Psych 380 1nd Edition Lecture 11 Outline of Current Lecture I Transgender Current Lecture I II III IV V What is gender a Male or female b Born with certain genital structures does this determine your gender or are there other factors c For some people their gender will never change For others they may not connect with their given gender Dr Halgin received a call from a 23 year old woman at the time a Her name was Mary b She said she was going to start a sex reassignment to become a man c She needed 1 year of psychological treatment before she would be allowed to get the surgery i This is done in order to make sure there aren t any other underlying issues 1 Depression 2 Psychotic she is aware of what she is doing 3 Rational d Sex change is irreversible super expensive and dangerous Dr Halgin says he doesn t have any experience in the field of gender identity disorder and suggests she find someone else a She says that she has heard from many people that he is a great psychologist so she offers to pay for him to hire a consultant b This will make Dr Halgin s treatment ethical and so that he is well informed throughout it Dr Halgin asks himself if he wants to embark on this journey a There is a lot of pressure if he says yes or no at the end of it b Is it the right decision for Mary to do this If he says no will she hate him If he says yes will she be happy with what she has done He suggests having a pre evaluation before making a decision a She came in and had a very masculine appearance mannerisms b She had a lot of confidence and is warm and engaging c She is obviously biologically female These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute d She begs that he will work with him we start referring to her as a him because they are transgender and want to be perceived as male e In the evaluation he does an MMPI f He talks about her past i Ever since pre school he thought he was a male ii His mother dropped him off on the first day and when she came back to pick up Mary the teachers said they had no such student Mary had been telling everyone her name was Michael iii He grew up in an accepting town did Little League was a tomboy iv Had short hair dressed like a boy v When he went to college there was a lot of discrimination there vi He got called a lesbian which really hurt him because that is not what he was He is a man not a woman who is attracted to other women vii He became depressed and suicidal viii He had to go to a hospital for some time and didn t return to college ix He became a server and came into a sum of x At that point he decided he would use the money to undergo the sex change surgery process g Dr Halgin did a lot of research he went to a special library in CA that had a lot of information on this topic i Hormone treatment ii Presenting yourself iii Dealing with family h The view towards people who are Transgender has changed over time i The T is now included in LGBQTIA i VIDEO i Navy seal Chris Beck ii Transgender iii Was in the seals for 20 years iv Had 2 sons and was married v Was afraid to come out to his brothers for fear of losing his life vi Was interviewed by Anderson Cooper j Gender dysphoria i Incongruence between experienced expressed gender and assigned gender 1 Incongruence with primary or secondary sex characteristics 2 Desire to be rid of these chars 3 Desire for chars of other gender 4 Desire to be the other gender or alternative gender other than one s assigned 5 Desire to be treated as the other gender or alternative gender VI VII VIII IX X XI XII XIII 6 Conviction that one has typical feelings and reactions of other gender or alternative gender 7 Distress or impairement Mary was only feeling depressed because of dysphoria so Dr Halgin agreed to continue on with therapy Mary changed his name to Max WPATH a World professional association for transgender health b Founded by Harry Benjamin c Required consultation before changing gender There are several options for transgender individuals a Live without any biological surgery b Mastectomy removal of breasts i Present self as other gender ii Not as rigidly contained as it used to be c Courthouse i Name change ii Is announced in local paper due to legal reasons d Registry of motor vehicles changed license e You can have sex changed on license f Alterations to birth certificates can occur g Gender is less about physicality and more about how you live as a human being Hormone treatment a Can cause facial hair acne side effects of testosterone b Defined muscular lines c Tying back breasts d Is this far enough for Max No he wanted to go all the way He went to the University of VA Medical Center in order to see if he qualifies for surgery to get scheduled a After tests he was set to go into surgery b They had a case conference c They are only able to perform 1 surgery per week d He was scheduled for 2 years later Max was extremely upset by this he was ready to go right away Surgeries a FTM Surgical procedure b Mastectomy removal of breasts creation of male chest c We can do the surgery at UMass Medical School i Extensive healing required d Genital reconstruction surgery i Hysterectomy ovaraectomy urethral reconstruction ii Phalloplasty creation of fake penis XIV iii Vaginectomy scrotoplasty testicular and erection prosthesis device ot allow him to have an erection iv Reformed the clitoris so that he can still have an orgasm e 12 hour surgery f plastic surgeon urologist g very fragile afterwards h it takes several weeks to recover the only issue was urinary leakage i Max was liberated from jail life couldn t be better j He kept in contact over the years k He went on to be married to a woman l They adopted children m He had a motorcycle n Feels that life is good VIDEO a Children who are transgender b Debate about whether or not to allow their change at an early age c Do It before puberty d How do parents deal with this