Courtney Josten

 The World will tell you who you are until you tell the world.


              
Pg.4              

 WELCOME TO MY THINK-TANK

 

Opinions. Trite to say, we all have "them." I'm no different in this respect.
There is no intent to demean, discredit or offend anyone with my remarks.
This is a place where I wish to share some of my thoughts, feelings, what I
know, what I've read, and what may be alleged; again I say, indulge your
awareness and cultivate peoples knowledge toward growth and under-standing of Profound Gender Dysphoria / Transsexual as well as all gender variant folks. Thank You.
 


Three things in human life are important. The first is to be kind. The second is to be kind. And the third is to be kind.
Said to his nephew, Willie James, in 1902;
quoted in Leon Edel,
"Henry James: A Life, vol. V: The Master 1901-1916 (1972)"
Take time to teach your kids how to be kind.
If Henry James is right, it�s the most important lesson they�ll ever learn.


All people deserve to have equal human rights alleviating much unnecessary
human suffering and death. The Transgender community applauds those who support us in our quest for human rights and freedoms.

It is painfully clear, the security of having adequate health programs to include surgeries directed toward attainment of health and wellness without discrimination or prejudice must be the norm for all our Americans. The Government disregarding human rights of all the GLBTI community (which does include profoundly Gender Dysphoric people) in any form lacks morally conscious responsible decision making; not voting in to law by now that which protects us from hate crime, discrimination and prejudice. Is the HRC and legislature dragging their feet on Trans inclusion? Will our new president and legislative body continue to disregard the transgender community?
                                    
                           
   SUPPORT A TRANS INCLUSIVE ENDA


Insurance companies block insuring patients recommended to have the most effective GRS treatment is monstrous ! Related to this topic, (I believe I must support the following regarding intersex) the mere belief one can tell the sex of a new born child with any form of ambiguous genitalia and proceeding with surgery requires serious rethinking before going forward. It is their human right to decide who they are and their personal need. It has been proven time and again, no one can tell the true gender of any new born child because gender is in the mind not the genitals.  Even DNA does not determine gender. The brain and hormones does that presenting in many variations. Wait and they will tell you.....don't take my word for it. Google it.


SOMETHING WHICH SPEAKS VOLUMES ABOUT THE PAIN OF DIVERSITY:
Theater and movie production has shown us all about diversity and the ugly dark side of how people respond to those in our society who are different.  My personal choice would have to be the superbly written, directed and acted 1995 movie entitled, "Powder"; Directed by Victor Salva  and starring, Sean Patrick Flanery (as Powder), Mary Steenburgen, Lance Henriksen, Jeff Goldblum, and Brandon Smith. I connected with the "Powder" character from my own times gone by. Hell...I lived it in my own way. Perhaps the most poignant part of the script is when Jeff Goldboom's character says, "That to imagine some day our humanity might surpass our technology". I say to you, yes indeed. Just imagine.


INSURANCE CO.'S IN BED WITH THE GOVERNMENT
Sounds like nasty business.  Just speaking some from experience and some hypothetically as always :

I fully understand there are those of a different mind-set. Unfortunately the legislature is going to dole out the rules. And yes, most insurance companies are going to cry foul when it comes to reconstructive GRS because they say it is experimental, investigational, or elective surgery even though professionals say and recommend otherwise.  While there are people with HBS who do not want surgery or for physical reasons can not, those of us who do want the surgery should be supported by all insurances.  After all....surgery is the only complete treatment cure available. I walked the fires of hell to complete my transition. My wish is for surgical candidates to receive the assistance they deserve in this, the free world. We are not just going to go away. Fact is, the entire Gender variant society is not going away. GENDER VARIANT: includes heterosexual males or females who present with the opposite gender manner and or qualities/ lesbian/ gay/bisexual/ transgender /intersexed and any variation within this continuum.

The Harry Benjamin Standards Of Care very matter-of-factly explains why gender reassignment surgery should be an Insurance covered benefit by all insurance agency's.  HINT HERE..............."appropriate treatment".......................
In persons diagnosed as transsexual or as having a profound Gender Identity Disorder, sex reassignment surgery, along with hormone therapy and what is termed the real-life experience (re-socialization period) for a prescribed time period is treatment proven to be effective. Such a therapeutic regime, when prescribed or recommended by qualified psychiatric and medical professionals is not only indicated but necessary. Not because I say so. But because it has been proven to be so. Sex reassignment is not "hypothetical," "investigative," "elective," or "cosmetic." That has been an excuse for over 50 years. Surgery is the only option with regard to effectual suitable treatment for transsexual or profound Gender Identity Disorder. More interestingly noted, insurance companies will pay for specific therapy and medications preparatory for surgery; for therapy and medication prescribed post-SRS. They drop the ball when it comes to paying the SRS cost. I highly recommend you Google "insurance covering SRS". You will find important information related to health services and insurance; alternative methods for SRS payment. Also, there have been a few people who have battled it out in the court system to get their insurance to pay for their SRS and WON ! In some states insurance does cover GRS but only after testing and intensive evaluation.

TS/TG SIMPLISTIC DEMEANING/DISCRIMINATE CHARACTERIZATIONS AND ILL CONCEPTIONS :
Slang Terms used to belie or intended to harm another's credibility and character: "deceiving," "fooling," "pretending," "posing," or "masquerading". Gender identity is an integral part of a person's identity. It is totally incorrect to characterize transgender people as "deceptive," as "fooling" other people, or as "pretending" to be, "posing", "masquerading", fakes", "freaks" or "phony" as a female or a male. Such illiterate descriptions are extremely demeaning, persecutory and a personal affront as well. To make such proclamations about people you do not understand is showing their ignorance and social stupidity. It could have been you and who knows.

AGGRESSIVE INSULTING MISLEADING UGLY TAGS / LABELS :
"she-male," "he-she," "it," "trannie," "tranny,"  (Tranny being the buzz word noted someTV shows this year)
which have been derived and seen boldly noted on pornographic web sites are perhaps the ugliest of terminology misrepresenting Gender Dysphoria today. None are applicable when discussing or addressing transsexuals or HBS). Personally I do not believe the term transsexual is applicable either.  It is about gender and thus the term transsexual is misleading and often disturbing to people who do not have all the facts. For this reason I do hope HBS (Harry Benjamin Syndrome) will become the appropriate term. We could consider then society will feel more comfortable in developing an under- understanding rather than dismissing us as freaks and other assorted labels.  I find the term Sex Reassignment Surgery or SRS is inappropriate as well. Perhaps GRS should be emblematic of Gender Reassignment Surgery or even Genital Reassignment Surgery would be best when addressing the surgical reconstructive process. In this way, things are less about sex and more about the true problem, Gender Dysphoria / HBS.  Note: The use of "she-male," "he-she," "it," "trannie," "tranny" are equal to the use of the "N" word. They do not have a place on television. Stop infesting our home TV entertainment and society with this type of demoralizing garble.

ABUSE WITHIN THE HEALTH CARE SYSTEM :
While some of us have suffered abuse at the hands of an assortment of health  care professionals as I have, more professionals over time have become open with absence of prejudices. Change is difficult and slow. Treatment is in fact getting better. It is people working outside the Gender Dysphoria treatment realm who need to practice what they have been taught.... which is to set aside their own beliefs and prejudice and treat the patient with the same respect as given all others. My own experience with medical prejudice and discrimination was described earlier. I do not believe being transgendered or transsexual is a mental disorder, or mental illness; the term, transsexual was removed from the DSM III  (Diagnostic and Statistical Manual of Mental Disorders and soon to be version V ) some time in the 1990's. We also know historically the gender variant have been treated "no" less than equal and that fact it is well documented. Here we are today along with gay, lesbian, bisexual and intersexed communities demanding our human rights.

OH, I DUNNO...JUST A THOUGHT :
This information has nothing to do with my views regarding the war in Iraq in any way. It has everything to with freedom here in America. If all things are equal, isn't it thought provoking to consider a country like the USA (built on diversity) does not treat all its citizens as equals. How is it possible to be in Iraq to teach this newly formed society how to be free. After all, I live in the USA and I am not free or receive equal treatment. The point here is: Until we accept "our own" the USA governing disciplines will never have complete success promoting freedom through diplomatic attempts in other countries. The priority here is to first ensure freedom for ALL U.S. citizens as an "unquestionable right and promised part of the American way".

Music written and Produced by Janis Ian.
Pictorial Interpretation created and produced by me, CLJDesigns.

Should this video fail to play on prompt, it  simply means the video web-host may be experiencing technical problems. It is not the fault of Geocities or web development of this site....... Please try later.

KIDS AREA :
As I mentioned before, parents are becoming pro-active regarding observing symptoms of HBS and finding the professional help needed.  WE now have kids starting school attired as the gender they identify with.  This is occurring now at much younger age levels despite the ambivalence some times shown them.

I was watching a morning televised talk show where one of the hosts was speaking to a transgender topic and one of the other hosts said, "No boy a
hers would be goin round the house in no dress under any circumstance...oh no...
ano-noa.". Someday she might eat her words. I hope not for her child's sake. This example of ignorance reminds me of a song from the ever popular musical "South Pacific" by Rogers and Hammerstein entitled:

"You've Got To Be Carefully Taught"
 
You've got to be taught
To hate and fear,
You've got to be taught
From year to year,
It's got to be drummed
In your dear little ear
You've got to be carefully taught.

You've got to be taught to be afraid
Of people whose eyes are oddly made,
And people whose skin is a diff'rent shade,
You've got to be carefully taught.

You've got to be taught before it's too late,
Before you are six or seven or eight,
To hate all the people your relatives hate,
You've got to be carefully taught!

Profound Gender Dysphoria touches people of all cultures, race and religions......no matter who you are or where you are around the globe. It manifests in different ways and a parent should do no harm by squelching a child's true expression of self. While it is a good thing to discuss this disorder, it is socially irresponsible to broadcast remarks that are painfully ignorant and disrespectful to folks living with HBS.

It is time for folks to understand we are not the threat we are cast to be.  HBS kids are fortunate when diagnosed early. Without and sometimes even with intervention, both suicide attempts and completed suicides are among individuals suffering with gender dysphoria. Studies show suicide is less likely to occur in adulthood after they have fully transitioned. In the mean time family support is critical for kids. To admonish, punish or ridicule a youngsters genuine physical, verbal and emotional expression of self can be devastating for them. Not a day goes by I do not think about my parents; how they saw me as shameful and an embarrassment. While we learn to live with this pain, it never goes away completely. Parents need to provide an outlet for the behavior, a safe haven and seek help from pediatric professionals knowledgeable in gender dysphoria. The same holds true for our teens. Like it or not, kids are who they are. Suicide never need be the end result. Help is here for our young people.
A child is waiting.

HATE CRIMES :
The National Coalition of Anti-Violence Programs documents a 2 percent rise across the country in violence against lesbian, gay, bisexual, trans-gender and HIV-positive people. Twenty-Nine states and the District of Columbia have hate crime laws that protect people based on sexual orientation. Of these, only seven and DC include protections based on gender identity or expression. Statistics are always changing but hate crimes against gay, lesbian, bisexual, intersexed and transgender people continue and once in court, defendants if proven guilty, are not convicted of a hate crime. Rather, judges are calling these violent acts anything but hate crimes even when the facts are blatantly obvious as with both the Gwen Araujo and Matthew Shepard hates crimes. Talk about the legal system sticking their head in the sand. Please note, hate crimes are stifled by most media thus public awareness isn't there and in its stead we have ignorance and ignorance allows for hate crimes.
Police across the nation reported hate crimes to be: 7,722 criminal incidents in 2006 targeting victims were a result of bias against a particular race, religion, sexual orientation/gender, ethnic or national origin or physical or mental disability. This is up 7.8 percent from incidents reported in 2005. Though true 50 % of theses crimes are race related, the remaining are not. FBI reports confirm what has been said for months about the severe increase in hate crimes. (KEEP in mind not all hate crimes were reported or filed as hate crimes so the numbers are much greater than noted). The idea
of people hating and hurting/killing people over diversity let alone for any
reason is barbaric and without a doubt one of the United States greatest and ugliest embarrassments and scourges.
This great nation professes freedom though continues to mess with the peoples human rights. While there is legislation in the works, it is met with much adversity and has become about anything but saving lives. Discrimination, prejudice and a fine set of blinders prevail. But the truth is, being a person living with gender dysphoria is not the total sum of who we are. Remember this when next you interact with those who may demonstrate  some form of gender diversity or gender variance.

HORMONE REPLACEMENT THERAPY.....oooh the things I've heard and seen :
I have not mentioned our female to male brothers and I guess it is because, for one they keep a lower profile (which is to be admired) and second, my story is about a male to female experience. However it should be acknowledged, the guys (female to male) endure the same difficulties, emotional pain, obstacles and losses. They are not to be seen as having an easier path by any means. They too are held to following the Harry Benjamin Standards of Care albeit their decisions differ in some respects but life altering and just as permanent as the Male to Female counter-part.

I speak to hormone replacement therapy (HRT) because they have great impact on the human body. In other wards, they are powerful and seen as a benefit and or problematic in their own right.  A lady friend of mine purchased out of country bootleg hormones, had severe complications and will remain in a wheelchair for her remaining days; the availability of GRS is gone. However, healthier outcomes are derived by following the process of therapist evaluation and recommendation for HRT; doctor patient discussion of psychological / medical history for the prescribing of hormones. Because everyone is different, the choice and amount of hormone should be monitored by your physician via annual blood studies and more often to attain and maintain the correct hormone levels for you.  Besides the obvious physical effects of hormones the emotional and self expression follows and believe me what a relief it can be despite the society prejudices and ignorance. It was an emotional ride for me as well. Others I have spoken with expressed the same. This is where your support system is so vital.

As a health care professional I do know this, never allow yourself to be encouraged or tempted to take un-prescribed hormones be they oral / patch /  injectable; self-medicate or adjust your prescribed medication dosage unless via doctors order. The consequences can be and have been historically shown to be devastating. If you think it isn't happening or people do not endanger their very lives by doing these things, you are only deluding yourself.

One more thing. During transition I was on prescribed antidepressant medication since college and then my doctor prescribed progestin's (contra-indicated for those prone to depression). I did not know while some gals take progesterone cyclic with estrogen, progestin's are not necessary or at all required. My depression worsened and I made a very serious attempt on my life. At the end of the day, I was informed while recovering, my doctor at the time had prescribed the wrong antidepressant at "twice" the maximum recommended dosage and I should not have been put on progestin's. Got me a couple new doctors I did. One being a great psychotherapist and the other a GYN / Endocrinologist. There was an angel on my shoulder that day.

Long-Term Treatment of Transsexuals with Cross-Sex Hormones/check it out

WHAT I DO NOT LIKE WITHIN THE GENDER-VARIANT COMMUNITY :
The GLBT and I community AKA Gender Variant community possesses many similarities and goals toward human rights laws. To split our very special population of people in to this or that group is defeating and that lack of solidarity will be our undoing. We need to work as one always because without this cohesive commitment we will go forth Remembering Our Dead (Web site of the same name created by
Gwendolyn Ann Smith) brothers and sisters year after year after year. The quote by George Santayana on Gwendolyn's website states, "Those who can not remember the past are doomed to repeat it". With this noted, don't you think it is time to heed the message and stop splitting our community. We will be better served by taking that energy to attain the human rights we, the GLBT and I community deserves. The ugly behavioral acts and demonstrations I've seen on websites, in chat rooms and in public arenas by our people does nothing more then fuel the defeat of our goals. Please think about it.
UNITY will be our saving grace.
 


THAT WHICH HAS POSITIVELY INFLUENCED MY LIFE MOST :

PEOPLE :

Suzanne W., Curry P., Wesley D., Ron S., Pauline D., Victor A. B., MD., Pamela S., Bruce D., Gretchen F., Phyllis C., Everett P., Richard L., Pat M., Constance W., Sam Y., Dianne W., Naomi B., Patsy B., Louise S., Michael V.,  Maxine B., Gloria L., Phyllis C., Dr. Larry D. MD., Myone S., Tom M., Cherry W., Teresa G., Pam G., Wayne W., Everett P.,  Patricia D., Don S.,
Nancy P., Wanda A., Lilly B.; and others whose names fail me after so many years. A life lesson early on was to always stay open to people and due to this attitude, my life's social experience was vast. I did not judge nor did they. I met people from literally all walks of life. Their life direction was not always my path but the sharing was worth more than I can express. I have befriended people from celebrity status to not so good status because I always think if I turn away from someone I might just miss their goodness. Thank you one and all for gracing me with your friendship. I hope I was able in some way to add goodness to your lives.

To those who painfully turned away or chose not to return and contribute anything more to the relationship we developed,  I am sure by now you wish for
no further contact. I have tried to keep in touch but now weary of rejection once again. I just have to move on with life and mourn the loss of so many friendships. However, in the wake of such disappointment (boy is that logical but I know so many of us keep trying and hoping for better outcomes) I wish you good life with a genuine hope it is and has been fulfilling and happy.

Often, the desire of post-op transsexuals is to blend in to society; to avoid being maliciously outed by such ignorant remarks as "She/He used to be a boy/girl' When a life long homosexual friend cruelly said to me in front of my significant other, "Body mutilation....that's like what you did", he knew better and was ugly. I had to kick him to the curb, continue to transition and make my life anew. I did
just that.

MUSIC :
A healer of souls and hearts, life would have been less sensible, less meaningful, and less inspiring for me without music. The sound of notes played and or sang kept me company since I can remember. Not yet a teenager, I became musically captivated when I used to lay in bed at night and listen to Nancy Wilson from her "Tender Loving Care" album. Over the years my
eclectic taste in music has served me well. Country singer, Vince Gill recently said, " music truly is the only place where democracy lives. Every note is equal".

I WAS TRULY BLESSED ONE DAY:

My very best friend in life was my dog, Gladys. who never judged me and was 100% loyal and loving 24/7. She passed Fall of 1994 but lives on in my heart and memory. I remember the day I started transition and came walking in to the living room as the female I am. She was used to seeing me as male. Gladys looked at me, tilted her head to the side as if to say "Who are you". I said, "What'Cha think, Glady girl"? The very moment she heard my voice, her tail began  to wag
happily back and forth and I heard an approving, "Ruff". She knew it was me
and how I was dressed and what I looked like made no difference to her at all. Dumb dog, YOU say? Nope...just a shining example of my friend's nonjudgmental acceptance and loving behavior. While I mourn her loss to this day, I find peace in realizing what a gift she gave and was to me. I am not allowed to have a dog
in my current living situation. Replacing Gladys is not possible. However having
a dog by my side would be a joy for all the healing love, unyielding acceptance, and companionship they give so unselfishly. Yet another of life's unrelenting
disappointments I have learned to live with. I think it hurts me most. We all
could learn from our pets spirit, perpetual faith, friendship and loving nature. 

Note: Not all dogs are of good nature and spirit but know no better. Humankind knows better and has no excuse at all for their abusive treatment of others.........!

FAITH:
YES! I speak of faith in yourself and of spirit. As I aged it became clear to me these two components are imperative for one to survive. Believing in yourself and recognizing a higher power will lift you up every day that you are.
May Your God And Mine Bless Us One And All.
 


Artist: George Michael / Song selection: "Praying For Time"
You Tube / George Michael

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