Cuba hosts first transgender Mass .........

So or friends in Cuba are moving on quite nicely and making major strides in the realm of a tolerant church, I wish more of our local churches just get with it. This news is timely indeed as a previous post left me a bit down where a pastor is accused of committing buggery on a fifteen year old boy in Trelawny.

By Sarah Marsh and Anett Rios | MATANZAS, CUBA (Reuters)

For decades belonging to a religion and being anything but heterosexual was stigmatized in Communist-ruled, macho Cuba, making the Mass held by three transgender pastors in the western Cuban city of Matanzas all the more groundbreaking.

Trans pastors Cindy Bourgeois from Canada (C) and Alexya Salvador from Brazil listen to trans Baptist reverend Allyson Robinson from the U.S. during a mass in Matanzas, Cuba, May 5, 2017. Picture taken on May 5, 2017. REUTERS/Alexandre Meneghini

Rainbow flags decorated the chapel, while the pastors, who had flown in from Brazil, Canada and the United States, wore stoles in the trans hues of light blue, pink and white and the congregation swayed to Caribbean beats.

Friday was the first time a trans pastor held a Holy Communion in Cuba, highlighting how much the island nation has changed since both religious believers and homosexuals went to "correctional" labor camps in the early years after the 1959 revolution.

"Tonight has been a night of celebration of equality between all people, marking a new era for Cuba," said Alexya Salvador, a Brazilian trans pastor, born Alexander, wearing a black dress with a white clerical collar and lacy sleeves she made herself.

"God's love is radically inclusive."

The Mass on Friday was the highlight of a three-day conference on transsexuality and theology organized by the Matanzas-based Cuban branch of the international Metropolitan Community Church.

"This is not only a first of its kind event for Cuba, but certainly one of the very first ever to be held anywhere in the world," said Allyson Robinson, a trans Baptist reverend from Washington.

The conference took place ahead of the 10th anniversary, next weekend, of Cuba celebrating the global day against homophobia, and included a raucous "transformist" party as well as a variety of panels on theology and personal experiences.

In one, Salvador argued God was transgender, given the Holy Trinity was made up of the Holy Spirit, which she views as feminine, the Father and the Son.

Elaine Saralegui, a lesbian pastor who founded the Cuban branch of the MCC nearly two years ago, said she hoped the conference would foster greater inclusion of trans people and prove that being trans and Christian were not incompatible.

"I leave with having learnt a lot of things I can share with other trans," said one participant, a 26-year-old Cuban trans woman called Malu Duardo, "in particular that there is a God for everyone."

Saralegui's congregation numbers around 35 but she said she also gets asked to hold Mass at lesbian, gay, bisexual, and trans (LGBT) activist events around the rest of the island nation of 11 million inhabitants.

"Nearly always they ask me to hold a liturgy there, so we have to improvise wine, bread and hold a (Lord's) supper anywhere," she said.

The trans pastors said they were impressed by Cuba's progressiveness in some respects, for example providing state-financed sex reassignment.

The country was clearly lagging the rest of the Americas in other ways though, they said. Same-sex couples may not marry or adopt children and a promised update to Cuba's family code has been slow to materialize.

"Everyone should have the right to have a family," said Salvador, who has adopted two children, including a trans girl. "I believe this touch of God will also happen in the Cuban community."

Trans activist wants to legally change status .........

Neish McLean, a Jamaican, who was born a woman but now identifies as a man, wants the Government to allow transgender persons to change the gender on their legal documents to match the one they have identified with.

McLean, executive director of the transgender organisation, Transwave, wanted to be deemed a man despite being born with female genitalia.

McLean told THE WEEKEND STAR that it is imperative that transgender individuals be given this opportunity to reduce the likelihood of them being exposed to violence.

Violence and discrimination

"I wish to navigate the world as I see myself, so if my ID does not match as I see myself, then that exposes me to violence and discrimination," McLean said. "For example, going through the airport, that can expose people of tran-experience with undue scrutiny and discrimination and when receiving services at different spaces because my ID is reflecting who I say I am."

McLean competed at the Sagicor Sigma Corporate Run in February as a male.

"I didn't identify with the gender I was assigned to. I just didn't feel as if I fit in. I didn't know how to term it," McLean said. "It is not a matter of changing, it's just a matter of internal feeling. I just felt fully accepted into my adulthood and felt comfortable expressing my gender as I do."

Identifying myself

Now 32, McLean told THE WEEKEND STAR that feelings about gender have never been an issue.

"I was never afraid to share how I felt with my family. It was really more a matter of me accepting who I was and who I was comfortable being. For my family, it is more so of my safety that they were more concerned about than my gender identity," McLean said.

McLean said that apart from wearing a tunic to school, pants and shorts were the preference.

"I didn't grow up in an environment that was very strict in terms of me identifying myself as a girl. My gender wasn't policed. It was a few years back when I actually told them that I wanted to be identified as a man. They are not very expressive, so I don't know how they are truly feeling," he said.

McLean said Transwave is currently arming itself with the necessary information to place a solid argument before the Government.

McLean also said the group has had discussions about engaging medical professionals to provide a framework for transgenders to undergo medical transitions in Jamaica.

meanwhile 

Outside of the Star News report older folks such as Laura Garcia of Aphrodite's PRIDE Jamaica already got her identity papers after much fight and trips to the Registrar General's Department RGD in order to change her birth papers and by extension her driver's license. The RGD has always had a reputation of Pentecostal nepotism in hiring staff so gender non-conforming persons with sometimes harsh transphobic language in the customer service experience was a problem. I hope the younger folks engage well experienced folks and resources to good use.

Peace & tolerance

H

French ‘Vogue’ Has Its First Transgender Cover Model

Vogue Paris has its first transgender cover star, Brazilian Valentina Sampaio, the BBC reports:

“In her editorial column for next month’s issue, Emmanuelle Alt goes on to say the transgender model is the “absolute equal” of other iconic women in fashion. ‘Apart from one small detail, Valentina, the femme fatale, was born a boy,’ she adds. ‘It’s a detail one would prefer not to have to mention… but Valentina is on the cover of Vogue this month, not just for her looks or her sparkling personality, but because despite herself she embodies an age-old arduous struggle to be recognized and not to be perceived as something Other.'”

Adds American Vogue:

In her editor’s letter in the issue, Alt writes that when Sampaio turned up at a studio in London to be shot by Mert Alas and Marcus Piggott, she looked exactly like her idea of a typical French Vogue beauty, any Vogue beauty, no different from Daria Werbowy or Anna Ewers; it’s just that she happened to be born a boy. Alt goes on to say she felt it was important right now, crucial even, to celebrate those who are transgender, adding that when the day comes that a model like Sampaio can appear on a magazine cover without the publication needing to mention a model’s chosen gender identity, then victory really will have been achieved. 

The influential Monica Roberts leading African American blogger had a thing or two to say on this on her TransGriot blog:

" 'But only when a transgender person poses on the front cover of a fashion magazine and it is no longer necessary to write an editorial on the subject will we know that the battle is won.-Emmanuelle Alt, French Vogue editor

The French edition of Vogue magazine was founded in 1920, and despite the long list of stunning French trans women like Coccinelle, Marie-Pier Ysser, Marie-Pierre 'Bambi' Pruvot and most recently model Ines-Loan Rau, I was surprised to discover that Vogue Paris has never had a trans woman on the cover of their magazine until now.

The trans woman who has made that breakthrough fashion and French magazine history is Brazilian model Valentina Sampaio.  She recently graced the cover of Elle Brazil, and has starred in an ad campaign for L'oreal Paris.

"This month we are proud to celebrate transgender beauty and how models like Valentina Sampaio, who is posing for her first ever Vogue cover, are changing the face of fashion and deconstructing prejudice."said Vogue Paris on their Instagram account and pic of the historic cover."

The 21 year old Sampaio is also set to rip the runway for Saint Laurent soon, and will be on the March cover of Vogue Paris that hits newsstands on February 23.  It is the first time ever that a trans feminine woman has graced the cover of any French magazine. 

The translated French title from the cover reads:  Transgender beauty; How they're shaking up the world.

We most certainly are.  It's also just another day and another historic accomplishment checked off the list for my sisters here in the US and around the world who are part of the long stylish line of trans models.

Vogue Paris editor Emmanuelle Alt said,"Valentina is on the cover of Vogue this month, not just for her looks or her sparkling personality, but because despite herself she embodies an age-old arduous struggle to be recognised and not to be perceived as something Other.”

Good news on the business of transgender visibility and fashion in particular. 

also see:

Valentina Sampaio Appears On Cover Of Brazilian ELLE

The long stylish line of trans models has led the way in breaking ground for our community not only in the modeling world, but at times through their activism on behalf of themselves and this community. 

Proud to announce that for the first time in the 111 year history of the iconic Spiegel catalog, a girl like us will grace the cover of it.

Arisce Wanzer in October 2016, who recently appeared as one of the stars of the reality show Strut, is the model who will be making this inevitable breakthrough. 

Congratulations to her, and hope to continue seeing her do her thing in the modeling world.  It also proves once again if given an opportunity to do so, we (LGBT) can don anything and excel at it.

Peace & tolerance

H

Breasts right but down there!

So the business of genitalia confusion if not error during sexual negotiations has come up again. A transgender commercial sex worker found herself in exactly such a position over the Christmas/New Year’s holidays as she plied her trade in New Kingston; more commercial sex workers or persons who rely on it to make some money come out to pound the pavement. She reportedly met a man where they left the hip strip to handle business but the man after fondling her breasts went further, the victim tried the old ‘I am having my menstruation’ excuse to avoid the man going too far physically via fondling but he would have none of it. The man while not assaulting the trans woman did eventually got his hands at her genitalia area only to discover a bulge instead of an expected flat surface. 

Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex, and desire to permanently transition to the gender with which they identify, usually seeking medical assistance (including hormone replacement therapy and other sex reassignment therapies).

Things got tense as the man reacted violently but thankfully the young tranny (the friendly version of the word) being petite in body was able to elude her raging attacker as she was not wearing her shoes in the form of a six inch pump. She made her way along the eastern section of Grenada Crescent judge a couple hundred yards from the infamous Shoemaker Gully where the homeless transgender/MSM reside. That part of town has always had some issues over time from shots fired at persons to men pretending to be clients but who unleash an attack when they get close in proximity to the intended target(s). How does transgender sex workers navigate this problem if you will?

Using the menstrual cycle excuse is the oldest trick in the book and is a little unethical if you ask me as it is not the truth but then again the client is seeking a fantasy to be fulfilled in the real world so the seller has to try to conform to the needs of the paying customer. Oral sex is usually the way out to avoid too much body contact and fondling, trouble with that based on engaging some persons is that some men are turned on via touching and exploration to strengthen their arousal and such. It was only December 17 this blog observed International Day against Violence towards Sex Workers and it was subjects like this that came up in an online social media group call. The ins and outs of this came out quick loudly.

I am reminded of the murder of transgender vogue queen in the US Amy Mizrahi whose body was found days later under a bed in a motel, as the news spread locally many were disturbed at the murder then in the nineties and the subject came up in terms of safety for street workers. Then the stabbing incident in 2003 of the popular and well liked “Browning” who was killed by a soldier who was a client of hers on the night in question, she too used the menstrual cycle excuse as part of negotiations to guide the client towards oral sex but the attempt failed based on the word allegedly of the perpetrator who was said to be bragging that he killed a ‘battyman’ dressed in women’s clothes. Browning managed to escape from the car and ran and scaled a fence but he pursued her until he got her. Being a soldier with a stronger frame he was able to overpower her and then stabbed her repeatedly and left the body. She was discovered by other walkers and cruisers of the day.

Folding ones penis under between the legs is not necessarily an option that works especially if the genitalia is of a larger size of 8 inches, with walking and so on things can shift and a thong or a similar clothing apparatus may not guarantee a vaginal appearing presentation to supposedly ‘fool’ or trick male clients. “Coming out” as pre-operative transgender is not an option in Jamaica just yet as the level of knowledge is simply not there when compared to our counterparts per say in Cuba. They already have a national program via CENESEX that hosts serials and TV PSAs and so on highlighting transgender issues long before the wave came in the United States and eventually worldwide. They also offer some reassignment surgery services for free essentially for qualified persons but the longstanding problem in that department is the quality of the healing and other post surgery treatments, many prefer Thailand as the place of choice for transitioning.

The US has been reaping some better success since the challenges in the eighties where breast implants would have ruptured from poor silicone gels encasements and leakage into the body causing more disastrous complications, they experts alongside manufacturers of implants have since improved the products from the shape from egg-shape or elliptical to tear drop types that hang better for nipple placement post the surgery. Vaginoplasty has also seen some leaps and bounds with better formed vaginas as it were complete with sensitive areas that act as a clitoris as the tip of the penis is reshaped to attain that. While some local efforts are being done to educate doctors and surgeons one gets the feeling some are not condoning or are receptive to the information. Surgeries locally are not available at this time in as far a vaginoplasty are concerned, breast implants are already here via plastic surgeons but some locals are not too impressed especially the ladies in the dancehall arena who have now taken on enhancement activities to enhance the optics for their careers. 

Many go overseas of pump up via Botox injections and so on. The ugly business of underground pump up actions by some is here with us in ever increasing reports, they do so by using non traditional methods and ingredients such as cooking oil, olive oil, estrogenic laced concoctions, illegally obtained syringes or burrowed/shared ones and so on which can be risky in terms of HIV transmission. Then there is the cross population concerns as gay friends may also be in the presence of some of this at pump parties or so and may also experiment in a desire to conform construct and not feel left out. Then there is the psychology of some of this as I expressed some concern recently to a leading transgender activist that some persons professing transgender may not be so, seeing that it is easier to escape homophobia in a sense by physical appearance adjustments or aesthetic but they may not feel ‘born in the wrong body’ many times after a psychological analysis they are found not to be transgender but gay and effeminate. Besides not everyone’s body can handle hormones either even transgender individuals, that all important pre-surgery physical examinations are so crucial to determine that.

Unless and until the powers that be locally allow more reassignment surgery opportunities for transgender folks who may otherwise cannot afford it fully we may have challenges such as this genitalia mishap, the young transperson has since been on the low hoping she does not come across the man again in case he decides to exact some follow up. Such are the realities of pounding the pavement; a girl has to earn her coins.

Peace & tolerance

H

Concerns Mount As Transsexual Adolescents Push Up Jamaica's HIV Rates ................

As usual the transgender community is still being lumped with MSM either by the response and by populations overall it seems and it makes the previous studies on MSM HIV prevalence rates of 32% in 2007 and others since problematic while it may be higher trans-persons who merge into the MSM community get counted as gay. The article below touches the very conflation and to think the very named agency is partly guilty of not making the stark differences between the groups even as trans voices screamed to them to pay attention.

The Gleaner carried this:

As a HIV-positive transgender youth, 22-year-old *Tory belongs to the at-risk group that is considered to be most in need of intervention if Jamaica has any hope of seeing further reductions in the number of persons living with HIV/AIDS.

According to a study that was released last week by the Jamaica AIDS Support for Life (JASL), transgender persons who are HIV-positive are more likely to experience homelessness, stigma, forced sex and physical violence. Of the 71 transgender participants polled, more than 52 per cent were involved in sex work for accommodation and food, among other things.

"Now we are seeing where they are at increased risk more than gay men, and more than sex workers, of course, and so it's really just about how we are going to ensure that our programmes are attending to the needs of these persons," said executive director of JASL, Kandasi Levermore.

A UNAIDS report ahead of the commemoration of World AIDS Day on December 1 warned that 15-24 years is a dangerous time for women. It noted that an estimated 45 per cent of all new HIV infections globally in 2014 were among members of key populations and their sexual partners, and warned that new HIV infections are continuing to increase among people who inject drugs and men who have sex with men. The report went on to say that HIV was not declining in sex workers and transgender people.

Tory, a male who identifies as a female, has found himself in several of these categories. He became homeless at 16 years old and became a sex worker shortly after to provide for himself. His clients were mostly professional men, and at 18, he decided to go and live with a police officer who he said was a "regular buyer". He said he contracted HIV from the lawman.

"Being 16 and a sex worker, you get more clients because you are young, because you are new, because they like young people because they think you are not very smart. But I was very smart. Why I was homeless is because I was kicked out of high school because of my sexual orientation," he told The Sunday Gleaner.

MISTREATMENT AT CLINIC

He said due to the mistreatment he received at the first clinic he visited after his diagnosis, he did not take any medication for the first year. He, however, went to a different clinic where the attitude of health professionals was better, and he has since seen vast improvement in his health. He said he is now focused on becoming stable because his greatest desire now is to have a child, although he admitted that he had never had sexual intercourse with a woman.

"I am gay because I won't be in a long-term relationship with a woman," said Tory, before explaining that he is open to having sex with a woman for the sake of having a child.

"I want a child with my genes. Adoption is so hard in Jamaica at this point. She can be a lesbian or she can also be positive and virally suppressed, like myself. So there is a lot of hope to get a child if I want a child when I am ready," he said.

According to a report released recently by JASL, which was funded by the Canadian Institute of Health Research, there is very little knowledge about the HIV prevalence among transgender women in Jamaica.

However, the National HIV/STI programme noted that, "In contrast with the estimated HIV prevalence of 0.4 and 0.5 per cent reported in adolescent girls and boys aged 15-19 at the national level through the UNAIDS 2014 estimates, the HIV prevalence among gay and bisexual adolescent boys is estimated to be 14 per cent, while HIV prevalence in transgender adolescents is estimated to be 27 per cent."

Renae*, who came out as a transgender at 21 years old, said he is concerned that HIV is highest among transgender youths, and blamed this on the fact that those who adopt this lifestyle were often stigmatised or forced to engage in transactional sex.

"Being gay is a taboo, but being transgender is a greater taboo, and because of that, you have a lot of parents who actually do put out their children for these type of things, and you are out on the streets, you have no formal education, you have no way to really provide for yourself," he said.

"So you have to come up with means and ways to provide for yourself, and one of those methods is to become prey to sexual predators out there, or to offer yourself up as collateral, and oftentimes it is to persons who maybe know that they have the virus, but they don't care."

Although Renae was born male, he identifies as a female and is now an advocate for those living in the transgender community. He believes that while there have been improvements in access to treatment for those who are HIV-positive, stigma and discrimination are still forcing some to go underground instead of seeking help.

"That's why I work so hard within the health sector to make things better for trans people on a whole," he said.

[* Names changed to protect identity]

ENDS

And the signs continue to show us that the forward thinking in as far as the NGOs are concerned is still lacking and why are more persons being captured way better given the resources?

The more things change the more they stay the same.

Peace & tolerance

H

also see:

Continued oversight or deliberate overlooking of Jamaican SGL Women in HIV Prevention ............ 

Continued Trans erasure/invisibility by Jamaican advocates ......... 2012

Call to Action: International Day of Action for Trans Depathologization 2016

This year's International Day of Action for Trans Depathologization is approaching, taking place on Saturday, October 22, 2016.

As in previous years, on this day and in the course of October activist groups throughout the world will organize demonstrations and other actions demanding trans depathologization.

The slogan of the 2016 Call to Action is:

Stop Pathologizing Gender and Bodily Diversity

If you would like to participate in the International Day of Action for Trans Depathologization 2016 and organize an action in your city, please send us a message.

In order to view STP's Call to Action published on August 9, 2016:
http://www.stp2012.info/old/en/news#call_to_action2016

The main objectives of STP are the removal of the classification of gender transition processes as a mental disorder from the diagnostic manuals (DSM of the American Psychiatric Association and ICD of the World Health Organization), access to state-funded trans health care, a change of the trans health care model, from an assessment towards an informed consent approach, legal gender recognition without medical requirements, depathologization of gender diversity in childhood, as well as protection from transphobic violence.

This website aims to visibilize the objectives, manifestos and actions of this Campaign, as well as the list of collective and individual supporters.

Since 2009, STP launches each year the Call to Action for the International Day of Action for Trans Depathologization, with activities being organized in cities all over the world throughout the month of October.

In October 2016, more than 120 actions took place in 47 cities worldwide within the International Day of Action for Trans Depathologization 2016.

Furthermore, at the moment (October 2016), STP counts on the support of 410 activism groups and networks, public institutions and political organizations from Africa, Asia, Europe, Latin America, North America and Oceania.

Apart from the annual call for action in October, during the year STP carries out information, networking and lobbying activities for trans depathologization.

Currently, trans depathologization activism continues to focus on the revision process of the

International Statistical Classification of Diseases and Related Health Problems

(ICD), which is published by the World Health Organization (WHO). The expected approval

date of ICD-11 by the World Health Assembly is 20184

.

As noted in previous press releases5,6,7

, we believe that the removal of trans-specific categories

from the ‘Mental and behavioural disorders’ Chapter and the inclusion of a trans-specific

 1 STP, International Campaign Stop Trans Pathologization. STP launches the Call to Action for the

International Day of Action for Trans Depathologization 2016, August 9, 2016. Available at:

http://www.stp2012.info/old/en/news#call_to_action2016 2 STP, International Campaign Stop Trans Pathologization. Acciones Octubre 2016 / October 2016 Actions.

Available at: http://stp2012.info/old/en/press#october2016_actions

3 STP, International Campaign Stop Trans Pathologization. Support. Available at:

http://stp2012.info/old/en/supports 4 WHO, World Health Organization. The International Classification of Diseases 11th Revision is due by

2018. Available at: http://www.who.int/classifications/icd/revision/en/ 5 GATE, Global Action for Trans* Equality, STP, International Campaign Stop Trans Pathologization. GATE

and STP Press Release: New Developments in the ICD Revision Process, August 19, 2014. Available at:

http://www.stp2012.info/old/en/news#information_ICD_revision_process

6 STP, International Campaign Stop Trans Pathologization. STP Press Release: International Day of Action

for Trans Depathologization 2014. 

Available at:

http://www.stp2012.info/STP_Press_Release_October_2014.pdf

7 STP, International Campaign Stop Trans Pathologization. 

STP Press Release: International Day of Action

for Trans Depathologization 2015. Available at:

http://www.stp2012.info/STP_Press_Release_October2015.pdf

Transgender in Jamaica radio show highlight

Last evening on the progressive radio station Nationwide News Network, NNN Co-founder and friend of mine from Aphrodite’s P.R.I.D.E Jamaica, APJ appeared on the Love & Sex weekly show hosted by Dr Karen Carpenter. Satiba her pseudonym has made radio appearances before with the same host who is a board certified Clinical Sexologist and operates the possibly only professional clinic for assessment for transgender persons alongside other issues such as intersex matters, sexuality concerns and as far as erectile dysfunction.

The discussion overall was edifying and bearing by the quality of the calls in the call back section and the questions asked, some change in thinking seems eminent, given the resistance by way homophobia and the confusion if not conflation between gender identity and sexual orientation issues. The other guest on the show seems to display that quite nicely as the individual was not sure if they were transgender or not as while presenting as female they declared that they were not considering surgery to remove his penis or any re-assignment surgery as such. The longstanding issue of gay, bisexuals or gender neutral persons who present as androgynous also seem to label themselves as transgender without accessing or confirming same with a requisite professional. Some concern had been raised elsewhere but not on the show as I expected, on the lumping of other identities and sexual orientation as a way of reprieve from homophobia; as the heightened visibility given social media and such makes it seem attractive to some who self diagnose as transgender.

While the term transgender was explained by Dr Carpenter as an umbrella term to include persons who do elective surgery for cosmetic reasons without having any issues with gender identity, such as transsexuals for example or persons in the sex trade/porn industry (the old 80s she-male phenomenon in the US) some more emphasis should have been placed on addressing the conflation with homosexuality versus gender matters and advising persons what the differences are. Some effort was made at the near end of the two hour show to look at the difference in fairness to the guests and host but it was a little too late for me although the tail end of a radio show tends to be remembered by listeners than the beginning unless some memorable occurrence was in play at the top.

I was also expecting some emphasis on the re-assignment surgery bit as people need to understand that such procedures when it comes to genitalia cannot be simply reversed and one cannot ‘switch’ from one gender to another; the younger guest on the show seems to believe the aforementioned as they espoused they were interested in a butt lift, breast implants and other enhancements, all this while keeping a penis although they identify as a woman. Transgenderism is more about the mind of the individual and not necessarily the anatomical considerations as not all persons who feel they are ‘born in the wrong body’ can even qualify for re-assignment surgery.

The pre-surgery assessment that is usually conducted prior to ascertain the fitness and hormonal levels for so identified persons can also reveal much as to the continuation to full transition or not. There are persons identify as transgender but who cannot go all the way to surgery as their biology would not accommodate the full hormonal treatment/interventions, seeing that said treatment courses are for a lifetime so as not to reverse to the assigned gender and physiology of the party involved.

The mentioned assessment for children who display opposite gender traits by a requisite professional was commendable as Satiba drew on her own experience as she never had the family support in her transitioning journey. As highlighted on this blog and on sister blogs on Wordpress organizations such as JFLAG and others did not take these issues seriously in the early days although the coined term “Allsexual” appeared in their name. Satiba like so many others had to effectively fend for themselves; she sought out information on her own and after moving from doctor to doctor finally found one who was aware of the matters arising. Dr Carpenter mentioned the clinic at the University of the West Indies and asked interested persons to go via the Love & Sex Facebook page and on Twitter. I was expecting however some clarification on the gender non conforming behaviour in children and that that in and of itself is not a marker for someone to be deemed transgender.

Some 1500 persons are believed to be transgender living in Jamaica according to Satiba who referenced a research project that was conducted some years ago and documentary evidence supports. Overall it was a good show but given previous opportunities like this that still are too rare far more was delved into in a shorter air time and given this was a two hour show more should have come forth in my view. I hope Dr Carpenter will do a follow up sometime in the future. Thankfully the calls were civilised this time around as evidenced before terms such as ‘mad’ have been used by some to insult and belittle transgender folks who go public.

Finally the use of certain terms while commendable for those already in the know versus opening the knowledge base of those we want to win simply flew over the heads of the latter; terms such as transvestite, gender neutral (which was explained when a male caller asked for an explanation) and others were barely glossed at, I guess due to the myriad of advertisements and breaks that came during the two hour show (advertisers like the show I imagine) but the breaks sort of broken the flow of the discourse with recaps to (re)connect the audience. Maybe the structure of the show when discussing LGBT issues needs to be rehashed or tighten given the sensitivities involved.

Peace & tolerance

H

WHO set to declassify trans identity as mental disorder…but is it enough?

It has recently been announced that the World Health Organisation is proposing – finally – to remove transgender identity and gender dysphoria from its list of mental health disorders.

The list, known as the ICD-10, describes gender dysphoria as “the urge to belong to the opposite sex that may include surgical procedures to modify the sex organs in order to appear as the opposite sex”.

Calls for the WHO to revisit this have increased in recent years and most recently since new research has confirmed that transgender and non-binary people experience disproportionately high rates of social rejection and are more likely to be victims of violence. One such study, published in the medical periodical The Lancet, argued that “the conceptualisation of transgender identity as a mental disorder has contributed to precarious legal status, human rights violations, and barriers to appropriate health care among transgender people.” The psychiatrists behind the study recommended removing “categories related to transgender identity from the classification of mental disorders, in part based on the idea that these conditions do not satisfy the definitional requirements of mental disorders…[after considering] whether distress and impairment, considered essential characteristics of mental disorders, could be explained by experiences of social rejection and violence rather than being inherent features of transgender identity” they concluded that there was a need to declassify gender dysphoria and transgender identity as mental disorders and to instead seek ways to “increase access to appropriate services and reduce the victimisation of transgender people.”

The human cost of conflating identity with disorder

Professor Geoffrey Reed, the study’s senior author, said: ““The definition of transgender identity as a mental disorder has been misused to justify denial of health care and contributed to the perception that transgender people must be treated by psychiatric specialists, creating barriers to health care services.

“The definition has even been misused by some governments to deny self-determination and decision-making authority to transgender people in matters ranging from changing legal documents to child custody and reproduction.”

Dr Rebeca Robles, the study’s lead investigator, added: “Rates of experiences related to social rejection and violence were extremely high in this study, and the frequency with which this occurred within participants own families is particularly disturbing.”

The WHO is reportedly considering declassification when it next reviews its list of mental and behavioural disorders in two years’ time. Work on this – which will be known as the ICD-11, has taken some time and the list has not been updated since the 1980s. There have so far been no objections from within the WHO to the calls to change the classification of transgender identity. There appears to be recognition that the existing classification reinforces stigma while doing nothing to alleviate the problems of rejection and distress many transgender and non-binary people experience. All this is naturally positive.

“A diagnosis – but not a mental health diagnosis”Does tackling discrimination require a change of language and culture, especially in medical circles?

Perhaps less positive is the suggestion that ICD-11 will declassify transgender identity will as a mental disorder but will list it in a different part of the document, potentially under conditions related to sexual health. New York psychiatrist Dr Jack Drescher, a member of the ICD-11 working group, explains: “So they’ll be diagnoses, but they won’t be mental disorder diagnoses.” Glad that’s been cleared up.

It is proposed that the new ICD-11 will refer to “gender incongruence” as “characterized by a marked and persistent incongruence between an individual´s experienced gender and the assigned sex, which often leads to a desire to ‘transition’, in order to live and be accepted as a person of the experienced gender, through hormonal treatment, surgery or other health care services to make the individual´s body align, as much as desired and to the extent possible, with the experienced gender. The diagnosis cannot be assigned prior the onset of puberty.” So while it’s been declassified as a mental health condition, it is still likely to remain a clinical diagnosis.

While declassification will be welcome, not to mention overdue, it will represent the beginning of a process rather than signify an end in itself. There can be little doubting that being rendered mentally disordered will always be stigmatising and dehumanising; however, it’s not only the ICD-11 categorisations that need to be challenged but also the culture of medicalisation behind it. It’s not enough to declassify the “mental disorder” element in a well-meaning but misguided attempt to strip away stigma that speaks volumes about the way mental health continues to be treated, when the same identity issue is continued to be perceived as something that is in some way “wrong”. We need to move away from the language of “disorder” altogether.

This is vitally important, especially as many transgender and non-binary people receive deficient treatment in the NHS. If we’re serious about tackling discrimination, we need a change of language – and a corresponding change in culture.

Medicalisation – part of the problem?
Are overly medical approaches doing trans people a disservice?

There is also a tendency in our scientific world to over-medicalise everything, and consequently there will be those who feel that transgender people are actually best served through a system that provides them with psychological care and institutional support. One such voice, American psychiatrist Paul McHugh, goes so far as to suggest transgender people’s real difficulty is “underlying psycho-social troubles”, which constitute “a mental disorder that deserves understanding, treatment and prevention”. He is not alone.

These voices may be arguing against a growing consensus, but they underline the reality that the arguments must move away from medical. After all, it wasn’t long ago that homosexual people were seen as being mentally disordered and it wasn’t the intellectual medical arguments that brought about greater social acceptance for our gay and lesbian brothers and sisters. Yes, declassifying transgender people as mentally disordered will, at a stroke, cease to mark them in the way they have for decades. It will also mean governments who have used the WHO’s inadvertent support for their denial of rights and protections to transgender and non-binary people may have to reconsider their actions.

The medical arguments label, analyse, consider data and seek to offer scientific explanations. All that can be helpful. But what they’re less good at is recognising that transgender experiences are incredibly varied, as are the “treatments” transgender people want. They don’t generally treat individuals as individuals, but as some kind of homogenous group with a shared identity. Ultimately, why should it be up to the medical profession to decide who has a valid gender identity and who doesn’t?

And that’s the real issue – who has the right to determine who is and who isn’t a particular gender? Who has the right to deny people the right to identify with any gender or none? While declassifying gender dysphoria as a mental health condition represents a powerful statement and an overdue step forward, the real solution lies in improving social awareness, with education rooted in the experiences of transgender and non-binary people.

Transgender experience
Lesley Stafford: “I had to put my hand up to a ‘mental health disorder’ to be allowed certain treatment, but I was never convinced of the correctness of this.”

Lesley has often been asked when she knew she first felt like a girl, a woman, and she can’t answer the question. She explains: “I have never felt like a girl or a woman; I simply was a girl, and, later, a woman. Nor can I explain how a child, albeit a very bright child, can get their head around the way I was and live comfortably with the dichotomy of being a girl while living as a boy.

“I had problems enough as a child and this wasn’t one of them. My father had a problem with my problem, and he had a drink problem, and the toxic mixture would bubble into regular physical violence, intimidation, and humiliation for me. I was clever too, I knew it, I wasn’t shy about it and that was a problem; I liked “snob music” and that was a problem. I was a problem. I would “end up a bloody pervert, like that one on the telly”, and I have no idea which pervert I was destined to be like. I never worried myself about that. My mother exploited my strange malady in another more sinister and sickening way, and that remains a problem for me.

“For a long time, my biggest issue was that I lived contentedly in a boys’ world while something in my manner seemed “girlish” to my parents, but I WAS a tomboy. I lived my boys’ life fully in character. I climbed trees better than any other child my age; I was up for every mad, crazy adventure going. I hung about the fringes of my older brother’s delinquent gang. I stole. I lied. I cheated. The police dragged me home from time to time, and I was charged with petty offences.

“The discovery that my conduct and my dilemma might be explained by my being a tomboy was a great relief. So I am a girl! That’s great!”

When Lesley first heard this expression, and discovered its meaning, a great weight was lifted from her shoulders. Puberty was hell, but she did all she could to survive, and be a girl in a boys’ life – not a boys’ body, or mans’ body. It annoys her still to hear to hear the phrase “a woman trapped in a man’s body”. She says: “I was a girl, a woman, and my body was my own. Don’t get me wrong; my body was pretty well screwed up, but it was mine, and my body and my psyche lived in joyous confusion together for most of my life. We still do. I don’t have a female body. Nor can I ever have one. My breast and genital surgeries were deeply moving experiences for me, but I don’t have a new body. I have my body, the same body I always had – altered but still me, still a woman, still the same woman I always was. I had to put my hand up to a ‘mental health disorder’ to be allowed certain treatment, but I was never convinced of the correctness of this.”Andrew: “I was concerned that anything I said would be connected to my mental health problem.”

Andrew, who is non-binary, admits they’ve “never felt particularly male…from as young as I can remember I always wanted to do ‘girly’ things and struggled to adapt to societal gender roles. In my teens, things happened to my body physically that don’t really happen to boys. So while I didn’t have a woman’s body I certainly didn’t have a typically male one either. For all the arguments about gender being a psycho-social expression of identity or a social construct, in my case there was an undoubtedly a biological basis.

“The picture was complicated further by my sexual orientation (Andrew is bisexual) and the fact that in the Hebrides during the 1990s there were few opportunities to openly and positively discuss my gender identity. Seeing a doctor about this was difficult to say the least – I was also concerned about anything I said being connected to my mental health problem (Andrew experienced depression at this time). So I hid it, tried to make sense of it alone, sometimes even ashamed of who I was. Later, working in mental health, I became more aware of non-binary and transgender identities but also discovered the stigma behind them…there’s no doubt that revisiting the ICD and reclassifying gender dysphoria can help tackle this. But it isn’t enough by itself.”

The new ICD-11 is expected to change the status of transwomen like Lesley. She says: “I will no longer be seen to suffer from ‘gender dysphoria’ – a very vague mental health condition. It would seem that I have had it exchanged for a ‘condition related to sexual health’ – namely ‘gender incongruence’ . . . Hm! At least I’m not crazy! I still have ‘a condition’ and I am still suitable for treatment.

“When I first engaged in gender politics and activism, I met women like me who hated the term transsexual. It was the use of “sexual” that was a problem. We didn’t have a “sexual problem”; we had a “gender issue” and I remain conflicted about that. Transgender is a dreary term, and I have never liked it. Is it an umbrella term? Am I trangender(ed)? My feeling is that I am transsexual. My body, my own woman’s body, clearly bore the evidence of male sexual characteristics. I lived my life as a man. I have children to whom I am a father. My gender, my certainty that I am a woman, has never changed.

“I emerged from hiding. I nailed my colours to the mast. I am the woman I always was. I have neverchanged gender. My body is my own, it is a woman’s body; it always was.

“When my original GP read a few sections of the letter she had received from Dr David Gerber at theSandyford Clinic in Glasgow, I felt the need to quip – ‘You have a letter that says I’m not mad?’

“Not in this respect.”

source

First field trial supports removing transgender diagnosis from mental disorders chapter within WHO classification

New evidence suggests that it would be appropriate to remove the diagnosis of transgender from its current classification as a mental disorder, according to a study conducted in Mexico City. The study is the first field trial to evaluate a proposed change to the place of the diagnosis within the WHO International Classification of Diseases (ICD).

The research, published in The Lancet Psychiatry journal today and led by the National Institute of Psychiatry Ramón de le Fuente Muñiz, involved interviewing 250 transgender people and found that distress and dysfunction were more strongly predicted by experiences of social rejection and violence than by gender incongruence itself. The study is the first of several field trials and is currently being replicated in Brazil, France, India, Lebanon and South Africa.

"Stigma associated with both mental disorder and transgender identity has contributed to the precarious legal status, human rights violations and barriers to appropriate care among transgender people," says senior author Professor Geoffrey Reed, National Autonomous University of Mexico. "The definition of transgender identity as a mental disorder has been misused to justify denial of health care and contributed to the perception that transgender people must be treated by psychiatric specialists, creating barriers to health care services. The definition has even been misused by some governments to deny self-determination and decision-making authority to transgender people in matters ranging from changing legal documents to child custody and reproduction." [1]

"Our findings support the idea that distress and dysfunction may be the result of stigmatization and maltreatment, rather than integral aspects of transgender identity," says lead investigator Dr Rebeca Robles, Mexican National Institute of Psychiatry. "The next step is to confirm this in further studies in different countries, ahead of the approval of the WHO revision to International Classification of Diseases in 2018." [1]

Transgender identity is currently classified as a mental disorder in both of the world's main diagnostic manuals, the WHO's ICD-10 and the American Psychiatric Association's DSM-5. A major component of the definition of mental disorders is that they are associated with distress and impairment in functioning. The classification of transgender identity as a mental disorder is increasingly controversial and a WHO Working Group has recommended that transgender identity should no longer be classified as a mental disorder in ICD-11, but should instead come under a new chapter on conditions related to sexual health.

The study is the first field trial to evaluate the applicability of the proposed re-classification. It was conducted in collaboration with the Condesa Specialized Clinic, the only publicly funded specialized clinic providing transgender health care services in Mexico City. Researchers interviewed 250 transgender people aged 18-65 who were receiving health care services at the Condesa Clinic. Most participants were transgender women, assigned male sex at birth (199 participants, 80%).

Participants reported first becoming aware of their transgender identity during childhood or adolescence (ages 2-17) (table 1). During the study, they completed a detailed interview about their experience of gender incongruence in adolescence (e.g, discomfort with secondary sex characteristics, changes performed to be more similar to the desired gender, and asking to be referred to as the desired gender), and recalled related experiences of psychological distress, functional impairment, social rejection and violence.

Most participants experienced psychological distress related to gender incongruence during their adolescence (208, 83%), with depressive symptoms being the most common. Family, social, or work or academic dysfunction during adolescence related to their gender identity was reported by nearly all participants (226, 90%).

More than three-quarters of participants (191, 76%) reported experiencing social rejection related to gender incongruence, most commonly by family members, followed by schoolmates/co-workers and friends. A majority of participants (157, 63%) had been a victim of violence related to their gender identity (table 3) - in nearly half of these cases, violence was perpetrated by a family member. Psychological and physical violence were the most commonly reported, and some experienced sexual violence.

The researchers then used statistical models to examine whether distress was related to gender incongruence per se or if it was related to experiences of social rejection and violence. They found that none of the gender incongruence variables predicted psychological distress or dysfunction, except in one case where asking to be referred to as the desired gender predicted school/work dysfunction. On the other hand, social rejection and violence were strong predictors of distress and all types of dysfunction (table 4).

Although the study includes a relatively large sample of transgender people, the authors warn of some important limitations. For example, the study was a volunteer sample, so was not representative of the population and participants' experiences were based on their recollection of events, which can be subject to bias. However, the authors note that a similar study would be difficult to conduct prospectively as this would involve children.

"Rates of experiences related to social rejection and violence were extremely high in this study, and the frequency with which this occurred within participants own families is particularly disturbing. Unfortunately, the level of maltreatment experienced in this sample is consistent with other studies from around the world. This study highlights the need for policies and programs to reduce stigmatization and victimization of this population. The removal of transgender diagnoses from the classification of mental disorders can be a useful part of those efforts," says Dr Robles. [1]

Writing in a linked Comment, Dr Griet De Cuypere, University Hospital, Ghent, Belgium and Dr Sam Winter, Curtin University, Perth, WA, Australia, say: "A prominent UN advocate has put it this way: 'Transphobia is a health issue'. This study prompts primary caregivers and psychiatrists to be aware of a 'slope leading from stigma to sickness' for transgender individuals, and to contribute to their mental health by a gender-affirmative approach." They also note that although the study provides evidence to support moving health-related categories related to transgender identity out of the classification of mental disorders in ICD-11, it does not address where in ICD would be the most appropriate place for the diagnosis, which should be a topic for future research.

###

NOTE TO EDITORS:
The study was funded by the National Institute of Psychiatry "Ramón de la Fuente Muñiz", Mexico.
[1] Quote direct from authors and cannot be found in text of Article.

NOTE: THE ABOVE LINKS ARE FOR JOURNALISTS ONLY; IF YOU WISH TO PROVIDE A LINK TO THIS PAPER FOR YOUR READERS, PLEASE USE THE FOLLOWING, WHICH WILL GO LIVE AT THE TIME THE EMBARGO LIFTS: http://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(16)30165-1/abstract

Treating transgenderism ..............

I would have preferred a different title from the Observer but for what it is worth

Dr Derrick Aarons

WITH increased evidence over the past 20 years pointing to the biological underpinnings of gender identity, a paradigm shift is occurring in the health care offered to transgender individuals in some countries.

In some settings, transgender medicine is a fully fledged subspecialty, and treats transgenderism as a medical and biological issue, rather than as a psychological matter.

At a recent Endocrine Society Hormones & Health: Science Writers Conference at the Boston University School of Medicine in Massachusetts, USA, the director of endocrinology education reported that gender identity is a durable biological phenomenon that, even from birth, we cannot change. In that setting, the best treatment option involved treating transgenderism medically, and this was reportedly very successful.

BIOLOGICAL EVIDENCE FOR GENDER IDENTITY

In the past, numerous attempts were made by the medical community to manipulate gender identity to align with the sex organs that were perceived at birth. For example, a research study conducted at Johns Hopkins University in the USA and published in the

New England Journal of Medicine, examined 16 children born with ‘XY’ chromosomes but with ambiguous genitalia (uncertainty in appearance, whether male or female) who underwent surgery to create female genitalia. They were all subsequently raised as girls, with the exception of two individuals whose parents raised them as boys.

When these children reached the age of puberty (around age 10-11 years), eight of them felt like boys despite being raised as girls, and the two that were raised as boys identified with being male, despite them all having female genitalia.

Other biological evidence comes from research studies dating back to the 1990s in which researchers attempted to locate brain structures that correlate with gender identity. In one classic study, published in the journal

Nature, an area of the brain (the bed nucleus of stria terminalis) was thought to correspond to gender identity, and to be involved in homosexuality. At autopsy, however, slices of this area of the brain were stained to match gender identity, and revealed instead that the area was actually smaller in women and in male-to-female transgender women, compared to that in heterosexual men.

Further, in contrast to those so reared during early childhood, a Dutch study published in the journal

Archives of Sexual Behaviour revealed that of 1,285 individuals who voluntarily changed their genders hormonally and/or surgically to match their own perceived gender identity, 99 per cent of them were satisfied with their decision.

GUIDELINES FOR CARE

Consequently, in 2009, the US Endocrine Society recognised the issue and published formal guidelines on the medical care of transgender patients. The specific treatment follows three basic steps. First, the onset of puberty is postponed by using a gonadotropin-releasing hormone analogue (a chemical which acts like the hormone), the effects of which are reversible. These analogues delay the development of the permanent, secondary sexual characteristics until a child is secure in his or her gender identity and is ready to start hormone therapy.

This approach is necessary as hormonal therapy can cause potentially irreversible changes. Patients transitioning from female to male will receive testosterone, while male-to-female individuals will receive androgen (male hormone) blockers and be given oestrogen hormone.

The specialists recognise that some young children who present as transgender may not be so as adults, and as a consequence, these professionals would not want to effect permanent changes at that first stage of puberty.

The final step may include surgery, if so desired. For female-to-male individuals, mastectomy (surgical removal of the breasts) is done to create a ‘male’ chest. In male-to-female transitions, surgery includes removal of the testicles, breast augmentation if desired, and feminisation of the face. The creation of a penis (phalloplasty) or removal of the penis and the creation of a vagina (vaginoplasty) will occur last.

LIFELONG CARE

After surgery, patients will require lifelong hormonal therapy for the health of their bones, as the latter is normally dependent on the sex steroids. Transgender women will continue to need oestrogen, and transgender men will need natural levels of testosterone.

However, we know that long-term use of steroids may carry risks, which could include blood clot (thrombosis) with the use of oestrogen, and a possible slightly increased risk for cardiovascular disease with the use of testosterone. Testosterone may also have unknown effects on tumour formation.

An example of this research was reported in the Medscape Medical News, where 3,240 women were examined over a course of 13 years, with the finding that women with high levels of testosterone at midlife were 1.33 times more likely to develop uterine fibroids, compared with women with low levels of testosterone. However, despite such occurrences, when all considerations are made, hormone therapy in humans is considered relatively safe even with the concern regarding the risk of clotting with oestrogen use. The occurrence of the latter is very uncommon.

The way forward

Evidence-based research has been greatly beneficial, but in some societies access to transgender treatment still hinges on legal and social issues, and around moral issues and religious beliefs. All these issues notwithstanding, this matter should go deeper to that of our common humanity and one’s basic right to self-expression, self-actualisation and self-fulfilment.

Derrick Aarons MD, PhD is a consultant bioethicist/family physician, a specialist in ethical issues in medicine, the life sciences and research, and is the ethicist at the Caribbean Public Health Agency – CARPHA. (The views expressed here are not written on behalf of CARPHA)

Government Prepares To Tackle Transgender, Other Sexuality Concerns

According to the Gleaner this came forth, sadly talk show hosts such as Joan Williams of POWER 106FM instead of trying to understand the issues sought to confuse the issue locally with that of the bathroom law matter in the United States; she claimed that she will not tolerate a man in women's clothes in a bathroom. Just goes to show the ignorance we have to overcome or deliberate baiting to gain ratings for her show.

Callers tried to also frame the hint shown below that this is pressure from the US to issue gay rights, I am so annoyed at how ignorant we are in an information age, when all one has to do is ask.

But of course Clovis of the Jamaica Observer could not help himself with this toon:

I have stopped applauding announcements these days so Now the article:

The Jamaica Government is preparing itself to adequately address emerging concerns related to gender identification and other issues tied to sexuality.

In fact, legal battles in the United States, where school officials are grappling with confusion and consternation over whether transgender individuals should be allowed to use rest rooms that match their gender identity instead of their birth sex have not missed Olivia 'Babsy' Grange, minister of entertainment, sport, culture, and gender affairs.

"The ministry is aware that there are new issues emerging and we are going to have to address these things," Grange told The Gleaner following the launch of Workers' Week and Labour Day.

"We are going to have to respond when there is a need to respond, and we are going to have to be that voice or that base that will provide an avenue to deal with these matters amicably."

She added: "That is one reason we have actually changed the name of the Bureau of Women's Affairs to the Bureau of Gender Affairs. We know that there are various discussions taking place and we want to be there to address both female and male, particularly our boys. They have been marginalised, especially as it relates to issues regarding their masculinity."

PANEL DISCUSSION

Meanwhile, Minister of Labour and Social Security Shahine Robinson was hesitant to speak on the matter, but acknowledged that specific issues of sexuality are new areas of concern in the workplace.

It is for this reason that the ministry will be hosting a panel discussion under the theme 'Work for Human Development, New Realities of the World of Work in Jamaica' on May 18.

The event is to coincide with the observance of Workers' Week.

"We recognise that Jamaica is no different from the rest of the world because these things are happening here. I don't want to say too much about what will be happening at the forum, but there are some realities we will have to put on the table to see how best we can arrive at amicable solutions," Robinson said.

She continued: "Human trafficking is also something that we plan to address because it is so subtle and you find that people unwittingly get involved. We want to pay more attention and heighten the awareness on these issues."

SHOWING RESPECT

Grange implored Jamaicans to show respect to every individual they encounter, despite that person's beliefs, opinions, and background.

"I think these are all human rights issues and every individual is entitled to the freedom and rights enshrined in the Constitution. They should not be treated any differently, but be able to live normal lives to the extent they are able to conduct themselves within the norms of society," she insisted.

"We will encourage society to respect every individual and each other's privacy and personal use. Respect has to underscore everything we do."

ENDS

I hope this is not one of those tokenistic gestures to avoid scrutiny and diplomatic pressure as a pre-cursor to the referred to referendum on buggery by the administration.

Previous announcements of aspirations that have not materialized:

Government of Jamaica Committed to the Eradication of Gender Based Violence 

Gov't Makes International Commitment To Reduce Violence Against Women, Gays 2015 

Peace & tolerance

H

Transgender Plea For Rights in Bahamas

Got this sent to me on Facebook recently on the Bahamas Trans developments:

Source: Tribune 242

Tori Culmer, right, speaking at the Transgender and Inter Sex Community press conference at the British Colonial Hilton. Also pictured is, left, Alexus D’Marco and Phylicity Smith. Photo: Shawn Hanna/Tribune Staff

By RICARDO WELLS

BAHAMAS Transgender, Intersex United (BTIU) yesterday launched its multi-level equality campaign, “Bahamian Trans Lives Matter”, which seeks to secure equal rights for transgendered Bahamians as the debate about the upcoming gender equality referendum continues.

During a press conference at the Hilton on Tuesday, BTIU representatives called on the Christie administration to ensure that the fundamental rights of all genders of Bahamians - male, female and transgendered - are protected. However, the group stressed that it is not trying to shift the focus of the gender equality referendum.

The group is calling for equal access to healthcare, education and employment without discrimination.

Lead spokesperson for the group, Alexus D’Marco affirmed that members of BTIU, and to a greater extent those in the wider lesbian, bi-sexual, gay and transgender (LBGT) community, are forced to live in unwarranted circumstances due to the confines of socially accepted behaviours in The Bahamas.

According to the self-proclaimed “first lady” of the LGBT community, scores of transgendered and intersex men and women are being discriminated on their jobs, in schools and in other social groupings because of this “well-endorsed” stigma.

“The conversation needed to come about, because discrimination (exists) on all levels. If we are talking about equality we have to go across the board for all Bahamians,” Ms D’Marco said.

“The word equal, that’s the key word. Why are you going to discriminate against one set of people and another set of people get all the privileges? That’s discrimination. I am glad the topic (of the) referendum and all of that has come about because we live in ‘la la land’ in this country. Unless we come forward as humans and Bahamians and stand up for our own rights, things will (never) begin to move forward and change.”

Ms D’Marco labelled those opposing the rights and privileges of transgender and intersex Bahamians as modern-day oppressors.

She said naysayers are opting to hide behind outdated research, refusing to acknowledge transgender and intersex for what it is – a medical condition and not as a sexual orientation.

“Just how they can pick up their collegiate math books and biological books, they can pick up and study (transgender). But, we want to live in ‘la la land’ and keep oppressing people, keep oppressing Bahamians when equality should be across the board,” she said.

Ms D’Marco said the group now has the moral support and backing to come forward and demand what it rightfully deserves - “equality.”

Question four of the upcoming referendum will ask voters to eliminate discrimination based on sex in the Constitution by inserting the word “sex” into Article 26.

Those opposing the bill think that this could one day lead to same-sex marriages, but the government has denied this as a possibility and stressed that the focus is solely on gender equality.

Addressing this particular point, BTIU representatives said they aren’t looking to shift the focus of the equality bills, but they want to use the national conversation on equality to be all encompassing.

BTIU stressed that there are no laws to protect transgender and intersex Bahamians.

Rights

Torri Culmer, a member of the BTIU who is advocating for legal protection for transgender and intersex persons against being terminated from their jobs, stressed that her story proves that the rights of these persons aren’t respected in the Bahamas.

Currently unemployed, Ms Culmer said she was fired from at least four jobs in recent years after it was discovered that she was a transgender woman.

She admitted that when she applied for those jobs, she would do so using her female persona with only her passport and other identification documents indicating that she was born a male.

According to her, there were no issues with these jobs until co-workers or customers that had prior knowledge of her transgender state made a point of it.

“(Employers) find it easier to just let me go, to let a transgender woman go,” she stated.

Furthermore, BTIU lodged concerns for its fastest growing age group - trans youth.

BTIU representatives said trans youth are subjected to bullying in schools and often given religious conversion counseling instead of psychological services specific to transgender and intersex people.

Felicity “Peaches” Smith, an 18-year-old transgender youth, said once she and those around her identified her feminine preferences were not a phase, she was ostracised and ridiculed instead of supported.

Ms Smith said she was run out of high school in the 11th grade.

“I didn’t have anybody to talk to just because of who I (am).

“At the end of the day, no matter who I am, I should not be discriminated (against),” she said.

BTIU contend that youth, once pushed out by family members, are left without homes and unable to finish school.

Officials said these kids often take to street cultures for protection and guidance; and therefore, are preyed upon by older men in both the homosexual and heterosexual communities.

Additionally, the group indicated that access to proper medical care is limited, with many doctors encouraging transgender and intersex people to travel abroad to receive needed medical care.

“There are some things that we need that doctors find themselves discriminating against,” stated Ms D’Marco. “For example, there was one transgender girl, who when another issue going on with her, they asked what medications are you on and she said hormones . . . the doctor looked at her and said ‘What? Who gives you that here?’

“These are the types of things that they face here in this country when they go to the doctor. Everyone can’t afford to hop on a flight to Miami. There are things in the public service sector that we need - healthcare, education and equality,” she added.

LGBT rights advocate Erin Greene said BTIU members should have the right to voice their concerns within the confines of democracy.

“It is very important that other Bahamians, (those) that do not identify with this community take the time to assess what their responsibilities are to this vulnerable minority in the country,” she said.

Ms Greene called on Bahamians to engage the LGBT community respectfully as the matters related to the constitutional referendum play out.