Kristie Overstreet: What doctors should know about gender identity
克里斯蒂·奥弗斯特里特: 关于性别认同,医生应该知道什么
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.
into my career as a therapist,
开始大约六个月,
and alcohol rehab facility.
down at the detox unit.
打来的电话。
and assess one of the new patients
当天早些时候
and had the pleasure of meeting Anne.
有了一场愉快的会面。
and as her and I started talking,
随着我俩开始交谈,
about what brought her into treatment,
that she didn't fear coming into rehab
that were going to be treating her
that she has experienced her whole life
所经历的痛苦,
but knowing she's female.
却被分配了男性角色。
when she was born,
that she was feeling
to come out to her family.
it didn't go over so well.
"Absolutely not. You're not a girl.
你不是女孩。
We don't know what you're thinking.
我们不知道你在想什么。
and in and out of homeless shelters,
在无家可归的收容所进出,
she started using drugs and alcohol
in and out of hospitals and rehabs
进进出出
providers and doctors
医疗保健提供者和医生
female name or pronouns.
女性名字或代名词。
to become a therapist,
一名治疗师时,
with transgender patients.
跨性别病人的训练。
the patients I'd be working with.
and other patients like Anne,
越来越多后,
that the transgender community
I saw how this very real fear
我看到这种
and this lack of acceptance
真正恐惧
to turn to alcohol and drugs.
转向酒精和毒品的。
were seeking medical care
medical needs were ignored.
是如何被忽视的。
关于利亚的故事。
of meeting Leah a few years back.
a wife and a child.
并且有妻子和孩子。
是男性,
that she was not a male,
她不是男性,
and from everyone she knew,
until the age of 50.
直到50岁的时候。
keep living like this.
无法这样继续活着了。
I want a divorce, get out"?
出去” 会怎样?
regardless of who you are.
that she wanted to medically transition,
assessed for hormone replacement therapy,
很感兴趣,
with her doctor.
of her appointment early.
and waited patiently.
called her back to the exam room.
she took a deep breath,
and said, "Hi, I'm Leah."
“嗨,我是利亚。”
didn't shake her hand and said,
I've hid it from everyone,
我曾隐瞒了所有人,
I can financially afford it,
and let's evaluate me for HRT."
让我参与HRT评估。”
"We can't do anything today.
“我们今天什么都不能做。
how would the rest of the world treat her?
这个世界的其他人又会怎么对她?
she was transgender,
当他听到她是个跨性别者时,
an HIV test and ending the appointment.
并草草结束会面。
any other questions.
where Leah's coming from,
with the community,
that aren't true at all.
完全没有事实基础的偏见。
to transition with medication or surgery;
或手术来完成转变;
this is a disorder;
aren't real men and women.
真正的男人和女人。
health care providers be trained
of their health care needs.
一个那时做的调查发现
of health care providers
of the LGBT community.
in the education and training.
存在巨大的鸿沟。
for three groups of people:
提供新的思考方式:
and, well, the rest of us.
还有所有其他人。
a couple of definitions
我想要讲清楚几个定义
around gender identity a little bit more.
Get ready to take some notes.
准备好做些笔记。
with this idea of a binary system.
there was only two, male and female.
有两种性别,男性和女性。
that this isn't true.
on the other side.
gender-nonconforming,
different types of identities.
不同类型的性别认同。
to think about transgender
我想让你们把跨性别者
a sex at birth that doesn't match
and their sense of self.
than biological sex.
what's between your ears:
than biological sex, right?
I have never questioned who I am.
我从来没有问过我是谁。
或者我知道我是女人。”
transgender individuals feel.
are many different types of identities,
性别认同是很重要的,
that like to know how to spell things,
怎么拼写的人,注意,
for "on the same side of."
“同一边”。
to my parents and said,
in a small farm town in Georgia,
一个小农场长大,
than someone who's transgender.
for "on the other side of" --
“另一边”的意思——
on the other side of the spectrum.
who was assigned female at birth,
出生时被分配为女性的人,
who they are, how they live their life,
他们是谁,他们的生活方式,
someone that's assigned male at birth
出生时被分配了男性角色,
and sense of self as a female.
that has a nonbinary identity
I want to point out sexual identity,
我想指出性认同,
sexually, spiritually.
被某人吸引的意思。
with gender identity.
before we continue on:
先简单回顾一下:
of it between your legs,
把它想成两腿之间的东西,
well, sometimes we use our heart,
好吧,有时候我们会用心,
about the LGBT health-related needs
that there are unique health risks
10 million American adults
with transgender patients,
as they go along,
独自前进中搞懂,
how to take care of them.
asking about gender identities.
感到不自在。
to their medical care
医疗治疗没有一点关系,
to say the wrong thing.
something inappropriate
from a malicious or mean place,
on how to care for these individuals.
如何照顾这些人的训练。
as a norm anymore either.
正常来接受了。
who is assigned female at birth
是某个出生时被分配了女性,
goes for their yearly gynecological visit?
每年去做妇科检查会发生什么?
with the correct pronouns, correct name,
正确的名字,给以尊严和尊重
that the rest of the staff will too.
about my thoughts on doctors,
to the transgender community.
is really fearful, right?
about going into treatment
as her female self,
而不被尊重,
about how her doctor would react,
that he didn't shake her hand
her fears came true.
她的担忧果然成真。
needs to be empowered
whatever treatment you can get are over.
接受治疗的日子已经结束了。
for your health care needs,
or a couple of months,
a doctor's appointment, right?
to your doctor's appointment
when you got there.
of the 1.4 million transgender adults
to get an appointment.
能预约到医生的话。
"Why is this important to me?
“这为什么对我重要?
I don't know anybody that's transgender.
我不认识任何跨性别人。
and trained health care providers,
训练有素的医疗提供者的服务,
mind raising your hand:
如果你不介意举起你的手:
anyone who is transgender,
two-spirited, three-spirited?
阴阳人,双灵,三灵人吗?
who did not raise your hand,
of these identities, I guarantee it.
我保证。
community is increasing.
or the new thing to do.
比以前说出来更安全。
There's more visibility.
更多的可见性。
are speaking up about their true self
在从所未有的谈论他们
that our health care system get on board
非常的重要,
and health care providers are trained
医生和医疗提供者训练有素
with dignity and respect,
in my 11th grade literature class,
teachers, Mr. McClain,
that sticks with me to this day.
我至今铭记在心。
is that things will change."
是改变。”
face changes in our lives,
with these changes,
decisions to make.
the transgender community
医生,跨性别群体
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