Kristie Overstreet: What doctors should know about gender identity
Кристи Оверстрит: Что должен знать врач о гендерной принадлежности
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,
для алкоголиков и наркозависимых.
and alcohol rehab facility.
down at the detox unit.
из отдела детоксикации.
and assess one of the new patients
состояние новой пациентки,
and had the pleasure of meeting Anne.
и имела честь познакомиться с Энн.
and as her and I started talking,
и в ходе беседы
about what brought her into treatment,
that she didn't fear coming into rehab
наркотики и алкоголь,
that were going to be treating her
that she has experienced her whole life
испытывала страдания от того,
что является женщиной.
but knowing she's female.
when she was born,
что мальчиком не является.
that she was feeling
to come out to her family.
должна признаться семье.
it didn't go over so well.
"Absolutely not. You're not a girl.
Ты не девочка.
We don't know what you're thinking.
Мы тебя не понимаем.
and in and out of homeless shelters,
блуждала по приютам
she started using drugs and alcohol
наркотиками и алкоголем,
in and out of hospitals and rehabs
по больницам и центрам
providers and doctors
female name or pronouns.
или женские местоимения.
to become a therapist,
with transgender patients.
the patients I'd be working with.
что буду с ними работать.
and other patients like Anne,
и подобными ей пациентами,
that the transgender community
трансгендерному сообществу
I saw how this very real fear
тем чаще видела, как реальный страх
and this lack of acceptance
непониманием
to turn to alcohol and drugs.
к наркотикам и алкоголю.
were seeking medical care
medical needs were ignored.
of meeting Leah a few years back.
с ней пару лет назад.
a wife and a child.
that she was not a male,
что является не мужчиной,
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.
независимо от того, кто ты.
that she wanted to medically transition,
к хирургическому вмешательству,
assessed for hormone replacement therapy,
гормонозаместительная терапия,
with her doctor.
of her appointment early.
and waited patiently.
called her back to the exam room.
в кабинет для обследования.
she took a deep breath,
and said, "Hi, I'm Leah."
«Привет, я Лия».
didn't shake her hand and said,
не пожав руки, спросил:
I've hid it from everyone,
I can financially afford it,
Я могу это себе позволить.
and let's evaluate me for HRT."
и обследуйте меня для ГЗТ».
"We can't do anything today.
how would the rest of the world treat her?
как будут относиться все остальные?
she was transgender,
an HIV test and ending the appointment.
затем он поскорее закончил приём.
any other questions.
where Leah's coming from,
with the community,
работала с её сообществом,
that aren't true at all.
to transition with medication or surgery;
с помощью препаратов или операции;
this is a disorder;
ментальные расстройства;
aren't real men and women.
и они стареют,
health care providers be trained
учреждения научились
of their health care needs.
of health care providers
медицинских услуг
of the LGBT community.
ЛГБТ-сообщества.
in the education and training.
огромные пробелы.
for three groups of people:
для трёх групп людей:
and, well, the rest of us.
и для всех нас.
a couple of definitions
несколько терминов,
around gender identity a little bit more.
в понятие гендерной принадлежности.
Get ready to take some notes.
Приготовьтесь записывать.
with this idea of a binary system.
there was only two, male and female.
мужчины и женщины.
that this isn't true.
на одном его полюсе,
on the other side.
gender-nonconforming,
different types of identities.
to think about transgender
a sex at birth that doesn't match
and their sense of self.
than biological sex.
ощущение себя самого.
what's between your ears:
than biological sex, right?
I have never questioned who I am.
я в себе никогда не сомневался.
transgender individuals feel.
трансгендерные личности.
are many different types of identities,
очень много разновидностей,
that like to know how to spell things,
for "on the same side of."
to my parents and said,
in a small farm town in Georgia,
городке в Джорджии
than someone who's transgender.
for "on the other side of" --
«по ту сторону».
on the other side of the spectrum.
who was assigned female at birth,
это тот, кто родился женщиной,
who they are, how they live their life,
someone that's assigned male at birth
and sense of self as a female.
that has a nonbinary identity
небинарную принадлежность,
I want to point out sexual identity,
для сравнения сексуальную идентичность,
sexually, spiritually.
сексуально, духовно.
к гендерному самоопределению.
with gender identity.
before we continue on:
прежде чем продолжить:
of it between your legs,
well, sometimes we use our heart,
для которой иногда нужно сердце, —
about the LGBT health-related needs
ЛГБТ примерно пять часов
that there are unique health risks
сколько в этом сообществе
10 million American adults
with transgender patients,
работающих с трансгендерами,
проясняется лишь в процессе
as they go along,
обращаться с такими, как он.
how to take care of them.
asking about gender identities.
про гендерную принадлежность.
to their medical care
не относится к медицине,
to say the wrong thing.
сказать что-то лишнее.
something inappropriate
from a malicious or mean place,
плохого или гнусного,
on how to care for these individuals.
правильно обращаться с такими людьми.
as a norm anymore either.
не может считаться нормой.
с мужчиной трансгендером —
who is assigned female at birth
goes for their yearly gynecological visit?
на ежегодный осмотр у гинеколога?
к такому пациенту,
with the correct pronouns, correct name,
использую правильное имя и местоимения,
that the rest of the staff will too.
будут вести себя так же.
about my thoughts on doctors,
по отношению к докторам,
to the transgender community.
к трансгендерному сообществу.
is really fearful, right?
кто боится по-настоящему, так?
about going into treatment
as her female self,
about how her doctor would react,
реакции врача,
that he didn't shake her hand
и назначил тот анализ на ВИЧ.
her fears came true.
needs to be empowered
необходимо дать возможность
медицинских потребностях.
whatever treatment you can get are over.
и довольствоваться малым.
потребности в сфере медобслуживания,
for your health care needs,
or a couple of months,
или в ближайшем месяце
a doctor's appointment, right?
to your doctor's appointment
when you got there.
of the 1.4 million transgender adults
взрослых тренсгендеров
to get an appointment.
записаться к врачу.
"Why is this important to me?
«Почему это должно меня касаться?»
I don't know anybody that's transgender.
из трансгендеров.
квалифицированное медобслуживание,
and trained health care providers,
mind raising your hand:
anyone who is transgender,
человека с гендерным несоответствием,
two-spirited, three-spirited?
двугендера, тригендера?
who did not raise your hand,
of these identities, I guarantee it.
к одной их этих категорий.
community is increasing.
or the new thing to do.
There's more visibility.
больше наглядности.
открыто говорят об истинном «я»,
are speaking up about their true self
that our health care system get on board
должна приобщиться к этой проблеме
and health care providers are trained
докторов и медработников,
with dignity and respect,
с достоинством и уважением,
in my 11th grade literature class,
teachers, Mr. McClain,
мистер Маклейн
that sticks with me to this day.
которая хорошо мне запомнилась.
is that things will change."
это то, что всё изменится».
face changes in our lives,
с переменами в жизни,
with these changes,
decisions to make.
сложное решение.
цепляться за привычное,
нашим страхам в глаза,
этой возможностью?
the transgender community
трансгендерное общество,
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