Kristie Overstreet: What doctors should know about gender identity
کریستی اُوراستریت: آنچه که پزشکان باید درباره هویت جنسی بدانند
Kristie Overstreet works with individuals to help strengthen their relationship with themselves and others. Full bio
Double-click the English transcript below to play the video.
به عنوان روان درمانگر شروع کردم،
into my career as a therapist,
and alcohol rehab facility.
و مواد کار میکردم.
down at the detox unit.
با من تماس گرفت.
and assess one of the new patients
و یکی از بیماران جدید را ارزیابی کنم
and had the pleasure of meeting Anne.
و افتخار آشنایی با آن را پیدا کردم.
and as her and I started talking,
و وقتی شروع به صحبت کردیم،
about what brought her into treatment,
برای تداوی چه بود،
that she didn't fear coming into rehab
آمدن به بازپروری و ترک کردن
that were going to be treating her
that she has experienced her whole life
در تمام عمرش تجربه کرده، این که
but knowing she's female.
همواره مرد تلقیاش کردهاند.
when she was born,
that she was feeling
to come out to her family.
برای خانوادهاش آشکار کند.
it didn't go over so well.
اوضاع خوب پیش نرفت.
"Absolutely not. You're not a girl.
« مطلقا اینطور نیست. تو دختر نیستی.
We don't know what you're thinking.
نمیدانیم چی توی ذهنت هست.
and in and out of homeless shelters,
و در پناهگاهای بیخانمانها پیدا کرد،
she started using drugs and alcohol
الکل و مواد کرد
in and out of hospitals and rehabs
و مراکز بارپروری،
providers and doctors
و پزشکها
female name or pronouns.
صحیح استفاده نمی کردند.
to become a therapist,
درس میخواندم،
with transgender patients.
تراجنسیتی آموزش ندادند.
the patients I'd be working with.
بیمارها کار خواهم کرد.
and other patients like Anne,
مشابه آن کار کردم،
that the transgender community
مطمئن شویم نیازهای بهداشتی
I saw how this very real fear
که چطور این ترس واقعا حقیقی
and this lack of acceptance
to turn to alcohol and drugs.
به الکل و مواد پناه ببرند.
were seeking medical care
مراقبت پزشکی بودند
medical needs were ignored.
پزشکی آنها اهمال میشد.
of meeting Leah a few years back.
چند سال قبل برمیگردد.
a wife and a child.
در زمان تولد مذکر ثبت شد
that she was not a male,
and from everyone she knew,
until the age of 50.
keep living like this.
I want a divorce, get out"?
برو پی کارت؟»
regardless of who you are.
عاشقت هستم.
that she wanted to medically transition,
تغییرجنسیت پزشکی بدهد،
assessed for hormone replacement therapy,
روش درمانی جایگزینی هورمونها بوذ،
with her doctor.
of her appointment early.
and waited patiently.
صبورانه منتظر ماند.
called her back to the exam room.
را صدا کرد تا به اتاق معاینه برود.
she took a deep breath,
نفس عمیقی کشید،
پرستار وارد اتاق شدند.
and said, "Hi, I'm Leah."
« سلام، لیا هستم.»
didn't shake her hand and said,
با او دست نداد و پرسید،
I've hid it from everyone,
و از همه آن را مخفی کردم،
I can financially afford it,
از پس هزینه ها بر میآیم،
and let's evaluate me for HRT."
درمان جایگزینی هورمونی بپذیرید.»
"We can't do anything today.
« امروز کاری از دست ما برنمیآید.
how would the rest of the world treat her?
از بقیه دنیا چه انتظاری میرفت؟
she was transgender,
an HIV test and ending the appointment.
آزمایش اچ.آی.وی و رفتن بود.
any other questions.
where Leah's coming from,
که لیا چه میگوید،
with the community,
that aren't true at all.
که اصلا صحت ندارند.
to transition with medication or surgery;
تغییر جنسیت دهد؛
this is a disorder;
این اختلال است؛
aren't real men and women.
زن واقعی نیستند.
قددمتدار میشود،
health care providers be trained
سلامت آموزش ببینند
of their health care needs.
مراقبت سلامت این بیماران باشند.
of health care providers
کارکنان بخش سلامت
of the LGBT community.
in the education and training.
for three groups of people:
دسته از مردم پیشنهاد میدهم:
and, well, the rest of us.
که بقیه ما.
a couple of definitions
یکسری تعریفها هستند
around gender identity a little bit more.
درباره هویت جنسیتی اطلاعات کسب کنید.
Get ready to take some notes.
یادداشت آماده کرده باشید.
with this idea of a binary system.
شروع کنیم.
there was only two, male and female.
که فقط دو تا جنسیت است، زن و مرد.
that this isn't true.
که اینطور نیست.
on the other side.
gender-nonconforming,
جنسیت نامنطبق،
different types of identities.
to think about transgender
a sex at birth that doesn't match
جنسیت تعیین شده برای او در هنگام تولد
and their sense of self.
متفاوت است.
than biological sex.
جنسیت بیولوژیک دارد.
what's between your ears:
در بین گوشهایتان در جریان است:
than biological sex, right?
کروموزومها:
I have never questioned who I am.
هیچوقت نپرسیدم که کی هستم.
transgender individuals feel.
تراجنسیتی هم دارند.
are many different types of identities,
نوع مختلف هویت داریم
شناسایی میشوم.
that like to know how to spell things,
بدانید این کلمهها چطور نوشته میشوند،
for "on the same side of."
to my parents and said,
in a small farm town in Georgia,
جرجیا بزرگ شدم،
than someone who's transgender.
خیلی فرق میکند.
for "on the other side of" --
(بین قارهای)
یک جنسیت برایش تعیین شده
on the other side of the spectrum.
who was assigned female at birth,
که در زمان تولد مونث تعیین شده
who they are, how they live their life,
نحوه زندگی که دارد
someone that's assigned male at birth
در زمان تولد مذکر ثبت شده
and sense of self as a female.
نحوه زندگیش زنانه است.
that has a nonbinary identity
داشته باشد را
I want to point out sexual identity,
میخواهم هویت جنسی
جذبش میشویم،
sexually, spiritually.
جنسی، روحی.
with gender identity.
before we continue on:
داشته باشیم:
of it between your legs,
بین پاهای شما است،
well, sometimes we use our heart,
گاهی از قلب خود استفاده میکنیم،
about the LGBT health-related needs
نیازهای مرتبط با سلامت دگرباشان میکند
that there are unique health risks
منحصربفرد بهداشتی
10 million American adults
آمریکایی بزرگسال
with transgender patients,
تراجنسیتی کار میکنند،
as they go along,
آموزش به پزشک
how to take care of them.
asking about gender identities.
که درباره هویت جنسی بیمارها سوال کنند.
to their medical care
ربطی به مراقبتهای آنها داشته باشد
to say the wrong thing.
اشتباهی زده باشند.
something inappropriate
from a malicious or mean place,
on how to care for these individuals.
که چطور به این اشخاص اهیمت دهند.
as a norm anymore either.
به عنوان هنجار پذیرفت.
who is assigned female at birth
در زمان تولد زن تعیین شده
goes for their yearly gynecological visit?
برای معاینه سالانه پیش پزشک زنان میرود؟
with the correct pronouns, correct name,
ضمائر و اسامی صحیح رسیدگی کند،
that the rest of the staff will too.
خیلی بیشتر است.
about my thoughts on doctors,
پزشکها است،
to the transgender community.
is really fearful, right?
کیست که میترسد، نه؟
about going into treatment
برای تداوی برود
as her female self,
مورد احترام قرار نگیرد
about how her doctor would react,
خود واهمه داشت،
that he didn't shake her hand
her fears came true.
ترسهایش به حقیقت پیوست.
needs to be empowered
نیاز به توانمند شدن دارد
سلامت خود اعتراض کند.
whatever treatment you can get are over.
دیگر تمام شده است.
for your health care needs,
اعتراض نکنید،
or a couple of months,
یا دو ماه دیگر
a doctor's appointment, right?
to your doctor's appointment
when you got there.
وارد شدید هم بدتر است.
of the 1.4 million transgender adults
۱/۴ میلیون تراجنسیتی بالغ
to get an appointment.
که قرار ملاقات بگیرند.
"Why is this important to me?
«چرا این موضوع برایم اهمیت دارد؟
I don't know anybody that's transgender.
شخص تراجنسیتی هم در بین اطرافیانم ندارم.
and trained health care providers,
mind raising your hand:
میخواهم از شما سوال کنم:
anyone who is transgender,
دیدهاید که تراجنسیتی است یا
two-spirited, three-spirited?
دو-روحی و سه-روحی؟
who did not raise your hand,
of these identities, I guarantee it.
دستهبندی شود. ضمانت میهم.
community is increasing.
or the new thing to do.
یا چیز تازه برای انجام دادن.
There's more visibility.
آشکاری بیشتری وجود دارد.
are speaking up about their true self
از خود واقعیشان حرف میزنند
that our health care system get on board
نظام مراقبت سلامت ما این را بپذیرد
and health care providers are trained
ارائهدهندگان خدمات بهداشتی، آموزش لازم
with dignity and respect,
را با رعایت شان و احترام دیده باشند،
in my 11th grade literature class,
ادبیات بودم،
teachers, Mr. McClain,
آقای مککلین،
that sticks with me to this day.
تا به امروز خاطرم هست.
is that things will change."
چیزهاییست که تغییر خواهند کرد.»
face changes in our lives,
در زندگی روبرو هستیم،
with these changes,
مواجه میشویم،
decisions to make.
درجا خواهیم زد
برای رشد استفاده میکنیم؟
the transgender community
قدم میگذاریم.
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