A Lady In Question
Redefining Gender Norms and Sexuality

Vicky is 50 years old from the Bahamas and upon first glance appears to be a distinguished full bodied and robust woman of maturity, with a bright smile and a twinkle in her eyes. Physically she has the classic appearance of a Caribbean woman of multicultural origins whose coffee is on the lighter side of the mocha scale. But beneath that pleasant smile and generous nature, is a spirit who has spent most of her life challenging conventional gender norms and birth sex.

Even to members of our LGBT communities, the plight and life of someone transgendered is something shrouded in mystery and treated as a subject associated with larger than life stage personas. But beneath it all are individuals challenged by others upon first glance, subject to ridicule and scorn in the most inhumane of ways, and whose choice of gender is often denied because of ignorance and a lack of understanding in what it is that drives such individuals to seek the physical and psychosocial changes they require, to exist.

This article seeks to educate and inform about the life of a transgendered role model who is willing to empower and provide peer support to others like her in our region, as well members of our greater LGBT communities.

Congratulations and thank you for granting us this interview. Can you tell us a little about yourself?

It is an honour and a privilege to do this interview. I thank you for letting me help bring some light to this hidden phenomenon called transgender. I am a 50 year old/young male to female pre op transsexual. I am married, have a family and live in the Bahamas. My wife and I have been together for 21 years. We have 2 children and a granddaughter.

You are a male-to-female (MTF) transsexual or transsexual woman, which means that you were born male and had sex / gender reassignment to become female. Tell us a little about this?

Let me help you with a term here gender reassignment refers to the surgery the entire process is called transition. There are 3 categories for transsexuals: pre op, non op, and post op. Op refers to the sex reassignment operation. I fall between pre op and non op. I lean more to non op as I am 50 and surgery risks are higher even though I have heard of 70 year old having SRS (sex reassignment surgery). Also because I am the primary caregiver to my Dad, my finances are at a point where I can’t afford the surgery at this time. However even though I do not gamble, if I won the lottery, I would take an in depth look at my concerns of the risks of surgery. And if I were 20 with the funds in hand well that would be another story

In your words, can you define the deference between Sex and Gender?

These are not my words but they are perfect “sex is between your legs and gender is between your ears”. Gender is everything between what is male and female. No male is completely male and no female is completely female.

There are different types of transgendered persons, for examples cross-dressers or transvestites (who wear the clothing of the other sex and not necessarily of same sex orientation) and drag queens and drag kings (respectively, biological males and females who present part-time as members of the other sex primarily to perform or entertain and many identify as gay, lesbian, or bisexual).1

Explain this a little.

I have found some transsexuals do DRAG, but most do not as transsexualism is about everyday life. DRAG is an art form, and transsexualism is a medical condition. The term transgender has a 3 fold definition. 1) Its an umbrella term for all who cross the gender boundary. 2) It refers to people that will live as the opposite gender but do not seek hormones or SRS. 3) it’s used as a medical diagnostic term to refer to all gender crossing conditions other than transsexual.2  And I understand there is going to be a change in the DSM shortly.

Can you share what it was like for you when you became aware that you possessed a transgendered identity?

I was 5 years old at least that is as far back as I can remember. I learned very quickly that this was something I had to hide. I had to learn how to act like a boy it did not come natural to me. I was constantly picked on I guess it showed through. Even when I met my wife she thought I was gay.

Can you describe the most significant aspects when you began your sex / gender reassignment?

The first was learning that I was not alone the second that it was a medical condition called Gender Dysphoria. I was 32 or 33. My life changed forever that weekend.

There are many concerns and dangers that others seeking sex / gender reassignment need to know, can you identify the most important ones?

The greatest problem transgender face is their own ignorance, ignorance by society, by backward medical systems and even in the gay and lesbian community. But especially in the trans community, in that most trans have no clue what they are dealing with and take desperate measures. Hormones are dangerous and I highly advise that you study them before you take them, even if they are prescribed by a doctor. Actually one should do that with any medicine. Know what you are taking and the side effects. Some of the risks of hormones are instant death by blood clot or too much potassium, kidney liver damage, deep vein thrombosis, to name a few.

What advice would you give to others seeking sex / gender reassignment in our region?

Study and research and then do some more study and research. And just when you think you have figured it all out do some more study and research. Actually never stop studying and researching. Seek out therapists specializing in gender identity issues. Don’t just go to one but at least 2 after all they are only human as well. As I respond to this I am sending out inquires to find gender therapist that will give some of their time to the trans of the Caribbean. It might only be via messenger or phone but I will hope one day we can put together funding to bring them to the different countries every month or so. 

Due to financial constraints, some persons seeking hormonal treatment opt for cheap or generic prescriptions, what are some of the dangers of such practises?

Generics are not the problem some are very good it’s the fakes that one has to worry about. There are many snake oils salesmen out there ready to take advantage of the desperate. There are a few online pharmacies’ out there that will sell hormones without prescription. Its how I started with my hormones. I am now under a Drs care and I use generic hormones 17 beta estradiol $12.00 per 100 tablets and I use 2 a day. But there is more to it than just hormones there are anti androgens as well.  Study, study, study!! Can’t say it enough.

It was recently shared that most transgendered persons suppress their identity because of the prevalent violence (including murders) against persons of same sex orientation in Jamaica. You have also identified that transgendered persons are discriminated against more-so than gay men and women because of the physical appearance factor. What are some of the vulnerabilities transgendered persons are subject to living in the Caribbean?

You answered your own question here. Not all trans folk blend in, some stand out and they become targets of hate by people who don’t understand that this is a real medical condition. Trans folk face all that Gay and Lesbians face but worse as one can’t transition and be invisible. If you can imagine what a gay couple will face if they walk around holding hands and stuff you will understand what trans folk face every day of their lives. Then you have the dangers from with in. The fear the anguish and yes depression. 50% of us are dead by the age of 30 because of suicide and a self destructive life such as drug, alcohol and self abuse. I cut my wrist at 18, had a gun to my head more than once, and prayed for “deep water black out” many time.  I used to fish for a living which included spear fishing and deep breath hold diving. I wanted to not exist so badly.

Speaking of vulnerability, are there any HIV risk factors that transgendered persons need to specifically address?

Yeah if we expose ourselves to HIV we can catch HIV it’s that simple. HIV makes no exceptions for trans folk.

Are there any support organisations, groups or resources that you can direct others to?

One of the most important sites is http://www.wpath.org/ . You can download the Harry Benjamin Standards Of Care for transsexuals and pass it on to the medical system and other trans folk in your country. It is also available in Spanish and Croatian. Other resources are: International Foundation for Gender Education http://www.ifge.org/; Gay & Lesbian Alliance Against Defamation http://glaad.org/. There are so many out there trans folk can do a search but don’t look up transsexual, search for Gender Dysphoria or Gender Identity Disorder.

We really thank you for conducting this interview, do you have any final comments you would like to share?

There are female to male transsexuals. Transsexualiam does not equal homosexuality. Transsexualism does not determine sexual orientation. Wow so much that needs to be said. To trans folks, know you are not alone you are not freaks or less than human. This is a medical condition you are born with. Learn, learn, learn what gender dysphoria is and talk about it to family and friends. Know that we don’t have to be sex workers, do what ever you have to do to get a good education, even if it means wearing the mask a bit longer. Check out these successful transsexual women.

1 Other categories of transgender people include androgynous, bigendered, and gender queer people. Exact definitions of these terms vary from person to person, but often include a sense of blending or alternating genders. Some people who use these terms to describe themselves see traditional concepts of gender as restrictive.

2 Harry Benjamin’s Standards of Care. “Between the publication of DSM-III and DSM-IV, the term "transgender" began to be used in various ways. Some employed it to refer to those with unusual gender identities in a value-free manner -- that is, without a connotation of psychopathology. Some people informally used the term to refer to any person with any type of gender identity issues. Transgender is not a formal diagnosis, but many professionals and members of the public found it easier to use informally than GIDNOS, which is a formal diagnosis.”

FRee FORUM Interview.
All rights reserved.

US 2007 Country Reports on Human Rights Practices

Excerpts related to sexual orientation, gender identity & HIV:

Antigua & Barbuda

Torture and Other Cruel, Inhuman, or Degrading Treatment or Punishment.
The constitution specifically prohibits such practices, and the authorities generally respected these prohibitions in practice. Nonetheless, there were occasional reports of police brutality, corruption, excessive force, discrimination against homosexuals, and allegations of abuse by prison guards.

Other Societal Abuses and Discrimination.
There were no reports of violence or discrimination based on sexual orientation or directed toward persons with HIV/AIDS. Nonetheless, the ministers of labour and health both spoke out publicly against such discrimination. The Ministry of Health supported local NGO efforts to register human rights complaints and seek assistance related to cases of discrimination against those with HIV/AIDS. The Ministry of Labour encouraged employers to be more sensitive to employees with HIV/AIDS.

Dominica

Other Societal Abuses and Discrimination.
There are no laws that prohibit discrimination in employment, housing, education, or health care against a person on the basis of sexual orientation or against persons living with HIV/AIDS. Although no statistics were available, anecdotal evidence suggested that societal discrimination against homosexuals and persons living with HIV/AIDS occurred. The government and the Dominica Planned Parenthood Association operated programs designed to discourage discrimination against HIV/AIDS-infected persons and others living with them.

Grenada

Other Social Abuses and Discrimination.
The law criminalizes consensual homosexual relations, providing penalties of up to 10 years' imprisonment. Society generally frowned upon homosexuality, and many churches condemned it. There was no perceptible discrimination against those with HIV/AIDS, partly because the disease was widespread in the general population, including women infected by partners engaging in sex with men and boys. The government encouraged citizens to be tested and to get treatment. An NGO, GRENCHAP, provided counselling to those affected by HIV/AIDS.

St. Kitts & Nevis

Other Societal Abuses and Discrimination.
There are no laws that prohibit discrimination against a person on the basis of sexual orientation. Although no statistics were available, anecdotal evidence suggested that societal discrimination against homosexuals and persons with HIV/AIDS occurred. 

St. Lucia

Other Societal Abuses and Discrimination.
There was widespread stigma and discrimination against persons infected with HIV/AIDS, although the government implemented several programs to address this issue, including a five-year program to combat HIV/AIDS. The UN Population Fund also provided support for youth-oriented HIV/AIDS prevention programs.

St. Vincent

Other Societal Abuses and Discrimination.
There are no laws that prohibit discrimination against a person on the basis of sexual orientation. Although no statistics were available, anecdotal evidence suggested there was some societal discrimination against homosexuals and persons with HIV/AIDS. Local NGOs, including the SVGHRA, circulated a petition to Parliament that called for an end to all such discrimination.

Barbados

Other Societal Abuses and Discrimination.
The law criminalizes consensual homosexual relations, and there are no laws that prohibit discrimination against a person on the basis of sexual orientation in employment, housing, education, or health care. In March the UN Human Rights Committee expressed its concern over discrimination against homosexuals in the country. Although no statistics were available, anecdotal evidence suggested that societal discrimination against homosexuals occurred.

In September the chief of prisons admitted that some homosexual prisoners had been placed in special security cells but were still beaten by other inmates for being homosexual. The government began programs designed to discourage discrimination against HIV/AIDS-infected persons and others living with them.
In December the International Labour Organization (ILO) completed a three-year program to reduce risk behaviour among targeted workers and to reduce employment-related discrimination among persons with HIV/AIDS. Seven enterprises adopted workplace policies, and stakeholders met to discuss developing a national strategic plan on HIV/AIDS. The stakeholders, including the ILO, agreed in late November on a transitional sustainability program to allow the program to continue. The business community, labour unions, and the national AIDS commission worked together to form the AIDS alliance, which is developing private sector initiatives to combat HIV/AIDS discrimination in society and the work place.

Bahamas

Other Societal Abuses and Discrimination.
Societal discrimination against homosexuals occurred, with some persons reporting job and housing discrimination based upon sexual orientation. Although homosexual relations between consenting adults are legal, there was no legislation to address the human rights concerns of homosexuals, lesbians, bisexuals, or transgendered persons. In March 2006 the Constitutional Review Commission found that sexual orientation did not deserve protection against discrimination.

Religious organizations and individual activists opposed a September request by a gay rights group for the cable monopoly to add a gay and lesbian channel to its programming. In the ensuing media controversy, opponents called for recriminalizing homosexual acts, and religious leaders criticized a major newspaper for giving what they considered undue coverage to the gay rights group. Media reports, in turn, referred to a "campaign" against the "gay agenda" or lifestyle by opponents of the proposal.

The organizer of agay and lesbian cruise accused authorities of harassment in shutting down a party at a downtown club on October 7, due to alleged lewd behaviour and immigration violations. Police officials denied inappropriate conduct. Sensationalistic media reporting of reputed gay links in two high-profile murders in Nassau in November, under police investigation at year's end, reflected the atmosphere of societal intolerance.

Belize

Other Societal Abuses and Discrimination.
There was some societal discrimination against persons with HIV/AIDS, and the government worked to combat it through the public education efforts of the National AIDS Commission (NAC) under the Ministry of Human Development and through the Pan-American Social Marketing Organization, which received foreign government assistance. There were incidents of discrimination based on sexual orientation, but determination of its extent was difficult to ascertain.

Dominican Republic

There were continued allegations of drug and arms trafficking, prostitution, and sexual abuse within the prisons.

Guyana

Other Societal Abuses and Discrimination.
Violence and discrimination based on sexual orientation or against persons with HIV/AIDS were not widely reported.

Haiti

Arrest and Detention.
Police sometimes apprehended persons without warrants or on warrants not issued by a duly authorized official. The authorities occasionally detained individuals on unspecified charges or pending investigation. On November 24, the government's chief prosecutor for Port-au-Prince instructed the HNP to detain overnight 88 young persons, the overwhelming majority of them minors. At the time of the arrests, the youth were participating in a morning school party in a facility owned by an alleged trans-sexual. Police arrived at the scene due to complaints of noise and unsubstantiated rumours that inappropriate activity was occurring in the party venue. The prosecutor did not charge the minors with any offenses, and the police station did not have the facilities or resources to adequately care for the young detainees; however, the authorities refused to release them, even though the authorities had earlier released 22 of the initial 110 persons detained.

Jamaica

While the government generally respected the human rights of its citizens, there were serious problems in some areas, including: unlawful killings committed by members of the security forces, mob violence against and vigilante killings of those suspected of breaking the law, abuse of detainees and prisoners by police and prison guards, poor prison and jail conditions, continued impunity for police who committed crimes, an overburdened judicial system and frequent lengthy delays in trials, violence and discrimination against women, trafficking in persons, and violence against suspected or known homosexuals.

Other Societal Abuses and Discrimination.
The law prohibits "acts of gross indecency" (generally interpreted as any kind of physical intimacy) between men, in public or in private, which are punishable by 10 years in prison. The Jamaica Forum for Lesbians, All Sexuals, and Gays (J-FLAG) continued to report human rights abuses, including police harassment, arbitrary detention, mob attacks, stabbings, harassment of homosexual patients by hospital and prison staff, and targeted shootings of homosexuals. Police often did not investigate such incidents. J-FLAG members also reported death threats, as well as threats to burn down its offices. In October members of J-Flag reported that they were considering sending a prominent AIDS spokesman abroad due to concerns for his personal safety in the country. Authorities postponed the trial of six suspects arrested for the 2005 robbery and murder of Lenford "Steve" Harvey, and it had not been held by year's end.

Male inmates deemed by prison wardens to be homosexual were held in a separate facility for their protection. The method used for determining their sexual orientation was subjective and not regulated by the prison system, although inmates were said to confirm their homosexuality for their own safety. There were numerous reports of violence against homosexual inmates, perpetrated by the wardens and by other inmates, but few inmates sought recourse through the prison system. One foreign homosexual man held in prison complained about harassment and for his safety was moved to a maximum-security prison and placed in solitary confinement for 23 hours a day. Homosexual men were hesitant to report incidents against them because of fear for their physical well-being.

Human rights NGOs and government entities agreed that brutality against homosexuals, by police and by private citizens, was widespread in the community. No laws protect persons living with HIV/AIDS from discrimination. Human rights NGOs reported severe stigma and discrimination against this group. The ILO worked with the Ministry of Labour on a program to reduce the stigma of HIV/AIDS in the workplace and to assist employers in designing policies for workers with HIV/AIDS. Although health care facilities were prepared to handle patients with HIV/AIDS, health care workers often neglected such patients.

Suriname

Discrimination, Societal Abuses, and Trafficking in Persons.
The law prohibits discrimination based on race and ethnicity but does not address discrimination based on disability, language, or social status. While the law does not specifically prohibit gender discrimination, it provides for protection of women's rights to equal access to education, employment, and property. In practice several societal groups, including women, Maroons, Amerindians, persons with HIV/AIDS, and homosexuals, suffered various forms of discrimination.

Trafficking and commercial sexual exploitation of minors remained a problem. According to the Mamio Namen Project Foundation, an NGO working to assist HIV‑infected persons, increased sex tourism led to increased sexual exploitation of children, particularly young boys. Two NGOs provided shelters for homeless boys.

Trafficking in Persons.
Although trafficking in persons is criminalized by law, persons were trafficking to, through, and within the country, primarily for sexual exploitation. The country was primarily a transit and destination country for women and children trafficked internationally for the purpose of sexual exploitation. Foreign girls and women were trafficked from Brazil, the Dominican Republic, Guyana, and Colombia for commercial sexual exploitation; some transited the country en route to Europe. The majority of these girls and women were reportedly unaware that they would be forced into prostitution. Authorities noted that "snake heads," Chinese human trafficking organizations, were active. Chinese nationals transiting the country risked debt bondage to these migrant smugglers; men were exploited in forced labour and women in commercial sexual exploitation. Haitians migrating illegally were also vulnerable to forced labour exploitation in the country. There also were reports of underage girls and boys trafficked within the country for prostitution by recruiters or caretakers.

Other Societal Abuses and Discrimination.
Although the law prohibits discrimination on the basis of sexual orientation, there were reports that homosexuals continued to suffer from employment discrimination. Persons with HIV/AIDS continued to experience societal discrimination in employment and medical services. An NGO working with HIV‑infected persons reported that law enforcement agencies and the fire department conducted HIV testing as part of their hiring procedures. The Ministry of Health intensified its efforts in prevention of mother to child transmission of HIV/AIDS, through a comprehensive outreach program involving local health care providers. The outreach program was successful in achieving its goal of voluntary testing of 90 percent of expectant mothers. Testing was also available through hospitals, Primary Health Services' clinics, family practitioners, and the Regional Health Services. The military increased its HIV/AIDS awareness campaign among troops after it was announced that HIV/AIDS was the number one cause of death among defence force members.

Trinidad & Tobago

Other Societal Abuses and Discrimination.
The Equal Opportunities Act does not specifically include gays and lesbians. However, there are no laws that discriminate based on sexual orientation. HIV/AIDS was viewed as a significant medical concern for the government and society. Any incidents of violence against this group were usually isolated events. Kenty Mitchell, a self-identified homosexual, filed a lawsuit against the state for being arrested in December 2006 and detained at Couva Police Station for three days without being charged. He claimed that he was taunted by officers for being homosexual and was denied access to his diabetes medication.

 

* Puerto Rico not listed

Ref: Secretary of the Bureau of Democracy, Human Rights and Labor; Remarks on the State Department's 2007 Country Reports on Human Rights Practices; Washington, DC