Transsexualism Essay Example

Transsexualism Essay Example

Transsexualism is the most pronounced form of Gender Dysphoria. A typical medical definition of transsexualism would be along these lines: A transsexual is someone who experiences a deep and long-lasting discomfort with their anatomical (genital) sex, and wishes to change their physical characteristics, including genitals, to the opposite of those usually associated with their anatomical sex, and to live permanently in the gender role opposite to that normally associated with their anatomical sex.

The medical definition is usually hedged around to exclude onditions such as hermaphroditism and various forms of psychosis which may lead to patients thinking they are transsexual without really being so.

Some transsexuals also exhibit a degree of physical androgyny (which supports the view that transsexualism stems from an endocrine disorder, like hermaphroditism) but this is not part of the required conditions for diagnosis. Transsexualism Essay Example.

Transsexualism is still thought by many people to be a psychiatric condition, even though most transsexuals are perfectly sane and rational and recent research has shown that the condition has a hysical basis that the ‘female brain in a male body’ is a biological reality. Nevertheless, in most countries the person in overall charge of a gender reassignment (‘sex-change’) will be a consultant psychiatrist. The psychiatrist’s role is to ensure that the patient is sane, really is transsexual, and is mentally stable enough to make the necessary adaptation to the new gender role. Transsexualism Essay Example.

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Since our society assumes that gender and sex always correspond, I was wrongly assigned to the gender pigeon-hole called ‘male’ by a doctor who looked at my genitals instead of my mind. Throughout my childhood I knew perfectly well that I was really a girl (after all, it’s my mind, not my genitals, that make me the person that I am), but because my body seemed to insist otherwise, I was forced to try to fit in to the gender role of a boy. This produced intense unhappiness and almost totally ruined my life until I accepted the reality of my situation and underwent gender reassignment as an adult.Most transsexuals dislike the typical medical description, as it still tends to suggest a psychiatric, rather than physical, origin for the condition, in spite of the criterion that one must be sane to be llowed gender reassignment. The present author would like to suggest an alternative, and personal, view of what it means to be transsexual: I am a woman who, probably due to some endocrine malfunction before birth, was born with male genitals.

I now live in the gender role called ‘female’ that matches my gender identity; the medical profession labels me as a ‘post-operative true primary male-to-female transsexual’, but I regard myself as a perfectly normal, well- adjusted and happy woman.

Bearing in mind the definitions of ‘sex’ and ‘gender’, ome transsexuals are uncomfortable with the accepted medical term ‘gender reassignment’ to cover what is popularly known as ‘a sex change’.

While many medics would adopt the reductionist viewpoint that sex is properly determined by chromosomes and not by genitals, and that there can therefore be no true change of sex, it is not really a change of gender either. It is a change of gender role , to bring it into conformity with the person’s gender identity , with hormonal and surgical reconstruction, as far as possible, of the body’s sexual characteristics. Many

There is a growing body of evidence that transgender individuals frequently experience some type of discrimination during the employment process in the United States today. Transsexualism Essay Example. Although there are only a few high-profile cases, there are a significant number of employment claims being asserted. In terms of numbers, the high was reached in 1994 when almost 92,000 discrimination charges were filed with the Equal Employment Opportunity Commission. Since that time, the number of discrimination cases has ranged between 75,000 and 87,000 per year. Even more significant, the number of employment discrimination lawsuits filed in federal court almost tripled between 1990 and 2000. Although not as well documented, constitutional claims against public sector employers also have increased dramatically in recent years. These employment-related claims — raising such important issues as privacy and equal protection rights — have forced human resource management generalists to become minor constitutional scholars as they struggle to ensure that personnel policies and decisions follow the dictates of the U.S. Constitution. This paper introduces the public sector human resource manager to the legal landscape where the personnel function now must operate. The first section provides a broad overview of the significant statutory laws governing the human resource management function, focusing on the federal discrimination laws that regulate public sector employment. The second section analyzes the important constitutional issues that bear on the public sector personnel function. The final sections provide a discussion of these issues and recommendations for practitioners.

Table of Contents

Introduction

History of the Law

Issue Synopsis

Background and Significance

Procedures: Current enforcement methodologies

Results: Case analysis and study

Discussion — overall assessment of law or regulations

Recommendations

Introduction

The word transgender is an umbrella term that includes individuals whosegender identity and expression (in other words, their internal and external sense of being female, male, or neither) is not aligned with their anatomical sex (in other words, the anatomical composition of their XX and XY chromosomes) that are naturally assigned to them at birth (Singh, Hays & Watson, 2011). Within this broad umbrella term are a number of diverse subgroups of individuals who self-identify using a wide range of terms, including “MTF” (“male-to-female” which means in the transition from male to female), FTM (likewise, “female-to-male” are those people who are transitioning from female to male), transsexual (securing surgery and/or hormones), gender-queer (not identifying with the labels of “male” or “female”), and a number of others as well (Singh et al., 2001). Transsexualism Essay Example.  The term can also include those who engage in part-time behaviors reflective of the opposite sex. For instance, Lee (2011) advises that, “Transgender people live part-time or full-time as members of the other gender [and include] anyone whose identity, appearance, or behavior falls outside of conventional gender norms. . . . However, not everyone whose appearance or behavior is gender-atypical will identify as a transgender person” (p. 27).

Because of this wide range of gender diversity within the transgender community, there remains a fundamental lack of understanding on the part of U.S. society concerning these individuals, often resulting in transphobia and transprejudice (Singh et al., 2011). These types of phobias are caused by a lack of understanding of the basic mechanisms that are involved. For instance, according to Storrow (2002), “The traditional view, the sexed body — one’s inside — is immutable, whereas gender identity — one’s outside — is mutable. Yet for the transgendered person, the sexed body — one’s outside — is regarded as mutable while one’s gendered identity — one’s inside — is experienced as immutable)” (p. 131).

Complicating matters even further for human resource practitioners in the dynamic nature of the law and regulations concerning the administration and adjudication of transgender employment discrimination cases. Furthermore, there is a growing body of evidence that indicates transgender individuals frequently experience discrimination at some point during the employment process. In this environment, identifying opportunities to reduce employment discrimination against transgender individuals and providing human resource practitioners with an overview of the controlling legislation and relevant case law represents a timely and valuable enterprise as discussed further below. Transsexualism Essay Example.

History of the Law

Immediately following the end of the Civil War and again in 1957 and 1964, the United States has enacted a series of civil rights acts that have affected the American workplace in fundamental ways. Of particular interest to this study is Title VII of the Civil Rights Act of 1964, which is perhaps the best known of all the federal laws prohibiting employment discrimination. According to Black’s Law Dictionary, the Civil Rights Act of 1964 is a “the federal statute intended to implement and give further force to basic personal rights guaranteed by Constitution. The Act prohibits discrimination based on race, color, age, or religion” (p. 246). As amended, the Act also prohibits discrimination on the basis of national origin (Condrey, 2005). In sum, Title VII applies to all personnel functions including hiring, firing, compensation, promotion, classification, training, apprenticeship, employment referrals, union membership, and the terms, conditions, and privileges of employment. In addition, under Title VII, it is illegal to harass employees because of their sex, race, color, religion, or national origin (Condrey, 2005). Notwithstanding this progress in promoting the civil rights of all Americans, some groups continue to experience discrimination in the workplace as discussed further below.

Issue Synopsis

In essence, Title VII is intended to address institutionalized discriminatory practices and provide an equitable human resource environment in which candidates and employees receive equal opportunity. In this regard, Title VII of the Civil Rights Act of 1964 was developed to, “Remove artificial, arbitrary and unnecessary barriers when such impediments operate invidiously to discriminate against individuals” (Schneid, 2011, p. 41). Therefore, by definition, the barriers that are targeted by Title VII frequently defy easy identification and, once identified, defy simple solutions. On its face, the provisions of Title VII is clear, and the Act prohibits discrimination against race, sex, color, creed, national origin, pregnancy, age, disability, equal pay and compensation, and sexual harassment within the workplace. The United States Equal Employment Opportunity Commission (EEOC) is the federal agency tasked with enforcing the provisions of Title VII in the United States today. Transsexualism Essay Example.

While Title VII has been in existence since 1964 and modified in 1991, it has failed to completely eradicate discrimination from the workplace. In 2009, a total of 93,277 bias discrimination complaints filed against employers at a cost of $376 million dollars for victims relief, (EEOC, 2010, para. 1). Title VII has significantly improved opportunities in the workplace for a wide range of American citizens; however, there remains a number of obstacles in place that adversely affect the ability of some individuals, including transgendered individuals, from gaining access to meaningful employment opportunities.

Certainly, Title VII is not a cure-all nor does it protect all workers against wrongful employment discrimination, and it does not adequately or consistently protect the workers that it was supposed to cover, either. Title VII is an admirable and somewhat effective step. Still, it is “but a first step.” Title VII worked in its current form for many years, but in order to address the discrimination of today and potentially eradicate the discrimination of the future, change is needed.

In fashioning a remedy to address all of the different forms and occurrences of workplace discrimination happening in the present day, the “pressing need is not symbolism, but a workable regulatory scheme that actually results in less discrimination” against a wider array of individuals. Employment is the cornerstone for nearly all other rights and privileges in American society — without employment, an individual likely cannot afford basic necessities such as shelter and nutritious food, cannot hope to obtain a quality education, cannot afford health care, and cannot even contemplate discretionary purchases that enrich and invigorate life. All individuals need equal opportunities to earn a living and to provide for themselves and their dependents. Title VII does not provide such things to all workers as is. For many employees. Title VII is more a symbolic recognition of their situation than substance or support.

Currently, Title VII arbitrarily assigns individuals into classes that time and again are defined and interpreted narrowly to avoid granting employment non-discrimination protections and equal employment opportunities to qualified workers. Transsexualism Essay Example.  No regulatory scheme will likely ever eradicate all discrimination in the workplace, but there must be a different regime that would result in less discrimination, and discrimination against fewer individuals and groups of individuals, than Title VII as currently constructed. The unfortunate truth is that discrimination operates in such a way that a categorical approach — adding or redefining categories as the sole means by which to provide employment nondiscrimination protections — is not now and will never be enough to combat all of the forms of discrimination and protect the victims thereof. Currently, only 43% of state employees work in a state with a law prohibiting discrimination based on sexual orientation. Only 31% work in a state with a law also prohibiting discrimination based on gender identity. The background and significance of these issues…

From birth until death societal structure provides individuals with acceptable and unacceptable behaviours in society based on whether they are male or female (Dietert & Dentice, 2009). As per 2011 Indian census it was reported that total population of transgender is around 4.88 lakh (Transgender in India, 2011). Despite this, there is little research in India exploring the transgender people’s experience of therapy and Mental Health Services. Since transgender population is itself varied in nature in terms of their identity, seeking mental health and lack of federal protection, there is need for more research (Stocking, 2016). Transgender issues are beginning to come to the attention of many health professionals and researchers (Lombardi, 2001).

Transgender are likely to face violence or discrimination at some point in their lives (Lombardi, 2001). In a study it was reported that 60% of transgendered people in USA had faced some form of harassment and discrimination and 37% had experienced some form of economic discrimination (Lombardi, Wilchins, Priesing, & Malouf, 2002). Many transwomen are at risk mainly because of risky sexual behaviours (Nemoto, Luke, Mamo, Ching, & Patrij, 1999).  Transsexualism Essay Example.These individuals may find it difficult to get through traditional prevention campaigns, as they fear discrimination in seeking HIV/ AIDS Testing and Education (Bockting, Wilkinson, Kitano, & Marx, 1993). They may also be resistant to seek help from other health professionals because other trasngenders have reported discriminatory behaviour on the part of service providers (Bockting, Wilkinson, Kitano, & Marx, 1993). Individuals who do not conform to gender norms and roles face many health related issues and discriminatory practice is common (Lombardi, 2001). In United States, 41% of transmen and transwomen attempted suicide which is 9 times more as compared to cisgender. It was also reported that LGBT adults who have experienced discrimination have average stress levels of 6.4, compared adults who are non-LGBT, stress levels are 5.5 for those who have experienced discrimination (American Psychological Association, 2016)

It was also found that trasngenders felt that therapists are not well-informed about the needs of transgenders and in the process they start seeking information from the transgenders. They also showed concerns for therapists’ inadequate training to deal with their issues. Transgenders also expressed concerns related to stereotyping and being misunderstood by the therapist (Benson, 2013). In 2015, a research was conducted where 65% transgender reported being on the receiving end of discrimination by mental health professionals (Cahill, Reisner, Hughto, Dunham, Heflin, & Begenyi, 2015) Distress and impairment are main characteristics of any Mental Health Disorder that arise from discriminatory behaviour, stigma, lack of acceptance, and abuse they face on a regular basis. It was also reported that people who feel stigmatised shy away from healthcare professionals and reach for addictive substances to reduce aloneness and anxiety or risk-prone behaviours, which further degrades their health and chances of seeking help again. (Robles, et al., 2016) Other than difficulties accessing mental health services, it has been found that transgenders face discrimination in every aspect of life.

Workplace discrimination is also well-documented with regard to transgender population. Barcley & Scott (2006), studied how male-to-female transition at workplace affects transgenders. They found one issue amongst others was the restriction to use the opposite sex washroom after transitioning, significant drecrease in pay and status for MTFs (Dietert & Dentice, 2009). Transsexualism Essay Example. Whereas, on the other hand, FTMs received more benefits after transition, where they were treated better at workplace and given more respect with the same skill set (Schilt, 2006). It was also seen how transitioning on job may impact the way they negotiate their gender identities within workplace, participants reported they had to deal with the reactions from their colleagues and upper management. Transgenders often report the experience of being harrased after transitioning which leads to them quitting their job or an underlying fear of losing their job (Dietert & Dentice, 2009). Overall, these forms of discrimation makes it difficult for them to function well at their wokrplace. Literature has shown how transitioning to a new identity may impact different aspects of an individual’s life. Gender binary discourse enforces norms for two exclusive categories either male or female. Societal expectations require individuals to be in a certain manner, where their gender aligns with their sex (Dietert & Dentice, 2009). Bockting et al., 2013, found out that trasnwomen are subjected to environmental provocative experinces which are not specific to transgender but may increase depressive rates; transwomen may experinence a loss of status as they transition to a female role and trasmen may experience the opposite.

Discrimination in school setting by peers and teachers is another aspect that can hinder transgender mental health. Given the transphobia in our society, adolescents who are struggling with the issue of gender identity and sexual orientation face many challenges and lack the fundamnetal support system as compared to cisgenders and heterosexuals (Gonsiorek, 1988). researches have focused how lack of support sytem for LGBT people within schools can comprise of one of the most homophobic and transphobic social institutions (Elia, 1993). It was also found that instead of family members, LGBT youth in high school percieved support from peers and non-family adult members which they specified as emotional and instrumental in nature. They also reported LGBT peers and adults provided valuable informational and appraisal support (Plaza, Quinn, & Rounds, 2002). With increasing LGBT population, schools, workplaces and other social institutions can no longer ignore this population but instead needs to be better prepared to provide guidance and assist them in order to make them better equipped to deal with situations in a healthy manner. Transsexualism Essay Example.

In addition to this, lack of parental support increases the mental health risks in sexual minority individuals. Lack of parental support in acceptance and supporting children who are trasnitioning or non-conforming to gender roles is linked to poor mental health. Olson, Durwood, DeMeules & McLaughlin (2016) found out that transgender children who were supported in their identity showed typical rates of depression and slighlty elavted rates of anxiety (which were no different than control groups) which suggested that familial support may be associated with better mental health among transgender children, as compared to children without any familial support. Similarly, it was found that lack of parental support is inversely associated with higher quality of life and may serve as a risk factor towars depression (Simons, Schrager, Clark, Belzer & Olson , 2013).

Theoretical Framework

Meyer’s (2003) Minority Stress Model postulates how minority stress factors like expectation of rejection, prejudice, hiding,concealing and ameliorative coping processes result in occurrence of psychological problems in Transgenders. Stressors which arise from the environment like social stigma or homophobia may require an individual to adapt to the surrounding at the same time causing significant distress which in turn affects the mental health and physical health outcomes. (Dohrenwend, et al., 1992) Meyers found that the psychological disorders which are prevalent in LGBT group is especially a result of stressful and hostile social environment.

He proposed 3 ways through way transgenders are subjected to minority stress. First stressor which is present in transgenders is external and environmental in nature which occurs because of their minority status and which can create even more stress. Second factor overlaps with the previous factor where transgender individuals anticipate likeliness of being discriminated against and expect other individual to react to them in a certain manner, as a result of which LGBT people may receive rejection because of their sexual minority status and in turn may hide their identity to protect themselves from physical and psychological harm. Transsexualism Essay Example.Third, negative attitudes and prejudice from the society are internalised which may result in internalised homophobia for LGB people and internalised transphobia for Transgenders.

He also observed that the third factor of internalising society’s beliefs can be the most damaging for these individuals because it has direct negative effects on their ability to cope with external stressful events and may reduce their resilience when negative situations arise. He identified various ways through which these processes contribute to increased levels of psychopathology which may include mood disorder, substance abuse, suicidal ideation and attempts. The present study aims to explore the transgenders’ perception regarding the nature of mental health services provided by mental health professionals.

In transgender literature it is acknowledged that LGBT (lesbians, gay, bisexuals and transgendered individuals are subject to minority stress as a result of prejudice, stigma and discrimination which places them at higher risk of experiencing mental health difficulties. (as cited in Hunt, 2014) The term “transgender” cover a variety of atypical gender experiences and expressions like transsexuals, transgenders, gender queer and who cross-dress or perceive themselves as gender variant. (Stryker, 2006)

However, there have been few empirical studies exploring what specific issues transgender people seek therapeutic help for and what their experience of therapy has been. ( Hunt, 2014) One major study that aligns with the present research was done which explored transgender people’s experience of seeking and receiving counselling and psychotherapy outside of gender identity clinics in UK was studied. This study used a mixed method approach where they used an online survey and a semi-structured interview. It was found that participants sought help on two or more occasions and had psychological concerns like gender identity and coming out ( Hunt, 2014). It was also reported that transgendered people faced two barriers while seeking help; fear of being discriminated and exploring gender for the first time. This study majorly emphasised on the clients experience while seeking counseling services, the need for these professionals to develop a greater understanding to deal with the issues brought up by transgenders and competence and knowledge while working with them. In a similar study, Stocking (2016) studied perceived discrimination at Mental Health Clinics and reported there is an association between gender identity and reports of discrimination at mental health clinics. National Transgender Discrimination Survey (2008) was used to understand the extent to discrimination in this population, sample included 6456 respondents and bivariate analysis was used to understand the associations.

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Association varied depending on which gender term individual identified with and form of discrimination (verbal harassment, being denied services or physical assaults). FTM and MTF reported contrasting experiences of discrimination where a person identifying as FTM was denied services or equal treatment and MTF were physically assaulted at mental health clinics. (Stocking, 2016) Contrasting rates of psychological distress were also seen in transgendered and non-transgendered population. Survey used to assess participants’ socio-demographic characteristics, substance use, transgender identity, sexual behaviour. It was found that transgender had disproportionate rates of anxiety, depression, somatization and overall psychological distress as compared to cisgender. (Bockting, Miner, Romine, Hamilton & Coleman, 2013) Association between felt stigma and peer, family support and identity pride were negatively related which confirmed these as protective factors. On the other hand, felt stigma and psychological distress were positively related. An interesting finding was reported in the same study, where transgender felt investment in passing (concealing identity) lead to felt stigma and outness (coming out) lead to enacted stigma especially for transmen. Specific types of enacted stigma were higher for transmen than transwomen which included getting a job, verbal harassment and access to health services.

The predictors of psychological well-being in treatment seeking transgender individuals were investigated, which included psychopathology and quality of life in transgenders and cisgenders. This research employed 6 tools; SCL-90-R, SF36v2, RSE, IIP-32 and HBDS to assess 6 factors of psychological distress. It was found that transgendered people had greater levels of psychopathology, interpersonal problems, lower self-esteem and body dissatisfaction compared to cisgenders. It was also found that younger transgender people may be more vulnerable to more mental health difficulties as they have less experience in managing stress as compared to older transgendered people.  Transsexualism Essay Example.

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