MichaelEmeryArt

Gender Dysphoria

"The Muse is to sought out,maybe imagined,yet never to be touched,only seen in our Dreams"-me


I think this is what keeps us as Humans,striving,to keep seeking and searching,even though we know,we will not in a short life time ,never touch the unknown-thus Certainity remains "Abstract"

Gender bending is a more recent version and vision of transgenderism, and k.d. lang is one of its more complex proponents. “Gender bending has always been tang’s stock-in- trade . . . hers is a deeply subversive presence; after you watch her for a while you realize how warped your own stereotypes are.”34 The gender bending that k.d. projects is definitely not the same as most male transgenderists who depend on surgery, hormones, passing as women, or mimicking women on stage. Hers is a more dimensioned, savvy, and feminist self-assertion that does not reduce gender bending to the flaunting of sexuality, k la Madonna, but expands it to point out the limits imposed upon both female gender and sexuality. However, there is a mixed message in her gender- bending portrayals. Featured in a photo spread in the August, 1993 issue of Vanity Fair, k.d. lang does not define herself as a transgen- derist but, instead, prides herself “on being 100 percent woman.”38 There is much in the article that any feminist can identify with: k.d.’s incredible talent and her rise up the professional ladder, defying any attempts to make her more feminine and thus palatable to audiences; the kind of physical freedom with which she moves on stage, so unlike any other female singer; the clothing she wears that doesn’t objectify or exploit her body; her refusal to engage in performances featuring her as a “heterosexual fantasy object”; her defense of animal rights and vegetarianism; her presentation of herself as her self, never hiding her lesbianism or denying lesbian rumors, culminating in her public “coming out.” “She takes everything a woman is not supposed to be—big, funny, fearlessly defiant, physically powerful—and makes it not only O.K. but glorious.”- excerpt from "Transsexual Empire"-5/26/ 2018

 

I very much recommend reading,"The Transsexual Empire" by JANICE G. RAYMOND

 you can read it at below site:

In my opinion "We must start educating that "Gender Fluidity" is natural,as been in Human history from beginning of Time! ,that it isn't bad,it is reality.or else through "social construct",we shall continue to create,social injustice,thus different forms of crimes,all crimes start at a root form of dysphoria,cognitive dissonance,oppression to a certain degree in my opinion


Also to self-Actualize,it is not possible with cognition such as:
Shallow understanding (deficiency cognition)

This is cognition based on norms, rules, procedures, examples, instances, habits, and stereotypes. Typically these are derived from some sort of external authority or society as a whole. This form of cognition is only reliable in environments where the rules, procedures, etc, are actually effective. And even while they are effective, they allows for many inconsistencies and as such to potentially suboptimal behavior with adverse long term consequences. Authoritarian self-confidence is therefore a function of whether or not the shallow cognitive capabilities match environmental demands, which explains why authoritarians go to such great lengths to help authorities to maintain the conditions in which they feel adequate and confident. [9]

This refers back to the [coping mode of thought] in which success is measured in terms of the restoration or protection of feelings of agentic adequacy. The Associated strategy is to remove all sources of uncontrolled and not understood diversity that frustrate the maintenance or restoration of agentic adequacy.

Gender dysphoria occurs when there is a persistent sense of mismatch between one’s experienced gender and assigned gender.

Definition

Gender dysphoria (formerly gender identity disorder) is defined by strong, persistent feelings of identification with the opposite gender and discomfort with one's own assigned sex that results in significant distress or impairment. People with gender dysphoria desire to live as members of the opposite sex and often dress and use mannerisms associated with the other gender. For instance, a person identified as a boy may feel and act like a girl. This incongruence causes significant distress, and this distress is not limited to a desire to simply be of the other gender, but may include a desire to be of an alternative gender.

Gender dysphoria has been reported across many countries and cultures. Among individuals who are assigned male gender at birth, approximately 0.005 percent to 0.014 percent are diagnosed with gender dysphoria. Among individuals who are assigned female gender at birth, approximately 0.002 percent to 0.003 percent are diagnosed with gender dysphoria. Because these estimates are based on the number of people who seek treatment, including hormone treatment and surgical reassignment, these rates are likely an underestimate of the real prevalence rates.

Adolescents and Adults

  • An incongruence between the individual's experienced/expressed gender and primary sex characteristics (sexual organs) and/or secondary sex characteristics (breasts, underarm hair). This incongruence is present for at least six months.
  • A strong desire to be rid of one's primary primary and/or secondary sex characteristics
  • A strong desire for the primary and/or secondary sex characteristics of the other gender
  • A strong desire to be of the other gender (or some alternative gender)
  • A strong desire to be treated as the other gender
  • A strong conviction that one has the typical feelings and reactions of the other gender
  • The later-onset group:

    • May be more fluctuating in the degree of cross-gender identification
    • More ambivalent about sex-reassignment surgery
    • More likely to be sexually attracted to women
    • Less likely to be satisfied after sex-reassignment surgery.
    • Males with gender dysphoria who are sexually attracted to males tend to present in adolescence or early childhood with a lifelong history of gender dysphoria. In contrast, those who are sexually attracted to females, to both males and females or to neither sex tend to present later. If gender dysphoria is present in adulthood, it tends to have a chronic course, but spontaneous remission has been reported.
    linically significant distress or impairment in major areas of functioning, such as social relationships, school, or home life 

Expert Q & A: Gender Dysphoria / psychiatry.org

                                What is the difference between transgender and transsexual?

Transgender is a non-medical term that has been used increasingly since the 1990s as an umbrella term describing individuals whose gender identity (inner sense of gender) or gender expression (outward performance of gender) differs from the sex or gender to which they were assigned at birth. Some people who use this term do not consider themselves as matching a binary gender category. In addition, new terms such as genderqueer, bigendered, and agendered are increasingly in use.

Transsexual is a historic, medical term that refers to individuals who have undergone some form of medical and/or surgical treatment for gender reassignment (historically referred to as sex reassignment). Some transsexual individuals may identify as transgender, although others primarily identify as the male or female gender to which they have transitioned.

People who identify as transgender but who do not seek medical or surgical treatment are not transsexual.


                                 Is there a general age that people realize they are transgender or experience gender dysphoria? Can it happen late in life?

Not all transgender people suffer from gender dysphoria and that distinction is important to keep in mind. Gender dysphoria and/or coming out as transgender can occur at any age.

The DSM-5* distinguishes between Gender Dysphoria in Childhood for those who experience GD before puberty. The diagnosis of Gender Dysphoria in Adolescents and Adults can occur at any age. For those who experience gender dysphoria later in life, they often report having secretly hidden their gender dysphoric feelings from others when they were younger.


                                  How does hormone therapy affect a person’s emotional state? (From WPATH SOC)

Many transgender people who take feminizing or masculinizing hormones report improvement of emotions as their gender dysphoria lessens or resolves. A person transitioning from male to female (MTF, transwoman) takes feminizing hormones that may reduce libido. A person transitioning from female to male (FTM, transman) takes masculinizing hormones that may increase libido. Less commonly, masculinizing hormones may provoke hypomanic, manic, or psychotic symptoms in patients who have an underlying psychiatric disorder that include such symptoms. This adverse event appears to be associated with higher doses or greater than average blood levels of testosterone.

As with any medical treatment, the anticipated risks and benefits should be considered by a patient and prescribing doctor on an individual basis


                                  How can a person deal with gender dysphoria without gender reassignment?

Not all individuals with gender dysphoria choose to undergo gender reassignment. For one, gender reassignment that includes surgery is very expensive and usually not covered by most insurance. Nor do all individuals with gender dysphoria desire a complete gender reassignment. Some are satisfied with taking hormones alone. Some are satisfied with no medical or surgical treatment but prefer to dress as the felt gender in public. Some people make use of Trans affirming social networks online and in local supportive communities to cope with gender dysphoria and claim a gender identity and forms of expression that do not require medical treatments. Some individuals choose to express their felt gender in private settings only because they are either uncomfortable or fearful of publicly expressing their felt gender. However some people who are denied or have no access to gender reassignment treatments can become anxious, depressed, socially withdrawn and suicidal.


                                  

If a man likes to dress in women’s clothes but does not want to be a woman and otherwise lives typically as a male, does he have a psychiatric disorder?

No. Such a desire is called transvestitism and it is not a psychiatric disorder. DSM-5 does have a diagnosis of Transvestic Disorder that specifically states it “does not apply to all individuals who dress as the opposite sex, even those who do so habitually.” It is only considered a disorder if “cross-dressing or thoughts of cross-dressing are always or often accompanied by sexual excitement.”

Like myself,I could be called " Bigender ",yet always I wish to be be in role of "female"(traditional) sexually

My advice:  as it is some what on Topic here


                               Avoid the Femdom,cuckolding idea's so many seem to have.In my opinion it is mostly distorted views of reality.

 THE DIFFERENCE BETWEEN GENDER NONCONFORMITY AND GENDER DYSPHORIA
Being Transsexual, Transgender, or Gender Nonconforming Is a Matter of Diversity, Not Pathology WPATH released a statement in May 2010 urging the de-psychopathologization of gender nonconformity worldwide (WPATH Board of Directors, 2010). This statement noted that “the expression of gender characteristics, including identities, that are not stereotypically associated with one’s assigned sex at birth is a common andculturallydiversehumanphenomenon[that] should not be judged as inherently pathological or negative.” Unfortunately, there is a stigma attached to gender nonconformity in many societies around the world. Such stigma can lead to prejudice anddiscrimination,resultingin“minoritystress” (I. H. Meyer, 2003). Minority stress is unique (additive to general stressors experienced by all people), socially based, and chronic, and may make transsexual, transgender, and gendernonconforming individuals more vulnerable to developing mental health problems such as anxiety and depression (Institute of Medicine, 2011). In addition to prejudice and discrimination in society at large, stigma can contribute to abuse and neglect in one’s relationships with peers and family members, which in turn can lead to psychological distress. However, these symptoms are socially induced and are not inherent to being transsexual, transgender, or gender-nonconforming.

Gender Nonconformity Is Not the Same as Gender Dysphoria Gender nonconformity refers to the extent to which a person’s gender identity, role, or expression differs from the cultural norms prescribedforpeopleofaparticularsex(Institute
of Medicine, 2011). Gender dysphoria refers to discomfortordistressthatiscausedbyadiscrepancybetweenaperson’sgenderidentityandthat person’ssexassignedatbirth(andtheassociated gender role and/or primary and secondary sex characteristics) (Fisk, 1974; Knudson, De Cuypere, & Bockting, 2010b). Only some gender-nonconforming people experience gender dysphoria at some point in their lives. Treatment is available to assist people with such distress to explore their gender identity and find a gender role that is comfortable for them(Bockting&Goldberg,2006).Treatmentis individualized: What helps one person alleviate gender dysphoria might be very different from what helps another person. This process may or may not involve a change in gender expression or body modifications. Medical treatment options include, for example, feminization or masculinization of the body through hormone therapy and/or surgery, which are effective in alleviating gender dysphoria and are medically necessary for many people. Gender identities and expressions are diverse, and hormones and surgery are just two of many options available toassistpeoplewithachievingcomfortwithself and identity.

Gender dysphoria can in large part be alleviated through treatment (Murad et al., 2010). Hence, while transsexual, transgender, and gender-nonconforming people may experience gender dysphoria at some points in their lives, manyindividuals who receivetreatmentwillfind a gender role and expression that is comfortable for them, even if these differ from those associated with their sex assigned at birth, or from prevailing gender norms and expectations.


Options for Psychological and Medical Treatment of Gender Dysphoria
              
        For individuals seeking care for gender dysphoria, a variety of therapeutic options can be considered. The number and type of interventions applied and the order in which thesetakeplacemaydifferfrompersontoperson (e.g., Bockting, Knudson, & Goldberg, 2006; Bolin, 1994; Rachlin, 1999; Rachlin, Green, & Lombardi, 2008; Rachlin, Hansbury, & Pardo, 2010). Treatment options include the following: • Changes in gender expression and role (which may involve living part time or full timeinanothergenderrole,consistentwith one’s gender identity); • Hormonetherapytofeminizeormasculinize the body; • Surgery to change primary and/or secondary sex characteristics (e.g., breasts/ chest, external and/or internal genitalia, facial features, body contouring); • Psychotherapy (individual, couple, family, or group) for purposes such as exploring gender identity, role, and expression; addressing the negative impact of gender dysphoria and stigma on mental health; alleviating internalized transphobia; enhancingsocialandpeersupport;improving body image; or promoting resilience.

Options for Social Support and Changes in Gender Expression In addition (or as an alternative) to the psychological- and medical-treatment options describedabove,otheroptionscanbeconsidered to help alleviate gender dysphoria, for example: • In person and online peer support resources, groups, or community organizations that provide avenues for social support and advocacy; • In person and online support resources for families and friends; • Voice and communication therapy to help individuals develop verbal and nonverbal communication skills that facilitate comfort with their gender identity;  • Hair removal through electrolysis, laser treatment, or waxing; • Breast binding or padding, genital tucking or penile prostheses, padding of hips or buttocks; • Changes in name and gender marker on identity documents.

Criteria for Hormone Therapy

Initiation of hormone therapy may be undertaken after a psychosocial assessment has been conducted and informed consent has been obtained by a qualified health professional, as outlined in section VII of the SOC. A referral is required from the mental health professional who performed the assessment, unless the assessment was done by a hormone provider who is also qualified in this area. The criteria for hormone therapy are as follows:
1. Persistent, well-documented gender dysphoria; 2. Capacitytomakeafullyinformeddecision and to consent for treatment; 3. Age of majority in a given country (if younger, follow the SOC outlined in section VI); 4. Ifsignificantmedicalormentalhealthconcerns are present, they must be reasonably well-controlled.

Physical Effects of Hormone Therapy

Feminizing/masculinizing hormone therapy will induce physical changes that are more congruent with a patient’s gender identity.
In FtM patients, the following physical changes are expected to occur: deepened voice,clitoral enlargement(variable), growth in facial and body hair, cessation of menses, atrophy of breast tissue, and decreased percentage of body fat compared to muscle mass. • In MtF patients, the following physical changes are expected to occur: breast growth (variable), decreased erectile function, decreased testicular size, and increased percentage of body fat compared to muscle mass.
Most physical changes, whether feminizing or masculinizing, occur over the course of two years. The amount of physical change and the exact timeline of effects can be highly variable. Tables 1a and 1b outline the approximate time course of these physical changes

Risks of Hormone Therapy

All medical interventions carry risks. The likelihood of a serious adverse event is dependent on numerous factors: the medication itself, dose, route of administration, and a patient’s clinicalcharacteristics(age,comorbidities,family history, health habits). It is thus impossible to predict whether a given adverse effect will happen in an individual patient.

The risks associated with feminizing/ masculinizing hormone therapy for the transsexual, transgender, and gender-nonconforming population as a whole are summarized in Table 2. Based on the level of evidence, risks are
categorized as follows: (i) likely increased risk with hormone therapy, (ii) possibly increased risk with hormone therapy, or (iii) inconclusive or no increased risk. Items in the last category include those that may present risk but for which the evidence is so minimal that no clear conclusion can be reached. Additional detail about these risks can be found in Appendix B, which is based on two comprehensive, evidence-based literature reviews of masculinizing/feminizing hormone therapy (Feldman & Safer, 2009; Hembree et al., 2009), along with a large cohort study (Asscheman et al., 2011). These reviews can serve as detailed references for providers, along withotherwidelyrecognized,publishedclinical materials (Dahl, Feldman, Goldberg, & Jaberi, 2006; Ettner, Monstrey, & Eyler, 2007).- INTERNATIONAL JOURNAL OF TRANSGENDERISM

For myself,if I was 30 again I would like do the Hormone therapy

 and try to appear to the degree "Fem" as Natalie Mars who is coined-"Shemale" in the adult film industry.
Natalie Mars

Image result for natalie mars

TABLE 1. List of ACL Traits, Arranged According to MtFs’ Gender-Trait Stereotypes
Stereotypically Female (Feminine) Stereotypically Male (Masculine)
Strongly* Moderately* Mildly* Neutral* Mildly* Moderately*
fearful affected curious ambitious active adventurous
(none)
fussy affectionate meek assertive cruel aggressive
sensitive anxious nagging boastful energetic autocratic
shy appreciative stern changeable flirtatious coarse
soft-hearted attractive submissive confident hard-hearted courageous
superstitious charming talkative determined high-strung daring
sympathetic complaining timid dominant humorous disorderly
weak dependent whiny frivolous independent egotistical
feminine dreamy gentle reckless enterprising
emotional initiative sophisticated forceful
excitable inventive stolid lazy
mild poised unemotional loud
prudish rational masculine
sentimental realistic progressive
sexy self-confident robust
worrying warm rude
wise severe
strong
tough
* Strongly Feminine (M% less than or equal to 10)
Moderately Feminine (M% over 10 but less than or equal to 20)

Heterogeneity in Transgender: A Cluster... (PDF Download Available). Available from: https://www.researchgate.net/publication/232850374_Heterogeneity_in_Transgender_A_Cluster_Analysis_of_a_Thai_Sample [accessed May 04 2018].

What might Objectives or Growth be if people like myself-" whom sexually identify as person whom wishs to be in the "Female Role"


           Example: If in the future it was socially accepted a person as myself is a Fem-male,this person simply has more female psychological traits,wants to have or has a "straight boy friend",likes to wear dresses,etc.so they can "feel more Fem-like".

           Example: I would most likely wear a dress(when not doing my carpentry job-profession) dresses like long summer dresses,shirt dresses

Excerpt from: "Homosexual Orientation in Males"

         Conclusion
The minds of scientists, and the questions they ask, are shaped by the cultures in which they live. Contemporary Western culture has been shaped by Judeo-Christian beliefs, foremost among which has been that the purpose of sex is procreation. This driving assumption is the reason that, historically, the study of the cause of homosexuality has generated such a preponderance of research in the area of human sexuality [1]. Twentieth century advances in research technology have not altered the underlying assumption. Thus, sophisticated methods for identifying and measuring hormones and genes are still used to try to answer the question what causes homosexuality? There are also more nefarious implications to this search because the identifi cation of a cause implies the existence of an intervention, which will allow successful elimination of the behavior. Thus, the scientifi c quest for the cause of homosexuality continues to have compelling implications for those men and women whose sexual orientation has been deemed by society as requiring explanation. Even evolutionary psychology, which promised different insights into human nature, relied heavily upon unquestioned assumptions about homosexual behavior [6].


 Past evolutionary theories tried to explain how homosexual behavior was either maladaptive or a biologically irrelevant by-product of the plasticity of the human brain. A recently emerging view in evolutionary psychology is that some homosexual behavior was adaptive during the course of human evolution, and there was selection for it. However, there appear to be two major perspectives regarding this. One emphasizes that homosexual behavior itself reinforced same-sex alliances, which contributed directly to survival and indirectly to reproduction [5, 26, 29]. These theorists fail to explain underlying genetic and neuroendocrine mechanisms regulating the behavior. The other perspective also holds that homosexual behavior may have been adaptive. It tries to explain the possibility of a neuroendocrine basis by emphasizing the feminization of the male brain, especially the brains associated with a homosexual orientation [25, 44]. At this time, it is unclear if this is a productive theoretical framework or if it is excessively burdened with the cultural and continuing scientific stereotype that men with a homosexual orientation are somehow less masculine and more feminine than heterosexual men.


 Research in neuroendocrinology strongly suggests that prenatal, and perhaps some postnatal, hormonal effects may shape the development of sexual orientation (e.g., [57]). Although the evidence indicating trends is clear, research trying to show persistent differences between heterosexual and homosexual men has been inconsistent [35]. It is possible that this research is also burdened by the cultural stereotype that a homosexual orientation in men can be clearly equated to femininity. It appears that the thrust of the neuroendocrine research has been to show that men with a homosexual orientation exhibit hormonal and neuroendocrine functioning more similar to that of women than to that of men.
 Clearly, a single theoretical model cannot explain a phenomenon as complex as human sexual orientation. We present an integrated model. Increasing evidence suggests that there may have been adaptive value for some homosexual behavior under certain conditions during human evolution. This is why genes for the behavior remain in the population. Neuroendocrine and hormonal factors are undoubtedly involved in homosexual behavior since they are involved in many aspects of sexual behavior for most species. We entertain the possibility that in our evolutionary past there was selection for more ‘feminine’ and thus bisexual traits in males. However, it is not yet clear that this is the best explanation. For example, Ross and Wells [26] speculate that homosociality was a pre-adaptation for homosexuality, and Kirkpatrick [5] theorizes that selection was for reciprocal altruism. These approaches do not require a statement on the selection of feminine traits for the interpretation of human sexual orientation.
 Homosexual behavior may represent a form of sexual fl exibility not unlike the behavioral scaling exhibited in many behaviors by many species [58]. For example, during the mating season male sea lions cannot tolerate each other and fi ght ferociously. After the mating season, they loll together quite affectionately on the beach. Similarly, roaming pairs of adult male lions are formidably aggressive, but also known to engage in frequent homosexual behavior with each other [59]. The behavior of these animals is not explained in terms of excessive feminization but rather simple behavioral scaling. Accordingly, human males may have evolved to exhibit some degree of bisexual behavior under certain conditions. The predominantly homosexual orientation exhibited by a very small percentage of men may be due to a greater genetic predisposition, the result of genetic variation, in conjunction with social and cultural factors that allow its manifestation.
 The inconsistencies found in the neuroendocrine research may be due the fact that the research is based on a faulty assumption: sexual orientation is reliably dichotomous. Genetically based characteristics tend to be continuous [60], thus the expression of genetically mediated homosexual behavior could similarly be expected to be continuous. The measures of sexual orientation refl ecting a bimodal distribution of heterosexual/homosexual, at least in Western countries, may not accurately refl ect actual genotypic variation and its accompanying neuroendocrine variation.
 Most studies use volunteers self-labeled as ‘homosexual’ and ‘heterosexual’. There are strong countervailing social pressures associated with an open acknowledgement of a homosexual orientation. Thus, it is reasonable to speculate that the homosexual group is stringently self-selected and reliably homosexual in psychology and the neuroendocrinology, which underlies this. However, assuming that the genotype for homosexual behavior is continuous, there is arguably much more variation in the heterosexual group. Much of the variation in overt sexual behavior that could be generated by the corresponding genotypic variation is only likely to be seen under environmental conditions more conducive to homosexual behavior. This may explain the universally high rate of homosexual behavior in self-identified heterosexual males with limited access to opposite sex partners (cf., [61]).
 A change in the scientific paradigm and the assumptions which guide the search for the cause of homosexual behavior and orientation in humans may allow a better understanding of human sexual orientation in general. Bancroft [61] has stated “….it soon becomes apparent that many of our widely held assumptions about the origins of homosexuality are a product of our social values rather than an objective appraisal of the evidence” (p. 300). Homosexual orientation is no longer considered a psychopathology by psychiatry and psychology, and society has become increasingly tolerant and accepting of those with a homosexual orientation [62]. Future researchers, shaped by a more tolerant society, may ask different questions about the origins of homosexuality and fi nd unexpected answers.


Increasing Estrogen Naturally


How to Increase Estrogen-wikihow.com

Gender Identity Disorder is the CURRENT medical psychological classification for anyone who has behaviors or self-identification that is inconsistent with their apparent physical sex.

One of the hardest concepts for many people to comprehend is that "sex" and "gender" are distinct and seperate. For the majority of humanity individual gender identity and behavior is synchronous with apparent physical sex. A more simplistic way to put it is that "sex is between the legs; gender is between the ears." For the individual with Gender Identity Disorder physical sex and psychological sex (i.e., "gender") are in some degree of conflict. Because this often leads to peripheral psychological disturbances and a general unhappiness with one's life, this condition is sometimes alternatively referred to as "Gender Dysphoria." Dysphoria being the polar opposite of "euphoria."

Despite the inclusion of gender disorders in the Diagnostic and Statistical Manual of Mental Illness (DSM-IV) and it's counterpart International Classification of Diseases (ICD-10), these problems are rather confusingly NOT considered "mental illnesses" by the medical community. It should also be noted that the publisher of the DSM has not explained why gender disorders fail to meet their own definition of "social non-conformity." (This debate will b discussed in more detail under the conflicting views section).

Another thing that is hard for people to grasp is that the following sub-classifications are NOT a progression of intensity from one disorder to another. Some people misunderstand this and think that crossdressing is simply a lesser form of transsexuality, or that someone who crossdresses will eventually want to undergo sex reassignment surgery. This is NOT the case! Transvesticism is a completely different psychological issue from Transsexuality and if they didn't both start with "trans" or both usually involve people wearing clothing normally not associated with their birth sex, they wouldn't and shouldn't be discussed together at all, much less be seen as different intensitites of the same condition.