Transgender

Not to be confused with Transsexual.

Transgender

Transgender flag
Classification	Gender modality [1] Gender identity
Abbreviations	TG trans
Subcategories	Trans woman Trans man Non-binary and genderqueer [i] Gender nonconforming [i] Third gender [i]
Symbol
Other terms
Associated terms	Transsexual
By some definitions A transgender (often shortened to trans) person is someone whose gender identity differs from that typically associated with the sex they were assigned at birth. [2] Often, transgender people desire medical assistance to medically transition from one sex to another; those who do may identify as transsexual. [3] [4] Transgender does not have a universally accepted definition, including among researchers; [5] it can function as an umbrella term. The definition given above includes binary trans men and trans women and may also include people who are non-binary or genderqueer. [6] [7] Other related groups include third-gender people, cross-dressers, and drag queens and drag kings; some definitions include these groups as well. [6] [8] Being transgender is distinct from sexual orientation, and transgender people may identify as heterosexual (straight), homosexual (gay or lesbian), bisexual, asexual, or otherwise, or may decline to label their sexual orientation. [9] The opposite of transgender is cisgender , which describes persons whose gender identity matches their assigned sex. [10] Accurate statistics on the number of transgender people vary widely, [11] in part due to different definitions of what constitutes being transgender. [5] Some countries collect census data on transgender people, starting with Canada in 2021 [12] [13] [14] [15] . Generally, less than 1% of the worldwide population is transgender, with figures ranging from <0.1% to 0.6%. [16] [17] Many transgender people experience gender dysphoria, and some seek medical treatments such as hormone replacement therapy, gender-affirming surgery, or psychotherapy. Not all transgender people desire these treatments, [18] and some cannot undergo them for legal, [19] financial, [20] or medical [21] reasons. The legal status of transgender people varies by jurisdiction. Many transgender people experience transphobia (violence or discrimination against transgender people) in the workplace, [22] in accessing public accommodations, [23] and in healthcare. [24] In many places, they are not legally protected from discrimination. [25] [ page needed ] Several cultural events are held to celebrate the awareness of transgender people, including Transgender Day of Remembrance and International Transgender Day of Visibility, [26] [27] and the transgender flag is a common transgender pride symbol. [28] Terminology Display on gender identity, Bell Gallery, Elmer L. Andersen Library, University of Minnesota, Minneapolis, MN Before the mid-20th century, various terms were used within and beyond Western medical and psychological sciences to identify persons and identities labeled transsexual, and later transgender from mid-century onward. [29] Imported from the German and ultimately modeled after German Transsexualismus (coined in 1923), [30] the English term transsexual has enjoyed international acceptability, though transgender has been increasingly preferred over transsexual. [31] The word transgender acquired its modern umbrella term meaning in the 1990s. [32] Health-practitioner manuals, professional journalistic style guides, and LGBT advocacy groups advise the adoption by others of the name and pronouns identified by the person in question, including present references to the transgender person's past. [33] [34] Transgender Although the term transgenderism was once considered acceptable, it has come to be viewed as pejorative, according to GLAAD. [35] Psychiatrist John F. Oliven of Columbia University used the term transgenderism in his 1965 reference work Sexual Hygiene and Pathology, writing that the term which had previously been used, transsexualism, "is misleading; actually, transgenderism is meant, because sexuality is not a major factor in primary transvestism". [3] [36] The term transgender was then popularized with varying definitions by transgender, transsexual, and transvestite people, including Christine Jorgensen [37] and Virginia Prince, [3] who used transgenderal in the December 1969 issue of Transvestia, [38] a national magazine for cross-dressers she founded. [39] By the mid-1970s both trans-gender and trans people were in use as umbrella terms, while transgenderist and transgenderal were used to refer to people who wanted to live their lives as cross-gendered individuals without gender-affirming surgery. [40] Transgenderist was sometimes abbreviated as TG in educational and community resources; this abbreviation developed by the 1980s. [41] In 2020, the International Journal of Transgenderism changed its name to the International Journal of Transgender Health "to reflect a change toward more appropriate and acceptable use of language in our field." [42] By 1984, the concept of a "transgender community" had developed, in which transgender was used as an umbrella term. [43] In 1985, Richard Ekins established the "Trans-Gender Archive" at the University of Ulster. [39] By 1992, the International Conference on Transgender Law and Employment Policy defined transgender as an expansive umbrella term including "transsexuals, transgenderists, cross dressers", and anyone transitioning. [44] Leslie Feinberg's pamphlet, "Transgender Liberation: A Movement Whose Time has Come", circulated in 1992, identified transgender as a term to unify all forms of gender nonconformity; in this way transgender has become synonymous with queer . [45] In 1994, gender theorist Susan Stryker defined transgender as encompassing "all identities or practices that cross over, cut across, move between, or otherwise queer socially constructed sex/gender boundaries", including, but not limited to, "transsexuality, heterosexual transvestism, gay drag, butch lesbianism, and such non-European identities as the Native American berdache or the Indian Hijra". [46] Transgender can also refer specifically to a person whose gender identity is opposite (rather than different from) the sex the person had or was identified as having at birth. [47] In contrast, people whose sense of personal identity corresponds to the sex and gender assigned to them at birth – that is, those who are neither transgender nor non-binary or genderqueer – are called cisgender. [48] Transsexual See also: Transsexual § Terminology Inspired by Magnus Hirschfeld's 1923 term seelischer Transsexualismus, [49] the term transsexual was introduced to English in 1949 by David Oliver Cauldwell and popularized by Harry Benjamin in 1966, around the same time transgender was coined and began to be popularized. [3] Since the 1990s, transsexual has generally been used to refer to the subset of transgender people [3] [50] [51] who desire to transition permanently to the gender with which they identify and who seek medical assistance (for example, sex reassignment surgery) with this. Distinctions between the terms transgender and transsexual are commonly based on distinctions between gender and sex. [52] [53] Transsexuality may be said to deal more with physical aspects of one's sex, while transgender considerations deal more with one's psychological gender disposition or predisposition, as well as the related social expectations that may accompany a given gender role. [54] Many transgender people reject the term transsexual. [4] [55] [56] Christine Jorgensen publicly rejected transsexual in 1979 and instead identified herself in newsprint as trans-gender, saying, "gender doesn't have to do with bed partners, it has to do with identity." [57] [58] Some have objected to the term transsexual on the basis that it describes a condition related to gender identity rather than sexuality. [59] [ better source needed ] Some people who identify as transsexual people object to being included in the transgender umbrella. [60] [61] [62] In his 2007 book Imagining Transgender: An Ethnography of a Category, anthropologist David Valentine asserts that transgender was coined and used by activists to include many people who do not necessarily identify with the term and states that people who do not identify with the term transgender should not be included in the transgender spectrum. [60] Leslie Feinberg likewise asserts that transgender is not a self-identifier (for some people) but a category imposed by observers to understand other people. [61] According to the Transgender Health Program (THP) at Fenway Health in Boston, there are no universally-accepted definitions, and confusion is common because terms that were popular at the turn of the 21st century may have since been deemed offensive. The THP recommends that clinicians ask clients what terminology they prefer, and avoid the term transsexual unless they are sure that a client is comfortable with it. [59] [ undue weight? – discuss ] Harry Benjamin invented a classification system for transsexuals and transvestites, called the Sex Orientation Scale (SOS), in which he assigned transsexuals and transvestites to one of six categories based on their reasons for cross-dressing and the relative urgency of their need (if any) for sex reassignment surgery. [63] Contemporary views on gender identity and classification differ markedly from Harry Benjamin's original opinions. [64] Sexual orientation is no longer regarded as a criterion for diagnosis, or for distinction between transsexuality, transvestism and other forms of gender-variant behavior and expression. Benjamin's scale was designed for use with heterosexual trans women, and trans men's identities do not align with its categories. [65] Other terms Transfeminine is a term for any person, binary or non-binary, who was assigned male at birth and has a predominantly feminine gender identity or presentation. [66] Transmasculine refers to a person, binary or non-binary, who was assigned female at birth who has a predominantly masculine gender identity or presentation. [66] Transgendered is a common term in older literature. Many within the transgender community deprecate it on the basis that transgender is an adjective, not a verb. [67] Organizations such as GLAAD and The Guardian also state that transgender should never be used as a noun in English (e.g., "Max is transgender" or "Max is a transgender man", not "Max is a transgender"). [68] [69] "Transgender" is also a noun for the broader topic of transgender identity and experience. [70] Assigned Female At Birth (AFAB), Assigned Male At Birth (AMAB), Designated Female at Birth (DFAB), and Designed Male at Birth (DMAB) are terms used to represent a person's sex assigned at birth; they are considered to be more gender-inclusive than the related terms biological male or biological female. [71] The term trans* (with an asterisk) emerged in the 1990s as an inclusive term used to encompass a wide range of non-cisgender identities. The asterisk represents a wildcard, indicating the inclusion of various identities, beyond just transgender and transsexual, such as gender-fluid or agender, within the transgender umbrella. The use of the asterisk in "trans*" has been debated; some argue that it adds unnecessary complexity, while others say that it enhances inclusivity by explicitly recognizing non-normative gender identities. [72] [73] Shift in use of terms Between the mid-1990s and the early 2000s, the primary terms used under the transgender umbrella were "female to male" (FtM) for men who transitioned from female to male, and "male to female" (MtF) for women who transitioned from male to female. These terms have been superseded by "trans man" and "trans woman", respectively. This shift in preference from terms highlighting biological sex ("transsexual", "FtM") to terms highlighting gender identity and expression ("transgender", "trans man") reflects a broader shift in the understanding of transgender people's sense of self and the increasing recognition of those who decline medical reassignment as part of the transgender community. [74] Sexual orientation Main article: Transgender sexuality Gender, gender identity, and being transgender are distinct concepts from sexual orientation. [75] Sexual orientation is an individual's enduring pattern of attraction, or lack thereof, to others (being straight, lesbian, gay, bisexual, asexual, etc.), whereas gender identity is a person's innate knowledge of their own gender (being a man, woman, non-binary, etc.). Transgender people can have any orientation, and generally use labels corresponding to their gender, rather than assigned sex at birth. For example, trans women who are exclusively attracted to other women commonly identify as lesbians, and trans men exclusively attracted to women would identify as straight. [76] Many trans people describe their sexual orientation as queer, in addition to or instead of, other terms. [77] [78] [74] For much of the 20th century, transgender identity was conflated with homosexuality and transvestism. [79] [80] In earlier academic literature, sexologists used the labels homosexual and heterosexual transsexual to categorize transgender individuals' sexual orientation based on their birth sex. [81] Critics consider these terms "heterosexist", [82] "archaic", [83] and demeaning. [84] Newer literature often uses terms such as attracted to men (androphilic), attracted to women (gynephilic), attracted to both (bisexual), or attracted to neither (asexual) to describe a person's sexual orientation without reference to their gender identity. [85] Therapists are coming to understand the necessity of using terms with respect to their clients' gender identities and preferences. [86] The 2015 U.S. Transgender Survey reported that of the 27,715 transgender and non-binary respondents, 21% said queer best described their sexual orientation, 18% said pansexual, 16% said gay, lesbian, or same-gender-loving, 15% said straight, 14% said bisexual, and 10% said asexual. [78] A 2019 Canadian survey of 2,873 trans and non-binary people found that 51% described their sexual orientation as queer, 13% as asexual, 28% as bisexual, 13% as gay, 15% as lesbian, 31% as pansexual, 8% as straight or heterosexual, 4% as two-spirit, and 9% as unsure or questioning. [74] A 2009 study in Spain found that 90% of trans women patients reported being androphilic and 94% of trans men patients reported being gynephilic. [87] Related identities and practices Non-binary identity Main articles: Non-binary gender and Androgyny Some non-binary (or genderqueer) people identify as transgender. These identities are not specifically male or female. They can be agender, androgynous, bigender, pangender, or genderfluid, [88] and exist outside of cisnormativity. [89] [90] Bigender and androgynous are overlapping categories; bigender individuals may identify as moving between male and female roles (genderfluid) or as being both masculine and feminine simultaneously (androgynous), and androgynes may similarly identify as beyond gender or genderless (agender), between genders (intergender), moving across genders (genderfluid), or simultaneously exhibiting multiple genders (pangender). [91] Non-binary gender identities are independent of sexual orientation. [92] [93] Transvestism and cross-dressing Main article: Transvestism A transvestite is a person who cross-dresses, or dresses in clothes typically associated with the gender opposite the one they were assigned at birth. [94] [95] The term transvestite is used as a synonym for the term cross-dresser, [96] [97] although cross-dresser is generally considered the preferred term. [97] [98] The term cross-dresser is not exactly defined in the relevant literature. Michael A. Gilbert, professor at the Department of Philosophy, York University, Toronto, 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 [that] sex, but who wears the clothing of the opposite sex because it is that of the opposite sex." [99] This definition excludes people "who wear opposite sex clothing for other reasons", such as "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." [100] Cross-dressers may not identify with, want to be, or adopt the behaviors or practices of the opposite gender and generally do not want to change their bodies medically or surgically. The majority of cross-dressers identify as heterosexual. [101] The term transvestite and the associated outdated term transvestism are conceptually different from the term transvestic fetishism , as transvestic fetishist refers to those who intermittently use clothing of the opposite gender for fetishistic purposes. [102] [103] In medical terms, transvestic fetishism is differentiated from cross-dressing by use of the separate codes 302.3 in the Diagnostic and Statistical Manual of Mental Disorders (DSM) [103] and F65.1 in the ICD. [102] [ needs update ] Drag See also: Drag king, Drag queen, and AFAB queen A drag queen performer. Drag performers are not inherently transgender. Drag is clothing and makeup worn on special occasions for performing or entertaining, unlike those who are transgender or who cross-dress for other reasons. [104] Drag performance includes overall presentation and behavior in addition to clothing and makeup. Drag can be theatrical, comedic, or grotesque. Drag queens have been considered caricatures of women by second-wave feminism. Drag artists have a long tradition in LGBTQ culture. Generally the term drag queen covers men doing female drag, drag king covers women doing male drag, and faux queen covers women doing female drag. [105] [106] Nevertheless, there are drag artists of all genders and sexualities who perform for various reasons. Drag performers are not inherently transgender. Some drag performers, transvestites, and people in the gay community have embraced the pornographically derived term tranny for drag queens or people who engage in transvestism or cross-dressing; this term is widely considered an offensive slur if applied to transgender people. History Main articles: Transgender history and Third gender A precise history of the global occurrence of transgender people is difficult to assess because the modern concept of being transgender, and of gender in general in relation to transgender identity, did not develop until the mid-1900s. Historical depictions, records and understandings are inherently filtered through modern principles, and were largely viewed through a medical and (often outsider) anthropological lens until the late 1900s. [107] [108] Some historians consider the Roman emperor Elagabalus to have been transgender. Elagabalus was reported to have dressed in a feminine manner, preferred to be called "Lady" instead of "Lord" and may have even sought a primitive form of gender-affirming surgery. [109] [110] [111] [112] [113] [ excessive citations ] Worldwide, a number of societies have had traditional third gender roles, some of which continue in some form into the present day. [114] The Hippocratic Corpus (interpreting the writing of Herodotus) describes the "disease of the Scythians" (regarding the Enaree), which it attributes to impotency due to riding on a horse without stirrups. This reference was well discussed by medical writings of the 1500s–1700s. Pierre Petit writing in 1596 viewed the "Scythian disease" as natural variation, but by the 1700s writers viewed it as a "melancholy", or "hysterical" psychiatric disease. By the early 1800s, being transgender separate from Hippocrates' idea of it was claimed to be widely known, but remained poorly documented. Both trans women and trans men were cited in European insane asylums of the early 1800s. One of the earliest recorded gender nonconforming people in America was Thomas(ine) Hall, a seventeenth century colonial servant. [115] The most complete account of the time came from the life of the Chevalier d'Éon (1728–1810), a French diplomat. As cross-dressing became more widespread in the late 1800s, discussion of transgender people increased greatly and writers attempted to explain the origins of being transgender. Much study came out of Germany, and was exported to other Western audiences. Cross-dressing was seen in a pragmatic light until the late 1800s; it had previously served a satirical or disguising purpose. But in the latter half of the 1800s, cross-dressing and being transgender became viewed as an increasing societal danger. [107] William A. Hammond wrote an 1882 account of transgender Pueblo "shamans"[ sic ] (mujerados), comparing them to the Scythian disease. Other writers of the late 1700s and 1800s (including Hammond's associates in the American Neurological Association) had noted the widespread nature of transgender cultural practices among native peoples. Explanations varied, but authors generally did not ascribe native transgender practices to psychiatric causes, instead condemning the practices in a religious and moral sense. Native groups provided much study on the subject, and perhaps the majority of all study until after WWII. [107] Critical studies first began to emerge in the late 1800s in Germany, with the works of Magnus Hirschfeld. Hirschfeld coined the term "transvestite" in 1910 as the scope of transgender study grew. His work would lead to the 1919 founding of the Institut für Sexualwissenschaft in Berlin. Though Hirscheld's legacy is disputed, he revolutionized the field of study. The Institut was destroyed when the Nazis seized power in 1933, and its research was infamously burned in the May 1933 Nazi book burnings. [116] Transgender issues went largely out of the public eye until after World War II. Even when they re-emerged, they reflected a forensic psychology approach, unlike the more sexological that had been employed in the lost German research. [107] [117] Healthcare Main article: Transgender health care Further information: Gender transition 1879 photograph of Edward de Lacy Evans, upon his admittance into Kew Lunatic Asylum. Evans identified as a man for the majority of his life, later becoming known in Melbourne as the "Wonderful Male Impersonator." Mental healthcare People who experience discord between their gender and the expectations of others or whose gender identity conflicts with their body may benefit by talking through their feelings in depth. While individuals may find counseling or psychotherapy helpful, it is no longer recommended as a prerequisite for further transition steps. [119] Research on gender identity with regard to psychology, and scientific understanding of the phenomenon and its related issues, is relatively new. [120] [ needs update? ] The term gender incongruence is listed in the ICD by the WHO. In the American (DSM), the term gender dysphoria is listed under code F64.0 for adolescents and adults, and F64.2 for children. [121] (Further information: Causes of gender incongruence.) France removed gender identity disorder as a diagnosis by decree in 2010, [122] [123] but according to French trans rights organizations, beyond the impact of the announcement itself, nothing changed. [124] In 2017, the Danish parliament abolished the F64 Gender identity disorders. The DSM-5 refers to the topic as gender dysphoria (GD) while reinforcing the idea that being transgender is not considered a mental illness. [125] Transgender people may meet the criteria for a diagnosis of gender dysphoria "only if [being transgender] causes distress or disability." [126] This distress may manifest as depression or inability to work and form healthy relationships with others. This diagnosis is often misinterpreted as implying that all transgender people suffer from GD, which has confused transgender people and those who seek to either criticize or affirm them. Transgender people who are comfortable with their gender and whose gender is not directly causing inner frustration or impairing their functioning do not suffer from GD. Moreover, GD is not necessarily permanent and is often resolved through therapy or transitioning. Feeling oppressed by the negative attitudes and behaviours of such others as legal entities does not indicate GD. GD does not imply an opinion of immorality; the psychological establishment holds that people with any kind of mental or emotional problem should not receive stigma. The solution for GD is whatever will alleviate suffering and restore functionality; this solution often, but not always, consists of undergoing a gender transition. [120] Clinical training lacks relevant information needed in order to adequately help transgender clients, which results in a large number of practitioners who are not prepared to sufficiently work with this population of individuals. [127] Many mental healthcare providers know little about transgender issues. Those who seek help from these professionals often educate the professional without receiving help. [120] This solution usually is good for transsexual people but is not the solution for other transgender people, particularly non-binary people who lack an exclusively male or female identity. Instead, therapists can support their clients in whatever steps they choose to take to transition or can support their decision not to transition while also addressing their clients' sense of congruence between gender identity and appearance. [128] Research on the specific problems faced by the transgender community in mental health has focused on diagnosis and clinicians' experiences instead of transgender clients' experiences. [129] Therapy was not always sought by transgender people due to mental health needs. Prior to the seventh version of the Standards of Care (SOC), an individual had to be diagnosed with gender identity disorder in order to proceed with hormone treatments or sexual reassignment surgery. The new version decreased the focus on diagnosis and instead emphasized the importance of flexibility in order to meet the diverse health care needs of transsexual, transgender, and all gender-nonconforming people. [130] The reasons for seeking mental health services vary according to the individual. A transgender person seeking treatment does not necessarily mean their gender identity is problematic. The emotional strain of dealing with stigma and experiencing transphobia pushes many transgender people to seek treatment to improve their quality of life. As one trans woman reflected, "Transgendered individuals are going to come to a therapist and most of their issues have nothing to do, specifically, with being transgendered. It has to do because they've had to hide, they've had to lie, and they've felt all of this guilt and shame, unfortunately usually for years!" [129] Many transgender people also seek mental health treatment for depression and anxiety caused by the stigma attached to being transgender, and some transgender people have stressed the importance of acknowledging their gender identity with a therapist in order to discuss other quality-of-life issues. [129] Rarely, some choose to detransition. [131] Problems still remain surrounding misinformation about transgender issues that hurt transgender people's mental health experiences. One trans man who was enrolled as a student in a psychology graduate program highlighted the main concerns with modern clinical training: "Most people probably are familiar with the term transgender, but maybe that's it. I don't think I've had any formal training just going through [clinical] programs ... I don't think most [therapists] know. Most therapists –Master's degree, PhD level –they've had ... one diversity class on GLBT issues. One class out of the huge diversity training. One class. And it was probably mostly about gay lifestyle." [129] Many health insurance policies do not cover treatment associated with gender transition, and numerous people are under- or uninsured, which raises concerns about the insufficient training most therapists receive prior to working with transgender clients, potentially increasing financial strain on clients without providing the treatment they need. [129] Many clinicians who work with transgender clients only receive mediocre training on gender identity, but introductory training on interacting with transgender people has recently been made available to health care professionals to help remove barriers and increase the level of service for the transgender population. [132] In February 2010, France became the first country in the world to remove transgender identity from the list of mental diseases. [133] [134] A 2014 study carried out by the Williams Institute (a UCLA think tank) found that 41% of transgender people had attempted suicide, with the rate being higher among people who experienced discrimination in access to housing or healthcare, harassment, physical or sexual assault, or rejection by family. [135] A 2019 follow-up study found that transgender people who wanted and received gender-affirming medical care had significantly lower rates of suicidal thoughts and attempts. [136] Another study on the impact of parental support on trans youth found that among trans children with supportive parents, only 4% attempted suicide, a 93% decrease. [137] Suicidal thoughts and attempts by gender affirmation milestones [136] Intervention Category Suicidal Thoughts (Past 12 Months) Suicidal Attempts (Past 12 Months) Lifetime Suicidal Thoughts Lifetime Suicidal Attempts Want hormones and have not had them 57.9 8.9 84.4 41.1 Want hormones and have had them 42.9 6.5 81.9 42.4 Want reassignment surgery, have not had 54.8 8.5 83.9 41.5 Want reassignment surgery, have had 38.2 5.1 79.0 39.5 Have not "de-transitioned" 44.2 6.7 81.6 41.8 Have "de-transitioned" 57.3 11.8 86.0 52.5 Autism is more common in people who are gender dysphoric. It is not known whether there is a biological basis. This may be due to the fact that people on the autism spectrum are less concerned with societal disapproval, and feel less fear or inhibition about coming out as trans than others. [138] [ better source needed ] Physical healthcare Medical and surgical procedures exist for transsexual and some transgender people, though most categories of transgender people as described above are not known for seeking the following treatments. Hormone replacement therapy for trans men induces beard growth and masculinizes skin, hair, voice, and fat distribution. Hormone replacement therapy for trans women feminizes fat distribution and breasts, as well as diminishes muscle mass and strength. Laser hair removal or electrolysis removes excess hair for trans women. Surgical procedures for trans women feminize the voice, skin, face, Adam's apple, breasts, waist, buttocks, and genitals. Surgical procedures for trans men masculinize the chest and genitals and remove the womb, ovaries, and fallopian tubes. The acronyms "Gender-affirming surgery (GAS)" and "sex reassignment surgery" (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 criticized for its emphasis on surgery, and the term "transition" is preferred. [139] [140] Availability of these procedures depends on degree of gender dysphoria, presence or absence of gender identity disorder, [141] and standards of care in the relevant jurisdiction. Trans men who have not had a hysterectomy and who take testosterone are at increased risk for endometrial cancer because androstenedione, which is made from testosterone in the body, can be converted into estrogen, and external estrogen is a risk factor for endometrial cancer. [142] Detransition Main article: Detransition Detransition refers to the cessation or reversal of a sex reassignment surgery or gender transition. Formal studies of detransition have been few in number, [143] of disputed quality, [144] and politically controversial. [145] Estimates of the rate at which detransitioning occurs vary from less than 1% to as high as 13%. [146] Those who undergo sex reassignment surgery have very low rates of detransition or regret. [131] [147] [148] [149] The 2015 U.S. Transgender Survey, with responses from 27,715 individuals who identified as "transgender, trans, genderqueer, [or] non-binary", found that 8% of respondents reported some kind of detransition. "Most of those who de-transitioned did so only temporarily: 62% of those who had de-transitioned reported that they were currently living full time in a gender different than the gender they were thought to be at birth." [78] Detransition was associated with assigned male sex at birth, nonbinary gender identity, and bisexual orientation, among other cohorts. [148] Only 5% of detransitioners (or 0.4% of total respondents) reported doing so because gender transition was "not for them"; 82% cited external reason(s), including pressure from others, the difficulties of transition, and discrimination. "The most common reason cited for de-transitioning was pressure from a parent (36%)." [150] [151] [78] Legality Main article: Legal status of transgender people Further information: Legal recognition of non-binary gender Camille Cabral, a French transgender activist at a demonstration for transgender people in Paris, October 1, 2005 Legal procedures exist in some jurisdictions which allow individuals to change their legal gender or 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, to a letter from a physician that attests the individual's gender transition or having established a different gender role. [152] In 1994, the DSM IV entry was changed from "Transsexual" to "Gender Identity Disorder". In 2013, the DSM V removed "Gender Identity Disorder" and published "Gender Dysphoria" in its place. [153] In many places, transgender people are not legally protected from discrimination in the workplace or in public accommodations. [25] [ page needed ] A report released in February 2011 found that 90% of transgender Americans faced discrimination at work and were unemployed at double the rate of the general population, and over half had been harassed or turned away when attempting to access public services. [23] Members of the transgender community also encounter high levels of discrimination in health care. [154] Europe A Welsh Government advisory video on transgender hate crimes As of 2017 [update] , 36 countries in Europe require a mental health diagnosis for legal gender recognition and 20 countries require sterilisation. [155] In April 2017, the European Court of Human Rights ruled that requiring sterilisation for legal gender recognition violates human rights. [156] Canada Main article: Transgender rights in Canada Jurisdiction over legal classification of sex in Canada is assigned to the provinces and territories. This includes legal change of gender classification. On June 19, 2017, Bill C-16, having passed the legislative process in the House of Commons of Canada and the Senate of Canada, became law upon receiving Royal Assent, which put it into immediate force. [157] [158] [159] The law updated the Canadian Human Rights Act and the Criminal Code to include "gender identity and gender expression" as protected grounds from discrimination, hate publications and advocating transgender genocide. The bill also added "gender identity and expression" to the list of aggravating factors in sentencing, where the accused commits a criminal offence against an individual because of those personal characteristics. Similar transgender laws also exist in all the provinces and territories. [160] United States Main article: Transgender rights in the United States In the United States, transgender people are protected from employment discrimination by Title VII of the Civil Rights Act of 1964. Exceptions apply to certain types of employers, for example, employers with fewer than 15 employees and religious organizations. [161] In 2020, the U.S. Supreme Court affirmed that Title VII prohibits discrimination against transgender people in the case R.G. & G.R. Harris Funeral Homes Inc. v. Equal Employment Opportunity Commission . [162] Nicole Maines, a trans girl, took a case to Maine's supreme court in June 2013. She argued that being denied access to her high school's women's restroom was a violation of Maine's Human Rights Act; one state judge has disagreed with her, [163] but Maines won her lawsuit against the Orono school district in January 2014 before the Maine Supreme Judicial Court. [164] On May 14, 2016, the United States Department of Education and Department of Justice issued guidance directing public schools to allow transgender students to use bathrooms that match their gender identities. [165] On June 30, 2016, the United States Department of Defense removed the ban that prohibited transgender people from openly serving in the US military. [166] On July 27, 2017, President Donald Trump tweeted that transgender Americans would not be allowed to serve "in any capacity" in the United States Armed Forces. [167] Later that day, Joint Chiefs of Staff Chairman Joseph Dunford announced, "there will be no modifications to the current policy until the president's direction has been received by the Secretary of Defense and the secretary has issued implementation guidance." [168] Joe Biden later reversed Trump's policy when he became president in 2021. [169] [170] While the topic of trans rights in the United States has often been contentious, it has become a deeply partisan wedge issue in recent years; [171] many pieces of legislation have been passed, and more proposed, that seek to limit the rights of transgender individuals, especially minors. [172] India Main article: LGBT rights in India § Transgender rights Jogappa is a transgender community in Karnataka and Andhra Pradesh. They are traditional folk singers and dancers. In April 2014, the Supreme Court of India declared transgender to be a 'third gender' in Indian law. [173] [174] [175] The transgender community in India (made up of Hijras and others) has a long history in India and in Hindu mythology. [176] [177] Justice KS Radhakrishnan noted in his decision that, "Seldom, our society realizes or cares to realize the trauma, agony and pain which the members of Transgender community undergo, nor appreciates the innate feelings of the members of the Transgender community, especially of those whose mind and body disown their biological sex". [178] Hijras have faced structural discrimination including not being able to obtain driving licenses, and being prohibited from accessing various social benefits. It is also common for them to be banished from communities. [179] Sociocultural relationships LGBTQ community See also: LGBTQ, LGBTQ community, and LGBTQ culture § Transgender culture Despite the distinction between sexual orientation and gender, throughout history gay, lesbian and bisexual subcultures were often the only places where gender-variant people were socially accepted in the gender role they felt they belonged to; especially during the time when legal or medical transitioning was almost impossible. This acceptance has had a complex history. Like the wider world, the gay community in Western societies did not generally distinguish between sex and gender identity until the 1970s, and the role of the transgender community in the history of LGBT rights is often overlooked. [180] According to a study done at University of California, Los Angeles in 2011, conducted in part by Gary J. Gates, 3.5% of adults across the United States identify as either gay, lesbian, or bisexuals whereas only 0.3% of adults identify as transgender. Transgender individuals have been part of various LGBTQ movements throughout history, with significant contributions dating back to the early days of the gay liberation movement. [181] The LGBTQ community is not a monolithic group, and there are different modes of thought on who is a part of this diverse community. The changes that came with the Gay Liberation Movement and Civil Rights movement saw many gay, lesbian, and bisexual people making headway within the public sphere, and gaining support from the wider public, throughout the latter half of the twentieth century. The trans community only experienced a similar surge in activism during the start of the twenty-first century. [181] Due to the many different groups that make up the broader LGBTQ movement, there are those within the larger community who do not believe that the trans community has a place within the LGBTQ space. [182] Religion Main article: Transgender people and religion Feminism Main articles: Feminist views on transgender topics and Transfeminism Feminist views on transgender women have changed over time, but have generally become more positive. Second-wave feminism saw numerous clashes opposed to transgender women, since they were not seen as "true" women, and as invading women-only spaces. [183] [184] Though second-wave feminism argued for the sex and gender distinction, some feminists believed there was a conflict between transgender identity and the feminist cause; e.g., they believed that male-to-female transition abandoned or devalued female identity and that transgender people embraced traditional gender roles and stereotypes. [185] By the emergence of third-wave feminism (around 1990), opinions had shifted to being more inclusive of both trans and gay identities. [186] [187] Fourth-wave feminism (starting around 2012) has been widely trans-inclusive, but trans-exclusive groups and ideas remain as a minority, though one that is especially prominent in the UK. [188] [186] [189] Feminists who do not accept that trans women are women have been labeled "trans-exclusionary radical feminists" (TERFs) or gender-critical feminists by opponents. [190] [191] Discrimination and support See also: Transphobia Transgender individuals experience significant rates of employment discrimination. According to a 2011 aggregation of several studies, approximately 90% of transgender Americans had encountered some form of harassment or mistreatment in their workplace. 47% had experienced some form of adverse employment outcome due to being transgender; of this figure, 44% were passed over for a job, 23% were denied a promotion, and 26% were terminated on the grounds that they were transgender. [192] Studies in several cultures have found that cisgender women are more likely to be accepting of trans people than cisgender men. [193] [194] [195] [196] The start of the twenty-first century saw the rise in transgender activism and with it an increase in support. [181] Within the United States, groups such as the Trevor Project have been serving the wider LGBT community including people who identify with the term transgender. The group offers support in the form of educational resources including research, advocacy, and crisis services. [197] The American Civil Liberties Unions (ACLU) also often represents members of the trans community. [198] Other groups within the United States specifically advocate for transgender rights. One of these groups directly related to transgender support is the National Center for Transgender Equality (NCTE), which is committed to advocating for policy changes that protect transgender people and promote equality. Through their research, education, and advocacy efforts, the NCTE works to address issues such as healthcare access, employment discrimination, and legal recognition for transgender individuals. [199] One prominent organization within Europe is Transgender Europe (TGEU), a network of organizations and individuals committed to promoting equality and human rights for transgender people within European borders. TGEU works to challenge discrimination, improve transgender healthcare access, advocate for legal recognition of gender identity, and support the well-being of transgender communities. [200] Population figures and prevalence See also: Transsexual § Prevalence Little is known about the prevalence of transgender people in the general population and reported prevalence estimates are greatly affected by variable definitions of transgender. [201] According to a recent systematic review, an estimated 9.2 out of every 100,000 people have received or requested gender affirmation surgery or transgender hormone therapy; 6.8 out of every 100,000 people have received a transgender-specific diagnoses; and 355 out of every 100,000 people self-identify as transgender. [201] These findings underscore the value of using consistent terminology related to studying the experience of transgender, as studies that explore surgical or hormonal gender affirmation therapy may or may not be connected with others that follow a diagnosis of "transsexualism", "gender identity disorder", or "gender dysphoria", none of which may relate with those that assess self-reported identity. [201] Common terminology across studies does not yet exist, so population numbers may be inconsistent, depending on how they are being counted. A study in 2020 found that, since 1990, of those seeking sex hormone therapy for gender dysphoria there has been a steady increase in the percentage of trans men, such that they equal the number of trans women seeking this treatment. [202] Asia Nong Tum, a Kathoey internationally recognized for her portrayal in the film Beautiful Boxer In Thailand and Laos, [203] the term kathoey is used to refer to male-to-female transgender people [204] and effeminate gay men. [205] However, many transgender people in Thailand do not identify as kathoey. [206] Transgender people have also been documented in Iran, [207] Japan, [208] Nepal, [209] Indonesia, [210] Vietnam, [211] South Korea, [212] Jordan, [213] Singapore, [214] and the greater Chinese region, including Hong Kong, [215] [216] Taiwan, [217] and the People's Republic of China. [218] [219] The cultures of the Indian subcontinent include a third gender, referred to as hijra in Hindi. In India, the Supreme Court on April 15, 2014, recognized a third gender that is neither male nor female, stating "Recognition of transgenders as a third gender is not a social or medical issue but a human rights issue." [220] In 1998, Shabnam Mausi became the first transgender person to be elected in India, in the central Indian state of Madhya Pradesh. [221] Europe According to Amnesty International, 1.5 million transgender people lived in the European Union as of 2017 [update] , making up 0.3% of the population. [16] A 2011 survey conducted by the Equality and Human Rights Commission in the UK found that of 10,026 respondents, 1.4% would be classified into a gender minority group. The survey also showed that 1% had gone through any part of a gender reassignment process (including thoughts or actions). [222] North America The 2021 Canadian census released by Statistics Canada found that 59,460 Canadians (0.19% of the population) identified as transgender. [13] According to the Survey of Safety in Public and Private Spaces by Statistics Canada in 2018, 0.24% of the Canadian population identified as transgender men, women or non-binary individuals. [223] In the United States, over 1.6 million persons (ages 13 and up) identify as transgender, or 0.6 percent of people ages 13+, as of 2022 [update] . [224] [225] : 1  It's the case for 0.5% of adults (about 1.3 million persons) and 1.4% of youth (about 300,000 persons aged 13 to 17). [224] [225] : 1  Among adults, 38.5% (515,200) are transgender women, 35.9% (480,000) transgender men, and 25.6% (341,800) gender nonconforming. [225] : 1  The Social Security Administration has tracked the sex of US citizens since 1936. [226] A 1968 estimate, by Ira B. Pauly, estimated that about 2,500 transsexual people were living in the United States, with four times as many trans women as trans men. [227] One effort to quantify the modern population in 2011 gave a "rough estimate" that 0.3% of adults in the US are transgender. [228] [229] In 2016, studies estimated the proportion of Americans who identify as transgender at 0.5 to 0.6%. [230] [231] [232] [233] In the United States and Canada, some Native American and First Nations cultures traditionally recognize the existence of more than two genders, [234] such as the Zuni male-bodied lhamana , [235] the Lakota male-bodied winkte , [236] and the Mohave male-bodied alyhaa and female-bodied hwamee. [237] These traditional people, along with those from other North American Indigenous cultures, are sometimes part of the contemporary, pan-Indian two-spirit community. [236] Historically, in most cultures who have alternate gender roles, if the spouse of a third gender person is not otherwise gender variant, they have not generally been regarded as other-gendered themselves, simply for being in a same-sex relationship. [237] In Mexico, the Zapotec culture includes a third gender in the form of the Muxe. [238] Mahu is a traditional third gender in Hawai'i and Tahiti. Mahu are valued as teachers, caretakers of culture, and healers, such as Kapaemahu. Diné (Navajo) have Nádleehi. [114] Latin America In Latin American cultures, a travesti is an individual who has been assigned male at birth and who has a feminine, transfeminine, or "femme" gender identity. Travestis generally undergo hormonal treatment, use female gender expression including new names and pronouns from the masculine ones they were given when assigned a sex, and might use breast implants, but they are not offered or do not desire sex-reassignment surgery. Travesti might be regarded as a gender in itself (a "third gender"), a mix between man and woman ("intergender/androgynes"), or the presence of both masculine and feminine identities in a single person ("bigender"); they are framed as something entirely separate from transgender women. [239] Other transgender identities are becoming more widely known, as a result of contact with other cultures of the Western world. [240] These newer identities, sometimes known under the umbrella use of the term "genderqueer", [240] along with the older travesti term, are known as non-binary and go along with binary transgender identities (those traditionally diagnosed under the obsolete label of "transsexualism") under the single umbrella of transgender, but are distinguished from cross-dressers and drag queens and kings, that are held as nonconforming gender expressions rather than transgender gender identities when a distinction is made. [241] Oceania On the 2023 New Zealand Census, 26,097 people self-identified as transgender, defined by Stats NZ as someone whose gender identity does not match their sex recorded at birth. This is 0.7 percent of all census-takers who were 15 years of age and older and usually residents of the country. [242] Culture Coming out Main article: Coming out Coming out is the process of sharing one's identity with others, and can include sharing new pronouns and a new name. [243] Individuals who have come out are known as out. [244] The experience of coming out can change depending on whether the transgender individual is perceived as the gender with which they identify, which is known as passing. [243] In certain environments, some passing transgender individuals can choose to be stealth, which means to deliberately avoid coming out, often to avoid transphobia; these individuals are often out in other environments. [243] The decision for transgender people to come out to current or potential romantic or sexual partners can be especially difficult. [243] The decision to come out is based on navigating others' gender expectations, reactions, and the threat of violence. Coming out is not a 'one-and-done' decision; rather, individuals make ongoing strategic decisions about their gender enactment and identity disclosure based on social contexts. [245] The age at which transgender people come out can vary; some transgender individuals will know about and share their identities at a young age, while for others, the process is longer or more complicated. [246] Different transgender individuals choose to come out at different times during the transition process and to different people. [243] Some transgender individuals will choose to come out as bisexual, lesbian, or gay before recognizing their gender identity or choosing to come out as transgender. [246] Although there are some similarities, coming out as transgender is different than coming out as a sexual minority, such as lesbian, gay, or bisexual. [243] This is partly due to the relatively lower level of information that people have about transgender people compared to people who are sexual minorities. [243] Some come out in an online identity first, providing an opportunity to go through experiences virtually and safely before risking social implications in the real world. [247] It may take time for people to understand and respond when a transgender person comes out. [243] Most transgender people feel healthier and happier when they come out and their gender identity is validated by others. [243] Some transgender people choose not to come out at all. [243] For some, this decision can be because of stigma, lack of knowledge (by whom?) or fear of rejection by friends and family. [246] Upon coming out, transgender people can face discrimination, rejection, and violence. [243] These risks are heightened when transgender individuals are members of other marginalized communities. [243] Visibility Main articles: Transgender Awareness Week, International Transgender Day of Visibility, and Transgender Day of Remembrance See also: Media portrayals of transgender people and Trans march Actress Laverne Cox, who is trans, in July 2014 Trans March "Existrans" 2017 In 2014, the United States reached a "transgender tipping point", according to Time. [248] [249] At this time, the media visibility of transgender people reached a level higher than seen before. Since then, the number of transgender portrayals across TV platforms has stayed elevated. [250] Annual marches, protests or gatherings take place around the world for transgender issues, often taking place during the time of local Pride parades for LGBT people. These events are frequently organised by trans communities to build community, address human rights struggles, and create visibility. [251] [252] [253] [254] International Transgender Day of Visibility is an annual holiday occurring on March 31 [27] [255] dedicated to celebrating transgender people and raising awareness of discrimination faced by transgender people worldwide. The holiday was founded by Michigan-based transgender activist [256] Rachel Crandall Crocker in 2009. [257] Transgender Day of Remembrance (TDOR) is held every year on November 20 in honor of Rita Hester, who was killed on November 28, 1998. Her murder remains unsolved, but was described in 2022 as "a result of transphobia and anti-trans violence" by the Office of the Mayor of Boston, Michelle Wu. [26] TDOR memorializes victims of hate crimes and prejudice and raises awareness of hate crimes committed upon living transgender people. [258] Transgender Awareness Week is a one-week celebration leading up to TDOR, dedicated to educating about transgender and gender non-conforming people and the issues associated with their transition or identity. [259] Several trans marches occur in cities around the world, including Paris, San Francisco, and Toronto, in order to raise awareness of the transgender community. [260] [261] There are also significant portrayals of transgender people in the media. Transgender literature includes literature portraying transgender people, as well as memoirs or novels by transgender people, who often discuss elements of the transgender experience. [262] Several films and television shows feature transgender characters in the storyline, and several fictional works also have notable transgender characters. [263] A pedestrian traffic light in Trafalgar Square, London with the ⚧ symbol, installed for the 2016 Pride in London Pride symbols Main article: LGBT symbols § Transgender See also: Transgender flag and Gendered associations of pink and blue A common symbol for the transgender community is the Transgender Pride Flag, which was designed by the American transgender woman Monica Helms in 1999, and was first shown at a pride parade in Phoenix, Arizona, in 2000. The flag consists of five horizontal stripes: light blue, pink, white, pink, and light blue. [28] Other transgender symbols include the butterfly (symbolizing transformation or metamorphosis) [264] and a pink/light blue yin and yang symbol. [265] Several gender symbols have been used to represent transgender people, including ⚥ and ⚧. [266] [267] See also Transgender portal LGBTQ portal List of transgender and transsexual fictional characters List of transgender people List of transgender publications List of transgender-related topics List of transgender-rights organizations List of people killed for being transgender Transgender history References Citations Ashley, Florence; Brightly-Brown, Shari; Rider, G. Nic (2024-06-10). "Beyond the trans/cis binary: introducing new terms will enrich gender research". Nature. 630 (8016): 293–295. doi:10.1038/d41586-024-01719-9. APA 2018. Bevan 2014. "The term transsexual was introduced by Cauldwell (1949) and popularized by Harry Benjamin (1966) [...]. The term transgender was coined by John Oliven (1965) and popularized by various transgender people who pioneered the concept and practice of transgenderism. It is sometimes said that Virginia Prince (1976) popularized the term, but history shows that many transgender people advocated the use of this term much more than Prince." Referencing Oliven 1965 , p. 514. Polly & Nicole 2011 , p. 57. "The use of terminology by transsexual individuals to self-identify varies. As aforementioned, many transsexual individuals prefer the term transgender, or simply trans, as it is more inclusive and carries fewer stigmas. There are some transsexual individuals, however, who reject the term transgender; these individuals view transsexualism as a treatable congenital condition. Following medical and/or surgical transition, they live within the binary as either a man or a woman and may not disclose their transition history." Britannica 2024. Franklin 2014 , p. 740. "Transgender is an umbrella term for people whose gender identities, gender expressions, and/or behaviors are different from those culturally associated with the sex that they were assigned at birth. Transgender encompasses a wide variety of identities including, but not limited to, transsexual, genderqueer, bi-gender, third gender, cross-dresser, and drag king/queen." GLAAD n.d. "An adjective to describe people whose gender identity differs from the sex they were assigned at birth" (¶ "Transgender"). "Many nonbinary people also call themselves transgender and consider themselves part of the transgender community" (¶ "Nonbinary People"). Variously: Petersen & Hyde 2010 , p. 486. "Transgender is a broad term characterized by a challenge of traditional gender roles and gender identity [...] For example, some cultures classify transgender individuals as a third gender, thereby treating this phenomenon as normative." Towle & Morgan 2013 , p. 666. "The authors note that, increasingly, in social science literature, the term third gender is being replaced by or conflated with the newer term transgender." Reisner et al. 2014 , p. 99. "Transgender was defined broadly to cover those who transition from one gender to another as well as those who may not choose to socially, medically, or legally fully transition, including cross-dressers, people who consider themselves to be genderqueer, androgynous, and those whose gender nonconformity is a part of their identity." CDC 2020. Blank 2014. GEO 2018. Government of Canada, Statistics Canada (2022-04-27). "The Daily — Canada is the first country to provide census data on transgender and non-binary people". www150.statcan.gc.ca. Retrieved 2024-12-19. Easton 2022. Gammarano, Rosina (2024-05-17). "Current practices in measuring sexual orientation and gender identity in population censuses". ILOSTAT. Retrieved 2024-12-19. Economic Commission for Europe Conference of European Statisticians. "In-depth review of measuring gender identity" (PDF). United Nations Economic & Social Council. Retrieved December 19, 2024. M.H. 2017. UCSF n.d. Lamm & Eckstein 2015 , p. 745. "Many transgender people experience gender dysphoria –distress that results from the discordance of biological sex and experienced gender. Treatment for gender dysphoria, considered to be highly effective, includes physical, medical, and/or surgical treatments [...] some [transgender people] may not choose to transition at all." AP 2024. Johnson et al. 2019. Klein, Paradise & Goodwin 2018. Lombardi et al. 2008. Dallara 2011. Bradford et al. 2013. Whittle 2002. Sudborough 2022. CBC 2013. Ford 2014. Polly & Nicole 2011. Hirschfeld 1923. APA 2024. "According to the APA Style guide, the term transsexual is largely outdated, but some people identify with it; this term should be used only for an individual who specifically claims it." Variously: Mills 2015 , p. 12. "Indeed, it is arguably only since the 1990s, with the coining of the umbrella term transgender, that gender variance has come to be understood, in certain activist and institutional settings, as being ontologically different from homosexuality." Currah 2006 , p. 4. "From signifying a subject position between cross-dresser and transsexual, the meaning of transgender expanded radically in the early 1990s to include them, along with other cross-gender practices and identities." Glicksman, Eve (April 2013). "Transgender terminology: It's complicated". Monitor on Psychology. 44 (4). American Psychological Association: 39. Archived from the original on 25 September 2013. Retrieved 17 September 2013. Use whatever name and gender pronoun the person prefers "Meeting the Health Care Needs of Lesbian, Gay, Bisexual, and Transgender (LGBT) People: The End to LGBT Invisibility". The Fenway Institute. p. 24. Archived from the original (PowerPoint Presentation) on 2013-10-20. Retrieved 2013-09-17. Use the pronoun that matches the person's gender identity GLAAD n.d. , ¶ "Term to avoid: transgenderism, gender ideology". GLAAD 2023. Simon 2017. "According to scholars, the word first appeared in print in John F. Oliven's 1965 book, Sexual Hygiene and Pathology. Oliven writes: 'Where the compulsive urge reaches beyond female vestments, and becomes an urge for gender ("sex") change, transvestism becomes transsexualism. The term is misleading; actually, transgenderism is what is meant, because sexuality is not a major factor in primary transvestism.' Although Oliven's understanding of transgender is not the same as our understanding of it today, his use of it is still significant. As K.J. Rawson and Cristan Williams note in their book, Transgender*: The Rhetorical Landscape of a Term, Oliven didn't use the word in the book's 1955 edition; it was added later, when the second edition was revised and published. Gradually, some members of this marginalized community began to apply the word transgender to themselves. For example, Virginia Charles Prince, publisher of the long-running periodical Transvestia, occasionally used a variation of the word, transgenderal." Quoting Oliven 1965 , p. 514, and referencing Rawson & Williams 2014. Blakemore 2022. Prince 1969 , p. 65. "I, at least, know the difference between sex and gender and have simply elected to change the latter and not the former. If a word is necessary, I should be termed a transgenderal." Ekins & King 2006, pp. 13–14. Ekins & King 1999. "Virginia Prince pioneered the term 'transgenderist' and 'transgenderal' (Prince, 1976: 145) to refer to people who lived full-time in the gender opposite their biological sex, but did not seek sex/gender re-assignment surgery. Richard Ekins established the Trans-Gender Archive, at the University of Ulster, in 1986 (Ekins, 1988). The term was chosen to provide an umbrella concept which avoided such medical categories as transsexual and transvestite; which included the widest possible range of transgender phenomena; and which took the sociological view that aspects of sex, sexuality and gender (not just gender), including the binary divide, all have socially constructed components. Not long afterwards, the 'transgender community' came to be used as an umbrella term to include transsexuals, transvestites, transgenderists, drag queens, and so on, as well as (in some uses) to include their partners and friends and professional service providers." Rayner 1979. Dame-Griff 2023. Bouman 2020, ¶ 5. Peo 1984. ICTLEP 1992. "Transgendered persons include transsexuals, transgenderists, and other crossdressers of both sexes, transitioning in either direction (male to female or female to male), of any sexual orientation, and of all races, creeds, religions, ages, and degrees of physical impediment." Stryker 2008b. Currah 2006, p. 4. Variously: Mallon 1998 , pp. 275–276. "Transgender: Is a person whose gender identity is different from her/his biological gender. Many transgender individuals are persons who report feeling trapped in the wrong body. These people psychologically identify themselves with the opposite biological gender and desire to be a person of that gender." Merriam-Webster n.d. "especially: of, relating to, or being a person whose gender identity is opposite the sex the person had or was identified as having at birth". Gazzaniga 2018 , p. 367. "A transgender person was born as one biological sex but feels that her true gender identity is that of the other sex." Martin 2015. "The Road to Inclusion: Transgender Health Care in Canada". www.thecanadianencyclopedia.ca. Retrieved 2024-12-19. Transgender Rights (2006, ISBN   0-8166-4312-1), edited by Paisley Currah, Richard M. Juang, Shannon Minter Alegria, Christine Aramburu (April 2011). "Transgender identity and health care: Implications for psychosocial and physical evaluation: Transgender identity and health care". Journal of the American Academy of Nurse Practitioners. 23 (4): 175–182. doi:10.1111/j.1745-7599.2010.00595.x. PMID   21489011. S2CID   205909330. Archived from the original on 4 April 2023. Retrieved 4 April 2023. Transgender, Umbrella term for persons who do not conform to gender norms in their identity and/or behavior (Meyerowitz, 2002). Transsexual, Subset of transgenderism; persons who feel discordance between natal sex and identity (Meyerowitz, 2002) For example, Virginia Prince used transgender to distinguish cross-dressers from transsexual people ( "glbtq > social sciences >> Prince, Virginia Charles". glbtq.com. Archived from the original on 2015-02-11.), writing in Men Who Choose to Be Women (in Sexology, February 1969) that "I, at least, know the difference between sex and gender and have simply elected to change the latter and not the former." "Sex -- Medical Definition". medilexicon.com. Archived from the original on 2014-02-22.: defines sex as a biological or physiological quality, while gender is a (psychological) "category to which an individual is assigned by self or others...". "UNCW: Developing and Implementing a Scale to Assess Attitudes Regarding Transsexuality" (PDF). Archived from the original (PDF) on February 21, 2014. A Swenson, Medical Care of the Transgender Patient, in Family Medicine (2014): "While some transsexual people still prefer to use the term to describe themselves, many transgender people prefer the term transgender to transsexual." GLAAD n.d., ¶ "Transsexual (adj.)". Parker, Jerry (October 18, 1979). "Christine Recalls Life as Boy from the Bronx". Newsday/Winnipeg Free Press. Archived from the original on 25 April 2012. Retrieved 28 May 2012. If you understand trans-genders," she says, (the word she prefers to transsexuals), "then you understand that gender doesn't have to do with bed partners, it has to do with identity. "News From California: 'Transgender'". Appeal-Democrat/Associate Press. May 11, 1982. pp. A–10. Archived from the original on 12 April 2012. Retrieved 28 May 2012. she describes people who have had such operations' "transgender" rather than transsexual. "Sexuality is who you sleep with, but gender is who you are," she explained "Glossary of Gender and Transgender Terms" (PDF). Boston, Mass.: Fenway Health. January 2010. p. 15. Archived from the original (PDF) on 19 October 2013. Valentine, David (2007). "Imagining Transgender: An Ethnography of a Category". Duke University Press. doi:10.1215/9780822390213. ISBN   978-0-8223-9021-3. Stryker, Susan. "Introduction". In Stryker and S. Whittle (eds.), The Transgender Studies Reader, New York: Routledge, 2006. pp. 1–17. ISBN   1-135-39884-4. Winters, Kelley (2008). Gender Madness in American Psychiatry : essays from the struggle for dignity. Dillon, Colorado: GID Reform Advocates. p. 198. ISBN   9781439223888. Some Transsexual individuals also identify with the broader transgender community; others do not. Benjamin, H. (1966). The transsexual phenomenon. New York: Julian Press, page 23. Ekins, Richard (2005). Science, politics and clinical intervention: Harry Benjamin, transsexualism and the problem of heteronormativity Sexualities July 2005 vol. 8 no. 3 306-328 doi : 10.1177/1363460705049578 Hansbury, Griffin (2008). The Middle Men: An Introduction to the Transmasculine Identities. Studies in Gender and Sexuality Volume 6, Issue 3, 2005 doi : 10.1080/15240650609349276 Hardell, Ash (2016). The ABC's of LGBT+. Coral Gables, Florida: Mango Media Inc. p. 96. ISBN   9781633534094. Archived from the original on 13 April 2024. Retrieved 13 April 2024. Vincent, Ben (2020). Non-Binary Genders: Navigating Communities, Identities, and Healthcare. Bristol, UK: Policy Press. p.  17, note 10. doi:10.2307/j.ctv138wrbg. ISBN   978-1-4473-5192-4. JSTOR   j.ctv138wrbg. S2CID   225850961. GLAAD n.d. , ¶ "Term to avoid: transgendered". "The adjective transgender should never have an extraneous -ed tacked onto the end. An -ed suffix adds unnecessary length to the word and can cause tense confusion and grammatical errors. Not using the -ed suffix also brings transgender into alignment with lesbian, gay, bisexual, and queer. You would not say that Elton John is gayed or Ellen DeGeneres is lesbianed, therefore you would not say Laverne Cox is transgendered. (Similarly, cisgender never needs an -ed at the end.)" "Guardian and Observer style guide: T". London: Guardian News & Media. 20 November 2015. Archived from the original on 2017-07-09. [U]se transgender [...] only as an adjective: transgender person, trans person; never 'transgendered person' or 'a transgender'. "transgender, adj. and n." . Oxford English Dictionary (3rd ed.). Oxford University Press. March 2003.(Subscription or participating institution membership required.) Cleveland Clinic 2022. Steinmetz, Katy (2018-04-03). "The OED Just Added the Word 'Trans*.' Here's What It Means". TIME. Retrieved 2024-12-05. Tompkins, Avery (2014-05-01). "Asterisk". TSQ: Transgender Studies Quarterly. 1 (1–2): 26–27. doi:10.1215/23289252-2399497. ISSN   2328-9252. "Trans PULSE Canada Report No. 1 or 10". 10 March 2020. Archived from the original on 14 March 2020. Retrieved 10 March 2020. Answers to Your Questions About Transgender Individuals and Gender Identity Archived 2010-06-15 at the Wayback Machine report from the website of the American Psychological Association - "What is the relationship between transgender and sexual orientation?" GLAAD n.d., ¶ "Sexual Orientation". Bockting, Walter; Benner, Autumn; Coleman, Eli (28 March 2009). "Gay and Bisexual Identity Development Among Female-to-Male Transsexuals in North America: Emergence of a Transgender Sexuality". Archives of Sexual Behavior. 38 (5): 688–701. doi:10.1007/s10508-009-9489-3. PMID   19330439. S2CID   27207925. "The Report of the 2015 U.S. Transgender Survey" (PDF). National Center for Transgender Equality. Archived (PDF) from the original on 9 December 2016. Retrieved 6 March 2016. Haefele-Thomas, Ardel (5 February 2019). Introduction to transgender studies. Combs, Thatcher,, Rains, Cameron,, Stryker, Susan,, Clifford, Jo, 1950-. New York, NY, US. pp. 107–110. ISBN   978-1-939594-28-0. OCLC   1048658263. Gill-Peterson, Julian (23 October 2018). Histories of the transgender child. Minneapolis. pp. 80–90. ISBN   978-1-4529-5815-6. OCLC   1027732161. Blanchard, Ray (1989). "The classification and labeling of nonhomosexual gender dysphorias". Archives of Sexual Behavior. 18 (4): 315–334. doi:10.1007/BF01541951. PMID   2673136. S2CID   43151898. Bagemihl, B. (1997). "Surrogate phonology and transsexual faggotry: A linguistic analogy for uncoupling sexual orientation from gender identity". In Livia, Anna; Hall, Kira (eds.). Queerly Phrased: Language, Gender, and Sexuality. Oxford University Press. pp. 380–401. doi:10.1093/oso/9780195104707.003.0023. ISBN   0195104714. Wahng SJ (2004). Double Cross: Transmasculinity Asian American Gendering in Trappings of Transhood. in Aldama AJ (ed.) Violence and the Body: Race, Gender, and the State. Indiana University Press. ISBN   025334171X Leiblum SR, Rosen RC (2000). Principles and Practice of Sex Therapy, Third Edition. ISBN   1-57230-574-6, Guilford Press of New York, c2000. APA task force (1994) "...For sexually mature individuals, the following specifiers may be noted based on the individual's sexual orientation: Sexually Attracted to Males, Sexually Attracted to Females, Sexually Attracted to Both, and Sexually Attracted to Neither..." in DSM-IV: Sections 302.6 and 302.85 Archived 2007-02-11 at the Wayback Machine published by the American Psychiatric Association. Retrieved via Mental Health Matters Archived 2007-04-07 at the Wayback Machine on 2007-04-06. Goethals, Susanne C.; Schwiebert, Valerie L. (September 2005). "Counseling as a Critique of Gender: On the Ethics of Counseling Transgendered Clients". International Journal for the Advancement of Counselling. 27 (3): 457–469. doi:10.1007/s10447-005-8206-8. S2CID   143746919 – via springerlink.com/. ...counselors to rethink their assumptions regarding gender, sexuality and sexual orientation. In addition, they supported counselors' need to adopt a transpositive disposition to counseling and to actively advocate for transgendered persons... Gómez-Gil, Esther; Trilla, Antoni; Salamero, Manel; Godás, Teresa; Valdés, Manuel (June 2009). "Sociodemographic, Clinical, and Psychiatric Characteristics of Transsexuals from Spain". Archives of Sexual Behavior. 38 (3): 378–392. doi:10.1007/s10508-007-9307-8. ISSN   0004-0002. PMID   18288600. S2CID   8700968. McCrea, Amy. Under the Transgender Umbrella: Improving ENDA's Protections, in the Georgetown Journal of Gender and the Law (2013): "This article will begin by providing a background on transgender people, highlighting the experience of a subset of non-binary individuals, bigender people, ..." Wilchins, Riki Anne (2002) 'It's Your Gender, Stupid', pp.23–32 in Joan Nestle, Clare Howell and Riki Wilchins (eds.) Genderqueer: Voices from Beyond the Sexual Binary. Los Angeles:Alyson Publications, 2002. Nestle, J. (2002) "...pluralistic challenges to the male/female, woman/man, gay/straight, butch/femme constructions and identities..." from Genders on My Mind, pp.3–10 in Genderqueer: Voices from Beyond the Sexual Binary, edited by Joan Nestle, Clare Howell and Riki Wilchins, published by Los Angeles:Alyson Publications, 2002:9. Retrieved 2007-04-07. Lindqvist, Anna (18 Feb 2020). "What is gender, anyway: a review of the options for operationalising gender". Psychology & Sexuality. 12 (4): 332–344. doi: 10.1080/19419899.2020.1729844 . "Sexual Orientation and Gender Identity Definitions". Archived from the original on 2019-04-30. Retrieved 2020-07-10. Adams, Cydney (March 24, 2017). "The difference between sexual orientation and gender identity". CBS News. Viacom CBS. Archived from the original on 9 March 2022. Retrieved 21 November 2020. E. D. Hirsch, Jr., E.D., Kett, J.F., Trefil, J. (2002) "Transvestite: Someone who dresses in the clothes usually worn by the opposite sex." in Definition of the word "transvestite" Archived 2007-10-12 at the Wayback Machine from The New Dictionary of Cultural Literacy, Third Edition Archived August 18, 2007, at the Wayback Machine . Retrieved 2007-08-13. various (2006) "trans·ves·tite... (plural trans·ves·tites), noun. Definition: somebody who dresses like opposite sex:" in Definition of the word "transvestite" Archived 2007-11-09 at the Wayback Machine from the Encarta World English Dictionary (North American Edition) Archived April 10, 2011, at the Wayback Machine . Retrieved 2007-08-13. Raj, R (2002) "transvestite (TV): n. Synonym: crossdresser (CD):" in Towards a Transpositive Therapeutic Model: Developing Clinical Sensitivity and Cultural Competence in the Effective Support of Transsexual and Transgendered Clients from the International Journal of Transgenderism 6,2. Retrieved 2007-08-13. Archived September 27, 2007, at the Wayback Machine Hall, B. et al. (2007) "...Many say this term (crossdresser) is preferable to transvestite, which means the same thing..." and "...transvestite (TV) – same as cross-dresser. Most feel cross-dresser is the preferred term..." in Discussion Paper: Toward a Commission Policy on Gender Identity Archived 2007-09-27 at the Wayback Machine from the Ontario Human Rights Commission Archived 2007-08-13 at the Wayback Machine . Retrieved 2007-08-13. Green, E., Peterson, E.N. (2006) "...The preferred term is 'cross-dresser', but the term 'transvestite' is still used in a positive sense in England..." in LGBTTSQI Terminology Archived 2013-09-05 at the Wayback Machine from Trans-Academics.org Archived 2007-04-24 at the Wayback Machine . Retrieved 2007-08-13. Gilbert, Michael A. (2000). "The Transgendered Philosopher". International Journal of Transgenderism . Archived from the original on January 26, 2016. Retrieved December 16, 2015. Gilbert, Michael 'Miqqi Alicia' (2000) "The Transgendered Philosopher" in Special Issue on What is Transgender? Archived 2007-10-11 at the Wayback Machine from The International Journal of Transgenderism, Special Issue July 2000 Archived 2007-10-11 at the Wayback Machine . Retrieved 2007-10-09. Docter 1997. sfn error: no target: CITEREFDocter1997 (help) World Health Organization (1992) "...Fetishistic transvestism is distinguished from transsexual transvestism by its clear association with sexual arousal and the strong desire to remove the clothing once orgasm occurs and sexual arousal declines...." in ICD-10, Gender Identity Disorder, category F65.1 Archived 2009-04-22 at the Wayback Machine published by the World Health Organization Archived 2016-07-05 at the Wayback Machine . Retrieved 2007-08-13. APA task force (1994) "...The paraphiliac focus of Transvestic Fetishism involves cross-dressing. Usually the male with Transvestic Fetishism keeps a collection of female clothes that he intermittently uses to cross-dress. While cross dressed, he usually masturbates..." in DSM-IV: Sections 302.3 Archived 2007-02-11 at the Wayback Machine published by the American Psychiatric Association. Retrieved 2007-08-13. "Understanding Drag". National Center For Transgender Equality. 28 April 2017. Archived from the original on 10 March 2018. Retrieved 3 September 2020. "The Many Styles Of Drag Kings, Photographed In And Out Of Drag". HuffPost. 2019-11-12. Archived from the original on 2021-03-08. Retrieved 2020-06-03. "How Drag Queens Work". HowStuffWorks. 2012-11-12. Archived from the original on 2021-02-25. Retrieved 2020-06-03. Janssen, Diederik F. (2020-04-21). "Transgenderism Before Gender: Nosology from the Sixteenth Through Mid-Twentieth Century". Archives of Sexual Behavior. 49 (5): 1415–1425. doi:10.1007/s10508-020-01715-w. ISSN   0004-0002. PMID   32319033. S2CID   216073926. Stryker 2008a. Abbie E. Goldberg, Genny Beemyn, The SAGE Encyclopedia of Trans Studies (2021), page 32 M. Nugent, Helios 35 (2008) pages 171-172 Varner, Eric (2008). "Transcending Gender: Assimilation, Identity, and Roman Imperial Portraits". Memoirs of the American Academy in Rome. Supplementary Volume. 7. Ann Arbor, Michigan, US: University of Michigan Press: 200–201. ISSN   1940-0977. JSTOR   40379354. OCLC   263448435. Elagabalus is also alleged to have appeared as Venus and to have depilated his entire body. ... Dio recounts an exchange between Elagabalus and the well-endowed Aurelius Zoticus: when Zoticus addressed the emperor as 'my lord,' Elagabalus responded, 'Don't call me lord, I am a lady.' Dio concludes his anecdote by having Elagabalus asking his physicians to give him the equivalent of a woman's vagina by means of a surgical incision. Godbout, Louis (2004). "Elagabalus" (PDF). GLBTQ: An Encyclopedia of Gay, Lesbian, Bisexual, Transgender, and Queer Culture. Chicago: glbtq, Inc. Archived (PDF) from the original on 17 November 2015. Retrieved 6 August 2007. Benjamin, Harry (1966). "The Transsexual Phenomenon". Transactions of the New York Academy of Sciences. 29 (4). New York: The Julian Press Inc.: 428–430. doi:10.1111/j.2164-0947.1967.tb02273.x. ISBN   978-0-446-82426-2. PMID   5233741. Archived from the original on 24 April 2005. Retrieved 27 April 2005. "The Trans History You Weren't Taught in Schools". YES! Magazine. Archived from the original on 2022-01-23. Retrieved 2022-01-23. Hickman, H.; Porfilio, B.J. (2012). The New Politics of the Textbook: Problematizing the Portrayal of Marginalized Groups in Textbooks. Constructing Knowledge: Curriculum Studies in Action. SensePublishers. p. 235. ISBN   978-94-6091-912-1. Archived from the original on 2023-01-10. Retrieved 2023-01-10. "Holocaust Memorial Day Trust | 6 May 1933: Looting of the Institute of Sexology". Archived from the original on 2022-03-07. Retrieved 2022-03-20. LeVay, Simon (1996). Queer Science: The Use and Abuse of Research into Homosexuality. MIT Press. doi: 10.7551/mitpress/5726.001.0001 . ISBN   9780262278201. Archived from the original on 2017-12-13. Retrieved 2022-11-17– via The Washington Post. "DEATH OF DE LACY EVANS". The Argus . Melbourne: National Library of Australia. 27 August 1901. p. 5. Retrieved 4 October 2013. Coleman, E.; Radix, A. E.; et al. (WPATH) (19 August 2022). "Standards of Care for the Health of Transgender and Gender Diverse People, Version 8". International Journal of Transgender Health . 23 (Suppl 1): S1–S259. doi: 10.1080/26895269.2022.2100644 . ISSN   2689-5269. PMC   9553112 . PMID   36238954. Brown, M.L. & Rounsley, C.A. (1996) True Selves: Understanding Transsexualism – For Families, Friends, Coworkers, and Helping Professionals Jossey-Bass: San Francisco ISBN   0-7879-6702-5 American Psychiatric Association (18 March 2022). "Gender Dysphoria". Diagnostic and statistical manual of mental disorders (5th ed., text rev. ed.). American Psychiatric Association Publishing. doi:10.1176/appi.books.9780890425787.x14_Gender_Dysophoria. ISBN   978-0-89042-575-6. Atwill, Nicole (2010-02-17). "France: Gender Identity Disorder Dropped from List of Mental Illnesses | Global Legal Monitor". Library of Congress. Archived from the original on 2017-05-11. Retrieved 2017-10-18. "La transsexualité ne sera plus classée comme affectation psychiatrique" [Transsexuality will no longer be classified as a psychiatric condition]. Le Monde (in French). May 16, 2009. Archived from the original on February 26, 2018. Retrieved March 14, 2018. "La France est très en retard dans la prise en charge des transsexuels". Libération (in French). 2011-05-17. Archived from the original on 2014-11-30. En réalité, ce décret n'a été rien d'autre qu'un coup médiatique, un très bel effet d'annonce. Sur le terrain, rien n'a changé. Garloch 2016. Answers to Your Questions About Transgender Individuals and Gender Identity Archived 2010-06-15 at the Wayback Machine report from the website of the American Psychological Association - "Is being transgender a mental disorder?" Carroll, L.; Gilroy, P.J.; Ryan, J. (2002). "Transgender issues in counselor education". Counselor Education and Supervision. 41 (3): 233–242. doi:10.1002/j.1556-6978.2002.tb01286.x. Kozee, H. B.; Tylka, T. L.; Bauerband, L. A. (2012). "Measuring transgender individuals' comfort with gender identity and appearance: Development and validation of the Transgender Congruence Scale". Psychology of Women Quarterly . 36 (2). SAGE Publications: 179–196. doi:10.1177/0361684312442161. S2CID   10564167. Benson, Kristen E (2013). "Seeking support: Transgender client experiences with mental health services". Journal of Feminist Family Therapy. 25 (1): 17–40. doi:10.1080/08952833.2013.755081. S2CID   144491629. "Standards of care for the health of transsexual, transgender, and gender nonconforming people – 7th version" (PDF). The World Professional Association for Transgender Health. Archived from the original (PDF) on 3 March 2012. Retrieved 30 November 2014. Detransition estimates: "Detransitioning after surgical interventions ... is exceedingly rare. Research has often put the percentage of regret between 1 and 2% ... Detransitioning is actually far more common in the stages before surgery, when people are still exploring their options. 'There are people who take hormones and then decide to go off hormones,' says Randi Ettner, a therapist who has served on the board of the World Professional Association for Transgender Health. 'That is not uncommon.'" Clark-Flory 2015 "There were 15 (5 [female-to-male] and 10 [male-to-female]) regret applications corresponding to a 2.2% regret rate for both sexes. There was a significant decline of regrets over the time period." (Dhejne et al. define "regret" as "application for reversal of the legal gender status among those who were sex reassigned" which "gives the person the right to treatment to reverse the body as much as possible."), "the median time lag until applying for a reversal was 8 years." Dhejne et al. 2014 Hanssmann, C.; Morrison, D.; Russian, E. (2008). "Talking, gawking, or getting it done: Providing trainings to increase cultural and clinical competence for transgender and gender-nonconforming patients and clients". Sexuality Research and Social Policy. 5: 5–23. doi:10.1525/srsp.2008.5.1.5. S2CID   52025741. "France: Transsexualism will no longer be classified as a mental illness in France". ilga.org. Archived from the original on 2013-09-10. "Le transsexualisme n'est plus une maladie mentale en France" [Transsexualism is no longer a mental illness in France]. Le Monde.fr (in French). December 2, 2010. Archived from the original on February 13, 2010. Retrieved February 12, 2010. Haas, Ann P.; Rodgers, Philip L.; Herman, Jody L. (2014). Suicide Attempts among Transgender and Gender Non-Conforming Adults: Findings of the National Transgender Discrimination Survey (PDF). American Foundation for Suicide Prevention and the Williams Institute on Sexual Orientation and Gender Identity Law and Public Policy. pp. 2–3, 11. Archived from the original (PDF) on October 8, 2017. Retrieved October 9, 2017. Herman, Jody L.; Brown, Taylor N.T.; Haas, Ann P. (September 2019). "Suicide Thoughts and Attempts Among Transgender Adults" (PDF). Williams Institute on Sexual Orientation and Gender Identity Law and Public Policy. Archived from the original (PDF) on May 13, 2020. Retrieved May 13, 2020. Travers 2012. sfn error: no target: CITEREFTravers2012 (help) Urquhart, Evan (March 21, 2018). "A Disproportionate Number of Autistic Youth Are Transgender. Why?". Slate. Archived from the original on March 21, 2018. Retrieved January 10, 2018. GLAAD n.d., ¶ "Term to avoid: sex change, pre-operative, post-operative". Pfäfflin F., Junge A. (1998) "...This critique for the use of the term sex change in connection to sex reassignment surgery stems from the concern about the patient, to take the patient seriously...." in Sex Reassignment: Thirty Years of International Follow-Up Studies: A Comprehensive Review, 1961–1991 from the Electronic Book Collection of the International Journal of Transgenderism. Retrieved 2007-09-06. APA task force (1994) "...preoccupation with getting rid of primary and secondary sex characteristics..." in DSM-IV: Sections 302.6 and 302.85 Archived 2007-02-11 at the Wayback Machine published by the American Psychiatric Association. Retrieved via Mental Health Matters Archived 2007-04-07 at the Wayback Machine on 2007-04-06. Committee on Health Care for Underserved Women. sfn error: no target: CITEREFCommittee_on_Health_Care_for_Underserved_Women (help) "There is a paucity of literature." Danker et al. 2018 "We urgently need systematic data on this point in order to inform best practice clinical care." Zucker 2019 "The research on outcomes post-transition is mixed at best." Marchiano 2017 "[R]esearch in this field is extremely controversial." Danker et al. 2018 "Detransitioning after surgical interventions ... is exceedingly rare....Detransitioning is actually far more common in the stages before surgery, when people are still exploring their options." Clark-Flory 2015 Hall, R.; Mitchell, L.; Sachdeva, J. (1 October 2021). "Access to care and frequency of detransition among a cohort discharged by a UK national adult gender identity clinic: retrospective case-note review". BJPsych Open. 7 (6): e184. doi:10.1192/bjo.2021.1022. ISSN   2056-4724. PMC   8503911 . PMID   34593070. Rates of detransitioning are unknown, with estimates ranging from less than 1% to 8%. Turban, Jack L.; Loo, Stephanie S.; Almazan, Anthony N.; Keuroghlian, Alex S. (2021-06-01). "Factors Leading to "Detransition" Among Transgender and Gender Diverse People in the United States: A Mixed-Methods Analysis". LGBT Health. 8 (4): 273–280. doi:10.1089/lgbt.2020.0437. ISSN   2325-8292. PMC   8213007 . PMID   33794108. Bustos, Valeria P.; Bustos, Samyd S.; Mascaro, Andres; Del Corral, Gabriel; Forte, Antonio J.; Ciudad, Pedro; Kim, Esther A.; Langstein, Howard N.; Manrique, Oscar J. (2021-03-19). "Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence". Plastic and Reconstructive Surgery - Global Open. 9 (3): e3477. doi:10.1097/GOX.0000000000003477. ISSN   2169-7574. PMC   8099405 . PMID   33968550. Boslaugh 2018 , p. 43; James et al. 2016 , pp. 111, 292–294 Boslaugh, Sarah (3 August 2018). Transgender Health Issues. ABC-CLIO. pp. 43–44. ISBN   9781440858888. OCLC   1031430413. Archived from the original on 3 April 2023. Retrieved 20 March 2023. Currah, Paisley; M. Juang, Richard; Minter, Shannon Price, eds. (2006). Transgender Rights. Minnesota University Press. pp. 51–73. ISBN   978-0-8166-4312-7. Archived from the original on 2021-05-04. Retrieved 2020-11-07. Nokoff, Natalie J. (2022-01-19). "Table 2. [DSM-5 Criteria for Gender Dysphoria ()]". www.ncbi.nlm.nih.gov. Archived from the original on 2023-03-31. Retrieved 2023-03-26. Gay and Lesbian Alliance Against Defamation. "IN THE LIFE Follows LGBT Seniors as They Face Inequality in Healthcare" Archived 2011-08-04 at the Wayback Machine , "GLAAD", US, November 3, 2010. Retrieved 2011-02-24. "– Trans Rights Europe Map & Index 2017". tgeu.org. 18 May 2017. Archived from the original on 2017-10-19. Retrieved 2017-10-18. "HUDOC - European Court of Human Rights". hudoc.echr.coe.int. Archived from the original on 2017-10-19. Retrieved 2017-10-18. "LEGISinfo". www.parl.ca. Archived from the original on May 22, 2016. "LEGISinfo - House Government Bill C-16 (42-1)". www.parl.ca. Archived from the original on December 24, 2016. Tasker, John Paul (June 16, 2017). "Canada enacts protections for transgender community". CBC News . Archived from the original on June 17, 2017. Retrieved June 16, 2017. "Overview of Human Rights Codes by Province and Territory in Canada" (PDF). Canadian Center for Diversity and Inclusion. January 2018. Archived (PDF) from the original on 2020-09-19. Retrieved 2020-09-03. "Civil Rights Act of 1964 – CRA – Title VII – Equal Employment Opportunities – 42 US Code Chapter 21". finduslaw. Archived from the original on October 21, 2010. Retrieved June 6, 2010. Neidig, Harper (June 15, 2020). "Workers can't be fired for being gay or transgender, Supreme Court rules". The Hill . Archived from the original on June 15, 2020. Retrieved June 15, 2020. June, Daniel (13 June 2013). "Transgender Girl in Maine Seeks Supreme Court's Approval to Use School's Girls Room". JD Journal. Archived from the original on 15 June 2013. Retrieved 13 June 2013. Sharp, David (January 31, 2014). "Maine Court Rules In Favor Of Transgender Pupil". The Huffington Post . Archived from the original on December 12, 2015. Retrieved December 16, 2015. Grinberg, Emanuella (May 14, 2016). "Feds issue guidance on transgender access to school bathrooms". CNN. Archived from the original on May 18, 2016. Retrieved May 19, 2016. Cronk, Terri Moon (June 30, 2016). "Transgender Service Members Can Now Serve Openly, Carter Announces". Archived from the original on August 10, 2017. Retrieved August 9, 2017. "Trump: Transgender people 'can't serve' in US military". BBC News. July 26, 2017. Archived from the original on July 29, 2017. Retrieved August 9, 2017. Kube, Courtney; Rafferty, Andrew; Mandell, Meredith (2017-07-26). "The Joint Chiefs say there'll be no transgender policy changes until Trump clarifies his Tweets". NBC News. Archived from the original on 2017-08-09. Retrieved 2017-08-09. Kate Sullivan (25 January 2021). "Biden lifts transgender military ban". CNN. Archived from the original on 2021-11-03. Retrieved 2021-08-18. "Biden to transgender Americans: 'Your president has your back'". NBC News. Archived from the original on 2021-08-18. Retrieved 2021-08-18. Block, Melissa (June 29, 2022). "Americans are deeply divided on transgender rights, a poll shows". National Public Radio. Hassan, Adeel (June 27, 2023). "States Passed a Record Number of Transgender Laws. Here's What They Say". The New York Times . Retrieved September 15, 2024. "India recognises transgender people as third gender". The Guardian. 15 April 2014. Archived from the original on 15 April 2014. Retrieved 15 April 2014. McCoy, Terrence (15 April 2014). "India now recognizes transgender citizens as 'third gender'". The Washington Post . Archived from the original on 15 April 2014. Retrieved 15 April 2014. Mahapatra, Dhananjay (15 April 2014). "Supreme Court recognizes transgenders as 'third gender'". The Times of India. Archived from the original on 15 April 2014. Retrieved 15 April 2014. "Why transgender not an option in civil service exam form: HC". The Times of India . 15 June 2015. Archived from the original on 2015-12-03. "Why transgender not an option in civil service exam form: HC". The Economic Times. 2015-06-15. Archived from the original on 2016-01-25. "In the Supreme Court of India Civil Original Jurisdiction Writ Petition (Civil) No.400 of 2012" (PDF). Archived (PDF) from the original on 2017-06-25. Retrieved 2019-06-19. "Hijras: The Battle for Equality". 29 January 2014. Archived from the original on 23 June 2019. Retrieved 23 June 2019. Retro Report 2015. Morris, Bonnie J. (July 21, 2017). "A brief history of lesbian, gay, bisexual, and transgender social movements". www.apa.org. American Psychological Association. Archived from the original on 2023-05-19. Retrieved 26 May 2023. Gamson 1995. Goldberg, Michelle (2014-07-28). "What Is a Woman?". The New Yorker. Archived from the original on 2019-11-13. Retrieved 2022-01-23. Marcus, Eric (2002). Making Gay History: The Half-Century Fight for Lesbian and Gay Equal Rights. New York: Harper. p. 156. ISBN   9780060933913. OCLC   1082454306. Hines, Sally (2007). TransForming Gender: Transgender Practices of Identity, Intimacy and Care . Bristol: Policy Press. pp.  85–101. ISBN   978-1861349163. Grady, Constance (20 June 2018). "The waves of feminism, and why people keep fighting over them, explained". Vox . Archived from the original on 5 April 2019. Retrieved 26 April 2019. Yenor, Scott (31 July 2017). "The Rolling Revolution in Sex and Gender: A History". Public Discourse. Witherspoon Institute. Archived from the original on 15 December 2018. Retrieved 21 April 2019. Flaherty, Colleen (2018-06-06). "By Any Other Name". Inside Higher Ed . Archived from the original on 19 May 2019. Retrieved 2019-05-06. Lewis, Sophie (7 February 2019). "Opinion | How British Feminism Became Anti-Trans". The New York Times. ISSN   0362-4331. Archived from the original on 15 November 2019. Retrieved 5 May 2019. Stryker, Susan; Bettcher, Talia (2016). "Introduction: Trans/Feminisms". Transgender Studies Quarterly. 3 (1–2). Duke University Press. doi: 10.1215/23289252-3334127 . Archived from the original on 5 April 2019. Retrieved 17 September 2020. Zanghellini, Aleardo (April 2020). "Philosophical Problems With the Gender-Critical Feminist Argument Against Trans Inclusion" (PDF). SAGE Open. 10 (2): 215824402092702. doi:10.1177/2158244020927029. S2CID   219733494. Archived (PDF) from the original on 2020-11-03. Retrieved 2022-06-19. Krehly, Jeff; Buns, Crosby (2011-06-03). "Gay and Transgender People Face High Rates of Workplace Discrimination and Harassment". Generation Progress. Archived from the original on 2021-04-21. Retrieved 2021-03-23. Carrera-Fernández, María Victoria; Almeida, Ana; Cid-Fernández, Xosé Manuel; Vallejo-Medina, Pablo; Rodríguez-Castro, Yolanda (18 December 2019). "Patrolling the Boundaries of Gender: Beliefs, Attitudes and Behaviors Toward Trans and Gender Diverse People in Portuguese Adolescents". International Journal of Sexual Health. 32 (1): 40–56. doi:10.1080/19317611.2019.1701170. S2CID   214355852. Archived from the original on 25 January 2022. Retrieved 21 August 2021. Konopka, Karolina; Prusik, Monika; Szulawski, Michał (2020). "Two Sexes, Two Genders Only: Measuring Attitudes toward Transgender Individuals in Poland". Sex Roles. 82 (9–10): 600–621. doi: 10.1007/s11199-019-01071-7 . S2CID   199862108. Landau, Nitsan; Hamiel, Uri; Latzer, Itay Tokatly; Mauda, Elinor; Levek, Noah; Tripto-Shkolnik, Liana; Pinhas-Hamiel, Orit (2020). "Paediatricians' attitudes and beliefs towards transgender people: a cross-sectional survey in Israel". BMJ Open. 10 (4): e031569. doi:10.1136/bmjopen-2019-031569. PMC   7204925 . PMID   32341041. Archived from the original on 2021-06-10. Retrieved 2021-08-21. Hackimer, Laura; Chen, Cliff Y.-C.; Verkuilen, Jay (5 March 2021). "Individual factors and cisgender college students' attitudes and behaviors toward transgender individuals". Journal of Community Psychology. 49 (6): 2023–2039. doi:10.1002/jcop.22546. ISSN   0090-4392. PMID   33667012. S2CID   232121524. Archived from the original on 10 June 2021. Retrieved 21 August 2021. Trevor Project. ACLU. sfn error: no target: CITEREFACLU (help) "National Center for Transgender Equality". transequality.org. National Center for Transgender Equality. 2023-05-12. Archived from the original on October 18, 2009. Retrieved 2023-05-26. "About us". TGEU. Archived from the original on 2023-05-18. Retrieved 2023-05-20. Collin, Lindsay; Reisner, Sari L.; Tangpricha, Vin; Goodman, Michael (2016). "Prevalence of Transgender Depends on the "Case" Definition: A Systematic Review". The Journal of Sexual Medicine. 13 (4): 613–626. doi:10.1016/j.jsxm.2016.02.001. PMC   4823815 . PMID   27045261. Leinung, Matthew C (2020). "Changing Demographics in Transgender Individuals Seeking Hormonal Therapy: Are Trans Women More Common Than Trans Men?". Transgender Health. 11 (5): 241–245. doi:10.1089/trgh.2019.0070. PMC   7906237 . PMID   33644314. Doussantousse, S. (2005) "...The Lao Kathoey's characteristics appear to be similar to other transgenders in the region..." in Male Sexual Health: Kathoeys in the Lao PDR, South East Asia – Exploring a gender minority Archived 2007-08-19 at the Wayback Machine from the Transgender ASIA Research Centre Archived 2007-08-23 at the Wayback Machine . Retrieved 2007-07-22. Jackson, P. (2003) Performative Genders, Perverse Desires: A Bio-History of Thailand's Same-Sex and Transgender Cultures Archived 2007-04-03 at the Wayback Machine in Intersections: Gender, History and Culture in the Asian Context, Issue 9, August 2003. Winter, S. and Udomsak, N. (2002) Male, Female and Transgender: Stereotypes and Self in Thailand in the International Journal of Transgender, Volume 6, Number 1, January – March 2002. Archived February 28, 2007, at the Wayback Machine Winter, Sam (2003). Research and discussion paper: Language and identity in transgender: gender wars and the case of the Thai kathoey. Paper presented at the Hawaii conference on Social Sciences, Waikiki, June 2003. Article online Archived 29 March 2012 at the Wayback Machine . Harrison, F. (2005) "...He shows me the book in Arabic in which, 41 years ago, Ayatollah Khomeini wrote about new medical issues like transsexuality. "I believe he was the first Islamic scientist in the world of Islam who raised the issue of sex change," says Hojatulislam Kariminia. The Ayatollah's ruling that sex-change operations were allowed has been reconfirmed by Iran's current spiritual leader..." in Iran's sex-change operations Archived 2007-08-17 at the Wayback Machine , from the BBC Archived 1999-04-21 at the Wayback Machine . Retrieved 2007-07-22. Mitsuhashi, J. (2006). "The transgender world in contemporary Japan: the male to female cross-dressers' community in Shinjuku". Inter-Asia Cultural Studies. 7 (2). Translated by Hasegawa, K.: 202–227. doi:10.1080/14649370600673847. S2CID   143080943. "...the male to female cross-dressing (MTFCD) community in Shinjuku, Tokyo, which plays an important role in the overall transgender world and how people in the community think and live..." Haviland, C. (2005) "...The Gurung people of western Nepal have a tradition of men called maarunis, who dance in female clothes..." in Crossing sexual boundaries in Nepal Archived 2007-08-28 at the Wayback Machine , from the BBC Archived 1999-04-21 at the Wayback Machine . Retrieved 2007-07-22. Graham, S. (2002) "...Among the Bugis of South Sulawesi, possibly four genders are acknowledged plus a fifth para-gender identity. In addition to male-men (oroane) and female-women (makunrai)..., there are calalai (masculine females), calabai (feminine males), and bissu..." in Priests and gender in South Sulawesi, Indonesia Archived 2007-10-11 at the Wayback Machine from the Transgender ASIA Research Centre Archived 2007-08-23 at the Wayback Machine . Retrieved 2007-07-22. Walters, I. (2006) "...In Vietnam, male to female (MtF) transgender people are categorised as lai cai, bong cai, bong lai cai, dong co, or be-de..." in Vietnam Some notes by Ian Walters Archived 2007-10-11 at the Wayback Machine from the Transgender ASIA Research Centre Archived 2007-08-23 at the Wayback Machine . Retrieved 2007-07-22. Shim, S. (2006) "...Rush, catering especially to crossdressers and transgenders, is a cafe owned by a 46-year-old man who goes by the female name Lee Cho-rong. "...Many people in South Korea don't really understand the difference between gay and transgender. I'm not gay. I was born a man but eager to live as a woman and be beautiful," said Lee..." in S. Korea in dilemma over transgender citizens right to choose Archived 2007-08-17 at the Wayback Machine from the Yonhap News Agency Archived 2007-07-17 at the Wayback Machine . Retrieved 2007-07-22. "News reporting an average of 2-3 Jordanians per year officially change their gender". Ammon News (in Arabic). Archived from the original on 2018-06-16. Retrieved 2020-08-31. Heng, R. (2005) "...Even if we take Bugis Street as a starting point, we should remember that cross-dressing did not emerge suddenly out of nowhere. Across Asia, there is a tradition of cross-dressing and other forms of transgender behaviour in many places with a rich local lexicon and rituals associated with them...." in Where queens ruled! - a history of gay venues in Singapore Archived 2007-10-11 at the Wayback Machine from IndigNation. Retrieved 2007-07-22. Emerton, R. (2006). "Finding a voice, fighting for rights: the emergence of the transgender movement in Hong Kong". Inter-Asia Cultural Studies. 7 (2): 243–269. doi:10.1080/14649370600673896. S2CID   145122793. "...Hong Kong's transgender movement at its current stage, with particular reference to the objectives and activities of the Hong Kong Transgender Equality and Acceptance Movement..." Hung, L. (2007) "...there are many archetypal flamboyant embodiments of female-to-male transgender physicality living and displaying their unrestrained, dashing iconic presence..." in Trans-Boy Fashion, or How to Tailor-Make a King Archived 2007-09-27 at the Wayback Machine from the Gender Studies programme of The Chinese University of Hong Kong . Retrieved 2007-07-22. Ho, J. (2006). "Embodying gender: transgender body/subject formations in Taiwan". Inter-Asia Cultural Studies. 7 (2): 228–242. doi:10.1080/14649370600673888. S2CID   43951816. "...specificities of Taiwanese transgender existence in relation to body- and subject-formations, in hope to not only shed light on the actualities of trans efforts toward self-fashioning, but also illuminate the increasing entanglement between trans self-construction and the evolving gender culture that saturates it..." Hahn, L. (2005) "...Aware that he often felt more like a woman than a man, Jin Xing underwent a sex change in 1995; a daring move in a conservative Chinese society..." in Jin Xing TalkAsia Interview Transcript – June 13, 2005 Archived October 11, 2007, at the Wayback Machine from CNN Archived 2001-09-11 at the Wayback Machine . Retrieved 2007-07-22. Goldkorn, J. (2006) "...At one point in 2003, there was so much media coverage of transsexuals in China that Danwei started a special section for it..." in Transsexuals in the Chinese media again Archived 2007-08-27 at the Wayback Machine from Danwei Archived 2007-07-05 at the Wayback Machine . Retrieved 2007-07-22. Ghosh, Deepshikha, ed. (April 15, 2014). "Transgenders are the 'third gender', rules Supreme Court". NDTV. Archived from the original on April 15, 2014. Retrieved April 15, 2014. "Telangana assembly elections 2018: Chandramukhi eyes Goshamahal glory, ready for tryst with 1st transgender party". The Times of India . November 22, 2018. Archived from the original on November 22, 2018. Retrieved November 22, 2018. Glen, Fiona; Hurrell, Karen (2012). "Technical note: Measuring Gender Identity" (PDF). Equality and Human Rights Commission. Archived from the original (PDF) on 2 August 2019. Retrieved 30 May 2019. Government of Canada, Statistics Canada (July 20, 2020). "Sex at birth and gender: Technical report on changes for the 2021 Census". www12.statcan.gc.ca. Archived from the original on July 17, 2021. Retrieved September 27, 2021. Ghorayshi, Azeen (10 June 2022). "Report Reveals Sharp Rise in Transgender Young People in the U.S." The New York Times . Retrieved 18 November 2024. Herman, Jody L.; Flores, Andrew R.; O'Neill, Kathryn K. (June 2022). How Many Adults and Youth Identify as Transgender in the United States? (PDF) (Report). Williams Institute. p. 25. Retrieved 18 November 2024. Harris, Benjamin Cerf (2015). "Likely Transgender Individuals in U.S. Federal Administrative Records and the 2010 Census" (PDF). Census.gov. Archived (PDF) from the original on 2019-08-23. Retrieved 2019-08-23. Pauly, Ira B. (1968). "The Current Status of the Change of Sex Operation". The Journal of Nervous and Mental Disease. 147 (5): 460–471. doi:10.1097/00005053-196811000-00003. ISSN   0022-3018. PMID   5726920. S2CID   42050429. Miller, Claire Cain (June 8, 2015). "The Search for the Best Estimate of the Transgender Population". The New York Times. Archived from the original on February 24, 2017 – via NYTimes.com. thisisloyal.com, Loyal. "How Many People are Lesbian, Gay, Bisexual, and Transgender?" (PDF). Williams Institute. Archived from the original on April 25, 2015. Steinmetz, Katy (30 June 2016). "1.4 Million Americans Identify as Transgender, Study Finds". Time. Archived from the original on 30 June 2016. Retrieved 30 June 2016. "How Many Adults Identify as Transgender in the United States" (PDF). The Williams Institute. June 2016. Archived (PDF) from the original on 2016-07-18. Retrieved 2016-08-25. Crissman, Halley P.; Berger, Mitchell B.; Graham, Louis F.; Dalton, Vanessa K. (2016). "Transgender Demographics: A Household Probability Sample of US Adults, 2014". American Journal of Public Health. 107 (2): 213–215. doi:10.2105/AJPH.2016.303571. PMC   5227939 . PMID   27997239. FAAD, Marie Benz MD. "About 1 in 189 US Americans Identify as Transgender". Archived from the original on January 3, 2017. Fulton 1992, pp. 603–610. sfn error: no target: CITEREFFulton1992 (help) Parsons, Elsie Clews (1916). "The Zuñi Ła'mana". American Anthropologist . 18 (4): 521–8. doi:10.1525/aa.1916.18.4.02a00060. ISSN   1548-1433. JSTOR   660121. Of these 'men-women' .... Medicine, B. (2002) Directions in Gender Research in American Indian Societies: Two Spirits and Other Categories Archived 2003-03-30 at the Wayback Machine , taken from Online Readings in Psychology and Culture Center for Cross-Cultural Research, Unit 3, Chapter 2, Western Washington University. Parker, H. N. (2001). "The Myth of the Heterosexual: Anthropology and Sexuality for Classicists". Arethusa. 34 (3): 313–362. doi:10.1353/are.2001.0016. S2CID   161526282. Stephen, Lynn (2002). "Sexualities and Genders in Zapotec Oaxaca". Latin American Perspectives. 29 (2): 41–59. doi:10.1177/0094582x0202900203. ISSN   0094-582X. JSTOR   3185126. S2CID   145808692. Kulick, Don (1998). Travesti : Sex, Gender, and Culture among Brazilian Transgendered Prostitutes. Chicago: University of Chicago Press. ISBN   0-226-46099-1. OCLC   38842085. Archived from the original on 2009-05-16. Retrieved 2021-09-27. Schulman, Michael. "A nova geração gay nas universidades dos EUA - 17/02/2013". Folha de S.Paulo (in Brazilian Portuguese). Archived from the original on February 22, 2014. João W. Nery: Viagem solitária: Memórias de um transexual 30 anos depois; São Paulo: Leya, 2012, p. 293.(in Portuguese) "2023 Census shows 1 in 20 adults belong to Aotearoa New Zealand's LGBTIQ+ population (corrected) | Stats NZ". www.stats.govt.nz. Retrieved 2024-10-13. "Coming Out as Transgender And/OR Nonbinary". www.plannedparenthood.org. Archived from the original on 2024-12-10. Retrieved 2024-12-19. "Out definition and meaning | Collins English Dictionary". www.collinsdictionary.com. Archived from the original on 2021-05-07. Retrieved 2024-12-19. Brumbaugh-Johnson, Stacey M.; Hull, Kathleen E. (2019-07-03). "Coming Out as Transgender: Navigating the Social Implications of a Transgender Identity". Journal of Homosexuality. 66 (8) (published July 27, 2018): 1148–1177. doi:10.1080/00918369.2018.1493253. ISSN   0091-8369. "Transgender Children & Youth: Understanding the Basics". HRC. Retrieved 2024-12-19. Marciano, A. (2014). "Living the VirtuReal: Negotiating transgender identity in cyberspace". Journal of Computer-Mediated Communication. 19 (4): 824–838. doi:10.1111/jcc4.12081. S2CID   206022665. Steinmetz, K. (May 28, 2014). "The transgender tipping point". Time. Archived from the original on 2017-08-13. Retrieved August 13, 2017. Snow, N. (May 8, 2015). "Laverne Cox: 'Time' magazine's 'transgender tipping point' cover girl" . Huffington Post. Archived from the original on 2017-05-20. Retrieved August 13, 2017. Townsend, M. (November 3, 2016). "GLAAD's 'Where We Are on TV' report finds progress in LGBTQ representation on TV, but much work still to be done". GLAAD. Archived from the original on 2017-08-16. Retrieved August 13, 2017. "Trans March on Friday". Jun 21, 2006. Archived from the original on 10 July 2020. Retrieved 10 July 2020. "Transgender and Intersex Community Marks 20 Years of Marching in Paris (Video)". www.advocate.com. 2016-10-19. Archived from the original on 2020-08-08. Retrieved 10 June 2020. Paul, Gallant (June 18, 2009). "Trans march 'overdue'". Toronto Star. Archived from the original on 10 July 2020. Retrieved 11 June 2020. "London's first Trans Pride support 'overwhelming'". BBC . 14 September 2019. Archived from the original on 9 March 2022. Retrieved 11 June 2020. "Model: Why I came out as transgender". KSPR News. 31 March 2014. Archived from the original on 3 April 2014. Retrieved 31 March 2014. "A time to celebrate". The Hamilton Spectator. 27 March 2014. Archived from the original on 3 April 2014. Retrieved 31 March 2014. Carreras, Jessica. "Transgender Day of Visibility plans erupt locally, nationwide". PrideSource. Archived from the original on March 27, 2013. Retrieved April 3, 2013. "About TDOR at Transgender Day of Remembrance". Transgenderdor.org. 1998-11-28. Archived from the original on 2011-07-23. Retrieved 2011-07-06. "Transgender Awareness Week". GLAAD. Archived from the original on 3 April 2019. Retrieved 3 April 2019. W., M. L. (2018-10-13). "Trans et intersexes mobilisés contre les interventions chirurgicales non consenties". leparisien.fr (in French). AFP. Retrieved 2023-12-15. Allday 2023. "Trans visibility through literature". USC Annenberg Media . 2023-06-21. Retrieved 2023-12-15. "Trans people have never been so visible — or so vulnerable". Washington Post. 2023-04-13. Retrieved 2023-12-15. "I'm Scared to Be a Woman". Human Rights Watch. 24 September 2014. Archived from the original on 6 September 2015. Retrieved 8 September 2015. a 22-year-old transgender woman sports a tattoo of a butterfly – a transgender symbol signifying transformation Sperry, Len (2016). Mental health and mental disorders : an encyclopedia of conditions, treatments, and well-being. Santa Barbara, California: Greenwood. p. 1150. ISBN   9781440803826. OCLC   915943054. "Symbols". glbtq.com. Archived from the original on August 4, 2008. Petronzio 2014. Sources Secondary scholarly sources Bevan, Dana J. (17 November 2014). The Psychobiology of Transsexualism and Transgenderism. Santa Barbara, California: ABC-Clio/Greenwood Publishing. p. 42. ISBN   9781440831270. OCLC   1021404840. Archived from the original on 15 May 2022. Retrieved 14 May 2022. Bouman, Walter Pierre (8 January 2020). "Sumamus exordio: International Journal of Transgender Health". International Journal of Transgender Health. 21 (1): 1–2. doi:10.1080/15532739.2020.1709316. PMC   7430473 . PMID   33015654. Bradford, Judith; Reisner, Sari L.; Honnold, Julie A.; Xavier, Jessica (2013). "Experiences of Transgender-Related Discrimination and Implications for Health: Results From the Virginia Transgender Health Initiative Study". American Journal of Public Health. 103 (10): 1820–1829. doi:10.2105/AJPH.2012.300796. PMC   3780721 . PMID   23153142. Committee on Health Care for Underserved Women (2011). "Committee Opinion No. 512". Obstetrics & Gynecology. 118 (6): 1454–1458. doi: 10.1097/AOG.0b013e31823ed1c1 . PMID   22105293. Currah, Paisley (2006). "Gender Pluralisms Under the Transgender Umbrella". In Currah, Paisley; Juang, Richard M.; Minter, Shannon (eds.). Transgender rights. Minneapolis: University of Minnesota Press. ISBN   0-8166-4311-3. OCLC   68221085. Dame-Griff, Avery (2023). The Two Revolutions: A History of the Transgender Internet. NYU Press. pp. 9, 22. ISBN   9781479818341. Danker, Sara; Narayan, Sasha K.; Bluebond-Langner, Rachel; Schechter, Loren S.; Berli, Jens U. (August 2018). "A Survey Study of Surgeons' Experience with Regret and/or Reversal of Gender-Confirmation Surgeries". Plastic and Reconstructive Surgery – Global Open. 6 (9 Suppl): 189. doi: 10.1097/01.GOX.0000547077.23299.00 . ISSN   2169-7574. PMC   6212091 . Dhejne, Cecilia; Öberg, Katarina; Arver, Stefan; Landén, Mikael (November 2014). "An Analysis of All Applications for Sex Reassignment Surgery in Sweden, 1960–2010: Prevalence, Incidence, and Regrets". Archives of Sexual Behavior . 43 (8): 1535–45. doi:10.1007/s10508-014-0300-8. PMID   24872188. S2CID   24755434. Docter, Richard F.; Prince, Virginia (1997). "Transvestism: A survey of 1032 cross-dressers". Archives of Sexual Behavior. 26 (6): 589–605. doi:10.1023/a:1024572209266. PMID   9415796. S2CID   43816859. Ekins, Richard; King, Dave (1999). "Towards a Sociology of Transgendered Bodies". The Sociological Review. 47 (3): 580–602. doi:10.1111/1467-954X.00185. S2CID   144738527. Ekins, Richard; King, Dave (2006). The Transgender Phenomenon. Sage. pp. 13–14. ISBN   978-0-7619-7163-4. Fulton, Robert; Anderson, Steven W. (1992). "The Amerindian "Man-Woman": Gender, Liminality, and Cultural Continuity". Current Anthropology . 33 (5): 603–610. doi:10.1086/204124. ISSN   1537-5382. JSTOR   2743927. S2CID   145077361. Gamson, Joshua (1995). "Must Identity Movements Self-Destruct? A Queer Dilemma". Social Problems. 42 (3): 390–407. doi:10.2307/3096854. ISSN   0037-7791. JSTOR   3096854. Archived from the original on 2023-05-19. Retrieved 2023-05-19. Gazzaniga, Michael S. (2018). "Human Development". Psychological Science (6th ed.). W. W. Norton. ISBN   978-0-393-64040-3. OCLC   992709311. Hirschfeld, Magnus (1923). "Die Intersexuelle Konstitution" [The Intersexual Constitution]. Jahrbuch für sexuelle Zwischenstufen[Yearbook for Intermediate Sexual Types] (in German). Johnson, Austin H.; Hill, Ivy; Beach-Ferrara, Jasmine; Rogers, Baker A.; Bradford, Andrew (2019-12-11). "Common barriers to healthcare for transgender people in the U.S. Southeast". International Journal of Transgender Health. 21 (1): 70–78. doi:10.1080/15532739.2019.1700203. ISSN   2689-5269. PMC   7430435 . PMID   33015660. Klein, David A.; Paradise, Scott L.; Goodwin, Emily T. (2018-12-01). "Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know". American Family Physician. 98 (11): 645–653. PMID   30485050. Lamm, Marnie; Eckstein, Barbara (19 November 2015). "Lesbian, Bisexual, and Transgender Health". In Maizes, Victoria; Low Dog, Tieraona (eds.). Integrative Women's Health. Oxford University Press. ISBN   978-0190214807. Lombardi, Emilia L.; Wilchins, Riki Anne; Priesing, Dana; Malouf, Diana (October 2008). "Gender Violence: Transgender Experiences with Violence and Discrimination". Journal of Homosexuality. 42 (1): 89–101. doi:10.1300/J082v42n01_05. PMID   11991568. S2CID   34886642. Mallon, Gerald P. (1998). "Appendix: Definitions of Key Terms". In Gerald P. Mallon (ed.). Foundations of Social Work Practice with Lesbian and Gay Persons. Harrington Park Press. ISBN   1-56023-101-7. LCCN   97-13382. OCLC   37361633. Marchiano, Lisa (6 Oct 2017). "Outbreak: On Transgender Teens and Psychic Epidemics". Psychological Perspectives. 60 (3): 345–366. doi: 10.1080/00332925.2017.1350804 . Mills, Robert (2015). Seeing Sodomy in the Middle Ages. The University of Chicago Press. ISBN   9780226169262. Oliven, John F. (1965). Sexual Hygiene and Pathology: A Manual for the Physician and the Professions (2nd ed.). Lippincott. Retrieved 2020-08-22. Petersen, Jennifer; Hyde, Janet Shibley (12 March 2010). "Gender Differences in Sexuality". In Chrisler, Joan C.; McCreary, Donald R. (eds.). Handbook of Gender Research in Psychology, Volume 1. New York; London: Springer Publishing. ISBN   9781441914651. OCLC   647897357 . Retrieved 14 May 2022. Polly, Ryan; Nicole, Julie (March 2011). "Understanding transsexual patients: culturally sensitive care in emergency nursing practice". Advanced Emergency Nursing Journal . 33 (1): 55–64. doi:10.1097/TME.0b013e3182080ef4. ISSN   1931-4485. PMID   21317698. S2CID   2481961. Archived from the original on 2022-03-11. Retrieved 2022-05-14. Rawson, K. J.; Williams, Cristan (2014). "Transgender*: The Rhetorical Landscape of a term". Present Tense: A Journal of Rhetoric in Society. 3 (2). Archived from the original on 2017-05-15. Retrieved 2017-05-18. Reisner, S. L.; Conron, K.; Scout, N.; Mimiaga, M. J.; Haneuse, S.; Austin, S. B. (13 March 2014). "Comparing In-Person and Online Survey Respondents in the U.S. National Transgender Discrimination Survey: Implications for Transgender Health Research". LGBT Health . 1 (2): 98–106. doi:10.1089/lgbt.2013.0018. PMID   26789619. Archived from the original on 23 October 2021. Retrieved 14 May 2022. Stryker, Susan (2008a). Transgender History. Berkeley, CA: Seal Press. ISBN   978-1-58005-690-8. OCLC   1162214303. Stryker, Susan (1 January 2008b). "Transgender History, Homonormativity, and Disciplinarity". Radical History Review. 2008 (100): 145–157. doi:10.1215/01636545-2007-026. Archived from the original on 4 April 2023. Retrieved 4 April 2023. Towle, Evan B.; Morgan, Lynn M. (18 October 2013). "Romancing the Transgender Narrative: Rethinking the Use of the 'Third Gender' Concept". In Stryker, Susan; Whittle, Stephen (eds.). The Transgender Studies Reader. New York: Routledge; Hoboken: Taylor & Francis. ISBN   978-1135398842. OCLC   1120816658 . Retrieved 2024-09-24. Travers, Robb; Bauer, Greta; Pyne, Jake; Bradley, Kaitlin; Gale, Lorraine; Papadimitriou, Maria (2 October 2012). "Impacts of Strong Parental Support for Trans Youth" (PDF). TransPulse Canada. Archived (PDF) from the original on 16 June 2023. Retrieved 7 June 2023. Whittle, Stephen (2002). Respect and Equality: Transsexual and Transgender Rights. London Portland, OR: Cavendish Pub. ISBN   978-1-85941-743-0. OCLC   810082841. Zucker, Kenneth J. (2019). "Adolescents with Gender Dysphoria: Reflections on Some Contemporary Clinical and Research Issues". Archives of Sexual Behavior . 48 (7): 1983–1992. doi:10.1007/s10508-019-01518-8. PMID   31321594. S2CID   197663705. Reference works "A glossary: Defining transgender terms". American Psychological Association. 49 (8): 32. September 2018. Archived from the original on 2023-07-12. Retrieved 2023-07-24. "Answers to your questions about transgender people". American Psychological Association. 2024-07-08 [2023-03-09]. Archived from the original on 15 September 2024. Retrieved 2024-09-24. "Transgender". Encyclopædia Britannica . 2024-09-18. Archived from the original on 2024-09-23. Retrieved 2024-09-24. Franklin, Kolbe (2014). "Transgender Lifestyles". In Forsyth, Craig J.; Copes, Heith (eds.). Encyclopedia of Social Deviance. SAGE Publications. ISBN   978-1483364698. "Glossary of Terms: Transgender". GLAAD Media Reference Guide (11th ed.). GLAAD. n.d. Archived from the original on 2024-09-23. Retrieved 23 September 2024. Martin, Katherine (June 2015). "New words notes June 2015". Oxford English Dictionary. Oxford University Press. Archived from the original on 14 August 2015. Retrieved 2 August 2015. Petronzio, Matt (June 13, 2014). "A Storied Glossary of Iconic LGBT Flags and Symbols". Mashable . Archived from the original on April 3, 2019. Retrieved April 3, 2019. "transgender". Merriam-Webster Dictionary . n.d. Archived from the original on 13 April 2017. News coverage Allday, Erin (2023-06-24). "S.F. Trans March draws thousands of participants". San Francisco Chronicle. Retrieved 2023-12-15. "Trans adults in Florida 'blindsided' that new law also limits their access to health care". NBC News . Associated Press. 2023-06-05. Retrieved 2024-09-25. Blakemore, Erin (2022-06-24). "How historians are documenting the lives of transgender people". National Geographic. Retrieved 2024-01-14. Blank, Paula (2014-09-24). "Will the Word "Cisgender" Ever Go Mainstream?". The Atlantic. Archived from the original on 2018-05-13. Retrieved 2021-08-14. "Nenshi proclaims Trans Day of Visibility". Canadian Broadcasting Corporation. Archived from the original on April 4, 2013. Retrieved April 4, 2013. Clark-Flory, Tracy (15 June 2015). "Detransitioning: Going From Male To Female To Male Again". Vocativ . Archived from the original on 31 August 2017. Retrieved 1 September 2017. Easton, Rob (27 April 2022). "'Historic' census data sheds light on number of trans and non-binary people for the first time". CBC.ca . Archived from the original on 27 April 2022. Retrieved 29 May 2022. Garloch, Karen (9 May 2016). "What it means to be transgender: Answers to 5 key questions". Charlotte Observer. Archived from the original on 20 December 2016. Retrieved 18 December 2016. M.H. (Sep 1, 2017). "Why transgender people are being sterilised in some European countries" . The Economist. Archived from the original on 2018-03-22. Retrieved 2022-05-22. Myers, Alex (14 May 2018). "Trans Terminology Seems Like It's Changing All the Time. And That's a Good Thing". Slate Magazine. Archived from the original on 15 May 2018. Retrieved 15 May 2018. Rayner, Claire (2 June 1979). "Crossing Over". Radio Times . BBC Radio 4 (published 6 June 1979). Archived from the original on 7 June 2023. Retrieved 6 June 2023. Simon, Ray (2017). "Stirring up the origin of the 'alphabet soup'". Erie Gay News . Archived from the original on 11 November 2021. Sudborough, Susannah (2022-06-22). "Rita Hester's murder and legacy are important to Boston, so she's getting a mural in Allston". Boston.com . Archived from the original on 2023-05-30. Retrieved 2023-10-15. Other "Transgender Rights". American Civil Liberties Union. Archived from the original on 2023-05-20. Retrieved 2023-05-20. "Lesbian, Gay, Bisexual, and Transgender Health: Transgender Persons". CDC. U.S. Department of Health and Human Services. September 29, 2020. Archived from the original on 18 February 2021. Retrieved 21 November 2020. Cleveland Clinic (November 8, 2022). "AFAB and AMAB: What the Sex You're Assigned at Birth Means for Your Health". Cleveland Clinic. Retrieved September 27, 2024. Dallara, Angela (February 4, 2011). "Groundbreaking Report Reflects Persistent Discrimination Against Transgender Community". GLAAD blog. Gay and Lesbian Alliance Against Defamation. Archived from the original on August 3, 2011. Retrieved December 14, 2021. Ford, Zack (August 27, 2014). "Transgender Pride Flag Designer Applauds Smithsonian LGBT Artifacts Collection". ThinkProgress. United States of America. Archived from the original on November 17, 2015. Retrieved December 4, 2015. Flores, Andrew R.; Conron, Kerith J. "How Many People are Lesbian, Gay, Bisexual, and Transgender?". Williams Institute. Archived (PDF) from the original on 2015-04-25. Retrieved 2023-05-19. Factsheet: Trans People in the UK (PDF) (Report). Government Equalities Office. 3 July 2018. ISBN   9781786556738. Archived (PDF) from the original on 8 April 2022. Retrieved 29 May 2022. "Online Anti-LGBTQ Hate Terms Defined: "Transgenderism"". GLAAD . 2 November 2023. Retrieved 9 March 2024. "First International Conference on Transgender Law and Employment Policy (1992)". organizational pamphlet. ICTLEP. 1992. Archived from the original on 30 March 2012. Retrieved 28 May 2012. James, Sandy E.; Herman, Jody L.; Rankin, Susan; Keisling, Mara; Mottet, Lisa; Anafi, Ma'ayan (2016). "De-Transitioning" (PDF). The Report of the 2015 U.S. Transgender Survey (Report). Washington, DC: National Center for Transgender Equality. Archived (PDF) from the original on 2018-01-21. Retrieved 2019-03-18. Peo, Roger E (1984). "The 'Origins' and 'Cures' for Transgender Behavior". The TV-TS Tapestry. Archived from the original on 7 April 2012. Retrieved 28 May 2012. Prince, Virginia (1969). "Change of Sex or Gender". Transvestia. IX (60). Chevalier Publications: 65. Archived from the original on December 28, 2021. Retro Report (2015-06-15). "Transforming History". Retro Report. Archived from the original on 10 July 2015. Retrieved 15 July 2015. Trevor Project. "Guiding Principles". Archived from the original on 2023-05-14. Retrieved 2023-05-20. "Counting Trans Populations". Division of Prevention Science. University of California, San Francisco. Archived from the original on 2022-05-13. Retrieved 2022-05-22. Further reading Bettcher, Talia Mae; Lombardi, Emilia (2005). "Lesbian, Gay, Bisexual, and Transgender/Transsexual Individuals". In Levy, Barry; Sidel, Victor (eds.). Social Injustice and Public Health. Oxford University Press. Sellers, Mitchell D. (2011). "Discrimination and the Transgender Population: A Description of Local Government Policies that Protect Gender Identity or Expression". Applied Research Projects. Texas State University-San Marcos. Archived from the original on 2012-03-11. Thanem, Torkild; Wallenberg, Louise (2016). "Just doing gender? Transvestism and the power of underdoing gender in everyday life and work". Organization. 23 (2): 250–271. doi:10.1177/1350508414547559. S2CID   144150015. Lerario, Z Paige, "Voice Training for Transgender People: Speech therapy and language strategies can help save lives", Scientific American , vol. 328, no. 1 (January 2023), p. 55. "Voice training is less costly and invasive than a throat operation... Through sessions with a licensed speech-language pathologist, transgender people learn to control pitch, resonance, word choice and other vocal behaviors.... Such training can improve quality of life, reduce voice-related disability and boost self-confidence." This page is based on this Wikipedia article Text is available under the CC BY-SA 4.0 license; additional terms may apply. Images, videos and audio are available under their respective licenses.