Attention Getter: Medicine should always be unbiased and should always be evidence based; with the primary focus being on the patient’s physical and metal health, longevity of life, and prevention of diseases. II. Reveal Topic: Sexual reassignment surgery is a surgical procedure by which current sexual appearances and hormones are altered to the opposing gender; while this may seem morally unethical, sexual reassignment surgeries are, in a medical sense, dangerous for the patient.
III. Credibility: My passion in medicine exceeds my personal opinion for this subject, seeking first patient’s mental and physical health. As a microbiology major and pre-medical student, the only interest is medicine and patient’s health.
IV. Central Idea: While it may seem unethical, the American Medical Association (AMA) should ban any gender reassignment surgeries due to the
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3. Step #3 of Plan: If there was any trauma present within parent- child relationship, there should be psychiatric treatment for both, bringing closure and potential healing of the mind for the child.
a) If the trauma has caused the alteration of psychological state of the child, leading to a desire of gender reassignment, it is important for psychiatric treatment to occur with parent present.
b) It is also important for parents to be entirely truthful with their children in front of a mediator, the psychologist. c) All of this can cause ultimate healing of the mind, which is the actual problem, not the one of the body.
III. Main Point #3 (Visual Results): A. (Describe Expected Results of Action): Banning a surgical procedure that reassigns sexual orientation and providing the best psychiatric therapy will help those who struggle with gender dysphoria to find their true self. B. (Consequences of Inaction): Claiming that this is usual and that surgical intervention is ideal is to collaborate with this dysphoria that one may
...reduction for excessive or out of balance hormones, and new surgeries that are rapidly becoming popular within the male race are face lifts, ear corrections, and penile enlargements (Donohoe, 2006). All procedures pose a high risk, but it seems that the individuals going through such measures could care less as long as they’re bodies and looks are up to standards.
Overviewing our information, there is evidence of ethical wrongs and rights when considering sexual reassignment treatments for minors. Also, there are multiple options to choose from when transitioning and risks and gains that come with each. As we read from Dr. Kaufman and Dr. Beaver, the natural effects of puberty are irreversible while the effects of puberty blockers and hormones are reversible. Then from Dr. McHugh, gender dysphoria belongs in the family of similarly disordered assumptions about the body and should be treated in other ways than blockers, hormones, or
Cohen, J. A., & Mannarino, A. P. (2008). Trauma-Focused Cognitive Behavioral Therapy for Children and Parents. Child & Adolescent Mental Health, 13(4), 158-162.
In conclusion, keeping Gender Dysphoria as a diagnosis aids the most vulnerable population in seeking treatment and care, options, protection, and guidance. As society and medicine moves forward, we may be able to steer away from mental health bias and general discrimination towards non-conformity, but for now it is important to protect the patients who are helped by the diagnosis. Gender Dysphoria currently allows patients to be treated under their insurance, have access to care, and fight for their
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
In our textbook, chapter twelve discusses sexual variants, abuse, and dysfunctions. To narrow down that broad range of abnormalities I want to focus on gender dysphoria. This is not to be confused with an earlier term: gender identity disorder. Where a person who was previously diagnosed with gender identity disorder experiences gender dysphoria, but might not always because of abnormal development of gender or identity. When a person is uncomfortable with their assigned gender or physical sex characteristics, gender dysphoria may be a possible explanation. There is also a level of distress that accompanies this feeling of incongruent gender. However, the distress can come from the inconsistency itself or when the resources such as hormones
Define sex reassignment surgery. Is it an appropriate treatment for transsexuals? Why or why not? Why should a person live as a member of the other gender for a year before having the surgery done? Are there cases when you feel it is ok and when it is not ok to have the surgery? What criteria should a candidate meet if they want sex reassignment surgery? Why that criteria?
Many of our finest researchers and scientists have explored that question, and while the exact answer still eludes us, the facts seem to bear out that the mind does have the power to assist in both healing, and conversely, bringing on "disease" as well. Two such examples of mind and body healing are hypnotherapy and meditation. There are others such as ionization, which focuses on thinking positive instead of negative.
Gender reassignment is a very controversial topic. Does it really work, can surgery really change your gender? People will always tell you about all the things that go right with surgery, but does anyone truly pay attention to the significant problems that this surgery can cause? Gender reassignment surgery (GRS) is a surgical procedure by which a person’s physical appearance and function of their existing sexual characteristics are altered to resemble that of the other sex. It is said that this surgery is used to treat gender identity disorder (GID), which describes the condition in which an individual identifies with a gender inconsistent or not culturally associated with their assigned sex. Having surgery performed can cause both physical and mental tribulations. While death is an unlikely result of complications, things do go wrong, as with all surgeries there are risks. There are also major mental, physiological, social and emotional side effects. Surgery will not fix the underlying psychological problems that cause the request for surgery. Anyone considering surgery needs to proceed with caution, as it can result in irreversible damage.
Open with impact: Imagine you were offered cake, but you do not like cake or do not have the appetite to consume a cake. Are you going to force yourself to engage in an activity you do not like or instead are you going to stand up and proudly say you do not enjoy cake? Most people would probably just say no regardless of the societal expectations to eat the cake.
Sanifa Wall was born as a intersex infant. Now he is 35 years old. However, Saifa was sterilized by a surgery he now regrets having. As a result, every week, he has to inject himself with testosterone, a hormone he is dependent on for the rest of his life. So, 20 years after undergoing this surgery, Saifa sat down with Dr. Terry Hensle, the surgeon who performed his gender assignment surgery almost 20 years ago, for the first time to find the answers to questions that have stayed with him since he first found out about the surgery at age 25. “If you want the truth, I don’t feel regret about it. Because I did the best I could do based on what I knew,” Dr. Terry Hensle said.“You shouldn’t be assigned as a female gender,” Hensle said. “But the point is that what happened to you, it was done not out of malice, or not of lack of thinking about it, it was done because ... [in 1992] that was state of the art. In the decade between '92 and 2002, we learned an extraordinary
Has there ever been a time in your life that you had to make an important choice? The decision wouldn’t just change your life for a short amount of time but for the rest of your life. Every day people go through that struggle. The difficult choice to be who they were meant to be. Not everyone was born who they were meant to be so in a result of that the person would end up getting a sex change. There isn’t many people who could go through with the full operation only some of the thing. Acting like the opposite, dressing like the gender that is desired are the easiest things that a person could do. Getting a change of sex there is a plethora of realizations that have to go into making it happen. A lot of time and dedication but most importantly
There are many different types of surgery depending on your needs. Surgery for transgender men usually comes in 2 forms, top surgery and bottom surgery. Top surgery involves the removal of breast tissue to form a more masculine chest. Top surgery is most commonly performed as Double Incision which means making 2 separate incisions under the pectoral. Top surgery can also be preformed with the peri-aeroler method where 2 incisions are made under the areola. This leaves little to no scarring. Bottom surgery for transgender men is much less researched. There are currently 2 forms, medioplasty and Phalloplasty. Phalloplasty involves taking a skin graft from either a forearm or abdomen. It leaved extensive scarring on the arm and is expensive. Surgery for transgender women is much more researched. There is bottom surgery and then cosmetic surgery. Vaginoplasty, aka bottom surgery has been performed since the early 1900s and is low risk. Cosmetic surgery for transgender women consists of a few different surgeries, facial feminization, which transplants cartilage and bone to give a softer facial appearance, Voice feminization, which thins vocal cords to make pitch of voice higher, tracheal shave, which shaves the cartilage known commonly as the “adams apple”, and lastly augmentation of either the breasts or buttocks to give the body a more feminine form. Some people choose to undergo one or all of these surgeries, some people undergo
When discussing the topic of transsexuality a lot of confusion is in the air. For starters, the definition is; a person who emotionally and psychologically feels they belong to the opposite sex. Notice how it says physically, meaning under the knife. While this may cause debate, it’s stated that it simply is a person who has undergone treatment in order to acquire the physical characteristics of the opposite sex. When defining ethics it simply is the moral philosophy that involves defending and recommending the concepts of right and wrong conduct. In practice, ethics seeks to resolve questions of human morality, by defining concepts such as good and evil, right and wrong, justice and crime. When on the topic of transsexuality the term ethics
Throughout my life, I have worked towards one goal which is to become a doctor. Medicine offers the opportunity for me to integrate different scopes of science while trying to improve human life. Medicine has intrigued me throughout all my life because it??s a never ending mystery and every answer has questions, and vice versa. Upon entering my career, I had assumed that professional and financial success would surely bring personal fulfillment. This realization triggered a process of self-searching that led me to medicine. The commitment to provide others with healthcare is a serious decision for anyone. As I examined my interests and goals, however, I underwent a process of personal growth that has propelled me towards a career as a physician. A career in medicine will allow me to integrate thoroughly my passion for science into a public-service framework. Since childhood, I have loved acquiring scientific knowledge, particularly involving biological processes. During my undergraduate studies, I displayed my ability to juggle competing demands while still maintaining my academic focus; I have succeeded at school while volunteering part time, spending time with family and friends, and working part-time. To better serve my expected patient population, I worked over my English and Korean language skills. I have come to discover that a job and even a good income, without another significant purpose, will not bring satisfaction. I planed to utilize my assets, namely my problem- solving affinity, strong work ethic, and interpersonal commitment, to craft a stimulating, personally rewarding career in medicine. I have taken stock of myself, considering my skills, experiences, and goals. I have looked to family and friends, some of whom are doctors, for advice. Because of this self-examination, I have decided to pursue a career in health care. The process has been difficult at times but always illuminating. Throughout it all, I have never lost confidence - the confidence that I will actively absorb all available medical knowledge, forge friendships with fellow students, and emerge from my training as a skilful and caring physician.