A transgender woman at New York City's gay pride parade
Transgender (IPA: /trænzˈdʒɛndɚ/,
from trans (Latin) and gender
(English)) is a general term applied to a variety of individuals, behaviors, and groups
involving tendencies that diverge from the normative gender role (woman or
man) commonly, but not always, assigned at birth, as well as the role traditionally held by
society.
Transgender is the state of one's "gender identity" (self-identification as male,
female, both or neither) not matching one's "assigned gender" (identification by others as male or female based on
physical/genetic sex). "Transgender" does not imply any specific form of sexual orientation — transgender people may identify as heterosexual, homosexual, bisexual, pansexual or asexual.
A transgender individual may have characteristics that are normally associated with a particular gender, identify elsewhere on
the traditional gender continuum, or exist outside of it as "other," "agender," "intergender," or "third gender". Transgender people may also identify
as bigender, or along several places on either the traditional transgender continuum, or the
more encompassing continuums which have been developed in response to the significantly more detailed studies done in recent
years.[1]
Evolution of the term transgender
The term transgender (TG) was popularised in the 1970s[2] (but implied in the 1960s[3][4]) describing people who wanted to live cross-gender without
sex reassignment surgery.[5] In the 1980s the term was expanded to an
umbrella term[6] and became
popular as a means of uniting all those whose gender identity did not mesh with their gender assigned at birth.[7] In the 1990s the term took on a political dimension [8][9] as an alliance covering all who have at some point not conformed to gender norms, and the
term became used to question the validity of those norms,[10] or pursue equal rights and anti-discrimination legislation,[11][12] leading to its widespread usage in the media, academic world and law.[13] The term continues to
evolve.
Current definition
The current definition for transgender remains in flux, but some definitions are:
- "Of, relating to, or designating a person whose identity does not conform unambiguously to conventional notions of male or
female gender, but combines or moves between these".[14]
- "People who were assigned a gender, usually at birth and based on their genitals, but who feel that this is a false or
incomplete description of themselves."[15]
- "Non-identification with, or non-presentation as, the gender one was assigned at birth."[16]
Transgender identities
Transgender identity includes many overlapping categories. These include transsexual
(TS); cross-dresser (CD); transvestite (TS);
androgynes; genderqueer; people who live cross-gender; drag kings; and drag
queens.[18] Usually not included because it
is considered to be a paraphilia (rather than gender identification) are transvestic fetishists. These terms are explained below.
Many people also identify simply as transgender.
The extent to which intersex people (those with ambiguous genitalia or other physical
sexual characteristics) are transgender is debated, since not all intersex people disagree with
their gender assigned at birth.
The current definitions of transgender include all transsexual people, although this has been criticised.
The term transman refers to female-to-male (FtM or F2M) transgender people, and
transwoman refers to male-to-female (MtF or M2F) transgender people, although some
transgender people identify only slightly with the gender not assigned at birth. In the past, it
was assumed that there were far more transwomen than transmen, but a Swedish study estimated a ratio of 1.4:1 in favour of
transwomen for those requesting sex reassignment surgery and a ratio of 1:1 for those who proceeded.[19] There is a school of thought that says terms such as "FtM" and
"MtF" are subjugating language that reinforces the binary gender stereotype.[20]
The term "cisgender" refers to non-transgender people, i.e. those who identify with their
gender assigned at birth.
Transsexual
-
Demonstration for transgender people in
Paris, October 1 2005
Transsexual people identify as, or desire to live and be accepted as, a member of the
gender opposite to that assigned at birth.[21][22]
Many transsexual people also want to change their bodies. These physical changes are collectively known as sex reassignment therapy and often include hormones and sex reassignment
surgery. References to "pre-operative", "post-operative" and "non-operative" transsexual people indicate whether they have
had, or are planning to have sex reassignment surgery. Although there are genetic,
hormonal, and psychological theories, there is currently no
known cause of transsexualism.
Cross-dresser
- See also: cross-dressing
The term 'cross-dresser' is not exactly defined in the relevant literature. Michael A.
Gilbert[23], professor at the Department of
Philosophy, York University, Toronto, and an avowed
cross-dresser himself, offers this definition: "[A cross-dresser] is a person who has an apparent gender identification with one
sex, and who has and certainly has been birth-designated as belonging to one sex, but who wears the clothing of the opposite sex
because it is the clothing of the opposite sex." This excludes people "who wear opposite sex clothing for other reasons". Also,
the group doesn't include "those female impersonators who look upon dressing as solely connected to their livelihood, actors
undertaking roles, individual males and females enjoying a masquerade, and so on. These individuals are cross dressing but are
not cross dressers." [24] Cross-dressers may not
identify with, or want to be the opposite gender, nor adopt the behaviors or practices of the opposite gender, and generally do
not want to change their bodies medically. The majority of cross-dressers identify as heterosexual.[25]
Drag kings and queens
- See also: Drag king, Drag queen, and Faux queen
Drag queen Penny Tration from GayBash 2007 event at
Cincinnati Ohio's Adonis night club.
Drag is a term applied to clothing and make-up worn on special occasions for
performing or entertaining as a hostess, stage artist or at an event (e.g.
Lypsinka). This is in contrast to those who cross-dress for other reasons or are otherwise transgender. Drag can be theatrical, comedic, or
grotesque, and female-identified drag has been considered a caricature of women by second-wave feminism. Within the genre of drag are gender
illusionists who do try to pass as another gender. Drag artists explore gender issues and
have a long tradition in LGBT culture. Drag has been
regarded as an area where transgender people can find more acceptance and financial support than mainstream work environments.
Generally the terms drag queen covers men doing female drag, 'drag king covers women doing male drag, and faux queen covers
women doing female drag.
Transvestite
-
A transvestite is somebody who cross-dresses.[26][27] The term "transvestite" is used as a synonym for the term "cross-dresser",[28][29] although it has been stated that "cross-dresser" is the preferred term.[29][30] The term "transvestite" and the associated term "transvestism" are conceptually different from the
term "fetishistic transvestism" (a.k.a. "transvestic fetishism"), as "transvestic
fetishist" describes those who intermittently use clothing of the opposite gender for fetishistic purposes,[31][32] and "transvestite" does not. In medical terms, transvestic fetishism is differentiated from
cross-dressing by use of the separate codes 302.3[32]
in the DSM and F65.1[31] in the ICD.
Genderqueer
-
Genderqueer is a recent attempt to signify gendered experiences that do not fit into
binary concepts, and refers to a combination of gender identities and sexual orientations. One example could be a person whose
gendered presentation is sometimes perceived as male, sometimes female, but whose gender identity is female, gendered expression
is butch, and sexual orientation is lesbian. It suggests nonconformity or mixing of gendered stereotypes, conjoining both gender
and gayness,[33] and challenges existing constructions and
identities.[34] Genderqueerness is unintelligible and
abjected in the binary sex/gender system.[35]
People who live cross-gender
People who live cross-gender live always or mostly as the gender other than that assigned at birth. If they want to be or
identify as their gender assigned at birth, then the term "crossdresser" [36] may be used. If they want to be or identify as the gender they always or mostly live in, then
the term "transsexual" may be used .[21]
The term "transgender" [37][38][39] or
"transgenderist"[40] has
been applied to people who live cross-gender without sex reassignment
surgery.
Androgyne
-
An androgyne is a person who does not fit cleanly into the typical gender roles of their society. Androgynes may identify as beyond gender, between genders, moving across
genders, entirely genderless, or any or all of these. Androgyne identities include pangender,
bigender, ambigender, non-gendered, agender, gender fluid or
intergender. Androgyne used to be a synonym for intersex people, but this usage has fallen out of favor. Androgyny can be either physical or
psychological; it does not depend on birth sex and is not limited to intersex people. Occasionally, people who do not define themselves as androgynes adapt their physical
appearance to look androgynous. This outward androgyny has been used in fashion, and the
milder forms of it (women wearing men's pants or men wearing two earrings, for example) are not seen as transgender behavior.
Transgender in contrast with sexual orientation
-
- See also: LGBT, section “Controversy”
Transgender activist at a demonstration for transgender people in
Paris, October 1
2005
Gender identity and transgender identity are fundamentally different concepts than that of sexual orientation. Transgender people have more or less the same variety of sexual orientations as
cisgender people.[41] In the
past, the terms homosexual and heterosexual were used for transgender people based on their birth sex.[42] Professional
literature now uses terms such as attracted to men (androsexual),
attracted to women (gynosexual), attracted to both or
attracted to neither to describe a person's sexual orientation without reference to their gender identity.[43] Therapists are coming to understand the
necessity of choosing terms with respect to their clients' gender identities and preferences.[44][45] Transgender people's options for
orientation identification are not defined by their birth sex.
Transgender and healthcare
-
- See also: Gender transitioning
Mental healthcare
Mental healthcare providers use the terms "gender dysphoria" and
"gender identity disorder" for transgender and transsexual issues, although
this approach has been criticised. Many mental healthcare providers know little about
transgender life. People seeking help from these professionals often end up educating the professional rather than receiving
help.[46] Among those
therapists who profess to know about transgender issues, many believe that transitioning from one sex to another — the standard
transsexual model — is the best or only solution. This usually works well for those who are transsexual, but is not the solution
for other transgender people, particularly cross-gender people who do not identify as plainly
male or female.
Physical healthcare
Medical and surgical procedures exist for transgender people. Hormone
replacement therapy for transmen induces beard growth and masculinises skin, hair, voice and fat distribution.
Hormone replacement therapy for transwomen feminises fat
distribution and breasts. Laser hair removal or electrolysis removes excess hair for transwomen. Surgical procedures for transwomen feminise the
voice, skin, face, adam's apple, breasts, waist, buttocks and genitals. Surgical
procedures for transmen masculinise the chest and genitals and remove the womb and
ovaries and fallopian tubes. The acronyms "GRS" and "SRS" refer to genital surgery. The
term "sex reassignment therapy" (SRT) is used as an umbrella term for physical
procedures required for transition. Use of the term "sex change" has been debated.[47] Availability of these procedures depends on degree of gender dysphoria, presence or absence of gender
identity disorder,[48] and
standards of care in the relevant jurisdiction.
Transgender and the law
-
Dr.
Camille Cabral, a transgender activist at a demonstration for transgender people in
Paris, October 1 2005
Legal procedures exist in various jurisdictions allowing an individual to change their
legal gender, or their name, to reflect their gender identity. Requirements for these
procedures vary from an explicit formal diagnosis of transsexualism, to a diagnosis of
gender identity disorder, or the fact that one has established a different
gender role.
Criticism
Characterisation as lifestyle choice
Transgender people face considerable prejudice[49] when engaged in challenges to gender roles considered culturally important. It has
been stated (e.g. by Representative John
Culberson[50]) that
being transgender is "a choice and a lifestyle".[50] In this context it is seen as an extreme form of homosexuality. This characterisation
as lifestyle choice is not shared by the American Psychiatric Association or the World Health Organization.
Characterisation as mental disorder
Mental health professionals deal with transgender and transsexual
tendencies and the reaction to their social consequences, referred to as "gender
dysphoria", as mental disorders. The terms "transsexualism", "dual-role
transvestism", "gender identity disorder in adolescents or adults" and "gender identity disorder not otherwise specified" are
listed as such in the International Statistical Classification of Diseases (ICD) or the American
Diagnostic and Statistical Manual of Mental Disorders
(DSM) under codes F64.0, F64.1, 302.85 and 302.6 respectively. This characterisation as mental disorder has been
criticised. Those that criticise it state that transgender people have existed throughout the world
and human history, transgender behavior is simple human variation not a mental illness,[51] and that the removal of homosexuality from the seventh printing of the second version
of the DSM in 1974 provides a precedent. The alternative concept of "gender giftedness" has been advanced.[52]
Characterisation as a sexual obsession
The controversial[53]
Blanchard, Bailey, and Lawrence theory characterizes transwomen
as having a sexual motivation for transition.[54][55][56]
This characterization has been criticized by many in the medical and transgender communities alike as being potentially
unfalsifiable,[57] unscientific,[58] and transphobic.[59]
Transgender and transsexual
Transsexual people who identify as transgender state that the word "transgender"
places the emphasis on gender identity, not sexual
orientation.[60] Transsexual people
who do not identify as transgender state that an umbrella term marginalises them, or that
they do not wish to be confused with other transgender identities. In an effort to respect those transsexual people who do not
identify as transgender, the terms "trans", "trans*", or "transgender and transsexual" have been used to describe all
transpeople.
People who have transitioned, who do not necessarily identify as
transgender or transsexual, are considered simply a man or a woman.[61]
People who criticise the term "transsexual" state that gender reassignment surgery makes people infertile and does not change their chromosomes, rendering the transition cosmetic, not fundamental.[62] This argument has
been used to dispute transsexual women's identification and association with other women.[63] This argument is seen as biological determinism [60] and ignores other women who are infertile (e.g. women with Androgen Insensitivity Syndrome with XY chromosomes) or intersex (e.g. women with severe
Congenital Adrenal Hyperplasia).
Transgender people in non-Western cultures
- See also: Category:Transgender in non-Western
cultures
Although this article is focussed on transgender in Western culture transgender
people exist, in some form, in almost every culture.
North America
In what is now the United States and Canada, many
Native American and Canadian First Nations peoples recognised [64] the existence of more than two genders, such as the
Zuñi male-bodied Ła'mana,[65] the Lakota male-bodied winkte [66] and
the Mohave male-bodied alyhaa and female-bodied hwamee.[67] Such people were previously [68] referred to as berdache but are
now referred to as Two-Spirit,[69] and their spouses would not necessarily have been
regarded as gender-different.[67]
In Mexico, the Zapotec culture includes a third gender in the form of the Muxe.[70]
Asia
In Thailand and Laos,[71] the term kathoey is used to refer to
male-to-female transgender people [72]
and effeminate gay men.[73] The cultures of the Indian
subcontinent include a third gender, referred to as hijra [74] in
Hindi. Transgender people also have been documented in Iran,[75]
Japan,[76]
Nepal,[77]
Indonesia,[78] Vietnam,[79] South Korea,[80] Singapore,[81] and the greater Chinese region, including
Hong Kong,[82][83]
Taiwan,[84]
and the People's Republic of China.[85][86][87]
Other
In early Medina, gender-variant [88] male-to-female Islamic people were acknowledged [89] in the form of the Mukhannathun. In
Ancient Rome, the Gallae were castrated [90] followers of the Phrygian goddess
Cybele and can be regarded as transgender in today's terms.[91][92]
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"...preoccupation with getting rid of primary and secondary sex characteristics..." in DSM-IV: Sections 302.6 and 302.85
published by the American Psychiatric Association. Retrieved via Mental Health Matters on 2007-04-06.
- ^ Smith, G.A. (1998-ongoing) "...There is no safe way to be transgendered: as you look at the many names collected here, note that
some of these people may have identified as drag queens, some as heterosexual crossdressers, and some as transsexuals. Some were
living very out lives, and some were living fully stealth lives. Some were identifying as male, and some, as female. Some lived
in small towns, and some in major metropolitan areas...Over the last decade, one person per month has died due to
transgender-based hate or prejudice, regardless of any other factors in their lives. This trend shows no sign of abating..." from
Remembering Our Dead, part of the Transgender Day of Remembrance, a project of
Gender Education and Advocacy (GEA), an American
national organization focused on the needs, issues and concerns of gender variant people in human society. The day is held on
November 20th. The incomplete list is here. Retrieved on 2007-04-09.
- ^ a b Devlin, J. (2004) "...In fact, Thorne
was told by Representative John Culberson (whose congressional district currently includes the heavily GLBT Montrose area) that
being transgender is “a choice and a lifestyle.”..." Transgenders Face Familiar Obstacles at 2004 Lobby Days from the archive of
the Texas Triangle Online 2004-05-20. Retrieved
2007-06-16.
- ^ Wilson, K. and Hammond, B. (1996) "...difference is not disease, nonconformity is not pathology, and uniqueness is not illness...." Myth, Stereotype, and Cross-Gender Identity
in the DSM-IV from the Association for Women
in Psychology 21st Annual Feminist Psychology Conference, Portland, Oregon 1996-03-14 to 1996-03-17. Retrieved 2007-06-16.
- ^ Forrest, S. (2005)
"...those who spoke made sure to include in their speech genderqueer, gender fluid, and other gender-gifted people, as part of
the wider gender community..." Transgender Day of Remembrance: Text of one of the Speeches from the Los Angeles Independent Media Center
2005-11-21. Retrieved 2007-06-16.
- ^ Dreger, Alice D (July
3, 2007). "The Controversy Surrounding The Man Who Would Be Queen: A Case History of the Politics of Science, Identity, and
Sex in the Internet Age". Archives of Sexual Behavior, in press: 55,56. Retrieved on August 20, 2007.
- ^ Bailey, J. M. (2003). The
Man Who Would Be Queen: The Science of Gender-Bending and Transsexualism. Joseph Henry Press, ISBN-10: 0309084180, ISBN-13:
978-0309084185
- ^ Blanchard, R. (2005)
"...Since the beginning of the last century, clinical observers have described the propensity of certain males fo be erotically
aroused by the thought or image of themselves as women..." in Early History of the
Concept of Autogynephilia from the Archives of Sexual Behavior, Volume 34, Number 4, pages 439-446. Retrieved on 2007-09-22.
- ^ Smith, Y.L.S., van Goozen, S.H.M., Kuiper, A.J.,
Cohen-Kettenis, P.T.. (2005) "...The present study was designed to investigate whether transsexuals
can be validly subdivided into subtypes on the basis of sexual orientation..." in Transsexual subtypes:
Clinical and theoretical significance from Psychiatry Research, Volume 137, Issue 3, pages 151-160. Retrieved on 2007-09-22.
- ^ Wyndzen, M.H. (1998-2004)"...I have noticed some researchers' tendency to turn Blanchard's theory
into an unfalsifiable unscientific dogma. For example, even though Blanchard's results are based on self-report from
transsexuals, there are actually researchers who dismiss as lies any accounts given by transsexuals that are inconsistent with
Blanchard's model..." in Autogynephilia & Ray Blanchard: Introducing a Theory about Transsexuality from the
Psychology of Gender Identity &
Transgenderism, the personal experiences of a transsexual psychologist and a scientific critique of the psychopathology of
gender identity disorder. Retrieved on 2007-09-11.
- ^ McCloskey, D. (2003) "...The
academics don't like Bailey's use of the mantle of Science to push a conservative, unscientific agenda worthy of National Review,
or of The National Enquirer..." in Queer Science: A data-bending psychologist confirms what he already knew about gays and transsexuals from Reason, a libertarian magazine covering politics, culture, and
ideas. Retrieved on 2007-09-22.
- ^ Marks, J. (2004). "...The
specific issue was whether the book (The Man Who Would Be Queen) was transphobic...The judges looked at the book more closely and
decided it was..." quoted by Letellier, P (2004) in Group rescinds honor for disputed
book from