Suchergebnisse

The number of pediatric transgender patients seeking treatment is growing rapidly. As a result of this growth, there has been an increase in the number of clinics offering treatment; though there is variability across clinics in terms of resources and services accessible, due to various barriers. This project examines this variation in pediatric transgender care by clinic or provider location across areas of varying population density in the Midwest. Qualitative interviews were conducted with providers from Midwestern states who work with the population of interest. Interviews were transcribed and responses were organized by geographic region and similarity of responses. Major themes were identified based on commonly agreed upon topics or ones that varied by location of practice. Themes discussed in interviews included restricted access for patients, a lack of education among providers, and misinformation about the transgender population within the community. The only differences noted between providers by geographic region were patient demographics and number of providers working in their state. Providers reported that the future of transgender care is moving in a positive direction, despite the presence of significant barriers. Issues regarding pediatric transgender care transcend geographic differences. Better education about the transgender population for both providers and the community is necessary to improve care for this patient population. Democratization of care would also protect patients' access to care, as it would be more difficult to restrict through legislation.

Men who have sex with men (MSM) dan transgender (TG) merupakan sebagian dari berbagai kelompok yang berisiko terhadap infeksi HIV&AIDS. Secara global, terjadi eskalasi kasus HIV&AIDS di kalangan MSM dan TG, tetapi datanya terbatas. Community- Based Organization (CBO) merupakan pionir dalam pemberian layanan HIV&AIDS untuk kelompok MSM dan TG. Tujuan: Studi ini bertujuan untuk melihat strategi organisasi yang bergerak dalam isu MSM dan transgender di Indonesia dan Timor Leste untuk bertahan. Metode: Studi dilakukan dengan menggabungkan studi kuantitatif dan kualitatif untuk menilai organisasi-organisasi MSM dan TG yang terkait dengan HIV&AIDS di Indonesia dan Timor Leste. Hasil: Berdasarkan data kualitatif dan kuantitatif, ditemukan adanya variasi strategi yang dikembangkan oleh organisasi untuk dapat bertahan yang disesuaikan dengan kapasitas organisasi yang menangani MSM dan TG. Penilaian kapasitas organisasi dilihat berdasarkan indikator governance (tata kelola), efektivitas organisasi, keberlanjutan, dan atribut. Kesimpulan: Kondisi sosial, ekonomi, dan politik di setiap negara mencerminkan tingkat efektivitas governance, dan sustainabilitas, serta praktik dan atribut dari setiap organisasi yang memengaruhi model strategi yang dikembangkan.

The Transgender Persons (Protection of Rights) Act, 2018 is an exclusive statutory law dealing with the rights of transgender persons in Pakistan, the greatest strength of which is the right given to transgender persons to be recognized based on their self-perceived gender identity. However, in its recent judgement, the Federal Shariat Court struck down some of the key sections of this act by declaring them unIslamic. Gender is a social construct and is different from the biological sex. Gender identity, which is the innermost feeling of a person, cannot be changed. Moreover, transgender identity is not a mental disorder and is different from gender dysphoria. This paper discusses the transgender law in Pakistan in detail and the insights from the field of mental health to understand the transgender phenomenon and to handle transgenders' rights in Pakistan by bridging the gaps between the understandings of relevant stakeholders.

This is an edited collection of human stories from trans autistic writers. The flesh-and-blood stories collected in this anthology address the struggles and joys of living at the intersection of neurodivergence and gender divergence with personal insight and nuance.

In spite of an enlightened constitution and enabling legislation, South Africa's small transgender population continues to battle medical prejudice and ignorance in addition to huge societal pressure to conform to socially constructed sexual stereotypes. An Izindaba investigation showed that transgender people need precise information and deep pockets to access hormone treatment and/or gender-reassignment surgery, be it in the public or private sector. Attempts to access care in the public sector where facilities, staff and protocols exist, often result in humiliation, up to 6 years waiting on surgical lists and sometimes being routed via the private sector at major expense, with no guarantee of an outcome. This emerged late last year at a pioneering inaugural conference held in Hout Bay where transgender men and women, health care providers and the national Department of Health met to establish a long-awaited research and policy agenda.

Transgender people are among the most marginalized and vulnerable populations in the world. Misinformation, lack of education, and lack of experience among cis-gendered persons often result in forms of violence and abuse directed towards those perceived as transgender or gender non-conforming. Such violence and abuse are not restricted to secular culture but expand into faith communities and essential forms of spiritual care and support. When transgender people of faith share the reality of their gender identity they often experience rejection by the very communities that should provide support, encouragement, and practical ministries of hospitality. Retreating Forward: A Spiritual Practice with Transgender Persons is an educational and practical resource for individuals, spiritual leaders, and faith communities seeking to provide practical and spiritual sustenance. The retreat model included in this text proved transformational for those involved

This article provides an overview of the literature written about individuals who are referred to today as transgender people, with a focus on material from the United States. Influential studies are discussed, particularly works by trans people. The article concludes by suggesting useful directions for future research, including the need to document trans political, legal, and cultural campaigns; considering a greater range of transgender people and experiences; and specifically examining the lives of trans people of color.

Transition milestones (e.g., telling family members that one is transgender and beginning hormone treatments) are specific transition-related events in transgender persons' lives that demarcate what their life circumstances were before versus after the milestone was reached. This article examines the relationship between transition milestones and psychological distress in a large sample of transgender adults. Data from the 2015 U.S. National Transgender Survey were used to examine 11 specific transition milestones in a sample of 27,715 transgender Americans aged 18 or older. A majority (64.6%) of respondents reported that psychological distress had affected them "some" or "a lot." Along with nine of the demographic measures and 13 of the support/discrimination measures, nine of the 11 transition milestones under study were found to be related to psychological distress levels. Reaching specific transition milestones plays an important role in many transgender adults' lives and may be highly beneficial in helping them to reduce psychological distress.

The United States is seeing a wave of explicit anti-transgender animus, expressed in the form of legislation banishing transgender individuals from full participation in public life. In Montana, such a measure was defeated in the Legislature in the 2017 session. HB 609 would have discriminated against transgender individuals by prohibiting them from using the restroom, locker room, or changing facility in a government building or under public control that corresponds with their gender identity. Following the House Judiciary Committee's rejection of HB 609, the Montana Family Foundation began collecting signatures on ballot initiative I-183, a nearly identical measure to HB 609, with the intent of placing it on the ballot in 2018. What does the Montana Constitution say about the anti-transgender discrimination embodied in measures like HB 609 and I-183? Surely such legislation is unconstitutional because it classifies on the basis of sex. But that answer does not begin to do justice to the harms transgender discrimination inflicts. And the Montana Constitution does not limit the analysis to this answer. In fact, it compels a deeper analysis that is rooted in the principle of dignity that expressly undergirds Montana's constitutional protections against discrimination.

Unlivable lives : the origins and outcomes of identity-based anti-violence activism -- Violence matters : producing identity through accounts of murder -- Atypical archetypes : the causes and consequences of famous victims of violence -- Homogeneous subjecthood : how activists' focus on identity obscures patterns of violence -- Valuable and vulnerable : how activists' tactical repertoires shape subjecthood and generate fear -- Shaping solutions : how identity politics influence violence prevention efforts -- Facilitating livable lives : alternative approaches to anti-violence activism -- Methodological appendix A : transgender anti-violence organizations -- Methodological appendix B : collecting data on murders of transgender people.