On the Science of Changing Sex

Folklore Gender Tests

Posted in Autobiographical, Transsexual Field Studies by Kay Brown on September 17, 2018

Kay BrownGender “tests” found in fiction and folklore… Or… Nailed It !!

When I was in middle school, one of my classmates, a friendly acquaintance and I were standing in an interminably long slow line for some reason I’ve long ago forgotten.  Bored and reaching for something to amuse herself she challenged me to a “gender test” to see if I was a “boy or a girl”.  It consisted of three items.

The first item was to light a match.  From a book of matches I pulled one out, turned it so that the wider edge aligned with the striker strip so that when I pushed it along away from me it wouldn’t bend in my fingers.  “Oops!” my friend says… I “failed”.  According to this test, women light their matches in this fashion while men pull the flat of the match head along the striker toward their body.  The theory is that women are more careful to keep the flame away from their fingers and body than men.

The second was to ask the testee to look at her/his shoe soles, the bottoms of their feet, while standing.  I no longer remember if I “passed” or “failed” this item of the test.  But I remember that men are supposed to turn their legs and ankle in front, looking straight down.  Women are supposed to bend their knee so that their foot rises up behind them and look over their shoulder.  It may be because of the difference in dress standards for men and women (boys and girls) in that age?  Men are wearing trousers while women are wearing skirts.  It may look unseemly for women wearing knee-length skirts to bend forward, but lifting their leg backward with such skirts is not?

Fashion does impose limits on movement or convenience.  In Huckleberry Finn, our hero runs away and hides by impersonating a girl.  An old woman tests and catches him out by tossing a ball of yarn while his hands are full holding a skein.  He instinctively pulls his knees together to form a larger catching surface.  Gotcha!  A girl, used to long full skirts fashionable in the mid-19th Century would have spread her legs instead to let the skirt catch the ball.  But, consider asking a woman in that era to look at the bottom of her feet encumbered by such a skirt.  She isn’t as likely to bend her leg up behind her, only to catch on her long skirt.  More likely, she would have lifted her skirt slightly and bent her leg, hidden behind the skirt (and much like a curtsy), and turned the ankle to look straight down.

The third and final item was to “look at your nails”.  I naturally held my hands out in front of me, my fingers straight.  “Oops!” my friend says, “you failed the test!  You do things like a girl.  You need to be more careful.”  She looked at me as though to tell me more but I cut her off, changing the subject.

When men look at their nails, they near universally bend their fingers toward their palms.  Women are far more likely to hold their fingers straight, bending their wrists slightly backwards.  Although this may be reinforced by the fashion of long nails, in fact, this “hyperflexion” as its called is very common in girls and feminine boys from an early age, even when not looking at their nails.

Later, in high school, as I was in the early process of coming out and socially transitioning, I sat having a friendly chat with one of my female friends who suddenly grabbed by hands exclaiming that she would teach me how to groom my nails.  She explained in a happy rush that boys didn’t groom their cuticles or trim their nails properly, etc.  “You need to learn how to gently push back your cuticles like this…” then stopped dead as she actually saw, really looked, at my nails for the first time… and saw that my cuticles were perfectly groomed.  “I groom them in the bath, push them back after they soften in the water.”  Up to that moment, I honestly had never given it much thought.  Of course I kept my nails clean, neat, and very slightly longer than most boys but not to the point where it would set my mother off on one of her ugly transphobic harangues.  I had been doing so for years.  My nails looked much like my friend’s!  My friend had made the erroneous assumption that I didn’t have a clue about feminine grooming skills.

Within weeks of that conversation, the narrative was flipped.  I was doing her make-up, as well as several others of my friends, anytime they had “big dates”.  There is a very telling inside joke told in the trans community about transwomen.  “How can you tell the difference between an early transitioner (HSTS) and a late transitioner (AGP)?”…   “An early transitioner is happy to do her female friend’s make up for them as she does it better… while a late transitioner needs her wife do her make-up for her.”

Speaking of nails and autogynephiles.  On a social media forum, I was corresponding with several women who were discussing transgender issues.  Some were welcoming my explanations of autogynephilic behavior and motivations and the obvious differences between HSTS and AGP transwomen while one clearly transphobic woman hatefully rejected the two type taxonomy declaring we were all “deluded perverts”… and deliberately tried to push me off the forum insultingly telling me to “Go do your nails!”.  Sigh…

I flashed back to the memory of my friend from high school… and several others.

It reminded me of an anecdote in Amy Bloom’s essay “Conservative Men In Conservative Dresses” in which a woman related how she was expected to clean up the dishes after dinner while her husband applied polish to his nails to allow him to express his “inner femininity”.  That image says volumes.

That in turn lead to another memory…

I’m on a blind date with a man who knew he would be meeting a post-op transwoman and was open to the experience.  I was told that he was a trust-fund baby, etc., so I had dressed nice to meet him at a trendy cafe.  One look told me that I had been lied to.  This man was clearly NOCD (“not our class, dear”) as the saying goes.  He was slovenly dressed.  He was poorly educated and boorish.  His family may have left him some money but he clearly was an unemployed bum, an unemployable LOSER.  I tried to find a polite way of ducking out early but he seemed to be unable to take a hint.  Further, he was absolutely fascinated by me and kept asking questions.  I wanted to avoid making a scene so was being as polite and hushed voiced as I could.  I was trying to avoid making eye contact as a way of discouraging him so focused on his hands resting on the table as he leaned toward me.  There was something odd about his hands.  Not only were they not really clean, his nails were a tad bit too long, They were rough surfaced, the ridges clearly visible, the cuticles ragged, poorly groomed… but wait… was that clear nail polish on them.  Oh My God!  This man was a secret cross-dresser, an autogynephile!  As this realization was sinking in…  suddenly something I had said in answering his questions about myself set him off.  He became quite excited, his voice raised a bit as he asked several more questions, which concerned me lest others overhear.  Then in answering a question about my childhood he burst out very loudly, “You’re a TRUE TRANSSEXUAL!”.  People at other tables clearly heard and turned to look at me.  I was mortified and no longer felt the need to be polite so looked him in the eye and told him to lower his voice and that I was leaving.  He tried to apologize but I ducked out.

Whew!  Good riddance… only it wasn’t.  He found out where I lived, what my number was… and stalked me for months, sending me gifts, notes, calling me.  My roommates had to sheild me.  I finally told him that if he didn’t stop, I would turn to the law… and told him that he needed to get therapy to deal with his obsession.  I also made it very clear that I would never date a cross-dresser which finally got through to him that I would never be his girlfriend.

External Further Reading:

Amy Bloom, “Conservative Men In Conservative Dresses”

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Safety First

Posted in Editorial, Transsexual Field Studies by Kay Brown on August 7, 2018

female_scientistPersonal Safety: Women’s and Transgender Rights in Prison

In one of the episodes of Pose, Blanca, a very feminine pre-op transwoman is unjustly arrested and is held in a cell with a number of very scary looking men.  The scene is presented without any editorial comment as the visual tableau speaks for itself.

When I was just 18 years old, my friend Marcella, a 24 year-old pre-op Latina transwoman and I were talking about what happens when a pre-op transwoman is arrested and jailed.  I was concerned about it to the point of not just not committing any crimes, but of ensuring I never was in a position where I might be suspected of a crime.  Marcella thought I was silly, saying, “In jail the men are there for you honey!”  She shared her experience of having been arrested for drug possession and spending some time in county jail.  (She had a fondness for Quaaluudes.)  She related that she was very well treated by some of the men who protected her from harassment and violence.  Me?  No.  I still wouldn’t have been willing to prostitute myself in order to purchase that protection, the price would be too high.

Over the decades, I have taken in a number of transfolk and non-transfolk for varying periods of time.  I had rules.  One of them was no illegal activities or substances, period.  (The same rule that fictional Blanca had for her house in Pose.) A decade ago, that rule was broken by one of the young transwomen I allowed to stay in my house during her recovery from SRS.  She had hidden that she was a drug addict and had brought into my house drugs and paraphernalia.  Taking a spare key, she also stole my airplane and crashed in a hay-field while high!  She spent some time in jail, presumably in a women’s ward as she was then of course post-op.

This brings up the issue of where we place transfolk during incarceration.  Our rules should be based on safety for all concerned.  But they aren’t always.  I’ve already brought up the issue of placing clearly feminine pre-op transwomen in with men and how one either trades sexual favors for safety or risk sexual and/or violent assault.  But is that the only concern?

Sadly, transwomen are not homogenous as a population.  Most transwomen, both pre- and post-op in Northern European and English speaking countries are gynephilic and autogynephilic.  And a minority… a small minority… are prone to criminality and violence… including sexual assault against women and children.

In the Dhejne study following up a cohort of post-op transsexuals they found,

Male-to-females had a significantly increased risk for crime compared to female controls (aHR 6.6; 95% CI 4.1–10.8) but not compared to males (aHR 0.8; 95% CI 0.5–1.2). This indicates that they retained a male pattern regarding criminality. The same was true regarding violent crime. By contrast, female-to-males had higher crime rates than female controls (aHR 4.1; 95% CI 2.5–6.9) but did not differ from male controls. This indicates a shift to a male pattern regarding criminality and that sex reassignment is coupled to increased crime rate in female-to-males. The same was true regarding violent crime.

Note that transfolk, both MTF and FtM had nearly as many criminal convictions as men.  It’s interesting that men still exhibited more criminality as both MTF and FtM by a slight amount.  If I had to guess, I would hypothesis that this is because of the inhomogeneous taxonomic structure of the MTF community in Sweden where the study is from.  While most transwomen would be AGP and thus likely to have identically the same criminality as men in general, the minority of ‘early onset’ transwomen pulls the rate down by 20%.

There are very few studies that explore the issue of transfolk and the risks that some may pose to others in a prison setting.  However, there are some disturbing hints.

In the Canadian court case of Kavanagh, a transwoman in prison, the following excerpt may be found,

“Dr. Watson’s suggestion that pre-operative male to female transsexuals would pose little physical risk to female prisoners was addressed by several of CSC’s witnesses. Dr. Dickey, Dr. Hucker and Ms. Petersen all disagree with Dr. Watson’s statement that most male to female transsexual inmates are attracted to men: To the contrary, they say, the majority of transsexuals in federal prisons are actually attracted to women. It takes serious criminal activity to qualify a person for a federal prison sentence in Canada. According to Dr. Dickey and Ms. Petersen, homosexual transsexuals do not generally have the degree of aggressiveness or psychopathy necessary to get them into a Canadian federal prison. The transsexuals that Dr. Hucker has encountered in the correctional setting tend, he says, to be “more ambiguous” in their sexual orientation… Dr. Dickey, Dr. Hucker and Ms. Petersen all say that they would be very concerned about putting a pre-operative male to female heterosexual transsexual inmate in a women’s prison, given the risk that the inmate would prey on female prisoners.”

Then there is the concern that some transwomen may be a danger to children.  There have been several cases of transwomen in prison for sexual assault on, and even murder of, children.  There is even documentation of two pedophiles seeking to transition and receive medical interventions who admitted a belief that as women their interest in being around children would be more socially acceptable!

Denying it does not serve the transgender community.  Balancing safety and respect for human rights for all concerned should be the goal and recommended policy.  Thus, while this is just my personal opinion, I highly recommend the following policies concerning transwomen, incarceration, and access to “women’s spaces”.

First, when arrested but before conviction of any crime.  Transfolk should be kept separate from non-transfolk to ensure personal safety and to respect their dignity.  Someone not convicted of a crime should not be “punished” by being put at risk and of being disrespectfully treated.

Transfolk convicted of a crime should be evaluated on a case by case basis as to their placement to maximize safety for all concerned.  Transfolk’s sexual orientation, etiology (taxonomic diagnoses), and surgical status must be considered but no hard and fast rule applied.  Where there is no risk of violence or sexual predation, a transwoman may be placed in a female facility regardless of genital surgical status (e.g. ‘early onset’ – androphilic transwomen are not a risk to women, but are at very high risk from men).  Risk factors considered should include the prisoner’s history of violence, especially toward women.  A transwoman who has ever exhibited violent or sexual crimes (not including prostitution) should NEVER be housed in a women’s facility regardless of current surgical status.  That is to say, a rapist has forfeited the privilege and the prison system shouldn’t provide new victims to a predator.

References:

Dhejne, et al. “Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden” (2011) https://doi.org/10.1371/journal.pone.0016885

Kavanagh vs. Canada

Saunders, et al., “Gender reassignment: 5 years of referrals in Oxfordshire”
https://www.cambridge.org/core/journals/the-psychiatrist/article/gender-reassignment-5-years-of-referrals-in-oxfordshire/6B5F217162ABD9B3189F2EB82787034E/core-reader

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The Elephant in the Room

Posted in Autobiographical, Transsexual Field Studies by Kay Brown on November 9, 2017

female_scientistOr, Is the “Third Type” of MTF Transgender Simply Mentally Ill ??

In the mid ’90s, during a conversation in my kitchen, where we often held our transactivism strategy sessions over coffee, JoAnna McNamara remarked one day that I was the only transsexual she knew who wasn’t mentally ill.  Actually, she used the term, “crazy”.  I was taken aback by her declaration and asked for expansion and explanation.  She listed a number of people we both knew in common and told me of other numerous examples.  Most of them were actually fairly reasonable examples of anxiety and depression associated with typical late transitioning woes (i.e. divorce, job loss, being regularly clocked in public, etc.).  But some of the stories about these same individuals involved episodes that would indeed indicate serious departures from rational behavior, most especially of delusions and even psychotic breaks, that she had either witnessed first hand or had credible accounts from others.

This fit with some stories that I have been told by a number of care providers who have confided in me… and of my own personal experience.

One of the most famous individuals I met was Angela Keyes Douglas, AKA Douglas Keyes.  When I first met Douglas, in 1977, s/he was living in Berkeley as… well… not really a woman so much as s/he didn’t really pass or even really try, and seemed totally oblivious to how people reacted to him/her.  It was obvious to me that s/he was “off”… and I mean “off“.  We maintained a distant connection for decades.  Douglas had SRS sometime in the ’80s and moved to Florida.  Eventually Douglas returned to living as a man full-time.  I would get mail from him that was off the chart “off“… sometimes friendly, sometimes threatening.  He claimed that he was a CIA or FBI agent and was turning me in for my “crimes”.  He also wrote about the “blue lizard aliens” running our government, when he wasn’t writing about the “Illuminati”.  Clearly, Douglas was psychotic, probably schizophrenic.

Another individual, who was never famous, was my roommate for a time in late ’77 early ’78.  I won’t use her name.  She was in her mid 20’s, very pretty, had transitioned and had SRS paid for by her family while in college and was then working as a computer programmer in Silicon Valley.  However, she was “off”… and I mean “off“.  I didn’t realize it when I first moved in.  Given her age of transition, I had initially thought she must be a transkid.  WRONG !  On the surface, she seemed sweet and put together, until you noticed that she never left the apartment except to go to work.  She had exactly one close friend, a lesbian who I believe she had a serious crush on.  She hated and was terrified of men, all men, but especially gay men.  She had this fixed delusion that all gay men were sexual predators out to seduce her, perhaps violently rape her.  It would seem that part of her motivation for transition was to escape the notice of gay men.  Oh… did I mention that she was heavily medicated on thioridazine?  Thioridazine is a powerful anti-psychotic prescribed as a treatment for schizophrenia.  Well, things went down-hill for us as roommates pretty fast when she discovered that I was actively dating… oopsie… men!  She went off on me one evening using homophobic slurs and after that began having and sharing with others a delusional paranoia fixed on me.  Obviously, I moved out after only a very short time.  In the mid-80’s, I accidentally ran into her in the lobby of a hotel.  I greeted her in a kindly and friendly manner… to which she responded like a startled rabbit and literally ran full tilt away from me!

I had another roommate, who again I will not use her name, who was subject to severe bouts of debilitating depression.  However, she also had times when she was filled with energy, able to achieve amazing things.  But there was a dark side to that energy.  During those times, she would hold very odd ideas, conspiracy theories, etc.  Sometimes, these ideas involved those close to her.  She also took dangerous, reckless, risks that would frighten me in the extreme when I was witness to them.  Perhaps you recognize the symptoms?  I believe that she suffered from bipolar disorder w/ paranoid delusions.

These examples are not the only ones that I have witnessed personally…

This issue has not gone unnoted in the literature on transsexuality / transgenderism.  Norman Fisk, in his seminal paper introducing the concept of “gender dysphoria syndrome” also wrote about the ‘third type’ that they saw applying for sex reassignment at the Stanford Clinic,

“Finally, many psychotic patients have a severe type of gender confusion.  Twenty percent of all of our patients contacting our program are overtly psychotic and of course are referred for or given appropriate psychiatric treatment.”

Could this explain the “third type” that consistently disavows ever having experienced either exclusive androphilia or autogynephilia, insisting that they represent a third type?  Well, no, not completely anyway.  We know that many who deny autogynephilia are in fact falsely making such a claim.  However, these psychotic individuals could represent a portion of them and thus serve as a true, “third type”.  On the other hand, they could simply be a subset of one or the other, or even of both, of the already well established two types, simply evincing a co-morbid condition.  That at 20 to 46%, this could alternatively mean that those who suffer from gender dysphoria are especially likely to have such co-morbid conditions, as Lawrence describes,

Some cases of MtF transsexualism are associated with and plausibly attributable to other comorbid psychiatric disorders, especially psychotic conditions such as schizophrenia or bipolar disorder. Á Campo, Nijman, Merckelbach, and Evers (2003) reported on a large survey of Dutch psychiatrists, who had evaluated 584 patients with cross-gender identification and possible GID; in 46% of these patients, the psychiatrists interpreted cross-gender identification as an epiphenomenon of other psychiatric problems, including psychotic, mood, dissociative, and personality disorders. Brown and Jones (2016) observed that, among 5135 persons (69% male) diagnosed with GID, transsexualism, or transvestism who had received care from the U.S. Veterans Administration, 32% had also received a diagnosis of “serious mental illness,” meaning “diagnoses associated with psychotic symptoms” (p. 128), including schizophrenia- and bipolar-spectrum disorders. Thus, comorbid psychotic disorders and other severe mental illnesses may account for some cases of MtF transsexualism in nonandrophilic persons who deny autogynephilia — and for some cases of MtF transsexualism in androphilic persons as well.

Mental illness within the transcommunity has been the elephant in the room.  It’s time we talked about it openly and compassionately.

(Epilog 11/12/2017:  JoAnna, herself suffering from serious mental illness, committed suicide less than a year after the conversation discussed above.)

Further Reading:

Essay on Clinical difference between the two types w/ allusions to differential vulnerability to mental illness

References:

Fisk, N., “Editorial: Gender dysphoria syndrome–the conceptualization that liberalizes indications for total gender reorientation and implies a broadly based multi-dimensional rehabilitative regimen.” (1974) Western Journal of Medicine
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1130142/

Lawrence, A., “Autogynephilia and the Typology of Male-to-Female Transsexualism: Concepts and Controversies”, European Psychologist, 22, 39-54. (2017)
http://www.annelawrence.com/autogynephilia_&_MtF_typology.html

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It was the best of times…

Posted in Autobiographical, Transsexual Field Studies by Kay Brown on June 21, 2017

Kay Brown 2010…It was the worst of times   Or, That ’70s Show

In the May 1974 issue of the Western Journal of Medicine, two back to back articles appeared, one from a number of doctors reporting on a grand rounds at UCSD hospital that included Robert J. Stoller and one from Norman M. Fisk.  Reading them both now is not only a window on the past, but explains where we are now and how we got here.

I can’t write about this period without flashing back on my own life and what was happening at the time.  In May of ’74, I was just about to turn 17, finishing my Junior year in high school.  My favorite class was “Individual Voice”, solo singing but I was also really enjoying one other class, “Cosmology; Stellar and Galactic Evolution” I was taking at a local college, taught by a NASA astronomer.  I got an “A” in the class, of course.  I was also summer job hunting and landed my dream job as a nanny taking care of two boys for a local family for $50 a week (~$250 in today’s money).  I was also desperately searching at the library for any and all information I could find on transsexuality and how I could get HRT and SRS.  That search led me to the Stanford Gender Dysphoria Clinic and Dr. Fisk.

In early ’75, after much drama with my parents, who were separated and soon to be divorced, I finally convinced them to let me go to the clinic (but failed to mention that they performed SRS, etc.), which meant first being evaluated by Dr. Fisk.  During the first interview, I got the very distinct impression that he didn’t believe a word I said, though it was all the absolute truth.  From his article, we can see why,

“The concept of gender dysphoria syndrome grew out of clinical necessity very much in an organic, naturalistic fashion.  This occurred because virtually all patients who initially presented for screening provided us with a totally pat psychobiography which seemed almost to be well rehearsed or prepared, particularly in the salients pertaining to differential diagnoses. It would be accurate to say that of the initial 30 to 40 non-psychotic patients screened, all presented as virtual textbook cases of classical transsexualism.  Remembering the old medical saw that “the last time one sees a textbook case is when one closes the textbook,” it was apparent that this group of patients were so intent upon obtaining sex conversion operations that they had availed themselves of the germane literature and had successfully prepared themselves to pass initial screening.  In some instances they had rehearsed friends, spouses and family members in a similar fashion.”

During a later interview, in the company of my mother, who with obvious disapprobation and the mistaken notion that the clinic was to “cure” me, answered his questions about my early childhood saying,

“He was very different than his brothers.  All of their friends were boys, his were all girls. … He was very prissy.  I could dress him in clean clothes on Monday and they would still be clean on Friday. … I’ve known he wanted to live as a girl for years.  I just felt that was wrong.”

In the next interview, in company with my father, who tried to argue with him about what should be done about me after learning that I had been diagnosed as transsexual, Dr. Fisk replied,

“Denial will not serve.  You will win some battles but lose the war.”

That made Dr. Fisk my hero for life!  And he should be a hero to every transsexual who has come after, since it is Dr. Fisk who changed the way transgender people are treated that continues today,

Within the first two to three years of our investigation, it became apparent that when non-fabricated or, more precisely, honest and candid psychobiographies were obtained from our patient population, there was indeed a great deal of diversity and deviance from what had been defined as the symptoms of “classical transsexualism.”  Moreover, the overtly present common denominator was the high level of dysphoria concerning the individual’s gender of assignment or rearing  … employing the diagnostic term gender dysphoria syndrome, our indications for surgical sex conversion therapy have been broadened. Patients now clearly understand that had they been interviewed five or ten or twenty years ago, they would have been diagnosed as not being classical transsexuals. These patients are informed that a diagnosis of transsexualism is not in our view the only valid criterion for deciding who receives surgical sex conversion. Moreover, we practice the rather pragmatic dictum that nothing succeeds quite like success and therefore our criteria for surgical sex reassignment or conversion are more phenomenologically oriented. … Obviously, by liberalizing the indications for sex conversion through conceptualizing patients as having gender dysphoria, we also are committed to provide a program for patients encompassing many factors related to a total overall rehabilitative experience. These include vocational counseling and guidance, psychological and psychiatric supportive therapy, grooming clinics where role-appropriate behaviors are taught, explained and practiced, legal assistance, and, probably of most benefit, an opportunity is afforded to meet and interact with other patients who have successfully negotiated gender reorientation or who are in various phases of reorientation. This program employs some former patients as counselors to persons with gender disorders.

But that’s not to say that my experiences with the clinic were all good.  In fact, personal repercussions of some of what Fisk describes in glowing self-congratulatory fashion were severe.  I’m not alone in experiencing these issues.  While Fisk’s liberalization had eliminated the absolute need for a differential diagnoses for purposes of determining who was to receive services, it has led to a false belief within the trans* communities that there are no differences on the one hand and to the harmful homogenization of treatment protocols on the other.  It is important to note that the Stanford clinic did know that there were in fact two types and organized their services around helping those most in need of “gender reorientation”.

Having seen the best of times… we now turn to the worst of times.

During psychiatric grand rounds at a UCSD hospital, a 20 year old androphilic transwoman is paraded in front of a large group.  The author of the article describing the event uses masculine pronouns to introduce her to his readers and give a bit of her history, then switches to feminine pronouns.  Here’s an excerpt,

“She was told that this interview would be part of a training session on transsexualism so that people in the Department of Psychiatry could learn more about it. She was also told that this session will have no bearing on her treatment, continuing evaluation, or the decision regarding her operation. She understands that coming here is entirely voluntary.  (The patient, whom we shall call Gloria, was escorted into the room. She wore women’s clothing, was heavily made up, and quite attractive.  She was introduced to Dr. Parzen, who interviewed her before a group of approximately 100 staff members and residents. The following are selected excerpts from that interview.)”

Does anyone today believe that “Gloria” didn’t fully understand that her voluntary cooperation was actually mandatory if she was to successfully navigate this clinic’s hoops?  Certainly she did given the times, as Dr. Parzen says,

“These patients become good actors and tend to be paranoid toward anyone who might push them to betray themselves in a way that might jeopardize their surgical treatment.  Gloria had already established a personal relationship with Dr. Millman, and his feelings about her will ultimately determine what will happen to her.”

The doctors had ultimate power of granting or denying services and transfolk knew it!  What’s interesting is that the doctors knew that the they knew it, but saw nothing wrong with this imbalance of power save for complaining about what transsexuals do in the face of such asymmetric power,

Certainly she is quite protective about herself at this point. She is awfully close to getting what she wants, and she isn’t going to tell me anything that might interfere with that. She does not know my orientation, and she isn’t crazy, and therefore isn’t going to present material that might be interpreted wrongly from her point of view.  Transsexual patients classically tend to be very manipulative and very secretive. They tell you what they want you to know, and they have learned through much experience to read and to manipulate medical staff.

I could go on with the odd ideation that these physicians have that relied on classical Freudian psychoanalysis, not to mention the incredibly disrespectful things these doctors said about “Gloria” and transgender people in general, but I don’t need to as the articles have been scanned and available for all to read.

Further Reading:

Essay on differential diagnoses and transsexual taxonomy use in the 1970s.

References:

Fisk, N., “Editorial: Gender dysphoria syndrome–the conceptualization that liberalizes indications for total gender reorientation and implies a broadly based multi-dimensional rehabilitative regimen.” (1974) Western Journal of Medicine
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1130142/

Judd, et al., “Male Transsexualism”, (1974) Western Journal of Medicine
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1130141/


 

Fun Reading:

All the Stars are Suns ebook completeSincerity Espinoza didn’t go looking for trouble, it found her. All she wants out of life is the chance to go to the stars but she is caught in a web of misunderstandings, political & legal maneuvering, and the growing threat of terrorist plots by religious fanatics. She has a secret that if found out too soon could mean not only her own death but the ruin of the hope for humanity ever going to the stars. But even amidst momentous events, life is still about the small moments of love, laughter, and sadness.   Available as an ebook at Amazon and Kindle Unlimited.

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Coming of (r)age in Samoa…

Posted in Science Criticism, Transsexual Field Studies, Transsexual Theory by Kay Brown on June 20, 2017

critical-thinkingOr, The Fa’afafine in Context

It seems to me that research focused on the fa’afafine of Samoa has become all the rage of late, at least for those interested in feminine androphilic males / “homosexual MTF transgender” folk.  The interest has at its heart, the hope that it represents a culture that is closer to what we might have had before large-scale civilizations began, one closer to what humans may have evolved within.

First, Samoan culture is very collectivist.  Although we don’t have a formal Hofstede Individualism Index value for Samoa, most commentators I can find all agree that it would be very low, perhaps lower than just about any other on the planet.  They do everything in groups, traditionally even living together under one roof without walls.  Family and extended family are everything.  Thus, if we were to predict the ratio of androphilic vs. non-androphilic transwomen based upon the relationship between the Hofstede Individualism Index and the percentage of non-androphilic transwomen found by Lawrence, we would expect almost no non-androphilic transwomen.  And indeed, one never sees them mentioned in connection with Samoa.

In Samoa, there is almost no stigma attached to being a feminine male.  Feminine male children are not bullied.  Fa’afafine adults are not discriminated against in employment.  There is little to no stigma attached to masculine men finding Fa’afafine sexually attractive.  This is not to say that there isn’t any problems for them.  Christian missionaries and Western colonization has brought homophobic laws and attitudes.  But because there is little to no stigma attached, androphilic males are free to express as much or as little femininity as they find in themselves with little incentive to attempt to suppress it as occurs in many other cultures.

However, before anyone lauds the Samoan culture as being the transgender (or gay) paradise, consider one other factoid.  I can’t find any reference to any fa’afafine who is in a long-term relationship with a lover.  I’ve never seen any reference to their families celebrating a marriage to a man.  The fa’afafine may be called “in the manner of a woman” (as the term loosely translates), but they aren’t given that social status.  They are granted a status as what many anthropologists would call a “third gender”.  But that gender is not seen as equal to women in status and marital desirability.

fafafineFa’afafine are universally androphilic and have sex with masculine men.  They don’t have sex with each other because they are attracted to masculinity which is not especially abundant in fa’afafine.  But those episodes with masculine men are typically “one night stands”.  I can’t believe that they wouldn’t choose to have long-term romance in a committed relationship.  Although not well publicized, and not nearly as common as we might like, such long term relationships do exist between masculine men and androphilic transwomen in Western cultures.  So I must conclude that it is the Samoan culture, non-fa’afafine family members and others, that in effect prohibits or discourages such relationships.  I would like to be proven wrong on this… I really would.

An educated reader will perhaps recognize my quip of a title from Margaret Mead’s 1928 book.  They may also know of how she was attacked by Derek Freeman.  Maybe I’m just biased by my friendship with Alice Dreger, since I don’t believe a word Freeman says… but the episode does offer a cautionary tale regarding the potential changes that Christian missionaries have already brought to Samoa.  I’ll leave it at that, since those who are better acquainted with the controversy will know what I mean.

One of the interesting aspects of androphilia in males is the question of evolution, to wit, if genetics play a role, and there is strong evidence it does, than why hasn’t it been selected out of the human population?  How can a trait that confers a significant reproductive disadvantage be maintained in the gene pool, should that allele(s) be under very high anti-selection pressure?  One hypothesis is the “Kin Selection” effect in which androphilic males are indirectly “fit”, reproductively successful, because they increase the resources available for their near relatives.  Paul Vasey has been testing this idea in both Western gay men and fa’afafine.  Interestingly, it doesn’t appear to be true among Western gay men, but does appear to be true among fa’afafine who exhibit strong materterally supportive behaviors toward the children of their siblings.  The speculation is that something about the suppression, the crushing, of the natural femininity of androphilic males in Western nations also suppresses this materteral behavior.  I would suggest that we also look at Western androphilic transwomen, being careful to sort by the quality of familial relationships.

Since the culture is presupposed to be closer to that of our pre-civilization ancestors, the question of who the fa’afafine are sexually attracting may offer other insights into the early evolutionary selection pressures on masculine men, specifically the notion of competition for mating opportunities between women and feminine androphilic males.  Lanna Petterson explored this in a study published as her thesis (also published in journals) in which she presented images of faces, men, women, and very plain emojis on a computer screen, asking her subjects to evaluate and report how sexually attractive they found them.  The images were limited only to the faces.  They were composites that had been digitally modified to enhance their sexual dimorphism.  (Frankly, of the two images she included in the appendix of her thesis, I personally found them disturbing, seeming to be slipping over a cliff into the uncanny valley below.  I can’t but help thinking that the results may have been influenced in part by this.)  Unknown to her subjects, the response time latency was also recorded by the computer.  Earlier studies have shown that people tend to linger over images that they find erotically rewarding.  From this data, she comes to the conclusion that the men who are having sex with fa’afafine are “bisexual”.

Sigh… Looking at the data, as well as what we know from other studies of men who seek out transwomen (chasers), I have to seriously question this conclusion.  First, very much like what androphilic transwomen experience in the West, 65% of the men had never had a sexual encounter with a man and 75% had not within the past year.  As Dr. Richard Green wrote about the men who dated Western androphilic transwomen,

“The men who fall in love with and perhaps marry women who are themselves former males, by and large, have known their partners only as women.  Their prior sexual experiences have been only with females.  They consider themselves heterosexual and their relationships heterosexual.  To varying degrees they are consciously and unconsciously aware of the biologic status of their partners, but it would be simplistic and would furthermore blur generally accepted definitions to call these men homosexual.  Rather they are men who respond to the considerable femininity of male-to-female transsexuals, ignoring the dissonant cues of masculinity.”

For many of the masculine Samoan men in Petterson’s study, I believe would fit this description as well.  Another portion of the men I believe would likely fall into the category of gynandromorphophilic (GAMP).  From a wonderful study by Hsu, we know that such men tend to be autogynephilic as well.  Although Samoan autogynephilic men are not likely to transition to presenting as women, that does not mean that they won’t seek out their prefered external sexual partners, women and feminine males, to wit fa’afafine.

From personal experience and hints from clinician and sexologist comments (e.g. Stoller and Bailey, separately), Western androphilic transwomen avoid gynandromorphophiles. One of the hallmarks of gynandromorphophiles is that they prefer pre-op and “functional”, that is, willing to allow these men to touch their penis, as Stoller remarked, “… she considered anyone who was not interested in her penis as normal…”

From reading between the lines of Petterson’s thesis, it appears that she made the assumption that sexual role “flexibility” denoted greater bisexuality.  I would argue just the opposite, that it is a signifier of potential gynandromorphophilia.  Also, I would predict that such men would have a different and “disturbed” response time when presented with faces to evaluate due to their underlying erotic target location error proneness.  While it is true that people tend to linger over images that they find erotically rewarding, they also tend to have trouble responding quickly to associations that reside further away from each other in their personal experience (e.g. implicit bias testing).  Indeed, this issue is shown in the data… that those who are willing to perform fellatio on fa’afafine had longer response latency, even to the crude emojis.

A minority of the masculine men having sex with fa’afafine are also only having sex with other masculine men, but not women.  This would suggest masculine presentation / identity exclusive androphilia, not bisexuality.  Not all fa’afafine present as extremely feminine as adults – some are fairly conventionally masculine, as average gay men would be in the West.  It would appear to me that not all androphilic males in Samoa developed an identity as fa’afafine as a child and that they are having sex with each other and to at least some of the fa’afafine, perhaps those who are less hypomasculine?

Although Petterson rejected the hypothesis that her masculine male subjects included both primarily androphilic and gynephilic subjects based on statistical tests of her response time data for normal distribution.  I believe that the effect of there being three different populations masked this fact.

Although Samoa and the fa’afafine culture seem so different than that of the West, I believe that the feminine androphilic subcultures in the West, that of feminine gay men, drag, and feminine androphilic transsexuals and our experiences very much parallel each other in important ways and future research will bear this out.

Further Reading:

Essay on relationship between Hofstede Individualism Index and non-androphilic MTF transsexual transitions

Essay on cultural influence on androphilic male presenation

Essay on Gynandromorphophilia

References:

Vasey, P. et al., “What can the Samoan Fa’afafine Teach Us About the Western Concept of Gender Identity Disorder in Childhood?”, (2007) Perspectives on Biology and Medicine,  http://muse.jhu.edu/article/222247

Vasey, P. “The Evolution of Male Androphilia” Personal Website:  http://people.uleth.ca/~paul.vasey/PLV/Evolution_Androphilia.html

Petterson, L. “Male Bisexuality In Samoa” (2012) University of Lethbridge Thesis  https://www.uleth.ca/dspace/bitstream/handle/10133/3745/PETTERSON_LANNA_MSC2015_THESIS.pdf

 


 

Fun Reading:

All the Stars are Suns ebook completeSincerity Espinoza didn’t go looking for trouble, it found her. All she wants out of life is the chance to go to the stars but she is caught in a web of misunderstandings, political & legal maneuvering, and the growing threat of terrorist plots by religious fanatics. She has a secret that if found out too soon could mean not only her own death but the ruin of the hope for humanity ever going to the stars. But even amidst momentous events, life is still about the small moments of love, laughter, and sadness.   Available as an ebook at Amazon and Kindle Unlimited.

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Fraternizing with the…

Posted in Transsexual Field Studies by Kay Brown on June 18, 2017

critical-thinking… Allies  Or, The Fraternal Birth Order Effect: Early Onset Transwomen vs. Gay Men

In a very recently published meta-study conducted by Ray Blanchard further exploring the Fraternal Birth Order Effect (FBOE), in which he had earlier noted that androphilic males tend to have more older brothers than sisters, he deals with several concerns and new research questions.  First, there had been some concerns with how best to handle the potential effects of family size.  But what really interests me is that here, for the first time, he carefully considers the effect of transgender (feminine presentation / identity) vs. non-trans androphilic men (masculine presentation / identity i.e. conventional gay men).  The results are striking!

“The pooled Older Brothers Odds Ratio for the feminine groups was 1.85, and the value for the non-feminine groups was 1.27. The corresponding risk ratios were 1.52 and 1.19.  The differences between groups were highly significant.  To sum up the results so far in common language:  Feminine homosexual males have more older brothers than non-feminine homosexual males, and non-feminine homosexual males, in turn, have more older brothers than heterosexual males.”

These results weren’t just “statistically significant”, the effect was very great with the 95% Confidence Levels not even overlapping!

But we should introduce a note of caution here.  The feminine androphilic data was very heterogeneous as can be seen in this plot of the data.  This may be caused by the differences between cultures sampled from all over the world.  Some of this data is from Samoan Fa’afafine, some from Western gender dysphoria clinics in the US, UK, and Spain, some from non-Western cultures like Brazil and Korea.  Blanchard also noted this issue and suggested exploration of this might interest some future researcher as more data becomes available.  But in any case, we are shown some very intriguing data that strongly suggests that we may be seeing a difference in etiology between feminine and masculine androphilic males.

Blanchard discusses possible conclusions regarding this,

“A … possibility is that the neurodevelopmental pathway triggered by older brothers is inherently more feminizing than path ways triggered by other etiologic factors (e.g., ‘‘gay’’ genes or prenatal hormone exposure). Thus, a group of homosexual males selected for generalized femininity is likely to contain a higher proportion of individuals who acquired their sexual orientation via the older brother pathway. Other hypotheses, equally speculative, are also possible. … Blanchard and Bogaert (1996) proposed that the FBOE reflects the progressive immunization of some mothers to male-specific (i.e., Y-linked) antigens by each succeeding male fetus and the concomitantly increasing effects of anti-male antibodies on sexual differentiation of the brain in each succeeding male fetus. According to this maternal immune hypothesis, cells (or cell fragments) from male fetuses enter the maternal circulation during childbirth or perhaps earlier in pregnancy. These cells include substances that occur only on the surfaces of male cells, primarily male brain cells. The mother’s immune system recognizes these male-specific molecules as foreign and produces antibodies to them.  When the mother later becomes pregnant with another male fetus, her antibodies cross the placental barrier and enter the fetal brain. Once in the brain, these antibodies bind to male-specific molecules on the surface of neurons.  This prevents these neurons from ‘‘wiring-up’’ in the male-typical pattern, so that the individual will later be attracted to men rather than women.”

Something not discussed, indeed I’m not sure how it can even be explored – unless the curve in the data shown for the odds of an older brother per other sibling is evidence for the effect of first born males experiencing self-induced maternal immunity creating the same etiological pathway.  I would also expect that some first born males may have this etiology due to previous maternal miscarriages and abortions of male fetuses since they too would be expected to have Y-linked antigen challenges to the maternal immune system.

Still, and all, very exciting paper well worth reading.

Further Reading:

Essay showing that feminine gay men (“bottoms”) exhibit different FBOE than more masculine gay men (“tops”).

Reference:

Blanchard, R., “Fraternal Birth Order, Family Size, and Male Homosexuality: Meta-Analysis of Studies Spanning 25 Years”, Archives of Sexual Behavior, (2017),
https://link.springer.com/article/10.1007/s10508-017-1007-4

 


 

Fun Reading:

All the Stars are Suns ebook completeSincerity Espinoza didn’t go looking for trouble, it found her. All she wants out of life is the chance to go to the stars but she is caught in a web of misunderstandings, political & legal maneuvering, and the growing threat of terrorist plots by religious fanatics. She has a secret that if found out too soon could mean not only her own death but the ruin of the hope for humanity ever going to the stars. But even amidst momentous events, life is still about the small moments of love, laughter, and sadness.   Available as an ebook at Amazon and Kindle Unlimited.

Comments Off on Fraternizing with the…

When the Numbers Add Up…

Posted in Transsexual Field Studies by Kay Brown on June 17, 2017

female_scientistOr, Scientific Numerology

Sometimes, when one spots numbers that seem to be awfully familiar, they cause us to wonder.  Well, I think I spotted either an amazing random coincidence, or a basic connection between the incidence of autogynephilia and autoandrophilia in the general population and the incidence of potential gender dysphoria found in teenagers.  Check out these numbers.

From the Sumia study  0.5% girls compared to 2.2% of the boys had indicated such potentially clinically significant dysphoria.  Note that this is indeed potential, not clinically significant distress.  While in the Langstrom study 2.8% of men and 0.4% of women reported at least one episode of transvestic fetishism.

Again 0.5% vs. 0.4% for natal females and 2.2% vs. 2.8% for natal males.

So, random coincidence?  Or underlying correlation?  We need further study.  But I’m willing to put a high confidence estimate that this reflects that the GIDYQ-A is picking up on the connection between autogynephilia / autoandrophilia and mild gender dysphoria.

Further Reading:

Essay on Autogynephilia causing gender dysphoria in late onset transwomen

References:

Sumia et al., “Current and recalled childhood gender identity in community youth in comparison to referred adolescents seeking sex reassignment”, Journal of Adolescence
http://www.sciencedirect.com/science/article/pii/S0140197117300155

Langstrom, et al., “Transvestic Fetishism in the General Population”  Journal of Sex & Marital Therapy, (2011) http://dx.doi.org/10.1080/00926230590477934

 


 

Fun Reading:

All the Stars are Suns ebook completeSincerity Espinoza didn’t go looking for trouble, it found her. All she wants out of life is the chance to go to the stars but she is caught in a web of misunderstandings, political & legal maneuvering, and the growing threat of terrorist plots by religious fanatics. She has a secret that if found out too soon could mean not only her own death but the ruin of the hope for humanity ever going to the stars. But even amidst momentous events, life is still about the small moments of love, laughter, and sadness.   Available as an ebook at Amazon and Kindle Unlimited.

Comments Off on When the Numbers Add Up…

Getting Lost in the Crowd

Posted in Female-to-Male, Science Criticism, Transgender Youth, Transsexual Field Studies by Kay Brown on April 16, 2017

Kay Brown

Or, How the Big Tent Transgender Movement Distorts Science and Holds Back Civil Rights for Transsexuals

The word “transgender” was originally coined and used by Dr. Virginia Prince, a full time autogynephilic cross-dresser, in the early ’70s, to denote those like her/him as opposed to “transsexuals” who took hormones and had “sex change” surgery and also opposed to secretive “transvestites” who only occasionally cross-dressed, usually in private.  The term was meant to be exclusive of any other group, like drag artists or gender atypical gays or lesbians.

But…

In the early ’90s, Beth Elliott, using her nom de plume Mustang Sally, wrote an essay entitled, “The Incredible Shrinking Identity” in which she decried the social effects of subsuming transsexual people into the larger umbrella of “transgender”, which with each passing year seemed to be growing at its margins to include more and more people who just a few years before, would never have been considered to be in the same grouping.  Of course, she was mostly talking about secretive cross-dressers, “transvestites”, autogynephilic men, who as we know, are in fact in the same etiological taxon as autogynephilic MTF transsexuals.  In the ’90s, it was possible to ignore this complaint as being specious on the social level, given already rampant socially unwanted and scientifically unwarranted lumping of autogynephilic and exclusively androphilic MTF transwomen.

But what started as merely political embarrassement (for AGP transwomen) has now become a serious scientific and civil rights issue as the term “transgender” has now been stretched to the point where it has little meaning as to actual sexual, social, or gendered behavior.  It is no longer enough for scientists to differentiate between autogynephilic/late onset vs. androphilic/early onset MTF transwomen… nor even between autoandrophilic vs. androphilic FtM transmen… now we must differentiate between an ever growing host of self-defined “other” gender categories and underlying behaviors, identities that are lumped under “transgender” to the point of making the term meaningless to sexologists and social scientists alike.

Flashback, 1980:  Hanging out in the L.A. transsexual community, as it gained a political self awareness, was a teenager; let’s call her “Lee”.  Lee would tell anyone who asked that she was “transsexual”… yet caused great confusion to all who met her.  She was natal female, short even for a woman, pleasantly plump, and decidedly feminine in both appearance and manner.  She was in no sense gender atypical.  And during the time that I knew her, over 18 months, she never made any attempt to present as a man, nor even as butch.  She was always on the femmy side of androgenous to the point of being decidedly “cute” as she hung out, mostly with younger MTF transwomen whom she seemed to admire.  Had she been hanging out in this same manner in the gay male scene, they would have likely labeled her a “Fag Hag”.  The transsexual community, while leery of non-trans males who would have acted this way, affectionately accepted Lee’s non-threatening presence, while secretly rolling their eyes when she declared that she was “FtM”.

Thinking back on Lee, I’m fairly certain that she never transitioned and I’m willing to place fairly high odds that she married and had kids, probably now has grandchildren, none of which have any idea that she once hung out in the trans-scene.  At the time, we had no label for her.  Today, on the internet, the FtM transsexual community does have a label that would have applied, “tucute”, as in “Too Cute” to be trans.  If you visit the FtM pages on Tumbler, you are sure to run into a few… and will also note that they in turn, grumble about the negative feedback they get from those they call “Truscum” (“true” masculine gynephilic FtM transsexuals) for not accepting that they too are just as “trans”, even if they are in no sense gender atypical nor gender dysphoric.

Recent Events:  A couple years ago, via her facebook page, a very socially liberal, rather prominent (and wealthy) venture capitalist in my professional circle proudly announced that her teenaged child was “transgender”.  I’ve been living “mostly stealth” in that most of my professional contacts do not know of my medical history (yes, I “pass”).  But in a move to be supportive and perhaps even help her with the emotional issues that almost always come with a child’s transition I came out to her.  BAD MOVE!  Nope, upon learning more about her child, it became very clear that her daughter had always been very gender typical as a girl, was not the least bit gender dysphoric, and had no intention of legally, socially, nor medically transitioning.  No, she just wanted to be recognized as “transgender” and have everyone around her use gender neutral pronouns (cause she is they are so special, she they deserves it).

There is another couple names for this behavior, “TransTrender” and “TrendsGender”, as in it is now “trendy” to say that one is transgender, in the right circles.    Back in my college years, hanging around Stanford University, I would often hear complaints from actual gynephilic women, real lesbians, about the phenomena of primarily androphilic women taking social positions as “Political Lesbians” and “Lesbians Until Graduation”.  The “transgender” community now has the same phenomena.  It seems to have become “cool” in some comfortably well off, very socially liberal teenaged and young adult circles to be associated with the LGB and now T community, as though being associated with a marginalized group made up for their obvious social privilege.

One could well imagine the growing resentment felt by those of us who have experienced familial rejection, social disapprobation, economic deprivation, and psychic pain from a lifetime of gender atypicality and dysphoria towards those who misappropriate an identity from the protective cocoon of indulgent family, liberal universities, and the anonymity of the internet.

As one young transman put it,

“Dysphoria is the defining factor of a transgender person. It’s why they want to TRANSition. It’s why they’re called TRANS in the first place, fuckwits. It doesn’t have to be crippling “I hate my body ugh I can’t look at myself naked” (And I do know some trans people whose dysphoria is that bad). On a 10 is an “I can’t see myself naked” to 1 is a “I don’t feel right in this body”, I’m probably a 5-7. I can see myself naked but it just doesn’t feel right. Specially with my chest. That’s dysphoria. Not “omg I don’t want to be human I want to be a rabbit/sunflower/magical girl” or whatever these tucutes are on I don’t even know.   …

The more I look at it, the more I see tucutes acting like being transgender is a cute little accessory they can put on. You’re comfy with your body but you like girls even if you’re a girl yourself? Congratulations, you could be a lesbian. You like boys but you’re a boy? Good on you, you might be a homosexual man. You like the opposite gender? That makes you a terrible hetero person and that’s bad because all hetero people are transphobic and evil. 😦 Be trans instead. That’s cooler.

Except… it’s not.

It’s not cool to be trans. It’s not cool to wake up and see these parts of you that you feel so uncomfortable with having that you would wish cancer on yourself just to have them taken away. It’s not cool to have to struggle with the longing to tell your parents that you’re not the right gender because you want to trust them and want to open up to them but you’re afraid it’ll just add to the laundry list of things you’ve already disappointed them with. It’s not cool to have known you were one thing from birth but everyone else and your own body telling you you’re not and that you were supposed to be a certain way because that’s what you looked like from the outside.

It’s not cool to be trans.

If I had a choice, if being trans WAS a choice I would choose to be cis.”

If these issues had stayed on the pages of tumbler and facebook, it wouldn’t be a problem for science or those seeking better civil rights for transitioning transfolk.  But it hasn’t.

Consider a recent paper published in the Journal of Youth and Adolescence in which the authors very laudably explore the issues of safety and bathroom access for “transgender” youth.  Ah… you are probably anticipating some of the problems that this might entail and you would be right.  But let’s explore each of them carefully.

The authors cite the now popular William’s estimate of 0.7% of the population in the US as “transgendered”.  The problem with that study is the number who identify as “transgendered” because William’s did not apply any operational definition beyond asking if they were “transgendered”. Yet we know that only 0.03% of the U.S. population has actually socially transitioned, according to US Census study that cross-correlated with name/sex status changes to Social Security cards (arguably the absolute best estimate we will ever get to the number of individuals who actually transitioned).  This means that less than 5% of those who identify as “transgender” ever transition.  Thus, by definition, more than 95% of those who identify as “transgender” never transition, that in fact, they aren’t all that gender dysphoric.  So who are they?  Well, given that 80 to 90% of MTF transsexuals are autogynephilic and that an estimated 2.8% to 4.6% of men in the general population are autogynephilic, while only 0.5% of women are autoandrophilic, we can surmise that the vast bulk of those who identify as “transgender” adults are autogynephilic males, otherwise gender typical heterosexual men who cross-dress in the privacy of their homes and perhaps occasionally have a “girls’ night out” with other cross-dressers.

We know that autogynephilic males are gender typical growing up.  They are also gynephilic.  These are, save for their secret cross-dressing and sexual fantasies of being or becoming female, typical, average, run of the mill straight men.  Thus, autogynephilic males who have not transitioned are not socially visible.  Further, we know that the median and average ages of transition for autogynephilic transsexuals (the moment that they become socially visible) is 35 and 40 respectively.  In fact, in the Nuttbrook study, which surveyed 571 transgender women, only one gynephilic (and presumably autogynephilic) individual had begun transition before age 20 and of those who had begun transition before age 20, only 7% said that they were bisexual (of which a number of them are likely to be autogynephilic, as we know from other studies).

Now, compare that to the number of early onset / androphilic transwomen who transition before age 20… that number is half.  HALF.  Further, we know from study after study that such transwomen are very notably gender atypical, as well as gender dysphoric.  THESE are the kids who will be the most socially visible as youth, NOT autogynephilic “transgender”.  On the FtM side, the Autoandrophilic population similarly transition later as adults, not teens.  It will be the rare, very rare (remember, only 0.03% of the total US population transition) exclusively gynephilic, gender dysphoric kids that will be socially visible as youth, not the TuCutes and the TransTrenders.  These are the kids who are socially and personally vulnerable as youth, not the vastly larger number of individuals who will identify as “transgender”.

How badly off are the numbers?  In the Wernick study they found 86 individuals who self-identified as transgendered out of 935 students.  Seriously, 9%?  NINE &^%$#@ percent?!?  That’s more than ten times the number of adults who self-identify and three hundred times the number who actually transition.  That’s higher than the number of teens who grow up to be gay or lesbian.  Are all of the LGB kids claiming to be “transgendered”???  Or is this representative of all LGB plus all of the secretly cross-dressing and cross-dreaming boys plus the TuCutes and the TransTrenders, all balled into one?  Because, if the schools were statistically representative of the population as a whole, with only a thousand or so students, we could only expect a one in three chance of finding an actual transsexual among them, most likely an autogynephile who will transition as an adult and only one in fifteen chance of finding a transkid.

The design of this study was flawed from inception, as the numbers surveyed were never enough to find any statistically valid number of transkids, while using self report of being “transgendered” without a valid operational definition lead only to a measure of the trendiness of the label in the teenaged population combined with “mischievous responders”, kids saying ‘shit’ to mess with the study.

transkids

Transkids after transition

So we see, that truly gender atypical and gender dysphoric individuals will be a very small percentage of youth who will self-identify as “transgender”.  These are the kids who social scientists and policy makers should be concerned with, not those who have yet to transition or never will.  These are the kids who, while finding more and more visibility in the press as they transition, are the ones who are getting lost in the crowd in social science studies and policy making because of the failure to apply appropriate operational definitions.

(Addendum 5/5/2017:  To reinforce my point that one needs to have an operational definition of “transgender”, we can see in another recent study (Sumia 2017) using the GIDYQ-A that only 1.3% of teenagers had any “potentially clinically significant gender dysphoria”.  Interestingly of the natal female teens, only 0.5% compared to 2.2% of the natal males had indicated such potential dysphoria.  Note that this is indeed potential, not clinically significant distress.  These numbers tally better with the hypothesis that most of these boys are autogynephilic and will likely live as secret cross-dressers.)

Further Reading:

Essay on US Census Estimate of Post-Transition Population

Essay on the Ratio of Gynephilic vs. Androphilic MTF Transsexuals

Essay on the Nature of Autogynephilia

Essay on the concordance between percentage of erotic cross-dressing adults of both sexes and measures of teenaged sub-clinical gender dysphoria

External Further Reading:

“Tucute: What it is and why its wrong”

Research on “Mischievous Responders” causing over-estimate of transgender in teenagers

References:

Wernick, et Al, “Gender Identity Disparities in Bathroom Safety and Wellbeing in High School Students”, Journal of Youth and Adolescence
DOI: 10.1007/s10964-017-0652-1

Sumia et Al, “Current and recalled childhood gender identity in community youth in comparison to referred adolescents seeking sex reassignment”, Journal of Adolescence
http://www.sciencedirect.com/science/article/pii/S0140197117300155


Fun Reading:

 

All the Stars are Suns ebook completeSincerity Espinoza didn’t go looking for trouble, it found her. All she wants out of life is the chance to go to the stars but she is caught in a web of misunderstandings, political & legal maneuvering, and the growing threat of terrorist plots by religious fanatics. She has a secret that if found out too soon could mean not only her own death but the ruin of the hope for humanity ever going to the stars. But even amidst momentous events, life is still about the small moments of love, laughter, and sadness.   Available as an ebook at Amazon and Kindle Unlimited.

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Did you hear the one about…

Posted in Transsexual Field Studies by Kay Brown on January 29, 2017

female_scientistOr, Silly Objections

I’ve read and heard so many beyond silly objections to the Two Type Taxonomy of transgender etiology that I thought I would start memorializing them.  This will be an ongoing post, with updates occurring as I feel like writing, so I won’t be dating the addenda as is my usual custom.  I will be adding more as I hear or remember more such silliness.  Of course, many of these objections have been thoroughly addressed and laid to rest here in my over one hundred essays to date.  Consider finding them on your own as an easter egg hunt by searching / reading all of my blog essays.

Or, better yet, randomly assign them to squares on a card then each time you see one of these objections mark your card, and be sure to invite your friends to play Silly Objections Bingo!

If, as you read them you notice a pattern of contradictions, you are right.  This demonstrates that their objections are invalid.  The only thing that they agree on is their anger and denial about the easily observed two type taxonomy and of the role that autogynephilia plays in the development of one of them.

“My forty minute youtube rant proves that autogynephilia is bunk!”

“Autogynephilia can’t be the reason late transitioners transition because HRT would reduce their libido and they would lose interest in transition.”

“Autogynephilia is just an effect of gender dysphoria.”

“Autogynephilia is just an effect of being transgender and attracted to women while living in a male body.”

“Early transitioners don’t have autogynephilia because they got to transition before their gender dysphoria got so bad like mine did.”

“Early transitioners didn’t express autogynephilia because they started HRT (or puberty blockers) before they developed erections.”

“No one would turn their life upside down for a sexual fetish!”

“Autogynephilia only occurs in cross-dressers, not transsexuals.”

“There can’t be two kinds of transsexuals, because nobody uses the word ‘transsexual’ anymore.”

“Autogynephilia doesn’t exist; fetishistic cross-dressers are literally getting off on the clothes themselves.”

“Women are autogynephilic too! It’s just normal female sexuality.  They are just ‘female embodiment fantasies’ ” (ahem… women don’t get off just because they are female…)

“Autogynephilia is not a thing. Flat out. Period!”

“Straight (androphilic) transwomen are autogynephilic too!”

“There can’t be two types because sexual orientation and gender identity aren’t related.”

“Straight (androphilic) transwomen just transition earlier because they need to date men.”

“There’s a part of the brain that proves that (all) transsexuals have female brains.”

“Brain research shows that (all) transsexual brains are intersexed.”

“The existence of intersex people proves that transsexuals are ‘real’.”

“I would have transitioned as a teenager too if I had known I could.”

“I would have transitioned early but society wouldn’t let me.”

“All transsexuals are the same.  Some just transition at different times.”

“I was feminine when I was young too but hid it from everyone.”

“I have known I was transgender since I was seven years old… so I can’t be autogynephilic.”

“This theory is wrong because my narrative doesn’t fit your description of either type.”

“Not ALL transwomen fit the two types!”

“Blanchard, Bailey, Lawrence, and everybody else that support this are just transphobic.”

“The concept of autogynephilia was invented by transphobes to make us appear to not be real.”

“That theory is sexist!”

“They (supporters of the two type taxonomy) are just confusing correlation with causation.”

“You can’t use Bradford Hill’s criteria, that’s only for epidemiology, not psychology”. (ignoring the existence of psychiatric epidemiology, including a book by that title)

“That theory is so out of date.” (Theories can be disproven but they don’t simply get old and die.)

“Autogynephilia? Blanchard just made that up.” (No, but he did NAME it.)

“Blanchard is over simplifying.”

“Blanchard and Bailey are full of shit.” (without explaining how)

“There’s no proof.  It’s only a theory.  That data has never been replicated.” (ignoring the half-dozen referenced peer reviewed papers with data from over a thousand subjects)

“That essay is just anecdotal.”  (see above)

“I have a list of androphilic transwomen who were first born so the Fraternal Birth Order Effect is wrong!”  (… Ahem, the FBOE is a population level effect, not an individual universal one)

“That data is fraudulent! (pointing to a peer reviewed paper published by well established clinicians that have helped hundreds of transfolk to transition)

“That theory is pseudo-science.”

“That hypothesis is unfalsifiable so it is pseudo-scientific bullshit!” (ignoring the fact that autogynephilia and sexual orientation are directly observable behaviors)

“Oh, I get it!  You’re just like an anti-vaxxer into fringe theories.”

“You guys are just a bunch of flat-earthers!”

“Blanchard is calling older transitioners that don’t report arousal to cross-dressing lairs.  That’s unscientific!”

“That theory has been debunked by scientists.”  (without citation)

“But the Nuttbrock paper said…” (ignoring the actual Nuttbrock data)

“Oh that stuff, that was so ’90s, but there was never any empirical evidence.”

“That paper is fake, Dr. Meltzer is a friend of the community; he would never have given Lawrence access to his patients.”

“Well, I won’t accept it until there is research by someone other than… (fill in the blank, perhaps with Lawrence, Bailey, Cantor, Smith, Nuttbrock, or anybody else who has already done papers that show evidentiary support for the two type taxonomy)”

“Well, I won’t accept it until that paper is peer reviewed by someone other than… (fill in the blank, perhaps with Lawrence, Bailey, Cantor, or anybody else who has already done papers that show evidentiary support for the two type taxonomy)”

“She (me) didn’t cite any references in her FAQ. (ignoring the copious citations in the over 100 essays in this blog)

“Well, I won’t accept it until I see… (impossibly difficult data to get).”

“It’s unethical for cisgender people to research us.  Only we should be allowed to do so.”

“We shouldn’t do the science because it will hurt the community!”

“This sh!t is just made up to divide the community.”

“Nobody who is transsexual accepts this theory.” (…ahem…)

“We shouldn’t talk about this openly until we have won all of our political goals.”

“You only support that because you want people to think you are one of the ‘good kind’ of transsexual.”

“You are just spouting patriarchal bull shit!”

“This is just ‘True Transsexual’ bull shit!”

“You just hate older transitioners!”

“You have an agenda!!”

“The tone of your essays…”

“This theory completely ignores the existence of transmen!”

“This theory doesn’t explain all of the other non-binary gender identities.” (ahem… actually it does)

 


 

Fun Reading:

All the Stars are Suns ebook completeSincerity Espinoza didn’t go looking for trouble, it found her. All she wants out of life is the chance to go to the stars but she is caught in a web of misunderstandings, political & legal maneuvering, and the growing threat of terrorist plots by religious fanatics. She has a secret that if found out too soon could mean not only her own death but the ruin of the hope for humanity ever going to the stars. But even amidst momentous events, life is still about the small moments of love, laughter, and sadness.   Available as an ebook at Amazon and Kindle Unlimited.

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A Voice of Their Own

Posted in Transgender Youth, Transsexual Field Studies by Kay Brown on July 9, 2016

Or, What Do Transkids Think About Puberty Suppression?

transkids

Transkids after transition

In the media and especially in social media, we see lots of discussion regarding what is the appropriate standard of care for transkids.  Many adults seem to be horrified by the idea that kids should be treated at all.  Of course, anyone that thinks about it clearly will see that without puberty suppression, one is already making a decision to treat them with hormones, the ones that the body starts to make at puberty.  Thus, the justification for puberty suppression, under the notion that delaying it isn’t really making a hard and fast decision.

But what of transkids themselves?  What do they think about it all?  How about asking them?  Well, a recent paper does just that, as the paper describes them,

“They were between 13 and 18 years of age, with an average age of 16 years and 11 months, and a median age of 17 years and 4 months. All adolescents, except for one, were treated with puberty suppression. The mean age at which the adolescents started treatment with puberty suppression was 15 years and 10 months. The adolescent who was not treated with puberty suppression immediately started treatment with cross-sex hormones because she was above the age of 18 when treatment was indicated, which is in line with the Dutch protocol. Five adolescents were trans girls (natal boys with a female gender identity) and eight were trans boys (natal girls with a male gender identity).”

Note that puberty suppression was their only option until age 18, a state of affairs that I have argued, and will continue to argue, it both unnecessary and cruel, but better than nothing.  This protocol privileges desisters and indeed all non-gender-dysphoric teens in that an active or implicit decision to deliberately use endogenous hormones to masculinize or feminize (as the case may be) their bodies is socially sanctioned, actively encouraged even, but an active decision on the part of gender dysphoric teens is considered suspect and their ability to make such a decision is deemed problematic.  {Can nobody else see the double-standard?  Why, if this is all about not trusting teens to make this decision, are ALL teens not put on puberty blockers until they are adults?}  All evidence points to the age of 14 being an appropriate age to end, not begin, puberty suppression, to be replaced with conventional Hormone Replacement Therapy.  But concerns about transphobic public resistance prevents this evidence based medicine approach.

{On a personal note, I first learned about HRT at age 15, but my pediatrician recommended my mother send me to psychotherapy to “cure” me instead. I began actively requesting feminizing HRT from the Stanford Gender Dysphoria Clinic at age 17 in 1974.  I was denied this.  I had to wait until I was legally of age and began HRT very soon after my 18th birthday in the summer of ’75.  In those days, puberty suppression was not available.  I deeply regret what that delay did to my singing voice.}

So what did these modern teens have to say?  Here’s a typical comment,

“I think it is hard to set an age requirement. On the one hand I think 12 years is a good age minimum, on the other hand I think that a transgender whose puberty started earlier should have the possibility to start treatment with puberty suppression before the age of 12.” (trans girl; age: 13)

You may wish to read the rest of what they had to say at the actual paper at the link below, as it is not behind a paywall, thankfully.

Further Reading:

Essay on evidence for best age to end puberty suppression based on age of desisting gender dysphoria

Essay by Alejandra Velasquez at the transkids.us website on treatment recommendations for MTF transkids. {Note:  Ms. Velasquez was ~20 when she wrote the essay in 2004}

Essay on Advice to Parents of Transkids

References:

Vrouenraets, L. et al. “Perceptions of Sex, Gender, and Puberty Suppression: A Qualitative Analysis of Transgender Youth”
Archives of Sexual Behavior (2016). doi:10.1007/s10508-016-0764-9

 


 

Fun Reading:

All the Stars are Suns ebook completeSincerity Espinoza didn’t go looking for trouble, it found her. All she wants out of life is the chance to go to the stars but she is caught in a web of misunderstandings, political & legal maneuvering, and the growing threat of terrorist plots by religious fanatics. She has a secret that if found out too soon could mean not only her own death but the ruin of the hope for humanity ever going to the stars. But even amidst momentous events, life is still about the small moments of love, laughter, and sadness.   Available as an ebook at Amazon and Kindle Unlimited.

Comments Off on A Voice of Their Own