Transgender Explained

Transgender
Classification:Gender identity
Abbreviations:TG, trans

A transgender person (often shortened to trans person) is someone whose gender identity differs from that typically associated with the sex they were assigned at birth.[1] Some transgender people who desire medical assistance to transition from one sex to another identify as transsexual.[2] [3] Transgender is also an umbrella term; in addition to including people whose gender identity is the opposite of their assigned sex (trans men and trans women), it may also include people who are non-binary or genderqueer.[4] [5] Other definitions of transgender also include people who belong to a third gender, or else conceptualize transgender people as a third gender.[6] [7] The term may also include cross-dressers or drag kings and drag queens in some contexts.[8] The term transgender does not have a universally accepted definition, including among researchers.[9]

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.[10] The opposite of transgender is cisgender, which describes persons whose gender identity matches their assigned sex.[11] Accurate statistics on the number of transgender people vary widely,[12] in part due to different definitions of what constitutes being transgender. Some countries, such as Canada, collect census data on transgender people.[13] Generally, fewer than 1% of the worldwide population are transgender, with figures ranging from <0.1% to 0.6%.[14] [15] [16]

Many transgender people experience gender dysphoria, and some seek medical treatments such as hormone replacement therapy, gender-affirming surgery, or psychotherapy.[17] Not all transgender people desire these treatments, and some cannot undergo them for financial or medical reasons.[17] [18]

The legal status of transgender people varies by jurisdiction. Many transgender people experience transphobia, or violence or discrimination towards transgender people, in the workplace,[19] in accessing public accommodations,[20] and in healthcare.[21] In many places, they are not legally protected from discrimination.[22] Several cultural events are held to celebrate the awareness of transgender people, including Transgender Day of Remembrance and International Transgender Day of Visibility, and the transgender flag is a common transgender pride symbol.

Terminology

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.[23] Imported from the German and ultimately modeled after German Transsexualismus (coined in 1923),[24] the English term transsexual has enjoyed international acceptability, though transgender has been increasingly preferred over transsexual.[25] The word transgender acquired its modern umbrella term meaning in the 1990s.[26] [27]

Transgender

Although the term "transgenderism" was once considered acceptable, it has come to be viewed as pejorative, according to GLAAD.[28] [29] Psychiatrist John F. Oliven of Columbia University used the term transgenderism in his 1965 reference work Sexual Hygiene and Pathology,[30] [31] [32] 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."[33] [34] The term transgender was then popularized with varying definitions by transgender, transsexual, and transvestite people, including Christine Jorgensen[35] and Virginia Prince,[2] who used transgenderal[36] in the December 1969 issue of Transvestia, a national magazine for cross-dressers she founded.[37] By the mid-1970s both trans-gender and trans people were in use as umbrella terms,[38] while transgenderist and transgenderal were used to refer to people who wanted to live their lives as cross-gendered individuals without gender-affirming surgery.[39] Transgenderist was sometimes abbreviated as TG in educational and community resources; this abbreviation developed by the 1980s.[40] [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 Elkins established the "Trans-Gender Archive" at the University of Ulster. 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]

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.[47] 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.

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.[48] [49] [50] [51] 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.[52]

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. refers to a person, binary or non-binary, who was assigned female at birth who has a predominantly masculine gender identity or presentation.[53]

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.[54] Organizations such as GLAAD and The Guardian also state that transgender should never be used as a noun (e.g., "Max is transgender" or "Max is a transgender man", not "Max is a transgender").[55] [56] "Transgender" is also a noun for the broader topic of transgender identity and experience.[57]

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.[58] [59]

Transsexual

Inspired by Magnus Hirschfeld's 1923 term seelischer Transsexualismus, the term transsexual was introduced to English in 1949 by David Oliver Cauldwell[60] and popularized by Harry Benjamin in 1966, around the same time transgender was coined and began to be popularized. Since the 1990s, transsexual has generally been used to refer to the subset of transgender people[61] [62] 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.[63] [64] 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.[65] Many transgender people reject the term transsexual.[3] [66] 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."[67] [68] Some have objected to the term transsexual on the basis that it describes a condition related to gender identity rather than sexuality.[69] [70] Some transsexual people object to being included in the transgender umbrella.[71] [72] [73]

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. Leslie Feinberg likewise asserts that transgender is not a self-identifier (for some people) but a category imposed by observers to understand other people. 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.

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.[74] Contemporary views on gender identity and classification differ markedly from Harry Benjamin's original opinions.[75] 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.[76]

Sexual orientation

See main article: Transgender sexuality.

Gender, gender identity, and being transgender are distinct concepts from sexual orientation.[77] 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. Many trans people describe their sexual orientation as queer, in addition to or instead of, other terms.[78]

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.[87] 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.[88] A 2009 study in Spain found that 90% of trans women patients reported being androphilic and 94% of trans men patients reported being gynephilic.[89]

Related identities and practices

Non-binary identity

See main article: 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,[90] and exist outside of cisnormativity.[91] [92] 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).[93] Non-binary gender identities are independent of sexual orientation.[94] [95]

Transvestism and cross-dressing

See 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.[96] [97] The term transvestite is used as a synonym for the term cross-dresser,[98] [99] although cross-dresser is generally considered the preferred term.[100] 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."[101] 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."[102] 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.[103]

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.[104] [105] 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) and F65.1 in the ICD.

Drag

See also: Faux queen. 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.[106] 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 LGBT 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.[107] [108] 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

See main article: Transgender history. 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.[109]

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.[110] [111] [112] [113] [114]

Worldwide, a number of societies have had traditional third gender roles, some of which continue in some form into the present day.[115]

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 1500s1700s. 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.[116] The most complete account of the time came from the life of the Chevalier d'Éon (17281810), 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.[117]

William A. Hammond wrote an 1882 account of transgender Pueblo "shamans" (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.

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.[118] 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.[119]

Healthcare

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.[120] Research on gender identity with regard to psychology, and scientific understanding of the phenomenon and its related issues, is relatively new.[121] 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.[122]

France removed gender identity disorder as a diagnosis by decree in 2010,[123] [124] but according to French trans rights organizations, beyond the impact of the announcement itself, nothing changed.[125] 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.[126]

Transgender people may meet the criteria for a diagnosis of gender dysphoria "only if [being transgender] causes distress or disability."[127] 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.

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.[128] Many mental healthcare providers know little about transgender issues. Those who seek help from these professionals often educate the professional without receiving help. 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.[129]

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.[130] 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.[131]

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!" 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. Rarely, some choose to detransition.[132]

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 therapistsMaster's degree, PhD levelthey'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." 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. 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.[133] In February 2010, France became the first country in the world to remove transgender identity from the list of mental diseases.[134] [135]

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.[136] 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.[137] However, a 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.[138]

Suicidal thoughts and attempts by gender affirmation milestones
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.[139]

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.[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

See 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.[132] [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." 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]

Legality

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.[151] 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.[152] In many places, transgender people are not legally protected from discrimination in the workplace or in public accommodations.[22] A report released in February 2011 found that 90% of transgender people faced discrimination at work and were unemployed at double the rate of the general population,[20] and over half had been harassed or turned away when attempting to access public services.[20] Members of the transgender community also encounter high levels of discrimination in health care.[153]

Europe

36 countries in Europe require a mental health diagnosis for legal gender recognition and 20 countries require sterilisation.[154] In April 2017, the European Court of Human Rights ruled that requiring sterilisation for legal gender recognition violates human rights.[155]

Canada

See 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.[156] [157] [158] 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.[159]

United States

See 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.[160] 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.[161]

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,[162] but Maines won her lawsuit against the Orono school district in January 2014 before the Maine Supreme Judicial Court.[163] 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.[164]

On June 30, 2016, the United States Department of Defense removed the ban that prohibited transgender people from openly serving in the US military.[165] 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.[166] 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."[167] Joe Biden later reversed Trump's policy when he became president in 2021.[168] [169]

India

In April 2014, the Supreme Court of India declared transgender to be a 'third gender' in Indian law.[170] [171] [172] The transgender community in India (made up of Hijras and others) has a long history in India and in Hindu mythology.[173] [174] 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".[175] 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.[176]

Sociocultural relationships

LGBT community

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.[177]

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.[178] Transgender individuals have been part of various LGBT movements throughout history, with significant contributions dating back to the early days of the gay liberation movement.[179]

The LGBT 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.[180] Due to the many different groups that make up the broader LGBT movement, there are those within the larger community who do not believe that the trans community has a place within the LGBT space.[181]

Religion

See main article: Transgender people and religion. The Vatican’s doctrine department has issued a recent ruling that allows Catholic baptism for transgender individuals and infants born to same-sex couples. Dated October 31, 2023, these new regulations stem from questions submitted by Brazilian bishop Giuseppe Negri to the dicastery for the Doctrine of the Faith (DDF). The responses, addressing specific sacraments, were published on the Vatican’s website in Italy. Concerning transgender individuals, the document states that they can undergo baptism like any other adult, as long as there is no potential for causing scandal or disorientation among other Catholics.

If children identifying as transgender are adequately prepared and willing, they can receive baptism, according to the document. Additionally, it mentions that transgender individuals, including those who have undergone gender reassignment, can serve as godparents and witnesses in Catholic weddings under appropriate conditions. The document also allows the baptism of children from same-sex couples, provided there is a well-founded hope that they will receive Catholic religious education.The document emphasizes that individuals in same-sex relationships are regarded as committing a sin, and baptism is conditional upon repentance for such actions. Several sermons by Pope Francis are referenced in the document to support this ruling.[182]

The Church of England passed a motion at the 2017 General Synod, which would ensure Anglican churches accepted transgender people, even suggesting on their website that transgender people could be gifted a Bible with their new name inscribed to support them.[183]

Feminism

See main article: 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.[184] [185] 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.[186] By the emergence of third-wave feminism (around 1990), opinions had shifted to being more inclusive of both trans and gay identities.[187] [188] 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.[189] [187] [190] Feminists who do not accept that trans women are women have been labeled "trans-exclusionary radical feminists" (TERFs) or gender-critical feminists by opponents.[191] [192]

Discrimination and support

Transgender individuals experience significant rates of employment discrimination. Approximately 90% of trans people have encountered some form of harassment or mistreatment in their workplace. According to a 2011 study, 47% of transgender respondents 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.[193]

Studies in several cultures have found that cisgender women are more likely to be accepting of trans people than cisgender men.[194] [195] [196] [197]

The start of the twenty-first century saw the rise in transgender activism and with it an increase in support.[179] 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.[198] The American Civil Liberties Unions (ACLU) is another group that fights legal battles in support of many different groups including those in the trans community.[199]

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.[200] 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.[201]

Population figures and prevalence

Little is known about the prevalence of transgender people in the general population and reported prevalence estimates are greatly affected by variabledefinitions of transgender.[202] 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.[202] 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.[202] 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.[203]

Asia

In Thailand and Laos,[204] the term kathoey is used to refer to male-to-female transgender people[205] and effeminate gay men.[206] However, many transgender people in Thailand do not identify as kathoey.[207] Transgender people have also been documented in Iran,[208] Japan,[209] Nepal,[210] Indonesia,[211] Vietnam,[212] South Korea,[213] Jordan,[214] Singapore,[215] and the greater Chinese region, including Hong Kong,[216] [217] Taiwan,[218] and the People's Republic of China.[219] [220]

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."[221] In 1998, Shabnam Mausi became the first transgender person to be elected in India, in the central Indian state of Madhya Pradesh.[222]

Europe

According to Amnesty International, 1.5 million transgender people lived in the European Union, making up 0.3% of the population.[223] 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).[224] In the England and Wales section of the 2021 United Kingdom census, 0.5% of respondents aged 16 and over indicated that their gender identity was different from their sex assigned at birth.[225]

North America

The 2021 Canadian census released by Statistics Canada found that 59,460 Canadians (0.19% of the population) identified as transgender.[226] 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.[227]

The Social Security Administration has tracked the sex of United States citizens since 1936.[228] 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.[229] One effort to quantify the modern population in 2011 gave a "rough estimate" that 0.3% of adults in the US are transgender.[230] [231] More recent studies released in 2016 estimate the proportion of Americans who identify as transgender at 0.5 to 0.6%. This would put the total number of transgender Americans at approximately 1.4 million adults .[232] [233] [234] [235]

In the United States and Canada, some Native American and First Nations cultures traditionally recognize the existence of more than two genders,[236] such as the Zuni male-bodied lhamana,[237] the Lakota male-bodied,[238] and the Mohave male-bodied alyhaa and female-bodied hwamee.[239] These traditional people, along with those from other North American Indigenous cultures, are sometimes part of the contemporary, pan-Indian two-spirit community. 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. In Mexico, the Zapotec culture includes a third gender in the form of the Muxe.[240] 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.[115]

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, who possess the same gender identity of people assigned female at birth.[241]

Other transgender identities are becoming more widely known, as a result of contact with other cultures of the Western world.[242] These newer identities, sometimes known under the umbrella use of the term "genderqueer", 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.[243]

Culture

Coming out

Transgender people vary greatly in choosing when, whether, and how to disclose their transgender status to family, close friends, and others. The prevalence of discrimination and violence against transgender persons can make coming out a risky decision. Fear of retaliatory behavior, such as being removed from the parental home while underage, is a cause for transgender people to not come out to their families until they have reached adulthood. Parental confusion and lack of acceptance of a transgender child may result in parents treating a newly revealed gender identity as a "phase" or making efforts to change their children back to "normal" by utilizing mental health services to alter the child's gender identity.[244]

The internet can play a significant role in the coming out process for transgender people. Some come out in an online identity first, providing an opportunity to go through experiences virtually and safely before risking social sanctions in the real world.[245]

Visibility

See main article: Transgender Awareness Week, International Transgender Day of Visibility and Transgender Day of Remembrance.

See also: Media portrayals of transgender people and Trans march. In 2014, the United States reached a "transgender tipping point", according to Time.[246] [247] 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.[248]

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.[249] [250] [251] [252] International Transgender Day of Visibility is an annual holiday occurring on March 31[253] [254] dedicated to celebrating transgender people and raising awareness of discrimination faced by transgender people worldwide. The holiday was founded by Michigan-based transgender activist[255] Rachel Crandall Crocker in 2009.[256]

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.[257] 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]

Pride symbols

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[264] Other transgender symbols include the butterfly (symbolizing transformation or metamorphosis)[265] and a pink/light blue yin and yang symbol.[266] Several gender symbols have been used to represent transgender people, including ⚥ and ⚧.[267] [268]

See also

Sources

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  • . 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. 2169-7574. 10.1097/01.GOX.0000547077.23299.00. free. 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. 10.1007/s10508-014-0300-8. 24872188. 24755434.
  • James . Sandy E. . Herman . Jody L. . Rankin . Susan . Sue Rankin . Keisling . Mara . Mara Keisling . Mottet . Lisa . Anafi . Ma'ayan . The Report of the 2015 U.S. Transgender Survey . National Center for Transgender Equality#U.S. Transgender Survey (2015) . 2016 . . Washington, DC . De-Transitioning . https://transequality.org/sites/default/files/docs/usts/USTS-Full-Report-Dec17.pdf#page=115 . 2019-03-18 . 2018-01-21 . https://web.archive.org/web/20180121184448/https://transequality.org/sites/default/files/docs/usts/USTS-Full-Report-Dec17.pdf#page=115 . live .
  • Marchiano. Lisa. Outbreak: On Transgender Teens and Psychic Epidemics. Psychological Perspectives. 60. 3. 345–366. 6 Oct 2017. 10.1080/00332925.2017.1350804. free.
  • Zucker. Kenneth J.. Kenneth Zucker. Adolescents with Gender Dysphoria: Reflections on Some Contemporary Clinical and Research Issues. Archives of Sexual Behavior. 48. 7. 1983–1992. 10.1007/s10508-019-01518-8. 31321594. 2019. 197663705.

Further reading

Notes and References

  1. September 2018 . A glossary: Defining transgender terms . American Psychological Association . 49 . 8 . 32 . 2023-07-24 . 2023-07-12 . https://web.archive.org/web/20230712061634/https://www.apa.org/monitor/2018/09/ce-corner-glossary . live .
  2. Book: Bevan, Dana J. . The Psychobiology of Transsexualism and Transgenderism . 17 November 2014 . . 9781440831270 . Santa Barbara, California . 42 . 1021404840 . 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. . 14 May 2022 . 15 May 2022 . https://web.archive.org/web/20220515150235/https://www.google.co.in/books/edition/The_Psychobiology_of_Transsexualism_and/gvk7BQAAQBAJ?hl=en&gbpv=1&dq=transsexual&pg=PA42 . live .
  3. Understanding transsexual patients: culturally sensitive care in emergency nursing practice. Ryan. Polly. Julie. Nicole. Advanced Emergency Nursing Journal. March 2011. 33 . 1 . 55–64 . 10.1097/TME.0b013e3182080ef4 . 21317698 . 2481961 . 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.. 2022-05-14. 2022-03-11. https://web.archive.org/web/20220311010934/https://pubmed.ncbi.nlm.nih.gov/21317698/. live . 1931-4485.
  4. Book: Forsyth . Craig J. . Encyclopedia of Social Deviance . Copes . Heith . . 2014 . 978-1483364698 . 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. . April 12, 2016 . https://web.archive.org/web/20161201105833/https://books.google.com/books?id=NAjmBQAAQBAJ&pg=PA740 . December 1, 2016 .
  5. Bilodeau . Brent . 21 October 2008 . Beyond the Gender Binary: A Case Study of Two Transgender Students at a Midwestern Research University . . . 3 . 1 . 29–44 . 10.1300/J367v03n01_05 . Yet Jordan and Nick represent a segment of transgender communities that have largely been overlooked in transgender and student development research – individuals who express a non-binary construction of gender. . 144070536 . 14 May 2022 . 8 March 2021 . https://web.archive.org/web/20210308061537/https://www.tandfonline.com/doi/abs/10.1300/J367v03n01_05 . live .
  6. Book: Stryker . Susan . The Transgender Studies Reader . Whittle . Stephen . Aizura . Aren Z. . 18 October 2013 . . 978-1135398842 . Susan Stryker . 666 . 1120816658 . The authors note that, increasingly, in social science literature, the term 'third gender' is being replaced by or conflated with the newer term 'transgender.' . Susan Stryker . Stephen Whittle . 14 May 2022 . 15 May 2022 . https://web.archive.org/web/20220515150259/https://www.google.co.in/books/edition/The_Transgender_Studies_Reader/SfqOAQAAQBAJ?hl=en&gbpv=1&dq=The+authors+note+that%2C+increasingly%2C+in+social+science+literature%2C+the+term+%27third+gender%27+is+being+replaced+by+or+conflated+with+the+newer+term+%27transgender&pg=PA666 . live .
  7. Book: Chrisler . Joan C. . https://www.google.co.in/books/edition/Handbook_of_Gender_Research_in_Psycholog/Xtq0M1f_aIMC?hl=en&amp;gbpv=1&amp;dq=Transgender%20is%20a%20broad%20term%20characterized%20by%20a%20challenge%20of%20traditional%20gender%20roles%20and%20gender%20identity%20[...%20For%20example,%20some%20cultures%20classify%20transgender%20individuals%20as%20a%20third%20gender,%20thereby%20treating%20this%20phenomenon%20as%20normative&pg=PA486 Handbook of Gender Research in Psychology, Volume 1 ]. McCreary . Donald R. . 12 March 2010 . . 9781441914651 . New York; London . 486 . 647897357 . 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. . 14 May 2022 . 15 May 2022 . https://web.archive.org/web/20220515150234/https://www.google.co.in/books/edition/Handbook_of_Gender_Research_in_Psycholog/Xtq0M1f_aIMC?hl=en&gbpv=1&dq=Transgender+is+a+broad+term+characterized+by+a+challenge+of+traditional+gender+roles+and+gender+identity+%5B...%5D+For+example%2C+some+cultures+classify+transgender+individuals+as+a+third+gender%2C+thereby+treating+this+phenomenon+as+normative&pg=PA486 . live .
  8. 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 . . 1 . 2 . 98–106 . 10.1089/lgbt.2013.0018 . 26789619 . 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… . 14 May 2022 . 23 October 2021 . https://web.archive.org/web/20211023070532/https://www.liebertpub.com/doi/10.1089/lgbt.2013.0018 . live .
  9. Web site: Transgender . 2022-06-14 . . en . 2022-06-14 . https://web.archive.org/web/20220614014223/https://www.britannica.com/topic/transgender . live .
  10. Web site: . September 29, 2020 . Lesbian, Gay, Bisexual, and Transgender Health: Transgender Persons . live . https://web.archive.org/web/20210218143833/https://www.cdc.gov/lgbthealth/transgender.htm . 18 February 2021 . 21 November 2020 . CDC . U.S. Department of Health and Human Services.
  11. Web site: Blank. Paula. 2014-09-24. Will the Word "Cisgender" Ever Go Mainstream?. 2021-08-14. The Atlantic. en. 2018-05-13. https://web.archive.org/web/20180513081542/https://www.theatlantic.com/entertainment/archive/2014/09/cisgenders-linguistic-uphill-battle/380342/. live.
  12. Factsheet: Trans People in the UK . 3 July 2018 . . 9781786556738 . 29 May 2022 . https://web.archive.org/web/20220408195457/https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/721642/GEO-LGBT-factsheet.pdf . 8 April 2022 . live.
  13. News: 'Historic' census data sheds light on number of trans and non-binary people for the first time . 27 April 2022 . Easton . Rob . . 29 May 2022 . 27 April 2022 . https://web.archive.org/web/20220427233104/https://www.cbc.ca/news/canada/calgary/census-data-trans-non-binary-statscan-1.6431928 . live .
  14. News: Why transgender people are being sterilised in some European countries. subscription . M.H. . Sep 1, 2017 . The Economist. 2022-05-22. 2018-03-22. https://web.archive.org/web/20180322125936/https://www.economist.com/blogs/economist-explains/2017/09/economist-explains. live.
  15. Web site: What Percentage of the Population is Transgender 2022. World Population Review . 2022-05-22. 2022-05-22. https://web.archive.org/web/20220522051801/https://worldpopulationreview.com/state-rankings/transgender-population-by-state. live.
  16. Web site: Counting Trans Populations . Division of Prevention Science . 2022-05-22. 2022-05-13. https://web.archive.org/web/20220513105623/https://prevention.ucsf.edu/transhealth/education/data-recs-summary. live.
  17. Book: Maizes . Victoria . Tieraona . Low Dog . Integrative Women's Health . 19 November 2015 . 978-0190214807 . 745 . . Many transgender people experience gender dysphoriadistress 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..
  18. Web site: 1 May 2009. Understanding Transgender People FAQ. live. https://web.archive.org/web/20160422081846/http://www.transequality.org/issues/resources/understanding-transgender-people-faq. 22 April 2016. 20 April 2016. National Center for Transgender Equality.
  19. Lombardi. Emilia L.. Anne Wilchins. Riki. Priesing. Dana. Malouf. Diana. October 2008. Gender Violence: Transgender Experiences with Violence and Discrimination. Journal of Homosexuality. 42. 1. 89–101. 10.1300/J082v42n01_05. 11991568. 34886642.
  20. Web site: Gay and Lesbian Alliance Against Defamation . Groundbreaking Report Reflects Persistent Discrimination Against Transgender Community . February 4, 2011 . December 14, 2021 . https://web.archive.org/web/20110803205502/http://glaadblog.org/2011/02/04/groundbreaking-report-reflects-persistent-discrimination-against-transgender-community/ . August 3, 2011.
  21. 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. 10.2105/AJPH.2012.300796. 3780721. 23153142.
  22. Book: Whittle, Stephen . Respect and equality : transsexual and transgender rights . Cavendish Pub . London Portland, OR . 2002 . 978-1-85941-743-0 . 810082841 .
  23. Polly . Nicole J . Understanding the transsexual patient: culturally sensitive care in emergency nursing practice . Advanced Emergency Nursing Journal. 2011 . 33 . 1 . 55–64 . 10.1097/TME.0b013e3182080ef4 . 21317698 . 2481961 .
  24. Book: Hirschfeld . Magnus . Jahrbuch für sexuelle Zwischenstufen. Yearbook for Intermediate Sexual Types. 1923 . de . Die Intersexuelle Konstitution. The Intersexual Constitution.
  25. Web site: Answers to your questions about transgender people . www.apa.org . American Psychological Association . 21 September 2022 . https://web.archive.org/web/20220915222212/https://www.apa.org/topics/lgbtq/transgender . 15 September 2022 . 2014 . According to the APA Style guide, the term “transsexual” is largely outdated... . live.
  26. Book: Mills, Robert . Seeing Sodomy in the Middle Ages . The University of Chicago Press . 2015 . 9780226169262 . 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..
  27. Book: Transgender rights . 2006 . University of Minnesota Press . Phyllis Randolph Frye, Paisley Currah, Richard M. Juang, Shannon Minter . 0-8166-4311-3 . Minneapolis . 68221085 . 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. . 2023-01-17 . https://web.archive.org/web/20200612145347/https://www.worldcat.org/oclc/68221085 . 2020-06-12 . live.
  28. Web site: 2022-02-22 . GLAAD Media Reference Guide - Transgender Terms . 2022-07-28 . GLAAD . en . 2023-09-28 . https://web.archive.org/web/20230928192510/https://glaad.org/reference/trans-terms/ . live .
  29. Web site: Online Anti-LGBTQ Hate Terms Defined: "Transgenderism". GLAAD. 2 November 2023 . 9 March 2024.
  30. Thomas E. Bevan, The Psychobiology of Transsexualism and Transgenderism (2014,, pages 42, 61: "The term transsexual was introduced by Cauldwell (1949) and popularized by Harry Benjamin (1966) [...]. The term transgender was coined by John Oliven (1965) and was popularized by various transgender people who pioneered the concept and practice of transgenderism....Oliven, J. (1965, June). Transgenderism = transsexualism. Sexual Hygiene and Pathology, 514.
  31. Web site: 2017. Simon. Ray. Stirring up the origin of the 'alphabet soup'. https://web.archive.org/web/20211111041638/https://www.eriegaynews.com/news/article.php?recordid=201711lgbtalphabetsouporigin. 11 November 2021. Erie Gay News. "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.""
  32. Book: Oliven, John F.. Sexual hygiene and pathology: a manual for the physician and the professions. 1965. Lippincott. en. 2020-08-22. 2020-10-02. https://web.archive.org/web/20201002153115/https://books.google.com/books?id=gw4-AQAAIAAJ. live.
  33. Oliven. John F.. 1965. Sexual Hygiene and Pathology. The American Journal of the Medical Sciences. 250. 2. 235. 10.1097/00000441-196508000-00054. 71768943 .

    "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. Psychologically, the transsexual often differs from the simple cross-dresser; he is conscious at all times of a strong desire to be a woman, and the urge can be truly consuming.", p. 514

  34. Rawson. K. J.. Williams. Cristan. 2014. Transgender: The Rhetorical Landscape of a term. live. Present Tense: A Journal of Rhetoric in Society. 3. 2. https://web.archive.org/web/20170515040154/http://www.presenttensejournal.org/volume-3/transgender-the-rhetorical-landscape-of-a-term/. 2017-05-15. 2017-05-18.
  35. Web site: 2022-06-24 . Erin. Blakemore. How historians are documenting the lives of transgender people . 2024-01-14 . National Geographic . en.
  36. 1969. Prince. Virginia. Virginia Prince. Change of Sex or Gender. Transvestia. https://web.archive.org/web/20211228075718/https://vault.library.uvic.ca/downloads/5815a03a-9de8-40bb-9d46-5118f36aa10d?locale=en. December 28, 2021. IX. 60. Chevalier Publications. 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.”"

  37. Book: Elkins. Richard. The Transgender Phenomenon. King. Dave. Sage. 2006. 978-0-7619-7163-4. 13–14. https://web.archive.org/web/20150926071354/https://books.google.com/books?id=R8eHAAAAIAAJ. 2015-09-26. live.
    • In April 1970, TV Guide published an article which referenced a post-operative transsexual movie character as being "transgendered."(April 26, 1970. Sunday Highlights. live. TV Guide. https://web.archive.org/web/20120604191207/http://research.cristanwilliams.com/2012/03/25/1970-transgendered/. 4 June 2012. 28 May 2012. [R]aquel Welch (left), moviedom's sex queen soon to be seen as the heroine/hero of Gore Vidal's transgendered "Myra Breckinridge"....)
    • In the 1974 edition of Clinical Sexuality: A Manual for the Physician and the Professions, transgender was used as an umbrella term and the Conference Report from the 1974 "National TV.TS Conference" held in Leeds, West Yorkshire, UK used "trans-gender" and "trans.people" as umbrella terms.(Book: Oliven, John F. . Clinical sexuality: A Manual for the Physician and the Professions . Lippincott . 1974 . 9780397503292 . 563898062 . 3rd . "Transgender deviance" p 110, "Transgender research" p 484, "transgender deviates" p 485, Transvestites not welcome at "Transgender Center" p 487 . https://web.archive.org/web/20151205091123/https://books.google.com/books?id=Z-lrAAAAMAAJ. 2015-12-05. live . none.), (2006). The Transgender Phenomenon (Book: Elkins. Richard. The Transgender Phenomenon. King. Dave. Sage. 2006. 978-0-7619-7163-4. 13. https://web.archive.org/web/20150926071354/https://books.google.com/books?id=R8eHAAAAIAAJ. 2015-09-26. live . none.)
    • A Practical Handbook of Psychiatry (1974) references "transgender surgery" noting, "The transvestite rarely seeks transgender surgery, since the core of his perversion is an attempt to realize the fantasy of a phallic woman."(Book: Novello, Joseph R. . A Practical Handbook of Psychiatry . C. C. Thomas . 1974 . 9780398028688 . 643581864 . Springfield, Illinois . 176 . https://web.archive.org/web/20150919152319/https://books.google.com/books?id=xfFrAAAAMAAJ . 2015-09-19 . live . none.)
  39. Ekins . Richard . King . Dave . Towards a Sociology of Transgendered Bodies . The Sociological Review . 1999 . 47 . 3 . 580–602 . 10.1111/1467-954X.00185 . 144738527 . none . 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..
  40. Crossing Over . 2 June 1979 . . Rayner . Claire . 6 June 2023 . BBC Radio 4 . 6 June 1979 . https://web.archive.org/web/20230607045655/https://genome.ch.bbc.co.uk/c7bd5024c16745aeb82e7b8513470d20 . 7 June 2023. live . none.
  41. Book: Dame-Griff, Avery . The Two Revolutions: A History of the Transgender Internet . 2023 . NYU Press . 9781479818341 . 9, 22 . en.
  42. Bouman . Walter Pierre . 8 January 2020 . Sumamus exordio: International Journal of Transgender Health . International Journal of Transgender Health . 21 . 1 . 1–2 . 10.1080/15532739.2020.1709316 . 33015654 . 7430473 . See paragraph 5.
  43. News: Peo, TV-TS Tapestry Board of Advisors. Roger E. 1984. The 'Origins' and 'Cures' for Transgender Behavior. The TV-TS Tapestry. 2. live. 28 May 2012. https://web.archive.org/web/20120407040646/http://research.cristanwilliams.com/2012/03/08/1984-transgender-community-modern-transgender-community/. 7 April 2012.
  44. Web site: 1992. First International Conference on Transgender Law and Employment Policy (1992). live. https://web.archive.org/web/20120330144938/http://research.cristanwilliams.com/2012/03/19/1992-international-conference-on-transgender-law-and-employment-policy/. 30 March 2012. 28 May 2012. organizational pamphlet. ICTLEP/. 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..
  45. . Transgender History, Homonormativity, and Disciplinarity . Radical History Review . 1 January 2008 . 2008 . 100 . 145–157 . 10.1215/01636545-2007-026 . 4 April 2023 . 4 April 2023 . https://web.archive.org/web/20230404185132/https://read.dukeupress.edu/radical-history-review/article-abstract/2008/100/145/22107/Transgender-History-Homonormativity-and . live .
  46. Book: Currah . Paisley . Currah . P. . Juang . R.M. . Minter . S. . Transgender Rights . 2006 . University of Minnesota Press . 978-0-8166-4312-7 . 4 . https://books.google.com/books?id=FUwOKayHVwcC&q=umbrella+stryker . Gender Pluralisms under the Transgender Umbrella . 2021-03-22 . 2021-05-04 . https://web.archive.org/web/20210504201634/https://books.google.com/books?id=FUwOKayHVwcC&q=umbrella+stryker . live .
  47. News: Myers. Alex. Alex Myers. 14 May 2018. Trans Terminology Seems Like It's Changing All the Time. And That's a Good Thing.. en. Slate Magazine. live. 15 May 2018. https://web.archive.org/web/20180515012348/https://slate.com/human-interest/2018/05/trans-terminologys-constant-evolution-is-good-for-everyone.html. 15 May 2018.
  48. Book: Mallon , Gerald P. . Gerald P. Mallon

    . 1998. Gerald P. Mallon. Appendix: Definitions of Key Terms. Gerald P. Mallon. Foundations of Social Work Practice with Lesbian and Gay Persons. https://archive.org/details/foundationsofsoc00gera/page/275/. Harrington Park Press. 1-56023-101-7. 97-13382. 37361633. 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."

  49. Web site: 2017. transgender. https://web.archive.org/web/20170413060630/https://www.merriam-webster.com/dictionary/transgender. 13 April 2017. Merriam-Webster Dictionary. "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"
  50. Web site: 19 June 2018. Transgenderism no longer a mental illness: WHO. https://web.archive.org/web/20180619184127/https://www.france24.com/en/20180619-transgenderism-no-longer-mental-illness-who. 19 June 2018. France 24. "Transgender people, who identify as the opposite gender to the one they were born with,"
  51. Book: Gazzaniga , Michael S. . Michael Gazzaniga

    . 2018. Michael Gazzaniga. Human Development. Psychological Science. https://archive.org/details/dokumen.pub_psychological-science-1-6nbsped-9780393640403/page/367/. 6th. W. W. Norton. 978-0-393-64040-3. 992709311. 367. "A transgender person was born as one biological sex but feels that her true gender identity is that of the other sex."

  52. Web site: Martin. Katherine. New words notes June 2015. dead. https://web.archive.org/web/20150814051905/http://public.oed.com/the-oed-today/recent-updates-to-the-oed/june-2015-update/new-words-notes-june-2015/. 14 August 2015. 2 August 2015. Oxford English Dictionary. Oxford University Press.
  53. Book: Hardell, Ash . Ash Hardell . The ABC's of LGBT+ . 2016 . Mango Media Inc. . Coral Gables, Florida . 9781633534094 . 96 . 13 April 2024 . 13 April 2024 . https://web.archive.org/web/20240413205407/https://search.worldcat.org/title/962263268 . live .
  54. Book: Vincent . Ben . Non-Binary Genders: Navigating Communities, Identities, and Healthcare . 2020 . Policy Press . Bristol, UK . 978-1-4473-5192-4. 10.2307/j.ctv138wrbg. j.ctv138wrbg . 17, note 10 . 225850961 .
  55. Web site: Gay and Lesbian Alliance Against Defamation (GLAAD) . GLAAD Media Reference Guide – Transgender . 9 September 2011 . 25 November 2020 . An umbrella term for people whose gender identity and/or gender expression differs from what is typically associated with the sex they were assigned at birth [...] Transgender should be used as an adjective, not as a noun. Do not say, 'Tony is a transgender,' or 'The parade included many transgenders.' [...] 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. It 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 Chaz Bono is 'transgendered.' . 13 May 2019 . https://web.archive.org/web/20190513215518/https://www.glaad.org/reference/transgender . live .
  56. Web site: Guardian and Observer style guide: T . Guardian News & Media . London . 20 November 2015 . live . https://web.archive.org/web/20170709224453/https://www.theguardian.com/guardian-observer-style-guide-t . 2017-07-09 . [U]se transgender [...] only as an adjective: transgender person, trans person; never 'transgendered person' or 'a transgender'..
  57. transgender, adj. and n. . 247649 . 3rd . March 2003.
  58. Glicksman . Eve . April 2013 . Transgender terminology: It's complicated . 44 . 4 . Monitor on Psychology . 39 . live . https://web.archive.org/web/20130925130527/http://www.apa.org/monitor/2013/04/complicated.aspx . 25 September 2013 . 17 September 2013 . . Use whatever name and gender pronoun the person prefers.
  59. Web site: Meeting the Health Care Needs of Lesbian, Gay, Bisexual, and Transgender (LGBT) People: The End to LGBT Invisibility. dead. https://web.archive.org/web/20131020025808/http://www.ama-assn.org/resources/doc/glbt/tfi-grand-rounds-makadon.ppt. 2013-10-20. 2013-09-17. The Fenway Institute. 24. PowerPoint Presentation. Use the pronoun that matches the person's gender identity.
  60. Magnus Hirschfeld coined the German term Transsexualismus in 1923, which Cauldwell translated into English.
  61. Transgender Rights (2006,), edited by Paisley Currah, Richard M. Juang, Shannon Minter
  62. Alegria . Christine Aramburu . Transgender identity and health care: Implications for psychosocial and physical evaluation: Transgender identity and health care . Journal of the American Academy of Nurse Practitioners . April 2011 . 23 . 4 . 175–182 . 10.1111/j.1745-7599.2010.00595.x . 21489011 . 205909330 . 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) . 4 April 2023 . https://web.archive.org/web/20230404185132/https://pubmed.ncbi.nlm.nih.gov/21489011/ . live .
  63. For example, Virginia Prince used transgender to distinguish cross-dressers from transsexual people (Web site: glbtq > social sciences >> Prince, Virginia Charles. dead. https://web.archive.org/web/20150211063223/http://www.glbtq.com/social-sciences/prince_vc.html. 2015-02-11. glbtq.com.), 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."
  64. Web site: Sex -- Medical Definition. live. https://web.archive.org/web/20140222012037/http://www.medilexicon.com/medicaldictionary.php?t=81336. 2014-02-22. medilexicon.com.

    defines sex as a biological or physiological quality, while gender is a (psychological) "category to which an individual is assigned by self or others...".

  65. Web site: UNCW: Developing and Implementing a Scale to Assess Attitudes Regarding Transsexuality. https://web.archive.org/web/20140221213319/http://dl.uncw.edu/etd/2006/swanstromn/novaswanstrom.pdf . dead . February 21, 2014.
  66. 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."
  67. News: Parker. Jerry. October 18, 1979. Christine Recalls Life as Boy from the Bronx. Newsday/Winnipeg Free Press. live. 28 May 2012. https://web.archive.org/web/20120425161528/http://research.cristanwilliams.com/2011/08/21/christine-jorgensen-transgender-woman/. 25 April 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.".
  68. News: May 11, 1982. News From California: 'Transgender'. A–10. Appeal-Democrat/Associate Press. live. 28 May 2012. https://web.archive.org/web/20120412004837/http://research.cristanwilliams.com/2012/02/06/1982-transgenders-transsexuals-christine-jorgensen/. 12 April 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.
  69. Web site: January 2010 . Fenway Health . Boston, Mass. . Glossary of Gender and Transgender Terms . dead . https://web.archive.org/web/20131019120607/http://www.fenwayhealth.org/site/DocServer/Handout_7-C_Glossary_of_Gender_and_Transgender_Terms__fi.pdf . 19 October 2013 . 15.
  70. The recurring concern that transsexual implies sexuality stems from the tendency of many informal speakers to ignore the sex and gender distinction and use gender for any male/female difference and sex for sexual activity. (Web site: Liberman. Mark. Single-X Education. live. https://web.archive.org/web/20120415202619/http://itre.cis.upenn.edu/~myl/languagelog/archives/004621.html. 15 April 2012. 28 June 2012. Language Log.)
  71. Valentine . David . Imagining Transgender: An Ethnography of a Category . Duke University Press . 2007 . 10.1215/9780822390213. 978-0-8223-9021-3.
  72. Stryker, Susan. "Introduction". In Stryker and S. Whittle (eds.), The Transgender Studies Reader, New York: Routledge, 2006. pp. 1–17. .
  73. Book: Winters . Kelley . Gender Madness in American Psychiatry : essays from the struggle for dignity . 2008 . GID Reform Advocates . Dillon, Colorado . 9781439223888 . 198 . Some Transsexual individuals also identify with the broader transgender community; others do not..
  74. Benjamin, H. (1966). The transsexual phenomenon. New York: Julian Press, page 23.
  75. 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
  76. Hansbury, Griffin (2008). The Middle Men: An Introduction to the Transmasculine Identities. Studies in Gender and Sexuality Volume 6, Issue 3, 2005
  77. http://www.apa.org/topics/sexuality/transgender.aspx Answers to Your Questions About Transgender Individuals and Gender Identity
  78. Bockting . Walter . Benner . Autumn . Coleman . Eli . Eli Coleman . Gay and Bisexual Identity Development Among Female-to-Male Transsexuals in North America: Emergence of a Transgender Sexuality . Archives of Sexual Behavior . 28 March 2009 . 38 . 5 . 688–701 . 10.1007/s10508-009-9489-3 . 19330439 . 27207925 .
  79. Book: Haefele-Thomas, Ardel . Introduction to transgender studies . 5 February 2019 . Combs, Thatcher,, Rains, Cameron,, Stryker, Susan,, Clifford, Jo, 1950- . 978-1-939594-28-0 . New York, NY, US . 107–110 . 1048658263.
  80. Book: Gill-Peterson, Julian . Histories of the transgender child . 23 October 2018 . 978-1-4529-5815-6 . Minneapolis . 80–90 . 1027732161.
  81. 10.1007/BF01541951 . The classification and labeling of nonhomosexual gender dysphorias . 1989 . Blanchard . Ray . Archives of Sexual Behavior . 18 . 4 . 315–334 . 2673136 . 43151898 .
  82. Book: Bagemihl, B. . Oxford University Press . 0195104714 . Anna . Surrogate phonology and transsexual faggotry: A linguistic analogy for uncoupling sexual orientation from gender identity . Queerly Phrased: Language, Gender, and Sexuality . 1997 . 380–401 . Hall . Kira . Livia. 10.1093/oso/9780195104707.003.0023.
  83. 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.
  84. Leiblum SR, Rosen RC (2000). Principles and Practice of Sex Therapy, Third Edition., Guilford Press of New York, c2000.
  85. 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 published by the American Psychiatric Association. Retrieved via Mental Health Matters on 2007-04-06.
  86. Goethals . Susanne C. . Schwiebert . Valerie L. . Counseling as a Critique of Gender: On the Ethics of Counseling Transgendered Clients . International Journal for the Advancement of Counselling . September 2005 . 27 . 3 . 457–469 . 10.1007/s10447-005-8206-8 . 143746919 . ...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.... springerlink.com/.
  87. Web site: The Report of the 2015 U.S. Transgender Survey. live. https://web.archive.org/web/20161209150153/http://www.transequality.org/sites/default/files/docs/USTS-Full-Report-FINAL.PDF. 9 December 2016. 6 March 2016. National Center for Transgender Equality.
  88. Web site: 10 March 2020. Trans PULSE Canada Report No. 1 or 10. 10 March 2020. 14 March 2020. https://web.archive.org/web/20200314014752/https://transpulsecanada.ca/results/report-1/. live.
  89. 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 . en . 38 . 3 . 378–392 . 10.1007/s10508-007-9307-8 . 18288600 . 8700968 . 0004-0002.
  90. 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, ..."
  91. 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.
  92. 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.
  93. Lindqvist . Anna . 18 Feb 2020 . What is gender, anyway: a review of the options for operationalising gender . Psychology & Sexuality . 12 . 4 . 332–344 . 10.1080/19419899.2020.1729844 . free.
  94. Web site: Sexual Orientation and Gender Identity Definitions . 2020-07-10. 2019-04-30. https://web.archive.org/web/20190430180322/https://www.hrc.org/resources/sexual-orientation-and-gender-identity-terminology-and-definitions. live.
  95. Web site: Adams. Cydney. March 24, 2017. The difference between sexual orientation and gender identity. 21 November 2020. CBS News. Viacom CBS. 9 March 2022. https://web.archive.org/web/20220309201625/https://www.cbsnews.com/news/the-difference-between-sexual-orientation-and-gender-identity/. live.
  96. 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" from The New Dictionary of Cultural Literacy, Third Edition . Retrieved 2007-08-13.
  97. various (2006) "trans·ves·tite... (plural trans·ves·tites), noun. Definition: somebody who dresses like opposite sex:" in Definition of the word "transvestite" from the Encarta World English Dictionary (North American Edition) . Retrieved 2007-08-13.
  98. 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.
  99. 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 from the Ontario Human Rights Commission . Retrieved 2007-08-13.
  100. 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 from Trans-Academics.org . Retrieved 2007-08-13.
  101. Gilbert. Michael A.. 2000. The Transgendered Philosopher. live. International Journal of Transgenderism. https://web.archive.org/web/20160126101549/http://www.iiav.nl/ezines/web/IJT/97-03/numbers/symposion/gilbert.htm. January 26, 2016. December 16, 2015.
  102. Gilbert, Michael 'Miqqi Alicia' (2000) "The Transgendered Philosopher" in Special Issue on What is Transgender? from The International Journal of Transgenderism, Special Issue July 2000 . Retrieved 2007-10-09.
  103. Docter. Richard F.. Prince. Virginia. 1997. Transvestism: A survey of 1032 cross-dressers. Archives of Sexual Behavior. 26. 6. 589–605. 10.1023/a:1024572209266. 9415796. 43816859.
  104. 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 published by the World Health Organization . Retrieved 2007-08-13.
  105. 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 published by the American Psychiatric Association. Retrieved 2007-08-13.
  106. Web site: 28 April 2017. Understanding Drag. 3 September 2020. National Center For Transgender Equality. 10 March 2018. https://web.archive.org/web/20180310044748/https://transequality.org/issues/resources/understanding-drag. live.
  107. Web site: 2019-11-12. The Many Styles Of Drag Kings, Photographed In And Out Of Drag. 2020-06-03. HuffPost. en. 2021-03-08. https://web.archive.org/web/20210308080628/https://www.huffpost.com/entry/drag-kings_l_5db9c682e4b00d83f72159c8. live.
  108. Web site: 2012-11-12. How Drag Queens Work. 2020-06-03. HowStuffWorks. en. 2021-02-25. https://web.archive.org/web/20210225003301/https://people.howstuffworks.com/drag-queen.htm. live.
  109. Book: Stryker, Susan . Transgender history . 2008 . Seal Press . 978-1-58005-690-8 . Berkeley, CA . 1162214303.
  110. Abbie E. Goldberg, Genny Beemyn, The SAGE Encyclopedia of Trans Studies (2021), page 32
  111. M. Nugent, Helios 35 (2008) pages 171-172
  112. Varner . Eric . 2008 . Transcending Gender: Assimilation, Identity, and Roman Imperial Portraits. . Memoirs of the American Academy in Rome. Supplementary Volume. . Ann Arbor, Michigan, US . . 7 . 200–201 . 1940-0977 . 40379354 . 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..
  113. Encyclopedia: 2004 . Elagabalus . GLBTQ: An Encyclopedia of Gay, Lesbian, Bisexual, Transgender, and Queer Culture . glbtq, Inc. . Chicago . 6 August 2007 . Godbout . Louis . https://web.archive.org/web/20151117023701/http://www.glbtqarchive.com/ssh/elagabalus_S.pdf . 17 November 2015 . live.
  114. Benjamin . Harry . The Transsexual Phenomenon . Transactions of the New York Academy of Sciences . . 1966 . 978-0-446-82426-2 . 29 . New York . 428–430 . 10.1111/j.2164-0947.1967.tb02273.x . 5233741 . 27 April 2005 . https://web.archive.org/web/20050424080535/http://www.symposion.com/ijt/benjamin/ . 24 April 2005 . 4.
  115. Web site: The Trans History You Weren't Taught in Schools. 2022-01-23. YES! Magazine. en-US. 2022-01-23. https://web.archive.org/web/20220123215909/https://www.yesmagazine.org/social-justice/2021/06/07/trans-history-gender-diversity. live.
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    • "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."
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