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Gender Identity Article For
FTM Transgender - MTF Transgender

Siecus Report

Most of us take sex and gender for granted: We are either male or female, are raised as such, and although we might challenge certain role expectations associated with the male or female sex-we do not question our basic maleness or femaleness which seems to be a natural fact of life.

When we listen to the experience of transgender persons, however, a different picture emerges. Transgender people are a diverse group of individuals who cross or transcend culturally defined categories of gender. They include MTF and FTM transgenders - transexuals (those who desire or have had hormone therapy or sex reassignment surgery), cross dressers or transvestites (those who desire to wear clothing associated with another sex), transgenderists (those who live in the gender role associated with another sex without desiring sex reassignment surgery), bi-gender persons (those who identify as both man and woman), drag queens and kings (usually gay men and lesbian women who "do drag" and dress up in, respectively, women's and men's clothes), and female and male impersonators (males who impersonate women and females who impersonate men, usually for entertainment). Within today's transgender coming out and liberation movement, even more alternative identities have emerged, such as gender blender, gender bender, gender outlaw, and gender free.

How can we make sense out of this great diversity of identities? And what can we learn fiom the unique experience of transgender persons? First and foremost, we can come to realize that gender is far more complex and diverse than many of us think. Gender identity is one of four distinct components of sexual identity, along with natal sex, social sex role, and sexual orientation. These four components can be combined in a multitude of ways, creating a spectrum of sexual identities and a myriad of associated expressions.^sup 4^

It is by thoughtful examination of the transgender experience, in all of its unique forms of expression, that we can acquire a deeper understanding of gender in the context of sexual identity-and more fully appreciate our potential as human beings. This article begins that process of examination by first outlining a multi component model of sexual identity and then describing six of the ways in which transgender identities challenge conventional notions about gender and sexual identity. To conclude, implications for social change are discussed.

COMPONENTS OF SEXUAL IDENTITY

Components of Sexual Identity is a descriptive model originally developed by Michael Shively and John DeCecco and adapted by Eli Coleman^sup 6^ and Walter Bockting and Eli Coleman.^sup 7^ This descriptive model illuminates sexual identity by distinguishing among four of its components: natal sex, gender identity, social sex role, and sexual orientation.

Natal sex refers to one's sex as it appears to be at birth. Usually, natal sex is determined as male or female by the external genitalia. If these genitalia are ambiguous, natal sex may be both male and female, a form of intersex, or another sex in its own right.^sup 8^

Gender identity refers to one's basic conviction of being a man, a woman, or another gender such as transgender.^sup 9^ People vary in the intensity of their gender identification and in the permanence and completeness of this feeling. One's feelings of being a man and/or woman may fluctuate, both of these identities may coexist, or one can feel neither man nor woman.10 For many of us, it is difficult to recognize our gender identity as separate from our natal sex because the two are congruent. Transexuals, however, experience a profound discrepancy between gender identity and natal sex.

Gender-role refers to one's outward gender presentation, whereas so" sex role refers to culturally defined masculine or feminine characteristics (personality, appearance, behavior) commonly known as sex role stereotypes. A person's overall social sex role can be masculine and/or feminine to varying degrees, and can manifest itself as masculine in one context and feminine in another. Persons who are equally masculine and feminine are referred to as androgynous; those who are neither masculine nor feminine are referred to as neutral or indifferent.

Finally, sexual orientation refers to sexual attraction to others (to men, women, and/or transgender persons). At least three aspects of sexual orientation can be distinguished: behavior, fantasies, and emotional attachments. These aspects are not necessarily congruent. For example, one can be sexual with women only, fantasize about both women and men, and experience emotional attachment to a transgender person.

LESSONS FROM THE TRANSGENDERED

The identities of transgender persons are illustrative of the unique ways in which the four components of sexual identity can manifest themselves. As such, they can teach us many lessons about sex, gender, social sex role, and sexual orientation, six of which are presented here.

Transgender identities transcend binary conceptualizations of sex and gender. While some transgender persons attempt to conform to conventional gender roles, others define and affirm their unique transgender identity "from outside the boundaries of gender, beyond the constructed oppositional nodes" of male versus female." A generation of postoperative transexuals coming of age recognized that their transexual identity continues beyond the transitioning phase. Attempts to "pass" as a nontransgender member of the other sex often failed, becoming a source of shame and leading to isolation. More important, such attempts are principally inconsistent with the goal of self-actualization: to be true to oneself and to take responsibility for that truth in relationships with others. Authenticity requires a deeper level of acceptance of one's transgender identity and experience, and an integration of one's maleness and femaleness, manhood and womanhood, masculinity and femininity, into one's self-concept. As Susan Kimberly, deputy mayor of the City of St. Paul who went through sex reassignment from male to female, explains:

I can make a pretty solid case that I am a woman. However, over time, I have noticed that I differ-in some fairly significant ways-from most of the other women I know. I have never had a menstrual cycle. I have never experienced the discovery that I am pregnant-nor the fear that I might be. I have become a very feminine person, but I still speak a decidedly masculine language.... I lived for some 40 years as a man and, if for no other reason, I will never really know what it is like to be a woman.

Genitals no longer define gender. In 1987-88, Virginia Prince coined the term "transgenderist" to refer to those who live fulltime as women without undergoing sex reassignment surgery: "There had to be some name for people like myself who trans the gender barrier-meaning somebody who lives fulltime in the gender role opposite to their anatomy. I have not transed the sex barrier."13 Indeed, Prince is not alone. A growing number of transexual women (male-to-female transexuals or MTFs) have breasts and a penis, and transexual men (female-to-male transgender or FTMs) maintain their vagina. Some do not desire genital reconstructive surgery, others lack the financial means to pay for it, and some---in particular FTM transgender forego genital surgery because of the less than ideal surgical outcome.

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Moreover, as greater numbers of transgender persons come out and affirm their unique identity and the visibility of the transgender community grows, more individuals are recognizing that they can live as transgender men or women without altering their genitals. The motivation to undergo genital reconstructive surgery is no longer limited to "sex reassignment" to confirm gender identity. Rather, other factors such as personal preference for a particular genital type (vagina, penis, or phalloclit, for example) and the impact of surgery on genital and sexual functioning are given due consideration in the decision process.

Transgender identities are not always static but may fluctuate. Transgender persons may change their identification and the labels they use to describe themselves over time and depending on the situation in which they find themselves. Many MTF transexuals at some point in their lives have identified as crossdressers or drag queens,14 and many FTM transgender - transexuals once identified as lesbian.15 Some transgender sex workers may identify as a queen with one paying partner, as a woman with another, and as a gay man with their nonpaying lover.16

Judith Verkerke, a Dutch transgender person, describes her fluctuating identity as follows: "I developed from being unclear about my gender to apparently a boy, to gay man, feminine gay man, to transvestite, and finally transexual.... During my transition I became lesbian. After a feminine period, I am now a masculine woman.... I experience my gender as flexible.... I sometimes feel a gay man, sometimes a hetero-man, a hetero-woman, a femme, a butch, to name a few. 1117

Cross-social sex role (femininity in males, masculinity in females) should not be viewed automatically as an indicator of crossgender identity. A natal male, for example, can be quite feminine in his social sex role, while his gender identity is unequivocally that of a man. Similarly, a boy's preference for traditionally feminine childhood play behavior does not necessarily denote development of a female gender identity.

Alternatively, a transgender person whose natal sex is male and whose gender identity is that of a woman might have a predominantly masculine social sex role. In short, cross-social sex role does not predict or invalidate gender identity. Rather, gender identity and social sex role are best considered separately. A FTM transgender/transexual who appeared extremely androgynous described his identity to me as follows: "I'd rather live as a feminine man than as a masculine woman." Many transgender persons go through an initial period of emphasizing cross-social sex role behavior to affirm their crossgender feelings (usually preceded by a period of suppression). Later in their development, femininity among FTMs and masculinity among MTFs is reclaimed and integrated into their identities.

Gender identity, social sex role, and sexual orientation are not as tightly linked as previously assumed. Despite clinical experience and research indicating that the four components of sexual identity are best considered separately, many theories assume that gender identity, social sex role, and sexual orientation are tightly linked. For example, gender transposition theories18 have linked same-sex sexual orientation (homosexuality) with a certain degree of cross-social sex role (e.g., feminine mannerisms in a male) and crossgender identity (e.g., a masculinized or defeminized brain in a female). Simply put, the assumption is that for a male to be attracted to another male, he must be somewhat like a female; and for a female to be attracted to another female, she must be somewhat like a male.

In these theories, homosexuality and transexuality differ only quantitatively (in the degree of gender transposition), not qualitatively. This assumption is phenomenologically challenged by sex reassigned FTM transgender - transexuals attracted to men,19 and the considerable incidence of MTF transgender - transexuals sexually attracted to women. Gender transposition is supposed to lead to the development of homosexuality (based on natal sex), yet, in these cases crossgender identity and transposition led to heterosexual behavior (based on natal sex). Gender transposition theories are further challenged by psychological research comparing heterosexual and homosexual transexuals and nontransexuals that demonstrates the independence of homosexuality and transsexuality.21

Sexual relationships of transgender persons broaden our understanding of sexual orientation. Transgender persons may be attracted to men, women, or other transgenders and may sexually interact with homosexual, bisexual, and heterosexually identified others. Their sexual interactions do not always conform to a conventional heterosexual or homosexual pattern, but rather include exploration and discovery of unique gender-creative roles and sexual scripts.

Some MTF transgenders who have not had surgery penetrate their heterosexually identified male partners anally;22 some MTF transgenders penetrate their lesbian female partners vaginally; and some FTM transgender - transexuals identifying as gay have vaginal intercourse with their gay male partners.23

So we learn that we cannot predict behavior from identity, which has implications for social expectations and for public health. For example, epidemiological categories of HIV risk are based on oversimplified notions of sex, gender, and sexual orientation; in HIV prevention and research, the realities of transgender persons and those with whom they interact sexually are therefore not accounted for.24

IMPLICATIONS FOR SOCIAL CHANGE

These and other lessons from the transgendered are at the center of today's gender revolution. The transgender movement challenges the prevailing binary conceptualization of gender and its pervasive role in dividing the sexes, and has begun to question specification of sex at birth and the routine collection of sex information by governments and other institutions.

Martine Rothblatt25 likens specification of sex at birth to specification of race, and argues that this practice and its consequences constitute apartheid of sex. judge Frans van der Rei t of the Netherlands traces the history of sex specification at birth to Napoleon's need for soldiers to fight his wars, and argues that since the draft has been abolished, there is no longer a need for it.26 He advocates the elimination of sex specification at birth in Europe, recognizing that it forms a barrier for further equality in human rights.

An understanding of transgender experiences also has the potential to raise the level of the gay and lesbian rights movement. The debate on gay marriage, for example, is impacted by the questioning of sex specification at birth. If sex is no longer specified, marriage could be defined as a commitment between any two individuals, regardless of their sex, gender, or sexual orientation. In the meantime, marriage diversity already exists among transgenders, some of whom stay married after coming out and/or sex reassignment, whereas others get legally married while both partners live in the female or male gender role. Across the United States, we see coalitions between gay, lesbian, bisexual, and transgender communities recognizing their common goals and redefining freedom of sexual and gender expression for all-including for those who identify as straight or heterosexual.

Finally, these insights from the transgender experience can lead the way to greater equity for women (and indeed for any gender). After unsuccessful attempts by feminists to ridicule and scapegoat transexuals,27 transgender emancipation and feminism has reexposed gender oppression and invigorated the women's movement.28 The transgender movement has the potential to liberate us from the confines of seeing gender as either male or female and thereby transcend the "us versus them" paradigm. Leslie Feinberg poses the alternative of seeing gender as a circle instead of "two poles with a raging void in between. A circle has room on it for each person to explore, and it offers the freedom for people to move on that circle throughout their lives if they choose."29

Does this mean the end of gender as we know it? And would this necessarily be a loss? I find myself drawn to the following statement of Carole (last name withheld by request), with which I'll conclude:

It remains difficult that others always make an issue out of whether I am a man or a woman. I wish it wouldn't matter. For me gender does not need to be abolished, because I also enjoy the differences. But the expectations and values attached to sex and gender, those I can do without.30

Copyright Sex Information and Education Council of the U.S. Oct/Nov 1999
Provided by ProQuest Information and Learning Company. All rights Reserved.

The article courtesy of the Siecus Report

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