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CHECK Berlin #1

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CHECK wendet sich an Schwule und Trans*-Männer jeden Alters, jeder Herkunft oder Weltanschauung. • umfassender Serviceteil mit allen wichtigen Adressen von Beratungsstellen, Apotheken und Ärzt*innen

EN TRANS*MEDIZIN

EN TRANS*MEDIZIN TRANS*MEDICINE Trans*ition Trying To Build An Unbiased Bridge Between The Medical and Community Perspective A good two years ago, the International Statistical Classification of Diseases (ICD) stipulated that transsexuality should be found as a gender incongruence in the chapter on sexual health and is, therefore, no longer considered a mental illness. The change is expected to take effect in 2022. So it‘s high time to catch up on research, training and education. Trans-medicine is the general health care profile for people who do not identify with the gender assigned to them at birth. The physical-medical aspects include a thorough medical history, information about the effects and side-effects of hormonal therapy, information about irreversible measures such as surgery, prescription of corresponding hormones, laboratory chemical and somatic follow-up, care for pre- and post-operative interventions and support in the transition process. Transition describes the process of social, legal and/or medical adaptation to the individual’s gender identity, for example by means of coming out, name change, hormone treatment and/or operations. Selfacknowledgement of being trans* is not chosen freely and the corresponding feelings associated with it cannot simply be turned off or put down. Arriving In Your Own Body The life experience of trans* people always takes priority. It‘s about improving subjective quality of life. So it‘s about feeling good in your own body and the environment. From a medical point of view, the art is not in prescribing hormones, but in the guidance provided to patients. The responsibility is not to take the responsibility off the clients - they decide themselves whether they want to make individual changes and take certain steps or not. The Binary Model In the binary model, it is possible to match a gender that is attributed to a person at birth and with which the person was probably socialized, to the opposite gender in the binary. So from man to woman or vice versa. For some trans* patients, satisfaction is often only first achieved when one is recognized as the gender they identify with. “Passing” as a man or woman often plays an important role. Diverse approaches, perspectives and “models” also lead through the transition process. More on this is outlined in the following sections. 20 CHECK | AUSGABE 1

EN The Problem With The Norm The rules of a binarystandardized society are usually very narrowly defined. How often is a male-at-birth, cis-man accused of being too effeminate, for example because he has long hair or nail polish without defining himself as trans*. Trans* people are repeatedly misread by societies that are too narrowly defined. There is creates difficulties for the trans* person. For most, however, this assignment seems elementary, since it provides support, stability, security, clarity and structure. Self-Discovery And Resistance Developing a sexual identity yourself, not having to place yourself within the Binary, requires a fundamental emancipation process. But from what? It takes place on several levels: parenting gender (biological gender as defined by norms plus parenting) - identity determination referring unique opportunities as well as very real challenges. Which resources the person has (or brings and develops), the environment in which they grew up, and how much support the person receives, for example, socially or medically, are decisive influencing factors. Last but not least, it depends on how much positive response and acceptance a person receives in order to deal with stressful situations and to be strengthened. Free Will And Consent Doctors, psychotherapists, psychiatrists, medical specialists, social workers, nurses, medical assistants, laboratory assistants no „passing“ and the desired attributes are perceived as insufficiently pronounced. A genderbinary thinking, heteronormative society often has difficulties with the right assignment. This A gender-binary thinking, heteronormative society often has difficulties with the right assignment. This creates difficulties for the trans* person. to the peer group - gender identity - sexual preference - to name just a few. This is not a complete picture of the process of emancipation and comingout. But an attempt at conceptualization which in no way is static. In this way, the path to self-discovery and emancipation offers should accompany, clarify, question and support the transition. However, without performing a gatekeeping function and blocking the decisions of the transitioning person. This is often not easy even for said specialists: on the one hand, most medical professionals themselves are socialized CHECK | AUSGABE 1 21

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