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Health Care System

healthMuch criticism of the Health Care System exists among the transgender and gender questioning communities, especially when it comes to the 'hoops' and 'hurdles' we are asked to jump through and over by the 'gatekeepers', the 'experts' that believe they know what is best for us. On the other hand many within our communities also favour a system that is flexible enough to assist those with more intricate needs, and to provide appropriate expertise on what is safe and what is not, while still allowing a reasonable amount of freedom for each individual to choose their own course of action in respect to the realisation of their own unique gender identity, and if applicable, their transitional needs.

With Transgender often presenting a unique set of issues when it comes to health, the balance is a delicate one, and one with much debate and opinion, as can be seen by the articles and other material in this section of the Gender Centre's website. It is crucial that transgender and gender questioning people receive a high quality of appropriate health care, and to this end it is important that transgender and gender questioning people express their concerns regarding this issue.

This section of our website contains a number of articles about the health care system from a transgender and gender questioning perspective and in time this section will also include other resources such as books and book reviews, videos, links to other health care services and more. The articles below are just a few of the articles currently on the Health Care System page of this website.

Service providers coming in contact with transgender clients can feel that they are floundering in an unknown area, or worry that they lack the knowledge to deal sensitively or appropriately with transgender clients. They may feel that they do not know which questions are appropriate, which language is appropriate, and whether or not there is generally used language that my offend transgender clients. They may worry about their lack of knowledge and have no idea of where to go or who to ask in dealing with transgender clients.

A COUNSELLOR'S VIEW

Article appeared in Polare 100, August 2014

Gender Centre Counsellor, Anthony Carlino argues the case for removing the term 'Gender Dysphoria' from the Diagnostic and Statistical Manual of Mental Disorders, and cites some very good reasons. ...

TRANS PEOPLE SUBJECTED TO SEXISM IN DIAGNOSIS AND TREATMENT

Article appeared in Polare 18, April 1997

Transsexual people are inexorably intertwined with medical practitioners through the establishment of medical policy. This document outlines minimal requirements for the care of transsexuals and includes a prescribed agenda and compulsory medical surveillance ...

ANOTHER PROBLEM WITH GATEKEEPERS

Article appeared in Polare 10, December 1995

Ruth Farmer explains that rejection by her local gender dysphoria team, because they told her she was too old and did not pass the psychological test for womanhood, caused her much unnecessary expense and heartbreak. She could better have used the money for electrolysis ...

BLATANT DISCRIMINATION OF PRE-OPERATIVE TRANSSEXUALS

Article appeared in Polare 67, April 2006

Blatant discrimination against transsexual Western Australians undergoing sex affirmation treatment is perfectly legal under Western Australia's Equal Opportunity Act 1984. Discrimination against transsexual people is permitted in every area of daily life ...

A COMPREHENSIVE REPORT ON OUR UNIQUE NEEDS

Article appeared in Polare 84, July 2010

Jessica Williams presents this vital study into the need in Australia for the development of standards for co-ordinated, multi-disciplinary assessment and treatment in the provision of aged care services for transgendered people ...

DOES YOUR DOCTOR FOLLOW THE STANDARDS OF CARE?

Article appeared in Polare 41, August 2001

Some medical practitioners who are not members of the H.B.I.G.D.A. don't know what the Standards of Care are or choose to ignore them or have never even bothered to read them, affording their clients deficient care ...

AN EXTRACT FROM THE TRANSGENDER PROJECT

Article appeared in Polare 16, December 1996

Jill Hooley provides this extract from the Transgender Project conducted in Central Sydney Area Health Service, investigating reasons for the non-accessing of health services by transgender people ...

WHO'S LIFE IS IT ANYWAY?

Article appeared in Polare 67, April 2006

Some psychiatrists want to cure transgender people by giving them medical treatment that allows them to have bodies consistent with how they perceive they should be, others try to make trans people understand why they should stay the gender we were assigned at birth ...

RESPONSIBILITY, BLAME AND CULTURES OF CARE

Article appeared in Polare 74, January 2008

This paper explores the ideas of health responsibility and blame as in recent times there have been moves toward stressing the role of individual responsibility in the maintenance of health, as well as a tendency to blame some individuals and groups for their ill health ... 

A CRITIQUE OF THE PROPOSED CHANGES TO THE WAY THAT TRANSSEXUALISM IS CLASSIFIED

Article appeared in Polare 86, January 2011

Jessica Williams provides an in-depth critique of the proposed changes to the way that transsexualism is classified in the D.S.M. and the significant differences from the previous edition including changes in terminology and a separate set of criteria for children ...

SEPTEMBER 2003, GHENT, BELGIUM

Article appeared in Polare 54, October 2003

The Gender Centre's Counsellor, Elizabeth Anne Riley gives her account of but a fraction of the amount of material presented at the Biennial Symposium held in Belgium at which she presented a paper titled, Counselling Clients with Gender Dysphoria: An Ethical Approach ..

A CRITIQUE OF THE PROPOSED CHANGES TO THE WAY THAT TRANSSEXUALISM IS CLASSIFIED

Article appeared in Polare 86, January 2011

Jessica Williams provides an in-depth critique of the proposed changes to the way that transsexualism is classified in the D.S.M. and the significant differences from the previous edition including changes in terminology and a separate set of criteria for children ...

... IS NOW HOPEFULLY LARGELY IN THE PAST

Article appeared in Polare 82, January 2010

Many older transgenders had to battle with a very structured system. It seems however that they may be beginning to listen to what we have to say rather than prescribing a solution based on misconceptions drawn from the available, but often misguided, expert literature ... 

THE DEEP MISUNDERSTANDING OF GENDER VARIABILITY AS AN ILLNESS

Article appeared in Polare 16, December 1996

Jill Hooley reports in her paper presented to the Health in Difference conferencethat the flawed concept of our identities in terms of medical illness means that the need for medical intervention is created by a deep misunderstanding of gender variability as an illness ..

 
 
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