Male to Female Transsexual

Este  artigo  tem  por  objetivo  discutir  como  treinadores  de  voleibol,  das  categorias  profissional e amadora do estado do Rio de Janeiro, performatizam enunciações sobre a presença de mulheres transexuais atletas em equipes do naipe feminino. Buscamos diálogo com os estudos pós-estruturalistas, sobretudo nas teorizações de Jacques Derrida e Judith Butler, pelas noções de performatividade da linguagem e performatividade de gênero. Além disso, realizamos a produção de narrativas com os treinadores pelos princípios de Leonor Arfuch e Jorge Larrosa, na operacionalização de entrevistas dialógicas por meio de conversas. Os treinadores enunciaram sentidos diversos, que remetiam ao preconceito e não aceitação das jogadoras nas equipes de voleibol, em particular os que atuavam na categoria profissional, como da inclusão das mesmas, ainda que dentro de determinados parâmetros. Acreditamos que novas pesquisas sobre a participação de atletas transexuais no esporte podem tensionar e constituir novas performatizações discursivas sobre o tema.

Purpose: Traumatic rupture of the corpus cavernosum of the penis is rare and has been reported infrequently. We demonstrated the moderate frequency and most common etiologies of this condition. Materials and Methods: Between February 1990 and June 1993, 68 patients underwent a n emergency operation 3 hours to 4 days after penile fracture. Results: Among 32 patients who completed a questionnaire functional results were excellent except for 3 with penile curvature and pain during coitus who underwent surgery more than 48 hours after injury. Conclusions: Fracture of the penis is a common urological problem. In our series the most common cause was manipulation. To avoid serious complications immediate surgical intervention is recommended.

Trans Women Cannot Achieve Cis Female Breast Appearance through HRT, but the failure of the Transition Remediation is Ignored by Trans Organizations who do not Press for adequate Medical Insurance Coverage.

Researchers followed 229 people transitioning from male to female for one year after they started taking what's known as cross-sex hormones. Only 21 of the trans women attained a bra size of an "A" cup or larger after one year of hormone therapy, the study found.

Übersicht: Das Modell der Informierten Zustimmung bietet Trans*-Men-schen einen alternativen Zugang zur gegengeschlechtlichen Hormonbehandlung. Um die gegengeschlechtliche Hormonbehandlung beginnen zu können, muss nach Maßgabe dieses Modells keine Psychotherapie durchgeführt werden. In der Folge reduzieren sich – je nach Gesundheitssystem – finanzielle Belastungen sowie Verzögerungen beim Zugang zu geschlechtsangleichenden Behandlungsmaßnahmen. Statt einer Fachkraft für psychische Gesundheit ist die primäre Gesundheitsfachkraft für das erste Erfassen der psychischen Gesundheit verantwortlich, und stellt fest, ob der_die Klient_in eine informierte Zustimmung zur angestrebten Behandlung geben kann. Das Modell der Informierten Zustimmung wird im Callen-Lorde Community Health Center seit mehr als zwanzig Jahren angewandt. Das Modell integriert die Trans*-Gesundheitsversorgung in die allgemeinmedizinische Grundversorgung und betont auf diese Weise deren ganzheitlichen Charakter. Das Modell der Informierten Zustimmung steht im Einklang mit der 7. Version der Versorgungsempfehlungen der World Professional Association for Transgender Health. Eine Überprüfung der Daten von N = 1714 Patienten für einen Zeitraum von zwei Jahren ergab weder ein Bedauern der Entscheidung noch eine Umkehr geschlechtsangleichender Operationen.

Übersicht: Das Modell der Informierten Zustimmung bietet Trans*-Men-schen einen alternativen Zugang zur gegengeschlechtlichen Hormonbehandlung. Um die gegengeschlechtliche Hormonbehandlung beginnen zu können, muss nach Maßgabe dieses Modells keine Psychotherapie durchgeführt werden. In der Folge reduzieren sich – je nach Gesundheitssystem – finanzielle Belastungen sowie Verzögerungen beim Zugang zu geschlechtsangleichenden Behandlungsmaßnahmen. Statt einer Fachkraft für psychische Gesundheit ist die primäre Gesundheitsfachkraft für das erste Erfassen der psychischen Gesundheit verantwortlich, und stellt fest, ob der_die Klient_in eine informierte Zustimmung zur angestrebten Behandlung geben kann. Das Modell der Informierten Zustimmung wird im Callen-Lorde Community Health Center seit mehr als zwanzig Jahren angewandt. Das Modell integriert die Trans*-Gesundheitsversorgung in die allgemeinmedizinische Grundversorgung und betont auf diese Weise deren ganzheitlichen Charakter. Das Modell der Informierten Zustimmung steht im Einklang mit der 7. Version der Versorgungsempfehlungen der World Professional Association for Transgender Health. Eine Überprüfung der Daten von N = 1714 Patienten für einen Zeitraum von zwei Jahren ergab weder ein Bedauern der Entscheidung noch eine Umkehr geschlechtsangleichender Operationen.

MINERALOCORTICOID RECEPTORS in the Brain: The Key to Inability to Cope with Stress, Memory Loss, and, MAJOR DEPRESSION

and, oh yes,  the SUICIDE EPIDEMIC in the Transgender Community ! !

Why, because they are the first line of defense that allows proper coping with stress (and cortisol) in both the HIPPOCAMPUS and the AMYGDALA  and ultimately they are directly indicated in facilitating neurogenesis. Below are 16 Research Publications cited. We selected only a few comments verbatim from each. Truly they are a revelation

But first a word about something that the renowned Hans Selye said once, a long, long time ago, but which bears repeating.  We often speak about people being exposed to”stress”.  The first thing this understanding of the MR receptors might show us is how right Selye was when he said, “Stress is not what happens to us, but it is how we react to events in the environment”

Medical researchers themselves have been puzzled, shocked and astonished at how crucially  important to most things in life is the MR (mineralocorticoid receptor...including all our brain function).  They will talk about “stress” but they will show us that when the MR receptor is not working or blocked or not genetically normal, our reaction to events will be very different. And part of that reaction will be augmented and even uncontrolled cortisol activation in situations which don’t require it and a spiral of increasing depression.

It is also crucial to realize that with this neuroscience concern, as with ALL neuroscience concerns, ultimately the causation and thus the remediation depends on neurogenesis in the SVZ and the Dentate Gyrus.  In this instance, the MR receptor status and the actions of Aldosterone at the MR receptors are crucial in the modulation of ongoing neurogenesis that occurs every day in every way in the Amygdala and Hippocampus.

The psychomedical literature of transsexualism, which began after Hamburger et al.'s announcement of Christine Jorgensen's sex reassignment some 52 years ago, consists chiefly of clinical reports and studies written by presumably nontranssexual individuals. It is a literature which has been historically based on a number of unfounded assumptions: that those with gender identity disorder (as it is now called) are mentally disturbed; that their destinies are best determined by mental health professionals; that only those who are profoundly unhappy in their birth gender should be allowed access to body-changing medical technologies, and then only after passing various tests required by psychotherapists; and that body-changing medical technologies should be used only in the service of altering bodies to resemble as closely as possible those of the "other" sex, with no intermediate states allowed or even conceivable. Only in the last few years have new writings begun to challenge these assumptions.
The assumptions which have driven the literature arose from the often sexist and homophobic attitudes of researchers and clinicians [Kessler & McKenna, p. 118] and have colored both public and private perceptions of transsexuals and transsexualism and set the course for the literature itself by determining not only the research questions asked, but the ways in which the resulting data have been interpreted. The biases of researchers are often kept overtly out of their papers, but are made clear in their conversations with other professionals. [Raymond, 1979] Cautionary voices of anthropologists, feminists, occasional clinicians, and transsexual people themselves have been virtually ignored. Bolin, p. 63] Questions of experimenter bias, subject selection, and the power dynamics of the client-caregiver relationship have not been addressed. Until recently, the voices of transsexual and transgendered scholars were entirely absent from the discourse [Denny, 1993]. Consequently, the psychomedical literature of transsexualism is largely pejorative, tending to blame and otherwise stigmatize transsexuals not only for their very transsexualism, but for shortcomings in research design and treatment. When the assumptions underlying this literature are understood, the literature's failing can be seen to lie not so much in the inadequacies of transsexuals themselves as in the shortcomings of the system which arose to treat and study them, and in the disenfranchisement of transsexuals themselves, who have been considered unworthy of contributing to the literature. [Green, 1997]
Much of the existing literature, although technically accurate, addresses in detail questions which no longer seem relevant. For instance, there have been any number of studies designed to determine the ways in which transsexuals vary from controls (i.e., "normal" individuals). A great deal of effort has been expended in attempts to "manage" transsexualism and transsexuals themselves. Meanwhile, other, more important, questions remain unaddressed. We do not particularly need further studies about the relative performance of transsexuals vs. control groups on the scales of the MMPI; we need studies which will define a new literature which is less bound to the notion of the inevitability of genital surgery and Ken and Barbie stereotypes of masculinity and femininity, which empowers transsexual people rather than degrading or stigmatizing them, and which asks new questions relevant to a new century.

In Malaysia, the persecution of male-to-female transsexuals (mak nyahs) is often justified through the use of religion and God. I provide an alternative way of thinking about mak nyahs, which does not only call for an end of discrimination and violence to mak nyahs, but a rethinking of mak nyahs in relation to God and religion.