sexualities of the American Sociological Association Winner of the 2013 Sylvia Rivera Award in Transgender Studies presented by the Center for Gay and Lesbian Studies Sex in Transition explores the lives of those who undermine the man/woman binary, exposing the gendered contradictions of apartheid and the transition to democracy in South Africa. In this context, gender liminality—a way to describe spaces between common conceptions of \"man\" and \"woman\"—is expressed by South Africans who identify as transgender, transsexual, transvestite, intersex, lesbian, gay, and/or eschew these categories altogether. This book is the first academic exploration of challenges to the man/woman binary on the African continent and brings together gender, queer, and postcolonial studies to question the stability of sex. It examines issues including why transsexuals' sex transitions were encouraged under apartheid and illegal during the political transition to democracy and how butch lesbians and drag queens in urban townships reshape race and gender. Sex in Transition challenges the dominance of theoretical frameworks based in the global North, drawing on fifteen years of research in South Africa to define the parameters of a new transnational transgender and sexuality studies.

BackgroundUK adult gender identity clinics (GICs) are implementing a new streamlined service model. However, there is minimal evidence from these services underpinning this. It is also unknown how many service users subsequently ‘detransition’.AimsTo describe service users’ access to care and patterns of service use, specifically, interventions accessed, reasons for discharge and re-referrals; to identify factors associated with access; and to quantify ‘detransitioning’.MethodA retrospective case-note review was performed as a service evaluation for 175 service users consecutively discharged by a tertiary National Health Service adult GIC between 1 September 2017 and 31 August 2018. Descriptive statistics were used for rates of accessing interventions sought, reasons for discharge, re-referral and frequency of detransitioning. Using multivariate analysis, we sought associations between several variables and ‘accessing care’ or ‘other outcome’.ResultsThe treatment pathway was completed by 56.1%. All interventions initially sought were accessed by 58%; 94% accessed hormones but only 47.7% accessed gender reassignment surgery; 21.7% disengaged; and 19.4% were re-referred. Multivariate analysis identified coexisting neurodevelopmental disorders (odds ratio [OR] = 5.7, 95% CI = 1.7–19), previous adverse childhood experiences (ACEs) per reported ACE (OR = 1.5, 95% CI = 1.1–1.9), substance misuse during treatment (OR = 4.3, 95% CI = 1.1–17.6) and mental health concerns during treatment (OR = 2.2, 95% CI 1.1–4.4) as independently associated with accessing care. Twelve people (6.9%) met our case definition of detransitioning.ConclusionsService users may have unmet needs. Neurodevelopmental disorders or ACEs suggest complexity requiring consideration during the assessment process. Managing mental ill health and substance misuse during treatment needs optimising. Detransitioning might be more frequent than previously reported.

The Philippines do not have localised term to refer to transgender (TG) persons. In fact, the common local terms “bakla”, “bading” and “bayot” are negatively used to refer to TG women. Even the Philippine Integrated HIV Behavioral and Serological Surveillance (IHBSS) do not disaggregate data for men having sex with men (MSM) and TG but are lumped together, which creates both a socio-political and behavioural risk issue. Thus, it is important to look at how TG women themselves define and understand the concept of TG in order to provide a context in developing TG-specific health services and HIV prevention programmes. The methods used were facilitating a self-administered questionnaire to forty-six (46) self-identified TG women, and conducted four (4) focus group discussions to TG women members from community-based organisations (CBOs) in Metro Manila, Cebu City and Davao City. The findings revealed that majority of the respondents/participants, being affiliated with a CBO, defines TG as persons whose gender identity and/or expression does not conform with their sex assigned at birth. Their differentiation of a TG woman from a transsexual (TS) is that the latter is related more to the concept of body modifications (i.e. hormone replacement therapy, collagen injection and implants). Thus, TG-specific health services should include both empowerment of their TG identities and addressing risky behaviours such as “versatile” sexual role and engaging in various forms of body modifications, especially those who self-inject hormones and collagens. Some TG CBOs coined “transpinay”, “transwomen” and “binabae” as a local term for TG women which are useful to reach the unaware Filipino TG women community. Lastly, in order to identify and target TG women clients in peer education, qualifier questions or criteria can be used but always give the target clients the opportunity to self-identify for self-empowerment - both strategies should complement each other.