Kristie Overstreet: What doctors should know about gender identity
كريستي أوفرستريت: ما ينبغي على الأطباء معرفته عن الهوية الجنسية
Kristie Overstreet works with individuals to help strengthen their relationship with themselves and others. Full bio
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into my career as a therapist,
and alcohol rehab facility.
الإدمان على المخدرات والكحول.
down at the detox unit.
بالأسفل من وحدة إزالة السموم.
and assess one of the new patients
وتقييم إحدى المرضى الجدد
and had the pleasure of meeting Anne.
and as her and I started talking,
وبدأت أنا وهي الحديث،
about what brought her into treatment,
عما أحضرها إلى العلاج،
هذا الخوف في صوتها،
that she didn't fear coming into rehab
من المجيء إلى إعادة التأهيل
that were going to be treating her
الذين كانوا يعالجونها
that she has experienced her whole life
الذي جربته طول حياتها
but knowing she's female.
when she was born,
that she was feeling
والمشاعر التي كانت تشعر بها
to come out to her family.
it didn't go over so well.
"Absolutely not. You're not a girl.
We don't know what you're thinking.
and in and out of homeless shelters,
وفي داخل وخارج ملاجئ المشردين،
she started using drugs and alcohol
in and out of hospitals and rehabs
المستشفيات ومراكز التأهيل.
providers and doctors
female name or pronouns.
الأنثوي الصحيح أو الضمير.
to become a therapist,
لكي أكون معالجة،
with transgender patients.
مع المرضى المتحولين جنسيًا.
the patients I'd be working with.
المرضى الذين سأعمل معهم.
and other patients like Anne,
ومرضى آخرين مثل آنا،
that the transgender community
I saw how this very real fear
وجدت كم أن هذا مخيف جدًا فعلًا
and this lack of acceptance
to turn to alcohol and drugs.
إلى الكحول والمخدرات.
were seeking medical care
بحاجة إلى العناية الصحية.
medical needs were ignored.
of meeting Leah a few years back.
a wife and a child.
that she was not a male,
أنها ليست ذكر،
and from everyone she knew,
until the age of 50.
keep living like this.
I want a divorce, get out"?
regardless of who you are.
that she wanted to medically transition,
assessed for hormone replacement therapy,
لعلاج بديل للهرمون،
العلاج بالهرمونات البديلة.
with her doctor.
of her appointment early.
and waited patiently.
وانتظرت بفارغ الصبر.
called her back to the exam room.
مرة أخرى لغرفة الفحص.
she took a deep breath,
and said, "Hi, I'm Leah."
"مرحبًا أنا لياه."
didn't shake her hand and said,
I've hid it from everyone,
لقد أخفيته عن الجميع،
I can financially afford it,
and let's evaluate me for HRT."
وقيم العلاج بالهرمونات البديلة لي."
"We can't do anything today.
how would the rest of the world treat her?
فكيف سيعاملها باقي العالم؟
she was transgender,
an HIV test and ending the appointment.
على اختبار فيروس الايدز وإنهاء الموعد.
any other questions.
where Leah's coming from,
with the community,
that aren't true at all.
to transition with medication or surgery;
أن ينتقل بالأدوية أو بعملية جراحية؛
this is a disorder;
هم مرضى نفسيين، فهذا خلل نظامي؛
aren't real men and women.
health care providers be trained
of their health care needs.
of health care providers
من مقدمي العناية الصحية
of the LGBT community.
in the education and training.
for three groups of people:
للتفكير في ثلاثة مجموعات من الناس:
and, well, the rest of us.
وحسنًا، الباقين منا.
a couple of definitions
أريد أن أوضح بعض التعريفات
around gender identity a little bit more.
حول الهوية الجنسية.
Get ready to take some notes.
ومستعدين لأخذ بعض الملاحظات.
with this idea of a binary system.
للنظام الثنائي.
there was only two, male and female.
أنه كان هناك فقط اثنين، ذكر وأنثى.
that this isn't true.
on the other side.
gender-nonconforming,
different types of identities.
المختلفة من الهويات.
to think about transgender
أريدكم أن تفكروا في التحول الجنسي
a sex at birth that doesn't match
في الميلاد بما لا يتناسب معه
and their sense of self.
than biological sex.
what's between your ears:
than biological sex, right?
عن الجنس البيولوجي، أليس كذلك؟
والكروموسومات:
I have never questioned who I am.
أنا لم أسأل أبدًا من أكون.
transgender individuals feel.
من الأفراد المتحولين جنسيًا.
are many different types of identities,
أن هناك أنواع عديدة من الهويات،
that like to know how to spell things,
مثل أن تعرف كيف أن تتهجى الأشياء،
for "on the same side of."
to my parents and said,
in a small farm town in Georgia,
في مزرعة صغيرة من مدينة في جورجيا،
than someone who's transgender.
for "on the other side of" --
ل "على الجانب الآخر ل" ...
on the other side of the spectrum.
who was assigned female at birth,
الذي تم تقييمه أنثى عند الميلاد،
who they are, how they live their life,
وكيف يعيشون حياتهم،
someone that's assigned male at birth
الذي تم تقييمه ذكر عند الميلاد
and sense of self as a female.
that has a nonbinary identity
I want to point out sexual identity,
أريد أن أشير إلى الهوية الجنسية،
sexually, spiritually.
with gender identity.
before we continue on:
of it between your legs,
well, sometimes we use our heart,
حسنًا، في بعض الأحيان نستخدم قلوبنا،
about the LGBT health-related needs
عن الاحتياجات المتعلقة بالصحة المثلية
that there are unique health risks
أن هناك مخاطر صحية فريدة
10 million American adults
with transgender patients,
مع المرضى المتحولين،
as they go along,
how to take care of them.
asking about gender identities.
عند السؤال عن الهويات الجنسية.
to their medical care
لكل هذا مع العناية الطبية بهم.
to say the wrong thing.
something inappropriate
الذين يقولون شيئًأ غير مناسب
from a malicious or mean place,
on how to care for these individuals.
على كيفية الاعتناء بهؤلاء الأفراد.
as a norm anymore either.
who is assigned female at birth
الذي صنف كأنثى عند الميلاد
goes for their yearly gynecological visit?
للفحص الطبي السنوي؟
with the correct pronouns, correct name,
الضمائر الصحيحة والأسماء الصحيحة،
that the rest of the staff will too.
باقي الموظفين أيضًأ.
about my thoughts on doctors,
to the transgender community.
is really fearful, right?
من هو الخائف حقًا، أليس كذلك؟
about going into treatment
بخصوص الذهاب لأخذ العلاج
as her female self,
about how her doctor would react,
من رد فعل طبيبها،
that he didn't shake her hand
her fears came true.
وأصبحت مخاوفها حقيقية.
needs to be empowered
whatever treatment you can get are over.
وتأخذ أي علاج يمكن أن تنتهي.
for your health care needs,
or a couple of months,
أو في غضون عدة أشهر،
a doctor's appointment, right?
to your doctor's appointment
when you got there.
عندما ذهبت هناك.
تشعرون بأنكم مرفوضون،
of the 1.4 million transgender adults
من المتحولين البالغين
to get an appointment.
لأخذ موعد.
"Why is this important to me?
"لماذا يعد هذا مهم بالنسبة لي؟
I don't know anybody that's transgender.
ولا أعرف أي شخص متحول جنسي.
and trained health care providers,
المدربة والمختصة،
mind raising your hand:
أيديكم إن كنتم لا تمانعون:
anyone who is transgender,
two-spirited, three-spirited?
حامل صفات الجنسيين، بروحان، بثلاثة أرواح؟
who did not raise your hand,
of these identities, I guarantee it.
community is increasing.
or the new thing to do.
There's more visibility.
هناك الكثير من الرؤية.
are speaking up about their true self
لذلك، يتحدث الناس عن حقيقتهم
that our health care system get on board
أن نبدأ بنظام العناية الصحية بنا
and health care providers are trained
أطباؤنا ومقدمي الرعاية الصحية
with dignity and respect,
باحترام وكرامة،
in my 11th grade literature class,
في حصة الأدب في الصف ال 11،
teachers, Mr. McClain,
that sticks with me to this day.
والتي لازلت أذكرها حتى هذا اليوم.
is that things will change."
أن هذا الأشياء ستتغير."
face changes in our lives,
with these changes,
على هذه التغيرات،
decisions to make.
the transgender community
ومجتمع المتحولين جنسيًأ
هذا العالم الشجاع الجديد.
ABOUT THE SPEAKER
Kristie Overstreet - Clinical sexologist and psychotherapistKristie Overstreet works with individuals to help strengthen their relationship with themselves and others.
Why you should listen
Dr. Kristie Overstreet is a clinical sexologist, psychotherapist, author, speaker and consultant. With more than twelve years of clinical experience, she has developed best practices for transgender healthcare. Her mission is to educate every behavioral and healthcare worker to provide dignity care for the LGBTQIA+ community.
Overstreet has written three books on improving relationships and is a sought-after expert. She is the creator of the Transgender Healthcare Dignity Model training and certification program. Her new book Finding Your True Self: A Guide to Gender Acceptance will be published in 2019. She serves as a national contributor to CNN, Psychology Today, Readers Digest, Your Workplace, Women’s Health, Men’s Health, Cosmopolitan, Glamour and various other media.
Overstreet holds a PhD in Clinical Sexology, Master of Arts in Professional Counseling and Bachelor of Science in Biology. She is a licensed counselor in California, Florida, Georgia and Louisiana. She is also a certified sex therapist and addiction professional. She is president of Therapy Department, a private practice in Orange County, California, that provides counseling, training, speaking and consulting services throughout the United States.
Kristie Overstreet | Speaker | TED.com