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Old 01-31-2007, 02:40 PM   #31 (permalink)
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Originally Posted by Reba View Post
None of your links were about Kim's situation.
Did I say that the links, I provide is about Kimīs situation? No, I only provide the interesting links.

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According to the parents, Kim had girlish behavior and desires long before puberty.
Yes

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Chromosomes can be checked any time, not just before puberty.
Yes
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Old 02-01-2007, 11:52 AM   #32 (permalink)
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Originally Posted by Liebling:-))) View Post
What do with entire identiy, name, etc?
Sex change includes ALL those things.

Ear tuck does NOT include those things.

My point is, you can't compare an ear tuck with a sex change.
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Old 02-01-2007, 11:56 AM   #33 (permalink)
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Sex change includes ALL those things.

Ear tuck does NOT include those things.

My point is, you can't compare an ear tuck with a sex change.

Right I agree ...
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Old 02-01-2007, 12:20 PM   #34 (permalink)
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...A toddler/small child boy play with dolls and wear womanīs clothes is normal for toddler/small childīs age but soon he hit puberty (11 to 12 years old) still wear woman clothes and use womanīs things is not okay.
OK, now I understand.


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Itīs same with girl, who play with cars is normal for toddler/small childīs age but soon before she hit puberty still desire to be boy and use boyīs things is not okay.
But girls can play with the same toys that boys do, and that doesn't mean that they want to become boys. I think we call some toys "boys'" toys but really they are toys for boys and girls. (We shouldn't be so sexist, eh?)

I used to play with cars, toy guns and swords, skateboard, and GI Joe. I climbed trees and built forts. I definitely didn't want to become a boy! I just thought those toys and activities were interesting. I also played with my Barbies (who dated the GI Joes; Ken was too boring ). My brother and I used to play cowboys and Indians, and pirates with each other. But I didn't want to become a boy. My parents always bought me boy-style bikes so that I could hand-me-down to my younger brother. I preferred to read mystery and science fiction books (no "romance" books) because they had interesting plots. So?

When I was a kid, boys didn't wear girl's clothing, and girls didn't wear boy's clothing. It wasn't allowed, especially at school.


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It says in German websites (I will search for English link to provide here) that parents noticed that Tim wear girl clothes and play dolls, etc. and thought itīs normal for toddler age...
I'm curious. Where did Tim get dolls and girl clothes when he was little? Did he have older sisters? If so, was he just borrowing from his sisters, and copying his sisters?


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... until they begin notice his behavior development... something not okay...
I'm wondering how long it took his parents to notice? A week? A year?


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...until Tim admit their parents that he do not feel that he is a boy.
How old was he then?


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Thatīs how the parents focus Timīs feeling and check with doctors, etc. until thereīre 100% correct.... and decide to fulfill Timīs wish into Kim.
Did the doctors discover female chromosomes or hormones in Tim?
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Old 02-01-2007, 12:40 PM   #35 (permalink)
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If the child hasn't yet had the surgery, why did they issue new ID and insurance cards with the new sex? "Kim's" body hasn't been fully "changed" yet so the sex on the body and the sex on the cards don't yet match. Is that legal?
Sexual Reassignment Surgery (SRS) is not the defining trait of a transperson. More important are self-identity and the assumed characteristics (behavior, physical movement, etc) of their 'changed' gender. Some transpeople switch identities with no medical intervention; some take hormone injections regularly; some use hormones and surgery. This can be because of financial reasons, or because surgery would be medically inappropriate (say, in a patient who is immunocompromised, or hemophiliac), or because it's very difficult to obtain this kind of medical care. All of these are common long-term options in the trans community.

I don't know German law on this issue, but in the US, medical intervention is not required in order to legally change your gender (names, obviously can be changed by anyone). I'm not sure about whether you have to be approved by a psychiatrist - as a practical matter, the courts won't do it without that, but I'm not sure about the legislation involved.
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Old 02-01-2007, 01:32 PM   #36 (permalink)
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Sex change includes ALL those things.

Ear tuck does NOT include those things.

My point is, you can't compare an ear tuck with a sex change.
Agreed.
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Old 02-01-2007, 01:37 PM   #37 (permalink)
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But girls can play with the same toys that boys do, and that doesn't mean that they want to become boys. I think we call some toys "boys'" toys but really they are toys for boys and girls. (We shouldn't be so sexist, eh?)

I used to play with cars, toy guns and swords, skateboard, and GI Joe. I climbed trees and built forts. I definitely didn't want to become a boy! I just thought those toys and activities were interesting. I also played with my Barbies (who dated the GI Joes; Ken was too boring ). My brother and I used to play cowboys and Indians, and pirates with each other. But I didn't want to become a boy. My parents always bought me boy-style bikes so that I could hand-me-down to my younger brother. I preferred to read mystery and science fiction books (no "romance" books) because they had interesting plots. So?

When I was a kid, boys didn't wear girl's clothing, and girls didn't wear boy's clothing. It wasn't allowed, especially at school.
My sister grew up tom-boy, she hates to wear a dress or hairband, she used to wear cowboy outfit, wearing pants, playing with guns, and horses stuffs, she used to saying she hates the idea of become pregnant or become a Mother, I am glad she didn't went through sex-changed operation, because today she is feminine and I am worried about Tim/Kim because it will outgrown one day like my sister.
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Old 02-01-2007, 01:44 PM   #38 (permalink)
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Sex change includes ALL those things.
Yes

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Ear tuck does NOT include those things.
:conjfused: I never say that ear tuck include sex change. I only say that ear surgery belongs PART of body. Example correct nose, eyes, etc...

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My point is, you can't compare an ear tuck with a sex change.
I do not compare an ear surgery with a sex change. I never say that sex change and ear surgery are the same thing... I only say that ear surgery belong part of body...

I have to repeat in my previous posts.

If Alan want to have his ears to be correct. I fullfil his wish instead of wait until he is 18 years old because I know Alan well.

Itīs the same with the parents, who know their children well to fullfil their wishes instead of tell them to wait until they are 18 years old.
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Old 02-01-2007, 01:44 PM   #39 (permalink)
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Never Mind...

Each person entitle their own opinions. I beleive to fulfill my childs´wish earlier than let them wait until they are 18 years old...
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Old 02-01-2007, 01:55 PM   #40 (permalink)
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Unhappy as a boy, Kim became youngest ever transsexual at 12

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A boy of 12 is believed to have become the world's youngest sex change patient after convincing doctors that he wanted to live the rest of his life as a female.

The boy - originally called Tim, but now known as Kim - has started to receive hormone treatment, in preparation for the operation that will eventually complete the sex change.

Tim was diagnosed as a transsexual two years ago, when doctors and psychiatrists concluded that his claims to be "in the wrong body" were so deeply felt that he required treatment. The therapy involves artificially arresting male puberty, with a series of potent hormone injections before the administration of female hormones to initiate the development of features such as breasts.

Now aged 14, and officially registered as a female, Kim looks like a typical girl of her age. She dresses in fashionable clothes, has long blonde hair and blue eyes and dreams of moving to Paris to become a fashion designer. Her parents, who initially assumed their son was going through a temporary phase, eventually grew accustomed to seeing him as a girl.

The family's full identity has not been made public. But Kim's father, known as Lutz P. – speaking to the German publications Der Spiegel and Stern – said that as a child, the boy liked to play with Barbie dolls, enjoyed wearing dresses and, from the age of two, insisted that he was a girl. "We saw Kim as a girl, but not as a problem. Our life was surprisingly normal."

Kim reacted badly to the first signs of puberty, he said. "At that stage we realised that she was terrified of growing facial hair and her voice breaking."

Kim's parents consulted psychiatrists across Germany. Some condemned their support of their child's desire to undergo a sex change, or suggested that Kim be kept under observation in a closed psychiatric ward. But others agreed that the child should receive therapy, because growing up to be a man would have damaged her personality.

Dr Bern Meyenburg, the head of a clinic for children and adolescents with identity disturbances at Frankfurt University, concluded that the child was serious. He wrote in his diagnosis: "Kim is a mentally well-developed child who appears happy and balanced. There is no doubt of the determined wish, that was already detectable since early childhood. It would have been very wrong to let Kim grow up to be a man. It is rare to have such a clear-cut case."

Kim is reportedly fully accepted by her fellow school pupils and teachers. The costs of the procedure are being covered by health insurance, as the condition qualifies as an illness.

Dr Achim Wuesthof, an endocrinologist specialising in children and adolescents, who is treating the teenager at a clinic in Hamburg, said the procedure had been a success so far. Speaking to The Sunday Telegraph, he said that even though under-16s were not permitted to undergo a sex change in other countries, he and his colleagues felt that in this case it had been best to start earlier. He said: "To the best of my knowledge, Kim is the youngest sex change patient in the world. According to German law, two independent psychiatrists must confirm that the child is indeed transsexual and approve the sex change. Once that has been done, it is best to start as early as possible.

"Transsexuals experience the onset of puberty, and the physical changes it brings, as a serious trauma. But there is a general lack of empathy with cases like Kim's, mostly because people know little about the condition. Imagine a man that suddenly starts growing breasts or a woman that starts growing a beard against their will – that is how Kim and people like her experience puberty.

"They are not freaks, nor do they suffer mental illness. They are simply trapped in the wrong bodies. That is why it is best to help them as early as possible and reduce the trauma for them and their families."

The problem that Dr Meyenburg and other psychiatrists faced was distinguishing a true transsexual personality from a temporary gender identity crisis. Dr Meyenburg quoted an example of a 15-year-old girl who wanted to change her sex, but who revealed during counselling that she had suffered brutal sexual abuse by her father – a case for psychological, rather than hormonal therapy.

Should Kim change her mind before the surgery, the procedure could be reversed. Doctors admit that the treatment involves a risk, however, and that its effects on children as young as Kim are not fully understood.

For legal reasons, the final stage – cosmetic surgery to remove the male genitalia – cannot take place until Kim is 18. Britain's youngest transsexual is Angel Paris-Jordan, who was granted an operation on the NHS at the age of 17.
Unhappy as a boy, Kim became youngest ever transsexual at 12 | International News | News | Telegraph
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Old 02-01-2007, 02:05 PM   #41 (permalink)
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I'm curious. Where did Tim get dolls and girl clothes when he was little? Did he have older sisters? If so, was he just borrowing from his sisters, and copying his sisters?
Yes Kim has an older sister.

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I'm wondering how long it took his parents to notice? A week? A year?
Huh? A week? A year? Sorry, your question make no sense to me.

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How old was he then?
It didn´t says in article how long he wish to be girl until he turn into Kim at age 12. She is happy for 2 years since he is she.

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Did the doctors discover female chromosomes or hormones in Tim?
It didn´t say anything in German website.
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Old 02-01-2007, 02:21 PM   #42 (permalink)
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I'm wondering how long it took his parents to notice? A week? A year?
Accord German website:

Tim kept say that he is a girl when he was 2 years old. Her parents doesn´t take his word seriously until they begin notice his development when she was 4 years old.


I´m searching for English website to add here.
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Old 02-01-2007, 03:22 PM   #43 (permalink)
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...Tim kept say that he is a girl when he was 2 years old. Her parents doesn´t take his word seriously until they begin notice his development when she was 4 years old....
Do you mean Tim behaved like a girl, and said, "I am a girl", at age 4 years?

What did the parents do then?

Edit:

I just re-read the article, and the impression I got was that the parents didn't try to discourage the Tim's behavior or desire to become a girl at even age 4 years. That seems weird to me. Why would a parent encourage a 4-year-old boy to wear girl's clothing, and think of himself as a girl?

Or am I misunderstanding what happened?
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Old 02-01-2007, 03:25 PM   #44 (permalink)
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wow

that decision is HUGE to make for kim and her parents

but i won't let my child to make that decision cuz i not sure if they would feel it will be big mistake later in the life
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Old 02-01-2007, 04:15 PM   #45 (permalink)
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Found English link from German websites.

Reba, this link tell everything including chromosomes, hormones etc.

SEX-CHANGE OPERATIONS

Mistakes in God's Factory

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Even as children, transsexuals have the feeling of living in the wrong body. When should they be allowed to switch genders? Two years ago, a twelve-year-old German boy became the world's youngest person to start hormone treatments for a sex change.


Stephan Elleringmann
Tanja Pfeil, a 49-year-old transsexual from northern Germany. "Michael dissolved and became Tanja," she says. "She is stronger than he was."


Kim P. is 14 years old. She wears light eyeshadow, a navel-baring top and embroidered jeans. She plays with strands of her long hair as she describes her dream of going to Paris one day to be a fashion designer. Her attic bedroom in her parents' house is a girl's paradise in pink, with the requisite fashion magazines, a makeup table, a sewing machine and even a clothes mannequin near the window.

She's had enough of psychiatrists who ask weird questions. She's had enough of doctors who reject her case because this fashion-conscious girl -- previously called "Tim" in her patient file -- unsettles them.

She was born as a boy. Her body, chromosomes and hormones were all undoubtedly masculine. But she felt otherwise. For Kim it was clear from the beginning that, as she says, "I wound up in the wrong body."

At the age of two, Tim tried on his older sister's clothes, played with Barbies and said, "I'm a girl." Her parents thought it was a phase, but at the age of four Tim was still bawling after every haircut. At last he ran into his room with a pair of scissors and hollered that he wanted to "cut off my thing!" -- and it was clear to his parents that the problem was serious. From then on, at home, Tim went by "Kim."

FROM THE MAGAZINE
Find out how you can reprint this DER SPIEGEL article in your publication. His parents found stories on the Internet about men and women who felt so unhappy in their own bodies as children that they came out as transsexuals and underwent sex-change operations as adults. They weren't all freaks -- there were engineers and lawyers, artists, programmers and teachers -- and it wasn't easy. A switched gender had to be maintained with a lifelong regime of hormones. Germany alone has 6,000 transsexuals under permanent medical treatment.

The P. family wanted a less complicated future for their Tim, but they've also found reasons for optimism. They've learned that transsexuality has nothing to do with homosexuality. It's not about feather boas and red-light districts so much as identity. Transsexuals aren't "queer birds" -- they want the perfectly normal life of the opposite sex. And some will submit to radical methods, from hormones to surgery, to conform their bodies to the "right" gender.

Well-adjusted in the wrong body

Maybe Kim's family could have tried to change her mind about feeling like a girl if they'd sent her to a psychiatrist early on. But would that have helped? By age eight there was nothing boyish about her hair; she wore it parted in the middle. She played typical girl games with other girls, went to their birthday parties and even dressed up for the ballet. In school she always wore trousers and never braids. Her teachers praised her exemplary social skills, and when she was teased in the schoolyard and called names like "tranny" or "queer," she simply walked away.

"We always saw Kim as a girl, but not as a problem," says the father. "In fact, our life was surprisingly normal."

Normal until Kim was twelve, and experienced the first signs of puberty. She was overcome by panic when her voice began to drop. She had no interest in becoming one of those brawny creatures with gigantic hands and deep voices who dressed like women but looked unfeminine. Only hormones could prevent Kim from turning into Tim again, and time was of the essence.

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The family was at a loss when it came to seeking medical advice. "If your child has a heart defect you send him to a specialist," says Kim's mother, "but when your child is transsexual everyone seems to have an opinion."

"Hormone treatment! Gender adjustment! How could you possibly do this to the child?" the family's pediatrician barked at the father -- in Kim's presence. Then came the sessions at the state psychiatric hospital, where Kim would sit in green rooms with high ceilings, playing with experimental blocks, while her parents answered endless questionaires.

Sitting in the waiting room, Kim thought to herself: Does this mean I belong in an insane asylum?

The family's whole life up that point was suddenly in question. "Are boys unwelcome in your family?" they asked the mother. "Have you ever considered, instead of manipulating the child, sending him to be cared for by others for a while? Putting him in a closed children's psychiatric institution, for example?"

"What's wrong with being a real guy?" a doctor in a white coat would ask Kim. "Have you ever tried it? What do you think about your mother? Were you ever in love? With a boy or a girl? Do you like your penis?"

Kim answered their questions to best of her ability, but the whole thing felt humiliating. "All of a sudden I had the feeling that it was my fault, that there was something dirty going on."

Second-guessing nature

Kim's is a classic case, according to Bernd Meyenburg. "Transsexual development is extremely rare, and very few youth psychiatrists have any experience with it. The families wander from one psychiatrist to the next" -- until they wind up in his office, or in the office one of his colleagues at the university hospitals in Hamburg and the southern city of Ulm. Germany has only a few experts on child transsexual development, and Meyenburg heads the Psychiatric Special Outpatient Clinic for Children and Adolescents with Identity Disorders at the University of Frankfurt Hospital.

Gender identity disorders are not rare among children, and they often appear as soon as a child starts to speak. The problem goes away in about a quarter of these children. Most of the remaining three-quarters become homosexual. In about two to 10 percent of the cases, though, early gender identity disorders lead to transsexualism.

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Old 02-01-2007, 04:17 PM   #46 (permalink)
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Mistakes in God's Factory (2)

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Prognosis is tricky, though: It's impossible to determine whether a person is transsexual by using standard diagnostic tools like hormone level testing or computer tomography (cross-section images of the body). Psychiatrists base their diagnoses on how long a person has been living as a member of the opposite sex and how convincing he or she is in that role. In adults, medical standards require years of psychotherapy and a trial run as a member of the opposite sex before hormone treatment can start. Children in puberty have little time to satisfy these requirements.

Dr. Bernd Meyenburg: "It would have been a crime to let Kim grow up as a man."

Should doctors second-guess nature because of a teenager's wishes? Can't puberty change everything? And what if it all turns out to have been the wrong decision? Meyenburg has mixed feelings about the fact that more and more -- and younger -- patients are coming to him for advice these days.

"From a purely medical standpoint we are dealing with the mutilation of a biologically healthy body," says Meyenburg. "We face a real dilemma. If we do something about it, it's irreversible. And if we allow nature to take its course, that too is irreversible."

But in Kim's case, says Meyenburg, "it would have been a crime to let her grow up as a man. There are very few people in whom it's so obvious." It takes a great deal of experience to be able to differentiate between a temporary gender identity disorder and "true" transsexuality. Meyenburg recently met a 15-year-old girl who didn't want to be a woman. It took a while, but he discovered that the girl had been brutally abused by her father when she was seven. The trauma of the experience had triggered a deep identity disorder, but not transsexual development. In the end, the girl chose not to undergo a sex change.

Based in part on such experiences, Meyenburg says "psychotherapy is always worth a try -- not because being a transsexual is such a bad thing, but because it is probably easier to go through life as an effeminate dance instructor than as someone who has had a sex change operation." Even if the process goes on to indicate a sex change, most adolescents also benefit from psychotherapy. "After all," says Meyenburg, "there are also parents who attempt to beat it out of their children."


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Meyenburg has been studying transsexuality since the 1970s. In those days, orthodox psychiatry believed that adverse social circumstances -- namely the parents -- were to blame when someone felt out of place in his or her biological gender. The perpetrators were domineering mothers, absent fathers, parents with emotional problems who were unfit as role models, repressed parental fear of homosexuality. New York psychoanalyst Susan Coates believed that a little boy's first steps in his mother's high heels occurred when the mother was depressed and emotionally unavailable. In these cases, Coates theorized, the child, instead of "having Mommy," would "be Mommy" to fend off his separation anxiety.

Even Meyenburg was long convinced that severe emotional trauma in childhood caused transsexualism. "On the other hand," he says today, "depression isn't exactly rare in mothers. Wouldn't that mean there should be far more transsexuals?" Meyenburg points out another inconsistency: "There are cases in which you could poke around in the parents' relationship as long as you wish and still find nothing. They are often very pleasant, normal and likable people."

Treating the unknown

Gender development in human beings is a complex of bio-psychological processes, and when something goes wrong, not everyone understands. The medical community in particular tends to impose order, asking itself questions like: "Which gender is the correct one?" Developmental psychologists, for example, long believed that children were born emotionally neutral, and that a person's perceived gender affiliation was the result of social influence.

This approach led to drastic measures. Some children -- hermaphrodites -- are born with both male and female sex organs, and in the past they were operated on as quickly as possible. Psychiatrists thought the children as well as their parents should be spared the pain of growing up without a clear gender identity. But many of these kids later became unhappy with their surgically-determined genders. Some even committed suicide. Social influence -- from early childhood on -- failed to adjust their inner identities. The preferred approach nowadays is to wait.

Experts still think a lot of gender-specific behavior is learned, but they also believe some of it is pre-wired in the womb. The extent to which androgen or estrogen shapes the brain to be male or female is debatable; the age at which gender identity is established is unknown. But certain tendencies manifest early: At only a few weeks of age, female babies spend more time looking at faces, while male babies are drawn to abstract shapes. Three-year-olds handed anatomically correct dolls can tell which ones represent their own genders. This distinction becomes noticeably more difficult for children with gender-identity disorder.

Treating the problem with therapy is controversial: After decades of attempts, and despite some therapists' claims to the contrary, there is still no evidence that psychotherapy can change a transsexual adolescent's gender identity. Whether the development of an identity can be interrupted during early childhood isn't clear, but some experts think therapy is simply the wrong approach for transsexuals.

"Nowadays we believe that it's both," says Meyenburg -- "environment and biology."


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But that doesn't clear up the puzzle. Researchers in laboratories are still looking for a sound explanation for the mismatch between body and soul in transsexuals. There are many theories: One holds that a specific gene disables the Y chromosome; another says unusual hormone levels in the womb cause specific areas of the brain in male-to-female transsexuals to acquire the size typical for females. (Certain medications taken by the mother may be to blame under that hypothesis.) A third theory holds that atypical hormone excretions are to blame. Lately some endocrinologists also wonder if a still-unknown disorder in the way genes are expressed in fetuses could impair the function of a child's sex hormones.

None of the theories are proven, though, and the upshot is: If we don't know what causes transsexuality, how can it be treated?

Early hormone treatment may work

Experts in the Netherlands are the most experienced in the field. A so-called "gender team" of somaticists, child psychiatrists, psychotherapists, endocrinologists and surgeons have spent the last few years monitoring more than 350 children and adolescents with divergent gender identity. It isn't rare for these experts to see the metamorphosis of puberty -- and the forced role-shift that comes with it -- transform young people who were emotionally stable into heavily traumatized adults. Many of these individuals also face personality disorders as adults: drug addiction, depression and thoughts of suicide.

To address these problems, in the late 1990s the Dutch cautiously started hormone treatment in a small number of transsexual youths -- similar to the treatment Kim later received in Germany. Asked later about the experience, none of this group regretted choosing the treatment. They were leading more satisfied, normal lives than others in the study who went on living as members of what they perceived as a false or hated gender.
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Old 02-01-2007, 04:19 PM   #47 (permalink)
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Mistakes in God's Factory (3)

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Two years ago, Tanja Pfeil says, she wept uncontrollably after a TV report about a girl like Kim. She mourned the girl she could have been, and the life she'd missed as a woman. The girl on TV looked perfectly female and showed no male characteristics at all, said Tanja. At that point, to the outside world, she was a businessman from northern Germany, in her mid-forties and named Michael. "I attribute it to my sunny personality that I didn't fall apart," she says now. "Being transsexual is something for people who are completely healthy."

Stephan Elleringmann
Michael Pfeil with his son in 1996, before becoming Tanja.
As a 13-year-old, Tanja asked her grandmother where people came from. "They're made by our dear God in heaven," the old woman replied. "And when will I finally be a girl?" Tanja asked. "Never," her grandmother said, "God made you a boy." Her first thought at the time was that something had gone wrong in the cosmic factory: God had cobbled her together wrong.

But during Karneval, the German version of Mardi Gras, the young Michael wanted to dress up as Little Red Riding Hood or a princess. He liked playing games with the girl next door. By the age of 10, the family's first-born child -- their son and heir -- was envious of girls with developing breasts who were allowed to wear dresses and makeup. Whenever his mother left the house, he would secretly put on her clothes: lingerie, girdle, high heels and bras (stuffed with handkerchiefs).

He forced himself into the role of a man. He met a woman, fell in love, married and fathered a son. When the boy was born, Michael wished that he himself had given birth.

He held out until his 40th birthday, occasionally drowning his sorrows in red wine. Then he decided that he couldn't do it anymore. "My son Aron is a gift. He shouldn't find out during puberty," he told himself. When Michael was ready to make the change, about ten years later, his friends were deeply divided. But his family supported him and the expected upheaval in his village never materialized. Tanja Pfeil, previously Michael, didn't want to extinguish her old life. But after the first estrogen treatment she had the sensation that something fuzzy in her head had gone clear. "Michael dissolved and became Tanja," she said. "She is stronger than he was."

"I wish you had been like this when you were a man," Tanja's wife recently said. "I tried. I wanted to be a good husband," Tanja replied. But it was impossible. Now the couple plans to divorce and remain friends. "But I would have preferred sparing myself and everyone else my life as a man."

At least Tanja Pfeil was lucky when it came to her body. As a man, she was short and had delicate hands and feet. Now that the hormone treatments have rounded out her breasts and hips, her skirts fit better. "You look enchanting," an elderly woman and regular customer recently said.

"I just happen to be a girl"

To become a woman, Pfeil endured a nine-and-a-half hour operation and the torture of laser epilation to reduce facial hair growth. Other transsexual women have Adam's apple or cheekbone reduction surgery. They take voice lessons to make their voices sound higher-pitched. Some are unable to stop manipulating their bodies, constantly finding new aspects they believe need to be changed.

Kim will have none of these problems. Later in life, no one will be able to tell that she was born male, because her biological development into a girl started at the age of 12. She was the world's youngest patient to receive hormone injections to obstruct her male puberty. This gave her time before making a final decision on surgery.

Even with Kim, though, the decision to switch genders wasn't taken lightly. Before Bernd Meyenburg approved her sex-change process he took a detailed look at every aspect of her family life. Had there been any unusual incidents? Mental illnesses? What about her relationship with older siblings? Were there any day-to-day problems?

"From an emotional standpoint, Kim comes across as a healthy, happy and balanced child," Meyenburg wrote in his report. She had never behaved like a boy, not even for a short period of time. "There is no doubt that her wish is irreversible, because it has been evident since very early childhood."


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In the past, Meyenburg was strictly opposed to hormone treatment before a child came of age. He began to question the wisdom of his own rules when one of his patients resisted his advice and ordered hormones over the Internet. She went abroad at 17 and had a sex change operation for a few thousand euros. Meyenburg was angry at the time. Today this woman, a law student, is one of his happiest patients.

Now Meyenburg allows his young patients to enter hormone treatment early, before puberty complicates a sex change. "They simply suffer less," he says.

Kim is already much closer to realizing her dream. The first letter of her name has been changed in her record, and her school now treats her as a girl. Thanks to the hormones, her breasts are developing, like those of other girls in her class. She's allowed to use the girls' locker room during gym class.

One thing hasn't completely changed for Kim, though -- heckling in the schoolyard. But now her best friend sticks up for her. Kim says she feels good about herself in spite of the taunts. "My girlfriends see me as a completely normal person," she says, and time seems to be on her side. The family is buoyed by signs of progress in public acceptance of transsexualism. In the United States, for example, some students have managed to convince universities to add a box -- "transsexual" -- next to "male" and "female" on their forms.

In New York and Spain, transsexuals are now permitted to change their gender on their personal ID cards without getting a sex change operation. Will such changes prompt some to dispense with surgery altogether?

"It's out of the question for me," says Kim, who still wants to get rid of the parts of her body that remind her that she was born as Tim. By law, in Germany, she'll have to wait until she's 18 to take the next step. Meanwhile, she resorts to wearing tight pants.

"I just happen to be a girl," says Kim. She keeps a piggybank in her bedroom filled with change she has been saving for the operation -- since the age of five. Once it's over, her new life will start. "In Paris," she says, "where no one knows me."
Translated from the German by Christopher Sultan


Sex-Change Operations: Mistakes in God's Factory - International - SPIEGEL ONLINE - News
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Old 02-01-2007, 04:23 PM   #48 (permalink)
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Intersex Society of North America | A world free of shame, secrecy, and unwanted genital surgery

Tips for Parents

Tips for Parents | Intersex Society of North America

Guidance for the management of gender identity disorders in children and adolescents

IJ TRANSGENDER - The Royal College of Psychiatrists - Gender Identity Disorders in Children and Adolescents


both links are interesting to read.