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On November 2, , Peyton released her single Liar Liar , and the accompanying music video was released on December The name for her album was revealed through a series of Instagram pictures. On December 14, , Zendellaneyton posted a snippet of a song on their upcoming album Z5 called "Joan of Arc" on Instagram.

They also gave their fans a "Christmas present" which revealed the title of the first single from their new album Woman Like Me featuring Nicki Minaj. The music video of the song was filmed in October The song and music video are due to be released on January 11, List was formerly dating the American singer and songwriter Charlie Puth. The two of them met backstage at the American Music Awards and deeply expressed their admiration for one another.

Puth then formed a close friendship with List and the other girls of Zendellaneyton. He was asked to have a role in Zendellaneyton's "Black Magic" music video, in which he accepted. Puth sung a line for the single, "And it's called black magic" at the end of the final chorus however this line wasn't recorded for the studio version of the song. They initially hooked up in the summer of but called off their two-week relationship for unknown reasons. The couple had rumored to have split after fans were quick to notice that they have pushed back the dates for their "I Don't Wanna Live Forever Tour" which was due to embark in early May and had unfollowed each other on social media.

It was then announced on April 18, that the pair had split up due to Puth's careless actions towards Peyton's wellbeing. Peyton released via her representatives that Puth dumped her via text message the previous night and that whilst she was struggling to deal with her best friend's [Nausheen's] car accident, he wasn't there to support her. Since then, their tour dates have been cancelled and they are no longer on speaking terms. According to List, her and Thorne were "fooling around" and made-out "once or twice" in the early months of , around when Zendellaneyton were first formed.

This was years before either of them came out as bisexual and they both kept it private. Apparently this encounter was Peyton's "sexual awakening" as she said, "I wasn't even aware what my sexuality was and I was very young at the time [15]. I don't even remember how it started but [Bella] and I were spending a lot of time alone together. Sometimes we got bored and we just started making out for some reason. I remember thinking, 'this feels nice' and I believe that was my sexual awakening. I wasn't even out of the closet yet nor did I think I was attracted to girls but you'd think I would've figured it out sooner, considering how much I enjoyed it.

This lead fans to believe that this was the reason List and Krissy Saleh split from their relationship read below. After coming out as bisexual in May , List confirmed that she was romantically linked with her photographer Krissy Saleh as of late May. List confirmed the relationship on June 13, She has stated, "The relationship is in its early stages at the moment. We seem to really like each other. I've known her for about a year and always known that she loved women just as much as me! I didn't think of becoming anything more than friends with her until I realized that I was already out of the closet and was ready to date again [after Charlie Puth].

On the night of the Billboard Music Awards, I went to dinner with Nausheen [Ali] and she asked me, 'So now that you're open to dating other women, who are you thinking of dating? Besides me of course,' and I had to think about it for a minute. My attention was immediately drawn to Krissy, and Nausheen was all in for it. Krissy isn't much of a spotlight person She's always behind the camera anyway.

I don't want to jinx things. On July 1, , controversy struck the couple as they were both kicked out of a restaurant due to making the restaurant-goers "uncomfortable". We're barely holding hands! She's a celebrity around here. You two were being inappropriate whilst there were young children present. Perhaps if you were Nausheen Ali, we would've allowed you to stay.

I've been probed under a microscope for the past 4 years, pretending to be something I'm not. I finally get to be myself and society doesn't accept it unless I'm involved in an overly publicized relationship ["Neyton"]? That's shattering. I'm sure if I was with a boy, this situation would've ended a lot differently. Nausheen Ali was also hurt by this, as she felt like it was her own fault for publicizing the rumored relationship between her and Peyton. Nausheen claimed that she had a mental break-down when she found out what happened to her best friend, and told everyone that she felt "powerless" in the situation.

The pair also caused controversy on July 14 when Peyton posted a picture of her and Krissy kissing on her Instagram. This prompted homophobic comments from her followers. After seeing such negative comments on her post, Peyton tweeted, "I post one pic of my girlfriend and I kissing and I receive comments like "ew" and "that's gay". The couple officially split on November 11, , however they still remained close friends.

List received backlash on social media following the split, as it was rumored that Peyton cheated on Krissy which sparked from a since-deleted tweet that Krissy shared, "You know what hurts? Watching someone you love fall in love with someone else This prompted users on Twitter to trend " PeytonListIsCancelled" and talk bad about Peyton whilst comparing her to her band mate and ex-costar Nausheen Ali; whom she was rumored to cheat with.

List responded to the rumors a few hours later by tweeting, "I have not and will never cheat on anyone in my life. Krissy holds too much of a place in my heart for me to do that to her. For now it's become more and more difficult for us to be together. We've decided to remain friends and I wish Krissy the best of luck with her future endeavors. This came after the alleged rumour that Peyton and her bandmate Nausheen Ali are in a big fight which spanned from Nausheen unfollowing Peyton on Instagram. The couple were spotted on the beach together on December 22nd.

They were photographed hugging and kissing, and they were reportedly "making out". Additionally, a viral tweet which quoted a Peyton List update account's tweet stated, "Madison really dyed her hair and is out here kissing girls. I wonder if Samuel approves". Peyton was rumoured to be dating the American actress and singer Hayley Kiyoko. Hayley reportedly attended Zendellaneyton's July 8th concert in Buenos Aires in support of Peyton, and the two of them reportedly hung out after the show.

They were also photographed while they went shopping together a few days later. The rumours circulated after Hayley blushed in a livestream when fans shouted out "Peyton List"; when she was asked who her celebrity crush was.

ASMR Roleplay: Everything In Its Time [Trans Comfort]

After this, Peyton openly shared her support for Hayley's album and they tweeted their admiration for each other. During a backstage interview at the VMAs in August , the interviewer asked Hayley about her relationship with Peyton, but she debunked the rumours when she said that they were just friends. However, she looked at the camera and said, "Hey, Peyton List, if you're watching this and you want to date someone, hit me up! Peyton also debunked the rumours in a Facebook livestream which occured a few days after Hayley's interview, after the host asked Peyton about Hayley.

Um, I was like flirting with Peyton up there, there's a lot of people The camera then cut to Peyton looking to the side and blushing. Peyton also commented on Hayley's Instagram post, "Thank you for flirting with me. Hayley shared her love and admiration for Peyton by quoting her tweet the one announcing the tracklist with, "Yes! Kiyoko also posted a picture of List's album cover with a long caption on Instagram supporting her. For now it's unannounced, however Hayley revealed that in addition to Peyton's album, they still have a few surprises up their sleeves.

The trailer features the song "Me Too", which is fictionally sung by Peyton List ft. Maya Joseph.

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Sign In Don't have an account? Start a Wiki. This is a fanon page, meaning that most information on this page is fictional. Any pictures that are shown are most likely aren't from the "fanon" photo shoot and are from another website. Furthermore, during the treatment process, addressing individual needs was considered crucial by participants. This study investigates the needs and concerns transgender short: trans individuals have concerning trans healthcare THC in interdisciplinary THC centres. They agreed. Gender alignment surgery was introduced into German law in Judicial guidelines for the change of first names and gender were established and transsexuality was labelled as a psychosomatic and somatopsychic syndrome and disorder, thus opening the way for treatment to the social health-care under well-defined conditions requesting cross-dressing and hormone therapy as well as psychological counselling by 2 independent psychologists or psychiatrists.

In a retrospective, chart-related survey of questionnaires on male to female transsexuals it was found that patients start to suspect being born into the wrong gender at the onset of puberty, it takes them however approximately 20 years to have gender alignment surgery. More than half the patients are single at this time, while the remaining group is married or divorced with equal rates. About half the patients experienced support by their families for their decision. Despite numerous secondary corrections of the surgical alignment, patients were content with the result, although emotional acceptance of the desired result took about one year.

In general plastic surgical gender alignment treatment was perceived as the major contribution to harmonise their phenotype with their identity. The degree to which one identifies as male or female has a profound impact on one's life. Yet, there is a limited understanding of what contributes to this important characteristic termed gender identity.

Dissertations & Theses from 2018

In order to reveal factors influencing gender identity, studies have focused on people who report strong feelings of being the opposite sex, such as male-to-female MTF transsexuals. To investigate potential neuroanatomical variations associated with transsexualism, we compared the regional thickness of the cerebral cortex between 24 MTF transsexuals who had not yet been treated with cross-sex hormones and 24 age-matched control males.

Results revealed thicker cortices in MTF transsexuals, both within regions of the left hemisphere i. These findings provide further evidence that brain anatomy is associated with gender identity, where measures in MTF transsexuals appear to be shifted away from gender-congruent men. Outcome and preferences in male-to-female subjects with gender dysphoria: Experience from Eastern India. Gender dysphoria GD is an increasingly recognized medical condition in India, and little scientific data on treatment outcomes are available.

Our objective is to study the therapeutic options including psychotherapy, hormone, and surgical treatments used for alleviating GD in male-to-female MTF transgender subjects in Eastern India. This is a retrospective study of treatment preferences and outcome in 55 MTF transgender subjects who were presented to the endocrine clinic. Descriptive statistical analysis is carried out in the present study, and Microsoft Word and Excel are used to generate graphs and tables. The mean follow-up was 1. Rest 41 subjects Most of the subjects preferred estrogen therapy as it was most affordable and only a small number of subjects preferred drospirenone or GnRH agonist because of cost and availability.

Three subjects presented with prior breast augmentation surgery and nine subjects presented with prior orchiectomy without vaginoplasty, depicting a high prevalence of poorly supervised surgeries. Standards of care documents provide clinical guidance for health professionals about the optimal management of transsexual people. The lack of information among health professionals about proper and protocolwise management leads to suboptimal physical, social, and sexual results. Acceptance of lesbian, gay, bisexual and transgender individuals in the Netherlands Original title: Acceptatie van homoseksuelen, biseksuelen en transgenders in Nederland The Dutch government is committed to equal rights for and social acceptance of lesbian, gay, bisexual and transgender LGBT individuals , and also to securing their acceptance in Dutch society.

Transgender individuals experience violence and discrimination, which, in addition to gender transitioning, are established correlates of psychological distress. In a statewide sample of transgender adults, we investigated whether a history of violence and discrimination increased the odds of reporting lifetime suicidal ideation SI and whether differences in SI were predicted by gender transition status.

Violence, discrimination, and transition status significantly predicted SI. One coping resource is positive identification with one's social group-known as collective self-esteem. Participants were recruited from transgender events held in Arizona and California. Negative feelings about the transsexual community and fears regarding the impact of a transsexual identity were positively related to psychological distress.

A regression model revealed that the fear of how a transsexual identity would affect one's life was the best predictor of the severity of psychological distress. These results are consistent with findings from other historically marginalized groups whereby the stress of being stigmatized by society adversely affects mental health. Guided by the relational cultural theory, we conducted a qualitative study to examine the relationship experiences of African American transgender women living in North Carolina. A convenience sample of 15 transgender women participated in the study.

Semi-structured interviews, guided by an investigator-developed interview guide, were used to explore the personal experiences of transgender women on individual , family, and organizational levels. The findings provide a scheme for understanding the process through which transgender women's relationships hinder or enhance their ability to connect with individuals , family, and organizations. Nurses can use these findings to better understand the connectedness that occurs or does not occur in transgender women's relationships and provide culturally competent care to empower them to become resilient.

We examined HIV testing services, seropositivity, and the characteristics associated with newly identified, confirmed HIV-positive tests among transgender individuals. We analyzed data — using bivariate and multivariable logistic regression to examine the relationships between HIV positivity and sociodemographic and risk characteristics among male-to-female transgender individuals.

Most of the testing was conducted in females Tests in male-to-female transgender individuals had the highest, newly identified confirmed HIV positivity 2. High levels of HIV positivity among transgender individuals , particularly male-to-female transgender individuals , underscore the necessity for targeted HIV prevention services that are responsive to the needs of this population. I estimated homicide rates for transgender residents and transfeminine, Black, Latin , and young aged years subpopulations during the period to using Transgender Day of Remembrance and National Coalition of Anti-Violence Programs transgender homicide data.

I used estimated transgender prevalences to estimate RRs using cisgender comparators. I performed a sensitivity analysis to situate all results within assumptions about underreporting of transgender homicides and assumptions about the prevalence of transgender residents. The overall homicide rate of transgender individuals was likely to be less than that of cisgender individuals , with 8 of 12 RR estimates below 1. However, the homicide rates of young transfeminine Black and Latina residents were almost certainly higher than were those of cisfeminine comparators, with all RR estimates above 1.

Antiviolence public health programs should identify young and Black or Latina transfeminine women as an especially vulnerable population. Purpose: This study assessed within a Midwestern LGBT population whether, and the extent to which, transgender identity was associated with elevated odds of reported discrimination, depression symptoms, and suicide attempts. Transgender Adults: A Multilevel Analysis. To identify geographic and individual -level factors associated with healthcare access among transgender people in the United States. Multilevel analyses were conducted to investigate lifetime healthcare refusal using national data from U.

Hierarchical generalized linear models examined associations between individual age, gender, race, income, insurance, and healthcare avoidance and state-level factors percent voting Republican, percent same-sex couple households, income inequality, and transgender protective laws and lifetime refusal of care. Identifying geographic and individual -level factors associated with healthcare barriers allows for the development of targeted educational and policy interventions to improve healthcare access for transgender people most in need of services. Objective Sexual orientation is usually considered to be determined in early life and stable in the course of adulthood.

In contrast, some transgender individuals report a change in sexual orientation. A common reason for this phenomenon is not known. Transgender individuals have a high prevalence of self-directed violence; however, there is scant literature focusing on their unique experiences. Psychosocial benefits of activism include increased empowerment, social connectedness, and resilience. Yet sexual minority women SMW and transgender individuals with multiple oppressed statuses and identities are especially prone to oppression-based experiences, even within minority activist communities.

This study sought to develop an empirical model to explain the diverse meanings of social justice activism situated in SMW and transgender individuals ' social identities, values, and experiences of oppression and privilege. Using a grounded theory design, 20 SMW and transgender individuals participated in initial, follow-up, and feedback interviews. The most frequent demographic identities were queer or bisexual, White, middle-class women with advanced degrees. The results indicated that social justice activism was intensely relational, replete with multiple benefits, yet rife with experiences of oppression from within and outside of activist communities.

The empirically derived model shows the complexity of SMW and transgender individuals ' experiences, meanings, and benefits of social justice activism. Introduction Recognizing transgender individuals have a high risk of HIV acquisition, and to inform policies and programming, we conducted an HIV prevalence and risk behaviors survey among transgender individuals in Cambodia. Methods Cross-sectional survey using a respondent driven sampling method with self-administered audio-computer assisted interviews.

HIV testing was performed prior to the questionnaire with results available immediately after. Eligible participants were? Abstract Purpose: To identify geographic and individual -level factors associated with healthcare access among transgender people in the United States. Methods: Multilevel analyses were conducted to investigate lifetime healthcare refusal using national data from U. Teaching Transgender. The recent visibility of transgender lives demonstrates the dawning of a new period in the potential to include transgender topics in sociology courses.

The focus on transgender individuals , communities, and inclusive initiatives are gaining momentum on many public and private college and university campuses, awakening old and new curiosities,…. As an extension of the minority stress model, the psychological mediation framework sheds light on psychological processes through which anti- transgender discrimination might affect mental health. Within this framework, the current study aimed at assessing in TGNC Italian individuals the role of internalized transphobia as a mediator between anti- transgender discrimination and mental health, considering resilience as the individual -level coping mechanism buffering this relationship.

The results suggest that both indicators of internalized transphobia i. Furthermore, the results suggest that the indirect relation between anti- transgender discrimination and anxiety through alienation is conditional on low and moderate levels of resilience. Findings have important implications for clinical practice and psycho-social interventions to reduce stigma and stress caused by interpersonal and individual stigma. Transgender and gender nonconforming TGNC people are a highly-stigmatized population. Cricothyroid approximation and subluxation in 21 male-to-female transsexuals.

Compared with individuals with no plans to transition, individuals with plans or who were living as their identified gender reported greater odds of lifetime SI. We discuss implications for SI disparities using Meyer's minority stress model. Hormone therapy in transgender adults is safe with provider supervision; A review of hormone therapy sequelae for transgender individuals. Introduction: Some providers report concern for the safety of transgender hormone therapy HT. Methods: This is a systematic literature review of HT safety for transgender adults.

Results: Current literature suggests HT is safe when followed carefully for certain risks. The greatest health concern for HT in transgender women is venous thromboembolism. HT among transgender men appears to cause polycythemia. Both groups experienced elevated fasting glucose. There is no increase in cancer This phenomenological inquiry explored the lived experiences of resilience of 21 transgender individuals. Through individual semistructured interviews 3 interviews each with 5 participants and 1 focus group interview 16 participants , the authors identified 5 common resiliency themes evolving a self-generated definition of self, embracing….

Limited evidence suggests that transgender individuals smoke at significantly higher rates than the general population. We aimed to determine whether structural or everyday discrimination experiences predict smoking behavior among transgender individuals when sociodemographic, health, and gender-specific factors were controlled. Logistic regression models were used to establish factors that predict smoking.

Participants reported experiencing both structural Multivariate analyses showed that participants who reported attending some college, graduating college, or having a graduate degree were less likely to smoke compared to those with a high school degree or less. Uninsured participants were more likely to report smoking compared to those with private insurance. Those who used alcohol or drugs for coping were also more likely to smoke.

Further research is needed in order to explore the relationship between smoking and legal transition among transgender individuals. Strategies to prevent smoking and encourage cessation among this vulnerable population are also needed. In addition, comprehensive collection of gender identity data in the context of national surveys, tobacco-related research, and clinical settings is sorely needed.

This study establishes a link between experiences of structural discrimination among transgender individuals and smoking status. Published by Oxford University Press on. Assisting transgender individuals is a concern for career development practitioners because there is a lack of knowledge on this topic. The complexity of gender reassignment surgery brings challenges and unique needs to this population, throughout gender transition, and requires career development practitioners to understand these challenges and….

The present study explored whether 3 existing measures of workplace constructs germane to the experiences of sexual minority people could be modified to improve their applicability with transgender individuals. Waldo, ; the Lesbian, Gay, Bisexual, and Transgendered…. Attempted suicide among transgender persons: The influence of gender-based discrimination and victimization. To determine the independent predictors of attempted suicide among transgender persons we interviewed male-to-female MTF and female-to-male FTM individuals. Participants were recruited through targeted sampling, respondent-driven sampling, and agency referrals in San Francisco.

In multivariate logistic regression analysis younger age discrimination, and gender-based victimization were independently associated with attempted suicide. Suicide prevention interventions for transgender persons are urgently needed, particularly for young people. Medical, mental health, and social service providers should address depression, substance abuse, and forced sex in an attempt to reduce suicidal behaviors among transgender persons. In addition, increasing societal acceptance of the transgender community and decreasing gender-based prejudice may help prevent suicide in this highly stigmatized population.

Male-to-female gender dysphoria: Gender-specific differences in resting-state networks. Recent research found gender-related differences in resting-state functional connectivity rs-FC measured by functional magnetic resonance imaging fMRI. To the best of our knowledge, there are no studies examining the differences in rs-FC between men, women, and individuals who report a discrepancy between their anatomical sex and their gender identity, i. To address this important issue, we present the first fMRI study systematically investigating the differences in typical resting-state networks RSNs and hormonal treatment effects in 26 male-to-female GD individuals MtFs compared with 19 men and 20 women.

Differences between male and female control groups were found only in the auditory RSN, whereas differences between both control groups and MtFs were found in the auditory and fronto-parietal RSNs, including both primary sensory areas e. Overall, differences in MtFs compared with men and women were more pronounced before cross-sex hormonal treatment. Interestingly, rs-FC between MtFs and women did not differ significantly after treatment. When comparing hormonally untreated and treated MtFs, we found differences in connectivity of the calcarine gyrus and thalamus in the context of the auditory network, as well as the inferior frontal gyrus in context of the fronto-parietal network.

Our results provide first evidence that MtFs exhibit patterns of rs-FC which are different from both their assigned and their aspired gender, indicating an intermediate position between the two sexes. We suggest that the present study constitutes a starting point for future research designed to clarify whether the brains of individuals with GD are more similar to their assigned or their aspired gender. The purpose of this study was to explore individual and structural factors associated with employment among young transgender women TW of color. Sixty-five trans women of color were recruited from the Transgender Legal Defense and Education Fund to complete a min interviewer-assisted survey assessing sociodemographics, housing, workplace discrimination, job-seeking self-efficacy, self-esteem, perceived public passability, and transactional sex work.

Logistic regression models revealed that stable housing structural factor and job-seeking self-efficacy individual factor were significantly associated with currently being employed. Our findings underscore the need for multilevel approaches to assist TW of color gain employment. Male-to-female transsexuals have female neuron numbers in a limbic nucleus.

Transsexuals experience themselves as being of the opposite sex, despite having the biological characteristics of one sex. A crucial question resulting from a previous brain study in male-to-female transsexuals was whether the reported difference according to gender identity in the central part of. Transgender and gender nonconforming GNC individuals frequently experience discrimination and potentially a lack of respect from service providers, suggesting they have decreased access to professionals with cultural competency.

Similarly, people with disabilities experience higher levels of discrimination in social services than their nondisabled counterparts. From an intersectional perspective, this study examines rates of discrimination in accessing social services faced by transgender and GNC people, comparing across ability. Data indicate that although transgender and GNC individuals of all abilities experience gender-based discrimination when accessing social services, those with disabilities experience higher levels of antitransgender discrimination in mental health centers, rape crisis centers, and domestic violence shelters.

Each interview was evaluated by two interviewers and a content analysis performed by all members of the research group. Information shared by participants emphasized their belief that health care professionals are not adequately prepared to assist transgendered individuals and that health care providers should use a more sensitive approach towards them. A recurrent theme was the need to use appropriate and socially acceptable terminology when providing health care services in order to facilitate transgendered individuals ' inclusive treatment.

Theses and Dissertations Available from ProQuest

Despite the effort of Brazilian authorities, there is a need for significant improvement in health care practices in order to comply with SUS quality standards. This study highlights the importance of qualitative investigations to improve planning and to help define public health policies with the goal of including the most vulnerable and marginalized groups of the population. URN: urn:nbn:defqs Sex reassignment surgery SRS has proved an effective intervention for patients with gender identity disorder.

However, misdiagnosed patients sometimes regret their decision and request reversal surgery. This review is based on our experience with seven patients who regretted their decision to undergo male-to-female SRS. To analyze retrospectively seven patients who underwent reversal surgery after regretting their decision to undergo male-to-female SRS elsewhere. From November through November , seven men 33 to 53 years old with previous male-to-female SRS underwent reversal phalloplasty.

Preoperatively, they were examined by three independent psychiatrists. Surgery included three steps: removal of female genitalia with scrotoplasty and urethral lengthening, total phalloplasty with microvascular transfer of a musculocutaneous latissimus dorsi flap, and neophallus urethroplasty with penile prosthesis implantation. Self-reported esthetic and psychosexual status after reversion surgery and International Index of Erectile Function scores for sexual health after phalloplasty and penile prosthesis implantation.

Good postoperative results were achieved in all patients. In four patients, all surgical steps were completed; two patients are currently waiting for penile implants; and one patient decided against the penile prosthesis. Complications were related to urethral lengthening: two fistulas and one stricture were observed.

All complications were repaired by minor revision. According to patients' self-reports, all patients were pleased with the esthetic appearance of their genitalia and with their significantly improved psychological status. Reversal surgery in regretful male-to-female transsexuals after SRS represents a complex, multistage procedure with satisfactory outcomes. Further insight into the characteristics of persons who regret their decision postoperatively would facilitate better future.

Conservatively treated perforation of the neovagina in a male to female transsexual patient. An unknown number of patients have had male to female gender transformation. Various surgical techniques have been employed to construct the neovagina. The more traditional techniques include inverted penile grafts and vascular pedicle grafts, but also the small bowel and sigmoid colon have been The patient was treated conservatively with antibiotics and discharged after 7 days This study assessed individual ie, internalized transphobia and structural forms of stigma as risk factors for suicide attempts among transgender adults.

Internalized transphobia was assessed through a item scale including four dimensions: pride, passing, alienation, and shame. State-level structural stigma was operationalized as a composite index, including density of same-sex couples; proportion of Gay-Straight Alliances per public high school; 5 policies related to sexual orientation discrimination; and aggregated public opinion toward homosexuality. Lower levels of structural stigma were associated with fewer lifetime suicide attempts AOR 0. Addressing stigma at multiple levels is necessary to reduce the vulnerability of suicide attempts among transgender adults.

The purpose of this study was to examine the use of the internet to meet sexual partners among transgender individuals and examine correlates of this use, including sexual risk behavior, discrimination experiences, and mental health. A sample of transgender adults male-to-female transgender women and 54 female-to-male transgender men were recruited in community venues and anonymously completed measures assessing these variables.

Most participants Use of the internet to meet sexual partners was associated with lower self-esteem but not with depression, anxiety, somatic distress or discrimination experiences. Among transgender women, use of the internet to meet sexual partners was associated with each of the 11 sexual risk behaviors examined, including having multiple partners, sex under the influence of drugs, number of unprotected anal or vaginal sex acts, and history of commercial sex work.

Although the internet is a common mode of meeting sexual partners among some transgender adults, it may also be a potential venue for prevention interventions targeting transgender individuals at particularly high risk for HIV acquisition. HIV-related risk behaviors among kathoey male-to-female transgender sex workers in Bangkok, Thailand.

The study found that only half of the KSW participants reported having been tested for HIV, and that except for one participant, all others had not seen health care providers in the past 12 months. About one third of the participants reported having engaged in unprotected anal sex with customers in the past six months. Almost all participants reported alcohol use, as well as having had sex with customers under the influence of alcohol. A multiple regression analysis showed that the participants who were post-operative status, had used illicit drugs, or had been abused by their father and brothers were less likely to use condoms for anal sex with customers.

The qualitative interviews revealed that many identified as girl or kathoey in early age and had been exposed to transphobia and violence from father and brothers. Some reported support for gender transition from their mothers. More than half of the participants currently had difficulties in living as kathoey, such as challenges in the job market and relationship with family members. Family obligation for sending money and the Buddhist concept of karma were discussed in relation to risk behaviors among KSWs.

About one third of the participants reported having engaged in unprotected anal sex with customers in the past 6 months. Almost all participants reported al Previous research has indicated that biological older brothers increase the odds of androphilia in males. This finding has been termed the fraternal birth order effect. The maternal immune hypothesis suggests that this effect reflects the progressive immunization of some mothers to male-specific antigens involved in fetal male brain masculinization. Exposure to these antigens, as a result of carrying earlier-born sons, is hypothesized to produce maternal immune responses towards later-born sons, thus leading to female-typical neural development of brain regions underlying sexual orientation.

Because this hypothesis posits mechanisms that have the potential to be active in any situation where a mother gestates repeated male fetuses, a key prediction is that the fraternal birth order effect should be observable in diverse populations. The present study assessed the association between sexual orientation and birth order in androphilic male-to-female transsexuals in Brazil, a previously unexamined population.

Logistic regression showed that the transsexual group had significantly more older brothers and other siblings. These effects were independent of one another and consistent with previous studies of birth order and male sexual orientation. The presence of the fraternal birth order effect in the present sample provides further evidence of the ubiquity of this effect and, therefore, lends support to the maternal immune hypothesis as an explanation of androphilic sexual orientation in some male-to-female transsexuals.

Full Text Available Recognizing transgender individuals have a high risk of HIV acquisition, and to inform policies and programming, we conducted an HIV prevalence and risk behaviors survey among transgender individuals in Cambodia. Cross-sectional survey using a respondent driven sampling method with self-administered audio-computer assisted interviews.

List of transgender publications - Wikipedia

From six major urban centers of Cambodia, transgender individuals were recruited. The majority of the participants self-identified as third gender or female The majority had first sex before 18 years The rate of HIV positivity among participants was found to be 4. Consistent condom use with male and female partners was low with all partner types, but particularly low with male partners when paying for sex The majority of participants reported having experienced discrimination in their lifetime Perforation of the neovagina in a male-to-female transsexual: a case report.

There are several techniques for creation of a neovagina in male-to-female reassignment surgery. Although vaginoplasty with the sigmoid colon is not a common procedure, it is becoming more common. Perforation of the recto-sigmoid neovagina after sex reassignment surgery is very rare. We hereby report a case of perforation of the neovagina that presented as acute peritonitis, with a massive abscess in the intra-abdominal cavity. This case report describes a year-old Asian woman presenting with mild persistent abdominal pain, nausea, and vomiting who had undergone male-to-female sex reassignment surgery four years prior.

Physical examination revealed mild abdominal pain without rebound tenderness. An abdominal computed tomography scan showed a massive abscess that occupied a significant portion of the intra-abdominal cavity. Perforation of the neovagina was confirmed by exploratory laparotomy and surgical drainage with primary closure was performed without any complications.

This is a rare case involving perforation of the neovagina that was successfully treated with surgical intervention. This case emphasizes the importance of taking a detailed medical history and to make physicians and patients aware that bowel vaginoplasty can result in a weak vagina. Hypogonadism in a male-to-female transsexual with super obesity.

The global obesity epidemic is having a profound impact on the health of populations. From a reproductive standpoint, obesity has been associated with infertility and hypogonadism. There is virtually no literature on the hormonal sequelae of obesity in transsexual people.

The patient was prescribed an aromatase inhibitor, letrozole 2. The aromatase inhibitor reduced the serum oestradiol concentration from to 6. There were dramatic corresponding rises in total testosterone 2. This diagnostic test demonstrated the important role of oestrogen in mediating the hypogonadism. After the testing, the patient was started on oestrogen therapy after a careful discussion of the benefits versus risks of oestrogen therapy. We anticipate that similar cases of hypogonadism in male-to-female transsexuals will likely become more common in an era of increased obesity rates.

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Gender confirming medical interventions and eating disorder symptoms among transgender individuals. Studies indicate that transgender individuals may be at risk of developing eating disorder symptoms EDS. Serial multiple mediation analyses controlling for age, education, and income were used to examine whether body satisfaction and nonaffirmation mediate any found relationships between various GCMIs genital surgery, chest surgery, hormone use, hysterectomy, and hair removal and EDS.

For TFS individuals , the nonaffirmation to body satisfaction path mediated relationships between all GCMIs and EDS, although body satisfaction alone accounted for more of the indirect effects than this path for chest surgery. Findings support the hypothesis that GCMIs reduce experiences of nonaffirmation, which increases body satisfaction and thus decreases EDS. Among TFS participants, the relationship between chest surgery and lower levels of EDS was mediated most strongly by body satisfaction alone, suggesting that satisfaction with one's body may result in lower EDS even if affirmation from the external world is unchanged.

Implications of these findings for intervention, policy, and legal efforts are discussed, and future research recommendations are provided. This study examined associations between changes in self-reported attractions and mental health in a community-based sample of self-identified transgender adults.

Participants were purposively recruited in using bimodal sampling methods and completed a one-time survey.

List of American television episodes with LGBT themes

Lifetime changes in attractions were significantly associated with increased probability of all mental health outcomes; individuals reporting any change in attractions were more likely than individuals not reporting changes to indicate lifetime self-harm, suicide attempts, depression diagnosis, and current depressive distress all ps social transition were not significantly associated with mental health outcomes. Many, but not all, population and transgender -specific social determinants were significantly associated with mental health in the full sample and among those who had socially transitioned.

Clinical implications of findings about changes in attractions and mental health are discussed for transgender individuals. This study examined individual and institutional productivity in lesbian, gay, bisexual, and transgender LGBT scholarship published in counseling psychology--oriented journals for the years through Eight journals were included in the analyses.

An author-weighted score was calculated for each scholar, using a formula developed by…. To our knowledge, many of them lack standardized questionnaires and comparisons with normative data to evaluate different vaginoplasty techniques. Forty-seven patients participated in this study.

All patients had surgery with our self-developed combined technique on average 19 months before the survey. They completed a self-developed indication-specific questionnaire concerning demographic and socioeconomic issues and postoperative satisfaction. The FLZ M consists of three modules general life satisfaction, satisfaction with health, and satisfaction with body image with scores of weighted satisfaction for each item.

Results of the general and health modules were compared with normative data. Demographics, QOL, general life satisfaction, satisfaction with health, and satisfaction with body image. All patients stated they would undergo SRS again and did not regret it at all. Patients stated their femininity significantly increased. For the FLZ M , the sum score for general life satisfaction P patient satisfaction of this complex and non-standardized surgery. QOL was assessed by a large number of patients by standardized questionnaires and could be compared with normative data.

Because this is a retrospective study, we can draw only careful conclusions for pre- and postoperative changes. Our self-developed combined surgical technique seemed to have a positive influence on. Relational and sexual fluidity in females partnered with male-to-female transsexual persons. This paper reports on a study examining sexuality in females who remain partnered with male-to-female transsexual persons. Participants' self-view and sexual fluidity following their partners' transition from man to woman is examined.

Sixteen females participated in in-depth, semi-structured interviews. An inductive process of data analysis was conducted, using the constant comparative method, an iterative process by which data are compared within and across subjects. Data were collected until thematic saturation was achieved. Four themes related to sexuality emerged: 1 questioning of sexual orientation; 2 sexual orientation categorization; 3 relational fluidity without sexual relations; and 4 relational fluidity with sexual relations.

Participants maintained a heterosexual identity, yet modified their self-view to include an identity that reflected their reformed relationship. The majority of the respondents reported sexual lives that were active or evolving. Others remained in relationships that no longer included sexual activity. The study findings highlight the potential fluidity within the sexual and relational lives of females, and can enhance healthcare providers' preparedness and efficacy with diverse populations.

Providers are in a unique position to offer resources to patients who identify as sexually or gender-diverse, or who are in relationships with sexually or gender-diverse persons. Dimensional profiles of male to female gender identity disorder: an exploratory research. To explore the aggregation of clinical manifestations of MtF GID in order to identify meaningful variables describing the heterogeneity of the disorder.

Diagnosis was based on formal psychiatric classification criteria. Factor analysis was performed. Several socio-demographic and clinical parameters were investigated. Factor analysis identified two dimensional factors: Factor 1 was associated with sexual orientation, and Factor 2 related to behavioral and psychological correlates of early GID development. No correlation was observed between the two factors.

A variety of other socio-demographic parameters and clinical features were associated with both factors. Behavioral and psychological correlates of Factor 1 sexual orientation and Factor 2 gender identity do not constitute the framework of two separate clinical entities, but instead represent two dimensions of the complex MtF GID structure, which can be variably intertwined in the same subject.

By using factor analysis, we offer a new approach capable of delineating a psychopathological and clinical profile of MtF GID patients. Transgender and gender non-conforming TGNC individuals face high levels of discrimination and mistreatment, including within social and medical service settings, which may lead to negative health and psychosocial sequelae. Given the many barriers to competent care, we sought to determine points of intervention by assessing the current needs, satisfaction, and health care utilization of TGNC individuals in New York City as reported by TGNC individuals.

In January , fifty TGNC individuals were recruited via flyers and direct referrals from healthcare professionals within community spaces and pertinent venues. We administered a brief survey and conducted four focus groups exploring participants' health care utilization and perceived barriers to care, routine care, hormone and silicone use, and recommendations for improving transgender services.

A significant proportion reported taking hormones prescribed by a medical provider and were in the care of knowledgeable providers.

  • A Man Like This.
  • male-to-female transgender individuals: Topics by
  • Bernard of Clairvaux: Theologian of the Cross (Cistercian Studies)?
  • La propriété intellectuelle : Principes et dimension internationale (Lesprit économique) (French Edition)?
  • Charles Berlitzs World of the Incredible But True.

Participants perceived four areas where barriers persisted: utilization of preventive services, access to transition-related procedures, access to legal assistance, and inclusion of TGNC individuals in public health education and campaigns. Structural interventions are needed, such as comprehensive provider training programs for all level staff to better serve the needs of TGNC individuals , increase service utilization and improve wellbeing, while effecting lasting institutional change. Service provision establishments should hire more TGNC staff and integrate transgender care into existing practices.

Factors associated with health care discrimination experiences among a national sample of female-to-male transgender individuals. Transgender individuals experience harassment, violence, and discrimination in a number of settings. Although health care discrimination against transgender people has been documented, this issue is understudied. Analyses were conducted using chi-square tests and a two-step logistic regression. The majority of participants were white The study's findings can be useful to social workers, who play a role in educating health care providers and advocating for policies that improve health care experiences for FTM and other transgender patients.

The Transgender Conundrum. This paper aims at investigating the way gender affects identity, with an emphasis on transgender individuals. It explores concepts of identity development and gender identity, uncovering the historical and transformative character of gender by looking into personal stories, statistics and laws in the transgender community. As transgender individuals do not adhere to the normative markers of intelligible reality, by not acting in accordance to the gender roles they were assigned, their very e Voices convey important social information about an individual 's identity, including gender.

This is especially relevant to transgender individuals , who cite voice alteration as a primary goal of the gender alignment process. Although the voice is a primary target of testosterone therapy among female-to-male FTM trans people, little research has explored the effects of such changes on their psychological well-being. Here, we investigated how FTMs' vocal gender related to their well-being. We found that FTMs whose voices sounded more congruent with their experienced gender i.

The convergence between outwardly perceived vocal gender and gender identity brought about through hormone replacement therapy may therefore support greater well-being for FTMs. Su, Dejun; Irwin, Jay A. Abstract Purpose: This study assessed within a Midwestern LGBT population whether, and the extent to which, transgender identity was associated with elevated odds of reported discrimination, depression symptoms, and suicide attempts.

Cortical activation during mental rotation in male-to-female and female-to-male transsexuals under hormonal treatment. There is strong evidence of sex differences in mental rotation tasks. Transsexualism is an extreme gender identity disorder in which individuals seek cross-gender treatment to change their sex.

The aim of our study was to investigate if male-to-female MF and female-to-male FM transsexuals receiving cross-sex hormonal treatment have different patterns of cortical activation during a three-dimensional 3D mental rotation task. Twenty-three males and 19 females served as controls.

The general pattern of cerebral activation seen while visualizing the rotated and non-rotated figures was similar for all four groups showing strong occipito-parieto-frontal brain activation. However, compared to control males, the activation of MF transsexuals during the task was lower in the superior parietal lobe. Compared to control females, MF transsexuals showed higher activation in orbital and right dorsolateral prefrontal regions and lower activation in the left prefrontal gyrus.

FM transsexuals did not differ from either the MF transsexual or control groups. Regression analyses between cerebral activation and the number of months of hormonal treatment showed a significant negative correlation in parietal, occipital and temporal regions in the MF transsexuals. No significant correlations with time were seen in the FM transsexuals. In conclusion, although we did not find a specific pattern of cerebral activation in the FM transsexuals, we have identified a specific pattern of cerebral activation during a mental 3D rotation task in MF transsexuals under cross-sex hormonal treatment that differed from control males in the parietal region and from control females in the orbital prefrontal region.

The hypoactivation in MF transsexuals in the parietal region could be due to the hormonal treatment or could reflect a priori cerebral differences between MF transsexual. Understanding and Counseling Transgender Clients. Because transgender individuals experience widespread employment discrimination, counselors need to understand and be able to work with members of the gay, lesbian, bisexual, and transgender communities. The aim of this article is to help counselors become more transgender literate by a defining gender dysphoric disorder and related terms; b ….

We used a document review process to examine asylum declarations and psychological evaluations of transgender Mexican asylum seekers in the United States from We coded documents in and using NVivo, a multidisciplinary team reviewed them, and then we analyzed them for themes. Mexican transgender asylum applicants experienced pervasive verbal, physical, and sexual abuse from multiple sources, including family, school, community, and police. Applicants also experienced discrimination in school and in the workplace. Applicants immigrated to the United States to escape persistent assaults and threats to their life.

Applicants suffered health and psychological effects from their experiences in Mexico that affected opportunities in the United States for employment, education, and social inclusion. Additional social protections for transgender individuals and antidiscrimination measures in Mexican schools and workplaces are warranted as are increased mental health assessment and treatment, job training, and education services for asylum seekers in the United States.

Western studies have consistently found that androphilic sexually attracted to men male-to-female transsexuals have a later birth order and a relative excess of brothers compared with appropriate control participants. However, non-Western studies on birth order and sibling sex ratio in androphilic males transsexual or non-transsexual are rare. The objective of the study was to test the hypothesis that androphilic male-to-female transsexuals have a late birth order and a relative excess of brothers in a non-Western culture with a higher fertility rate.

The participants were 60 androphilic male-to-female transsexuals and 61 male heterosexual controls. The transsexual participants had significantly more older brothers than the control participants, but the groups did not differ in their numbers of older sisters, younger brothers, or younger sisters. The foregoing pattern is usually referred to as the "fraternal birth order effect.

In conclusion, the present study found that Turkish androphilic male-to-female transsexuals show the same high fraternal birth order that has been found in comparable androphilic samples in Western Europe, North America, and the South Pacific, which suggests a common underlying biological causal mechanism. We herein report and discuss our first experience about a sex reassignment surgery SRS with laparoscopic sigmoid colon vaginoplasty for a 40s male to female gender identity disorder. SRS for this subject included bilateral orchiectomy, penectomy, clitoroplasty, vaginoplasty, and vulvoplasty.

About 20 cm of the sigmoid colon was harvested laparoscopicaly for the neovagina. Total operating time was about 9 hours, and the estimated blood loss was ml without transfusion. There was no trouble during the postoperative course, and a sufficient length of vagina has been maintained. A Systematic Review and Meta-Analysis. To derive the first systematically calculated estimate of the relative proportion of boys and girls with autism spectrum disorder ASD through a meta-analysis of prevalence studies conducted since the introduction of the DSM-IV and the International Classification of Diseases, Tenth Revision.

Random-effects meta-analysis was used. In effect, this is the ASD male-to-female ratio, controlling for the male-to-female ratio among participants without ASD. Fifty-four studies were analyzed, with 13,, participants, of whom 53, had ASD 43, boys and 9, girls. The overall pooled MFOR was 4. High-quality studies had a lower MFOR 3. Studies that screened the general population to identify participants regardless of whether they already had an ASD diagnosis showed a lower MFOR 3.

Of children meeting criteria for ASD, the true male-to-female ratio is not , as is often assumed; rather, it is closer to There appears to be a diagnostic gender bias, meaning that girls who meet criteria for ASD are at disproportionate risk of not receiving a clinical diagnosis.

The Transgender Military Experience. Full Text Available Although there have been studies that focus on the experiences of the gay and lesbian population serving in the United States military, few have focused on the experience of active duty transgender service members. Transgender individuals transgress the binary conception of gender by deviating from societal gender norms associated with assigned sex at birth. The Department of Defense has set policies and standards that reflect a binary conception of gender, with a focus on conformity. We argue that able-bodied gender variant service personnel are just as capable of serving their country as anyone else.

Because of the repercussions associated with active duty transgender military personnel, our sample is small and involves nine clandestine service members and two international service members who wanted to share their stories from a different perspective. Snowball sampling was aimed at finding current active duty and reserve transgender service members.

Using a combination of telephone interviews and questionnaires, data were collected from active duty transgender service personnel throughout the United States and two from international militaries that allow transgender people to serve. Our findings add to a growing source of information about the transgender military experience in the U. Policing Transgender People.