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Posts from the ‘gender variance’ Category

Some thoughts on Shame and being Transgender

There has been very little in-depth exploration of the role of shame in transgenderism, yet shame as an emotion is listed in nearly every trans-related history.  In this post I will attempt to examine the feeling of shame as it relates to transgenderism.

To be clear at the start, I am in no way suggesting that transgendered individuals have anything to be ashamed about or that they should feel shame.  What I do want to acknowledge in this post is that shame does exist for many trans folk (at least for most who are over 30 years old) and that it is largely unacknowledged and ignored, often with deleterious consequences.

Why do transgendered people have shame?

Simply being different is enough for any child to develop some shame, but being different and getting messages from family, teachers, other kids and society that your difference is undesirable, less-than or something to be made fun of can create shame.

Signs that shame is present:

Carl Goldberg(1991) wrote an excellent psychoanalytic take on shame, in which he notes that shyness – a symptom of shame involves “a shrinking away from one’s full presence in the world.” And that “a depleted sense of personal identity is an essential characteristic of shame”.  I have certainly seen transgendered individuals who grew up shy, and held back from participating more fully in life due to shame.  For example many transgendered people avoid or put off dating till after some form of transitioning.

How do you deal with shame?Transgender, about shame

This is one area where it really helps to be in therapy.  It’s hard to deal with alone because most people, left to their own devices will simply avoid dealing with shame.  So the short answer is: don’t deny that you have shame, acknowledge it, talk about it, try to understand it, look at it, and hold it up to the light.  Ask yourself what am I ashamed of?  – And try to honestly answer it.  Don’t skip over the answer by saying – “well, I have nothing to be ashamed of” – You need to understand that there is shame there and what it’s about.  For example: “I have shame that I was born a girl but am not more feminine, that I never liked wearing dresses, and that my family seemed embarrassed by me… etc..”.

Then you can move on to the question of if you should be ashamed.  And the answer to that is usually no.  But it needs to be dragged out into the light of day first and acknowledged.  It’s hard to do, but a very worthwhile endeavor. By the way, this process usually takes a long time.

Goldberg, C. (1991) Understanding Shame. Jason Aronson Inc, Northvale, New Jersey.

Find out about Psychotherapy when dealing with Gender variance in yourself or someone close to you.

An example of Trans-Phobia in Society

I’d written previously about internalized-trans-phobia and noted that one reason why this happens is that “trans-folk have been … misunderstood and the object of derision”.  The following is unfortunately a good example of this.

(This was taken at a June 27, 2011 press conference with Presidential candidate and former Pennsylvania Senator Rick Santorum)

…I was with a couple this weekend who live in Vermont, and they have a similar situation up in Vermont… and their second grader has to come home and deal with Transgender Children, who are talking about Transgender Issues in second grade.  These are things that are going to have a profound impact on children… when children are going to be forced to be taught about all of these issues that come with the implementation of gay marriage…it’s going to have a devastating impact on our children.  It’s going to have a devastating impact on families and it’s going to have a profound impact on religious liberties….

That’s one powerful little second-grader… destabilizing religion in America. (does this mean she doesn’t have to do her homework?)

Putting aside for a moment Senator Santorum’s obfuscation of the issues of Gay Marriage and Transgender Children, the Senator as a respected member of society, is transmitting with his words and even more with his tone, the idea that transgender children are ‘less than’, ‘other’ and objects worthy of derision and ridicule.  He is incredulous that a “normal” second-grader would have to associate and learn about his or her gender variant class-mate.

I would say that the Senator gets to be the poster-child for hate this week and can now consider himself to be a contributor to trans-phobia.

On Regret of Gender Transition

There are some people who undergo a gender transition (either fully or to some extent) and then regret having done so and “de-transition”.  This post attempts to explore this phenomenon.

Some reasons why this might occur include:

  •  The person is not transsexual.  The person may have found by going through their transition that they are not in fact comfortable living in the other gender and that they feel either gender queer or more closely aligned with the natal gender.  Certainly instances of transitions involving surgery might have been prevented if there were a greater attempt to determine this beforehand; however, just like with non-trans issues, we often go ahead with things we think are right for us only to discover that they aren’t.  Sometimes the discovery just isn’t possible without trying it out.  The ‘real life experience’ (see WPATH’s standards of care) is an attempt to systematize this discovery process before any major surgeries.
  • Regardless of whether the person is truly transsexual or not, it’s possible that because of having lived so long with gender dysphoria and accompanying social and physical dissatisfaction, one may think of a full gender transition as a magical ticket to happiness.  I have seen this (sometimes unconscious) wish accompanied by other unrealistic expectations such as:  the idea that one will have a social community, better social skills, be more popular, etc.  When this turns out not to be true, there can be confusion and uncertainty that tends to focus on one’s gender transition.  It may be that the gender transition was in the person’s best interest, yet other causes of unhappiness and personal problems had not been sufficiently explored and worked through.  Sometimes with gender variant people, work on other problems are delayed because the gender issues tend to take precedence.
  • The person encountered too many problems with transition (i.e. dissatisfaction with their post-transition life).  These problems could include lack of family support, loss of partner, problems with transition in the workplace, disappointment with the outcome of surgery and problems “passing” as the new gender.  Additionally, transitioning is hard.  There are many hoops to jump through and one enters into a group of discriminated against people.  This can be exceedingly disconcerting for some.

Levels of regret

Certainly a person who has made a gender transition can have certain regrets that are not extreme enough to cause them to wish to de-transition.  The WPATH Standards of Care notes that “cases are known of persons who have received hormone therapy and sex reassignment surgery who later regretted their inability to parent genetically related children”.  Other less extreme regrets can involve loss of certain benefits of privileges commonly associated with one gender or another.

Some research on regret:

Pfafflin F., Junge A. (1992) Sex Reassignment: 30 Years of International Follow-up Studies after SRS: A Comprehensive Review, 1961-1991 [publication online]. Translated from German  into American English by Roberta B. Jacobson and Alf B. Meier. IJT Electronic Books.

This study looked at 70 previous studies and reviews on outcomes following sex reassignment surgery.  These included 2000 individuals from 1961 to 1991.  This doesn’t take into account individuals who transition without surgery.  About 70% of MTF individuals were satisfied and 90% of FTM individuals.

Krege S., Bex A., Lummen G., et al. (2001). Male-to-female transsexualism: a technique, results and long-term follow-up in 66 patients. BJU International. 88:396-402.

 This study shows little or no regrets possibly due to surgical advances.

Find out about Psychotherapy when dealing with Gender variance in yourself or someone close to you. email: info@amikaplan.net

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