Tag Archives: Transgender

DSM-5

In 1974, a revised addition of the DSM-II was released to account for the American Psychiatric Association declassifying homosexuality as a mental disorder. This was hailed as one of the major milestones of the queer rights movement, one that is still talked about to this day.

Yesterday (December 1, 2012), the American Psychiatric Association approved the DSM-5. Among the many changes made for this revised addition of the diagnostic criteria to be followed by American psychiatrists, the rather pejorative “Gender Identity Disorder” was removed and replaced with the much more accurate Gender Dysphoria. Gender Dysphoria is not classified as a disorder.

So, in essence, we transgender people just had our 1974. It’s not getting a lot of press, but it’s a really, really, really big deal. Simply being transgender is no longer classified as a mental illness. This is a huge step forward for all transgender people, and one which hopefully will pave the way for even more substantive changes in how society sees us.

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Transitioning at Work

I generally don’t blog about personal experiences, and I don’t intend to make a habit of it, but I think my store and the company I work for deserve recognition for what I’m about to relate.

My name is Katherine, and I am a Target team member. I am not being paid by my employer to make this statement, and in fact to my knowledge my employer is not at all aware that I am making this statement. When I began my employment relationship with Target, my name was not Katherine. It was Kevin.

I found acceptance as “Kevin,” a (mostly) gay male (actually, I was actively questioning my gender identity at the time), when I began working at Target. My coworkers were enthusiastic and excited to meet my boyfriend, just like they would’ve been to meet my girlfriend if I had had one instead. I was not treated any differently than any other team member, and I felt valued. At my old store in Illinois, I was considered a very important team member and saw my role expand considerably throughout my approximately year-long period of employment.

Shortly after I moved to Massachusetts, I had a series of personal revelations that I’m not going to relate here, the upshot of which was that I was neither a gay male nor “Kevin.” At first, I saw little reason to be out at work. After all, it’s not like I was going to be able to get sex-reassignment surgery tomorrow. So quite a while passed during which I inwardly squirmed every time I was misgendered by team members or guests. But it’s not like I could insist on being called a girl with a nametag on my chest that said “Kevin,” right?

My job satisfaction sunk to an all-time low. Unsurprising, because when I was with friends I could insist on being called (and considered) a girl. At work? Not so much. But then, there was a slim possibility that I’d be able to go on hormones, at which point it would obviously be very difficult for me to not be out at work. So I talked to my Human Resources Executive Team Lead.

Now… I expected the conversation to go well, because of Target’s incredibly supportive policies about diversity, and the fact that it was Human Resources (the department most likely to be familiar with those policies.) What I didn’t expect was to be told that I could change my nametag whenever I wanted, regardless of the progress (or lack thereof) with hormones. I could also insist on being called “she” and being open about being trans whenever I felt comfortable doing so. She did suggest talking to my team leads and the team members I worked with most closely first, but it was entirely up to me.

She also pledged the support of the entire executive team, and entreated me to let her (or them) know if I had any problems with team members or guests. When I told her I generally preferred to talk to people individually about that kind of thing if I could avoid involving HR or team leads, she said she thought that was the best approach and people would respect it.

Boy was she ever right!

Because of the smashing success that conversation was, I suddenly realized that coming out at work was a very realistic possibility. I had previously thought work would be the hardest/most awkward part about transitioning, but it was pretty clear to me that that was not the case. Even though getting the hormones didn’t end up working out (for now), I decided to go ahead and transition at work anyway. Frankly, I was chafing at being misgendered all the time, and seeing the realistic chance to change that was something that I immediately became very impatient for.

I first told my two direct team leaders, and both of them were wonderfully supportive and in one case actually actively excited. I promised both to be patient while people got used to it, and to answer any questions they (or others) had.

After a few weeks (mostly so she could order my new nametags and I could tell people), she called me into her office and surprised me with my new nametags. “Kat,” the diminutive form of my new name as I had requested. Although I didn’t put one of them on right away (I wanted to start a day of work as Katherine, to avoid more confusion than necessary), I felt like I was floating the rest of the day, I was so happy.

Last Monday was my first day at work as Katherine. A few people were thrown off at first, but when I explained it everyone was very positive about it. The HR executive actually pulled me aside and said that people had specifically come up to her and said, “I had a great conversation with Kat, I really appreciated how she handled telling me, she handled it very well.” I felt like I was glowing the whole rest of the day.

I’ve had to correct and remind a few people about my name/gender, but I’ve always been very careful to tell them that I’m not mad at them, and that I’m being completely patient and realistic in my expectations about how long this will take. And my patience has been returned by gratitude and genuine commitment on their part.

I mean, honestly, what would I have to gain by acting differently? By being combative and burning bridges instead of building them? This entire process has completely changed how I feel about being at work. I feel comfortable in my own skin, and that’s honestly the most important thing in the world.

Are there other stores I think I might’ve had a similar experience at? Perhaps. Especially a few that specifically have been in the news lately for being very friendly to queer issues. But there are also a lot (a lot) of stores where I imagine I wouldn’t have nearly as good of a time of it as I have at Target. And that’s the kind of environment that exists when a company is radically committed to diversity issues like Target is.

Again, I am not being paid to say what I’m saying, and in fact as far as I know no one at work knows I’m saying what I’m saying, but my personal experience has just been so overwhelming that I felt like I really, really needed to share it.

Thanks for reading.

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“Medically Necessary”

I’m fairly confident that if we gave the key players of the insurance industry surprise overnight sex reassignment surgery, a sizable majority of them would deem changing back to match their internal gender “medically necessary.”

What am I talking about? Well, I’m glad you asked. You see, in order to get sex reassignment surgery, you need a letter from a psychiatrist explaining that it is necessary to your mental health and emotional well-being that your body be altered to match your internal gender. That seems perfectly reasonable, right? I mean, sure it means you have to jump through a lot of hoops, but at least it means the medical field recognizes that what you’re doing is medically necessary.

Unless, of course, you include the insurance industry.

You see, according to most insurance companies, sex reassignment surgery is “elective” and “not medically necessary.”

See, I’m confused. Because I thought in order to get sex reassignment surgery in the first place, you had to prove that it was medically necessary?

In all seriousness, I see two realistic alternatives here to resolve the contradiction:

1) The medical field continues to consider this a medical procedure necessary to the patients’ well-being, in which case it should be deemed medically necessary and covered by insurance.

2) The insurance industry continues to consider this an elective procedure, meaning that if the patient can afford it they can have it performed at-will, without jumping through any hoops, merely by giving their informed consent. (The drawback to this is that it would not help low-income transpeople like myself, but at least it wouldn’t be so transparently hypocritical.)

Really, actually changing both of these elements (covering it with insurance and making it require only informed consent) makes a lot more sense to me than the way it is right now. But what do I know? I’m not privy to the advanced medical knowledge that explains why sex reassignment surgery is both medically necessary and not medically necessary at the same time.

In all seriousness, given all the available psychological research about transpeople, it’s pretty clear that Option #1 (or my super secret Option #3 that I didn’t even number) is the way to go. It has been made clear that transitioning is vital to the mental health and emotional well-being of most MTF and FTM transpeople. That’s what I call “medically necessary.”

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Once More Unto the Gleek?

In my previous entry, I discussed the factors that led me to stop watching Glee. In essence, it became increasingly obvious that the show had lost the sense of direction that made its first season so brilliant. The storytelling had become lazy, and the show was instead relying on the novelty of its concept.

Nevertheless, when one of my coworkers told me that last Tuesday’s (4/17) episode had included a positive portrayal of a transgender character, I had no choice but to watch. First of all, transgender characters are a pretty staggering rarity on television in the first place. To have one included on a show that I not only watched, but genuinely enjoyed, was an opportunity I just couldn’t ignore.

I’m going to get my criticisms out of the way. First of all, the problems I noted in my previous post were still glaringly obvious. Most of the characters didn’t say or do anything for the entire episode. I really don’t like being right about this, but the writers have clearly lost the ability to handle an ensemble cast.

My second criticism is going to sound like a minor gripe, but anyone reading who is transgender or has transgender loved ones will hopefully be nodding their heads: Wade/Unique is never referred to with female pronouns. There is also absolutely no mention of the difference between “drag queens” and transwomen, and the portrayal of Unique could easily lead uneducated viewers to conflate the two. Hopefully future episodes will address this, but the educational angle about the transgender community was severely lacking in this initial portrayal.

All of that being said… thank you, Goddess, Glee has not outlived its usefulness!

Unique approaches Kurt and Mercedes because she wants advice about openly performing as a woman. Kurt and Mercedes initially oppose it, fearing that Ohio just “isn’t ready” for a transgender performer. They are later confronted by Coach Sue, who sees encouraging Unique to perform in heels and a dress as an excellent opportunity to sabotage a rival show choir.

Kurt and Mercedes initially go along with Sue’s plan, but in a fit of remorse they confront Unique and beg her to reconsider her decision for her own safety. Instead, Unique is even more determined to put on a show. Her coach runs to the stage to try to get her offstage, but stops when he realizes that the crowd is going absolutely wild for Unique’s performance.

The thing is, that wasn’t the only exceptional thing about this episode. Although my complaint that many of the characters function merely as background scenery stands, the main plot of the episode is actually quite good. Coach Schuster has grown worried and frustrated about three of his students–Santana, Mercedes, and (shocker) Finn. So, he gives them an assignment to explore and express their dreams.

Mercedes and Santana certainly have mixed results with their assignment, but the most shocking breakthrough comes from Finn. Finn’s frustration about being a “loser” mounts throughout the episode, building to a climax in a verbal confrontation with Schuster. His emotional turmoil is the most “real” thing this show has done in quite some time. The eventual resolution is both satisfying, and completely in character for Finn.

This was, frankly, the best episode of Glee I’ve seen in quite a while. It does appear the show will never achieve the consistency it had in the first season, it might be worth catching back up simply because it is still capable of having a few incredibly good episodes and subplots. And while the lack of educational content about transgender issues was obviously a bit disappointing (there is only one reference to Unique “identifying as female”), hopefully this will be hashed out in later episodes. There is certainly precedence for this on the show, as queer issues were explored in a season two subplot about gay bullying that carried over to season three. If I hear that the show explores this character–and transgender issues–more fully, I will definitely be watching those episodes. I may even have to catch up and resume watching the show in general. In order to do so, though, I will have to give up once and for all my frustration over what the show could have been, and instead appreciate what it is.

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