A structural magnetic resonance imaging study in transgender persons on cross-sex hormone therapy

&lt;b&gt;&lt;i&gt;Background:&lt;/i&gt;&lt;/b&gt; To date, research findings are inconsistent about whether the neuroanatomy in transgender persons resembles that of their natal sex or their gender identity. Moreover, few studies have examined the effects of long-term cross-sex hormonal treatment on neuroanatomy in this cohort. The purpose of the present study was to examine neuroanatomical differences in transgender persons after prolonged cross-sex hormone therapy. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; Eighteen transgender men (female-to-male), 17 transgender women (male-to-female), 30 nontransgender men (natal men), and 27 nontransgender women (natal women) completed a high-resolution structural magnetic resonance imaging scan at 3 T. Eligibility criteria for transgender persons were gender-affirming surgery and at least 2 years of cross-sex hormone therapy. Exclusion criteria for nontransgender persons were presence of psychiatric or neurological disorders. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; The mean neuroanatomical volume for the amygdala, putamen, and corpus callosum differed between transgender women and natal women but not between transgender women and natal men. Differences between transgender men and natal men were found in several brain structures, including the medial temporal lobe structures and cerebellum. Differences between transgender men and natal women were found in the medial temporal lobe, nucleus accumbens, and 3rd ventricle. Sexual dimorphism between nontransgender men and women included larger cerebellar volumes and a smaller anterior corpus callosum in natal men than in natal women. The results remained stable after correcting for additional factors including age, total intracranial volume, anxiety, and depressive symptoms. &lt;b&gt;&lt;i&gt;Conclusions:&lt;/i&gt;&lt;/b&gt; Neuroanatomical differences were region specific between transgender persons and their natal sex as well as their gender identity, raising the possibility of a localized influence of sex hormones on neuroanatomy.</jats:p

Misgendering and its Moral Contestability

In this article, I consider the harms inflicted upon transgender persons through “misgendering,” that is, such deployments of gender terms that diminish transgender persons’ selfrespect, limit the discursive resources at their disposal to define their own gender, and cause them microaggressive psychological harms. Such deployments are morally contestable, that is, they can be challenged on ethical or political grounds. Two characterizations of “woman” proposed in the feminist literature are critiqued from this perspective. When we consider what would happen to transgender women upon the broad implementation of these characterizations within transgender women’s social context, we discover that they suffer from two defects: they either exclude at least some transgender women, or else they implicitly foster hierarchies among women, marginalizing transgender women in particular. In conclusion, I claim that the moral contestability of gender-term deployments acts as a stimulus to regularly consider the provisionality and revisability of our deployments of the term “woman.

Neither Here Nor There: The Current Status of Transsexual and Other Transgender Persons Under Hong Kong Law

This is the first of two articles on the law relating to transgender persons in Hong Kong. This article examines the current administrative and legal status of Hong Kong's transgender persons. It argues that, whilst various policies and practices adopted by the authorities undoubtedly facilitate the every day lives of certain transgender persons, the legal situation (which perpetually condemns them to their biological sex as designated at birth) is inhumane and should no longer be tolerated. The second article, Robyn Emerton, 'Time for Change: A Call for the Legal Recognition of Transsexual and Other Transgender Persons in Hong Kong', also intended for publication in the Hong Kong Law Journal, will consider how the current position could be challenged by way of judicial review under the Hong Kong Bill of Rights Ordinance, or, ideally, changed through legislative reform.published_or_final_versio

Am J Public Health

Transgender persons are at high risk for HIV infection, but prevention efforts specifically targeting these people have been minimal. Part of the challenge of HIV prevention for transgender populations is that numerous individual, interpersonal, social, and structural factors contribute to their risk. By combining HIV prevention services with complementary medical, legal, and psychosocial services, transgender persons' HIV risk behaviors, risk determinants, and overall health can be affected simultaneously. For maximum health impact, comprehensive HIV prevention for transgender persons warrants efforts targeted to various impact levels-socioeconomic factors, decision-making contexts, long-lasting protections, clinical interventions, and counseling and education. We present current HIV prevention efforts that reach transgender persons and present others for future consideration.CC999999/Intramural CDC HHS/United States2018-02-01T00:00:00Z27997228PMC5227924vault:2559

What are the Department of Defense (DOD) Policies on Transgender Service?

[Excerpt] On July 13, 2015, Secretary of Defense Ashton Carter announced that DOD will review its policies on transgender service. As part of this announcement he issued two directives: 1. DOD will create a working group composed of military and civilian personnel to study the policy and readiness implications of allowing transgender persons to serve openly. 2. The decision authority for administrative discharges for those diagnosed with gender dysphoria or who identify themselves as transgender will be the Under Secretary of Defense for Personnel and Readiness

Piloting a Psychotherapy Group for Transgender Clients: Description and Clinical Considerations for Practitioners

The likelihood that a psychologist will work with a transgender client is greater today than ever before; however, many psychologists report being unfamiliar with the challenges faced by this population. Training programs provide minimal exposure to transgender issues by way of coursework and practicum experiences, and many barriers prevent transgender persons from accessing quality mental health care. The provision of group psychotherapy services in psychology training clinics may help reduce barriers to treatment, but there is little literature to guide professionals interested in facilitating such a group. In response, this article provides psychologists with a description of an experiential/process psychotherapy group for transgender clients that was offered at a university training clinic. Logistical aspects of forming the group are reviewed. Prominent themes that emerged over the course of three 12-session groups are discussed. Considerations for other professionals and training clinics interested in offering similar groups are also provided

Abjection and alterity in the imagining of transgender in physical education and sport: a pedagogical approach in higher education

In physical education (PE) and sports there is little theoretical and empirical knowledge about transgender people, and particularly, on how they are and can be imagined within this context. In this paper, we present and analyze a pedagogical activity based on the reading and discussion of a fictional representation of a transgender person within a group of undergraduate students of Sport Sciences. Our theoretical frame situates abjection and alterity as opposing concepts on a continuum. Results show several ways in which a transgender person is imagined by students, as well as constraints and possibilities for the pedagogical proposal to promote moral imagining of transgender. Students situated in abjection justify their rejection of transgender persons, bringing up compassion (such as pity), genitalization, symbolic violence and stigmatization of transgender persons. The realm between abjection and alterity is characterized by tolerance of different normalities, as well as linguistic constraints hindering the acceptance of transgender people. In alterity, students acknowledge their limited ability to totally imagine what it is like to be transgender, and also, their will to encounter transgender persons face-to-face. Although results of this experience should not be interpreted in a prescriptive way, they show different ways to imagine transgender people in the domain of PE and sports, as well as the importance of considering the ethics of alterity as a means to advance in the moral imagining of transgender persons and, in general, of the distant Other

Smoking Cessation Interventions in San Francisco's Queer Communities

What is the most effective way for lesbian, gay, bisexual, and transgender (LGBT) smokers to quit? By participating in a tailored stop-smoking class where they can speak freely about their issues in quitting? If so, how well does an LGBT approach serve the needs of diverse subgroups of this population? These and other questions inspired Queer* Tobacco Intervention Project (QueerTIP), funded by the California Tobacco-Related Disease Research Program

Unknowable bodies, unthinkable sexualities: lesbian and transgender legal invisibility in the Toronto women's bathhouse raid

Although litigation involving sexual orientation and gender identity discrimination claims has generated considerable public attention in recent years, lesbian and transgender bodies and sexualities still remain largely invisible in Anglo-American courts. While such invisibility is generally attributed to social norms that fail to recognize lesbian and transgender experiences, the capacity to 'not see' or 'not know' queer bodies and sexualities also involves wilful acts of ignorance. Drawing from R. v Hornick (2002) a Canadian case involving the police raid of a women's bathhouse, this article explores how lesbian and transgender bodies and sexualities are actively rendered invisible via legal knowledge practices, norms and rationalities. It argues that limited knowledge and limited thinking not only regulate the borders of visibility and belonging, but play an active part in shaping identities, governing conduct and producing subjectivity

Voice Feminization: Voice Therapy vs. Surgical Intervention: A Systematic Review

Abstract Purpose: Transgender individuals often seek to alter their vocal characteristics. For Male to Female (MtF) transgender individuals, attaining a feminine voice may be particularly challenging. The objective of this systematic review is to determine whether MtF transgender individuals who receive voice feminization therapy alone or Wendler’s Glottoplasty (WG) surgical intervention with subsequent voice therapy yield greater outcomes in frequency and self-perception. Method: A systematic review of the literature was conducted by using PubMed and Ovid to search terms pertaining to voice feminization. The articles were reviewed and appraised by the authors for inclusionary criteria, exclusionary criteria, and quality. Inclusionary criteria included: 1) adult MtF Transgender individuals, 2) pre and post measures of fundamental frequency (fo), 3) post puberty age, 4) measure of perception of femininity, and 5) patients who underwent WG (articles pertaining to surgical intervention only). Results: A total of 82 articles were identified and 12 met inclusionary criteria for this systematic review. Overall, the quality of the studies was moderate. Outcome measures included frequency range and frequency gain. The authors were unable to compare measurements of self-perception and perception of femininity due to the variability in assessments. Conclusions: Patients who opted for surgical intervention experienced a greater increase in fo but a decrease in frequency range. Conversely, patients who participated in voice feminization therapy alone were found to exhibit smaller gains in fo and an increase in frequency range. This implies that both voice feminization therapy and surgical intervention are effective methods for increasing the frequency of voice. Limitations of this research include the subjective nature of self-perception measures, variability in measurements of perception of femininity, and overall limited research regarding this population.https://scholarworks.uvm.edu/csdms/1009/thumbnail.jp