Intimate Partnerships and Sexual Health in Gender-Dysphoric Individuals Before the Start of Medical Treatment

ABSTRACT

Objectives: This study focuses on sexual health aspects in partnered gender-dysphoric individuals at the start of medical treatment by examining their partnership constellations, sexual experiences, and reports of psychological problems. Methods: As part of the cross-national European Network for the Investigation of Gender Incongruence Study, 168 adult male-to-females (MFs) and female-to-males (FMs; MF:FM sex ratio = 1:1.2) were surveyed by means of self-administered questionnaires prior to any gender-confirming hormonal and surgical interventions. Results: MFs were often found to have androphilic (female) partners (sexually oriented toward males), noncomplementary with their female gender identity. In contrast, FMs frequently had androphilic (female) partners, complementary with their male gender identity and sexual orientations toward females. Conclusions: In both genders, complementary partnership constellations were associated with more avoidance of sexual experiences and more negative sexual experiences.     

Commentary

Abstract

The diagnosis of Gender Identity Disorder (GID) in the Diagnostic and Statistical Manual of Mental Disorders (DSM; American Psychiatric Association, 2000) continues to be controversial. Three papers by Hill et al. (2005), Lev (2005), and Winters (2005) each offer a critique of this diagnosis. Drawing from our clinical experience and research with transgender youth and adults as well as the scientific literature on gender dysphoria, we will comment on the main issues raised by these authors: the criteria reflect bias, who needs this diagnosis, and how can we lessen the associated stigma. Our discussion will clarify the rationale behind GID, and illustrate the dilemmas inherent in reform or removal of the diagnosis from the DSM.     

Can Cultural Beliefs Cause a Gender Identity Disorder?

Abstract

Gender identity disorder (GID) is a relatively rare disorder with an unclear etiology. This case report involves a boy from Thailand who was thought by his parents at birth, on the basis of a birthmark, to be the reincarnation of his maternal grandmother. He subsequently demonstrated cross-gender behavior. A link between his parents' cultural beliefs and the boy's cross-gender behavior is explored. Implications for the causes of other cases of GID are explored, and in particular, the question of whether parental expectations, as exemplified by these parents' cultural beliefs, can be a contributor to the formation of GID is considered.     

Gender Differences in the Characteristics and Outcomes of Sexually Abused Preschoolers

ABSTRACT

This study examined whether sexually abused preschool boys and girls (ages 2–5) differed in terms of abuse characteristics or psychological outcomes. A retrospective chart review of 74 cases of sexually abused children (29 boys and 45 girls) treated at an urban mental health clinic in Maryland was conducted. Information was collected on: (1) demographics; (2) abuse characteristics (victim's age, type of sexual abuse, relationship to perpetrator); (3) abuse discovery pattern (accidental vs. purposeful); (4) children's symptomatology; and (5) child and familial factors. No differences were found between boys and girls in terms of the victim's age at the time of abuse, perpetrator's age, or the identity of the perpetrator. However, boys and girls experienced different forms of abuse; boys were more likely to experience fondling, oral and anal intercourse. The majority of boys and girls were abused by males, typically someone they knew (biological parent/parent figure or relative). No differences were evident in the type of disclosure; however, older children were more likely to self-disclose than younger children. Results indicated that boys exhibited more developmental delays and aggressive symptoms than girls. Clinical implications of these findings are discussed as well as recommendations for future research.     

Siblingship And Continuity Of The Family In The Balinese Houseyard

This article investigates yafuni (‘witchcraft’ or female sorcery) accusations among the Maisin people living in Collingwood Bay, Oro Province, Papua New Guinea. It takes as its primary case a public meeting at which two women were accused of killing a man. During the meeting, reasons for the victim's unexpected death and why he was subjected to ‘witchcraft’ were questioned and explored. While sorcery and witchcraft accusations might have violent outcomes, I argue that among Maisin they can be understood as performative rituals in which tensions and frustrations are vented in controlled ways, effectively preventing aggression and violence towards those accused. Accusations must be understood in the context of local identity politics that entail the questioning and redefining of relations and boundaries between gender, clans and cultural groups. In the case examined in this paper, the meeting provided a forum for the predominantly male accusers to re-establish gender hierarchies and social boundaries in order to restore social balance, albeit at the cost of victimising two women.     

‘Behind Closed Doors’: Debt-Bonded Sex Workers in Sihanoukville,Cambodia

In the trafficking discourse and international law, debt-bonded sex workers have been defined as ‘victims of trafficking’. The hyperexploitative contractual arrangements faced by debt-bonded sex workers may be the most common form of contemporary forced labour practices in the modern industry. However, in this paper, I present women's individual experiences working under indenture in Sihanoukville, Cambodia. I do so because women's narratives raise many questions about ‘consent’ and ‘coercion’ that, to date, remain unanswered. By examining women's own perceptions of the situation, the present paper attempts to address issues related to ‘consent’ and ‘coercion’ in order to highlight some of the possible implications this has for both how we theorise about and respond to the issue of indenture.     

Gender,Nation, Rape: Bosnia and the Construction of Security

The mass rapes in Bosnia brought gendered security problems onto the international agenda to an unprecedented extent. This article examines the debate surrounding whether these rapes should be characterized as a security problem which warranted international attention and possibly intervention. This debate evolved around the question whether wartime rape should be understood as an individual risk or a collective security problem;and whether it should be defined in national or in gendered terms. The empirical part of the article analyses the three dominant representations of the Bosnian mass rapes: 'rape as normal/Balkan warfare' argued that rape did not constitute a collective security problem and the international community had therefore no reason or responsibility to intervene; the "rape as exceptional/Serbian warfare" representation read the rapes through national lenses and argued that the international community should intervene militarily in defence of the Bosnian government; and the third representation, "Balkan patriarchy", claimed the privileged of a gendered reading of the rapes, the conflict in Bosnian should, according to this discourse, be understood as involving women on the one side and the patriarchal nationalistic leaderships on the other. The article concludes that the political impact of each of the representations is difficult to assess, but that the willingness of the International Crime Tribunal for the former Yugoslavia to pursue rape-related indictments constitutes an important step towards the recognition of wartime rape as a collective security problem.     

Mastering ‘Lady Credit’

This article politicizes current understandings of financial crises. It is argued that financial discourse, and specifically the discourse that locates financial crises in the realm of madness and delusion, is founded upon a distinctively masculine conception of agency. This argument is made by looking at early eighteenth-century debates concerning the emergence of credit and paper money. The article examines Daniel Defoe's satirical personification, Lady Credit. Lady Credit embodies all the irrational, inconstant and effeminate aspects that had to be purged from financial discourse before it was able to gain respectability as a rational, disinterested and scientific sphere of action. Lady Credit is not unlike ancient goddess, Fortuna, who ruled capriciously over the affairs of men. The financial discourse under examination implies that it is in times of crisis that financial man loses self-control and is prevented from seeing economic reality by the delusions that Lady Credit generates in him. Through the virile mastering of Lady Credit, it is implied, the smooth and neutral workings of the financial sphere are guaranteed. The article contends that this inherently gendered manner of understanding financial crises informs debates on financial crisis today, as can be exemplified by the public discussion on the recent crisis in Asia.     

Analyzing Politics and Change in Women's Organizations

Research on women's political action too often passes over women's organizations that do not officially adopt a feminist ideology and do not explicitly set out to change gender power relations. Based on implicit notions that such women's organizations are nonpolitical (or less interesting), the research often supports a false dichotomy between feminist and nonfeminist organizations rather than illuminates women's common political ground. This study addresses women's collective action, politics and change by focusing on the case of Nicaraguan Mothers of Heroes and Martyrs - women who lost a son or daughter in the revolution or Contra War. Although some members in Matagalpa critiqued male domination, the organization itself did not set out to challenge the gendered division of labor; indeed, their collective demands relied upon and in many ways reinforced traditional gender identities. I argue that such movements are important to feminist political analysis. As I demonstrate in this article, an organization's lack of an official feminist ideology does not mean that individual members do not express interests, identities and ideals that challenge the gendered status quo. Such research, however, requires a nuanced approach, recognizing women as both accommodating and resisting gendered social structures. Thus, this study challenges the dominant feminist-feminine dichotomy by demonstrating that women's collective action is not only per se political (and politically important) but may also challenge as well as reinforce gendered power structures.     

Gendering (Trans)National Advocacy

Whether lauded or deplored, transnational organizing among non-governmental organizations (NGOs) generally, and women's NGOs specifically, is recognized as an active player in debates about international economic policy. In this article, I turn attention toward one consequence of women's transnational NGO organizing that has been under-analyzed: the impact that transnational activism has on domestic political organizations and opportunities. The recent increase in activism on gender and policies of free trade in the USA is the product of women's transnational political organizingover the North American Free Trade Agreement (NAFTA). In the case of NAFTA, theoretical insights about the ways that gendered categories undergird the economy were made visible by and through the transnational advocacy in which feminists engaged.And, this article indicates, these transnational advocacy efforts have helped to shift the domestic political terrain of women's organizing in the United States. I argue that as women's rights advocates in the United States were confronted with the realization that the nexus between gender and trade policy was important to many women's rights and feminist activists around the world, they began to question why the gendered implication of trade policy did not hold a comparable place in the US feminist arena. Thus, changes in the domestic political landscape of non-governmentalactivismmay be one of the longest lasting (and most overlooked) consequences of transnational political engagement.