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Information provided by these posters may offer us some insight into what it is like to be what Shidlo and Schroeder (2002) termed a "self-perceived failure medicine mountain scout ranch purchase 25 mg lamotrigine. Twenty-seven of the 30 individuals who mentioned their past religious identity were Christian of some sort medicine x ed generic 100mg lamotrigine. Twelve of these individuals reported being in a self-described fundamentalist branch of Christianity walmart 9 medications order 25mg lamotrigine, and four reported having been ministers or leaders in their churches treatment for bronchitis proven 200 mg lamotrigine. Of those, 22 were still practicing Christianity of some sort, but only one reported being fundamentalist. One person identified as a Unitarian Universalist, three described themselves as spiritual but not Christian, and four indicated specific other spiritual paths, such as Buddhism. Most of the posters to the ex-ex-gay boards report currently being in overall good psychological health. The most common statements about how they were feeling relative to their time in the ex-gay movement were that they valued their journey through the process (7 of 15 statements) and that they were currently at peace with their sexuality (8 of 15 statements). I have come to recognize my ex-gay experience as simply part of my coming out process. Although there are many things I regret about my ex-gay experience, I have to admit that it was a good way of facing many of my doubts about homosexuality. Most commonly reported positive outcomes were being stronger in their faith (5 of 10 outcomes) and having a more solid identity for having gone through the program (5 of 10 outcomes). However, it was through the ex-gay experience itself that I was forced to face the hard questions about the meaning of life and the will of God. I have re-established my faith and have dealt with most of the philosophical issues. Several mentioned the view that they believe sexuality to be irrelevant to God (3 of 8 comments), and that their relationship with God is stronger than it was while they were ex-gay (5 of 8 comments). I have a stronger faith now than I have ever had and continue to minister to others as God leads by sharing His love and grace with anyone who seems interested. A large number of posters view ex-gays as being resistant to new information or other viewpoints (4 of 18 views) and believe that ex-gays avoid thinking about their spiritual journey (4 of 18 views). Ex-gay groups want to make it clear that their clients are voluntary participants. However, at the same time ex-gay groups tend to strongly discourage participants from seriously considering alternatives. I saw so much time being spent on sexual thoughts that I began to think of them as not having a problem with gay. While much has already been done, we cannot afford to sit back and take it for granted that things will continue to improve if we do not try to inform as many as we can with the facts and truth about homosexuality and homosexuality and the Bible. Ex-gays seem to relate to their religion as an end in itself and as central to their identity. This way of viewing religion has been known as "intrinsic religiosity" and is described as "deep and primary" (Allport & Ross, 1967). You have been drinking the polluted water from this relationship and your judgment is clouded. The need that is being filled through this [gay] relationship can only be met through knowing God personally and let him become your lover, friend and partner. Quest-oriented individuals see questioning and doubting as parts of a mature spirituality (Maltby, 1999). Support for Existing Theories Our observations about the nature of the conversion process are largely consistent with Shidlo and Schroeder (2002). It is possible that their participants, having joined in-person groups or sought in-person therapy, are more socially oriented or have a higher need for affiliation than those in our Internet sample. Many of the psychological, sociological, and interpersonal harms and helps reported in Shidlo and Schroeder (2002) were echoed by our participants. Participants in both studies reported depression, suicidal ideation, and deficits in self-esteem. Socially, both participant groups reported loneliness, social isolation, and lack of social supports while beginning or ending conversion therapy. Participants in both studies reported valuing the social support provided by ex-gay groups.

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Halberstam explores two-dimensional transgender art as anticapitalist resistance but everlast my medicine order lamotrigine 100 mg, in assuming the unidirectional gaze of the surgeon or the artist medicine ball cheap 200 mg lamotrigine, flattens the body to a mere mimetic canvas on which technologies operate medicine evolution proven 50 mg lamotrigine. He thus objectifies and alienates representations of the body from the shifting acts of embodiment and performance that catalyze conflict over the very terms and alignments of identity symptoms joint pain fatigue quality lamotrigine 100 mg, aesthetics, and politics. Against such static analysis, it is necessary to reveal the competing metaphysics of desire, ontological layering, and appeals to authenticity that enable dynamic conflict over trans subjectivities. Moving forward, we do not need to ``reclaim' superficiality from such analysis as much as recognize that depth has never left these struggles in the first place, manifesting instead in the debate over superficiality itself. In May 2012, McDonald accepted a plea agreement in which she pleaded guilty to second-degree manslaughter and was sentenced to prison for forty-one months. Her story is emblematic of the experiences of trans people whose lives come in contact with the prison-industrial complex. Over the past decade, some scholars and activists have begun to use the term prison-industrial complex to describe the mutually beneficial and far-reaching relationship between state and private interests that promotes the prison system as a central response to social, economic, and racial problems (see. The prison-industrial complex is a dynamic and productive web of white supremacist, neoliberal, heteropatriarchal, and gender-normative power that targets social deviance for criminalization and imprisonment and secures normativity. In practice, certain populations marked as racially, sexually, gender, and/or class deviant-such as low-income African American men, trans women of color, and gender-nonconforming queer women of color or aggressives -are criminalized, portrayed as suspicious and dangerous, Downloaded from read. In other words, policing, prisons, and punishment are organized by and help construct race, gender, sexuality, and class in the United States. While throughout its history the prison system has been a central site of social, racial, gender, and sexual formation and control, it has taken on new importance since the 1970s. Responding to the needs of globalization and deindustrialization and as part of the backlash against racial justice movements of the 1950s to 1970s, the United States began to rapidly grow its prison population from an average daily population of about 300,000 at the beginning of the 1970s to nearly 2. This rise in prison population has been fueled by racialized law enforcement, prosecution, and sentencing that have produced a prison population that is approximately 70 percent people of color. The new mass scale of the prison system has been termed ``mass incarceration' to mark how certain populations are targeted for systematic imprisonment and to describe its devastating impacts on targeted communities, most centrally low-income black communities but also many trans and queer communities. The history of trans people in the United States has been a history of criminalization. Throughout most of the nineteenth and twentieth centuries, gender nonconformity, cross-dressing, and homosexuality were criminalized through laws and policing practices. Susan Stryker (2008) argues that trans communities and identities often formed and coalesced in response to experiences of persistent police scrutiny, harassment, and violence. Ritchie, and Kay Whitlock (2010) call ``queer criminal archetypes,' which persist into the present. Today, people who are visibly gender nonconforming, especially those who are also marked as racially and/or economically deviant, are often viewed by police as particularly suspicious and subject to intense surveillance, violence, and arrest. Trans women often report being stopped by police under the suspicion that they are sex workers, an experience so common it has been labeled ``walking while trans. This criminalization, coupled with endemic employment discrimination, poverty, homelessness, racism, and family rejection, has led to the disproportionate incarceration of trans and gender-nonconforming people. Within jails and prisons, trans people are almost always placed in a sex-segregated institution based on their genitals and are expected to conform to the norms of the sex of the institutions. Prison administrators often view gender-nonconforming and trans prisoners as security threats Downloaded from read. Yet their words, lives, and experiences are rarely part of trans studies conversations. As criminalization and disproportionate incarceration continue and as trans people continue to experience harassment and violence throughout the prison-industrial complex, the experiences and life chances of significant segments of our communities will be intimately bound to the prison-industrial complex. Elias Walker Vitulli is a doctoral candidate in American studies at the University of Minnesota. His dissertation examines the history of the incarceration of gender-nonconforming and trans people in the United States. Neither a biological nor a social determinist theory, psychoanalysis theorizes human subjects as psychic entities inscribed in language, discourse, and social relationships, all of which are primarily unconscious either necessarily or through a process of repression.

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Clinical Endocrinology & Metabolism 1 medicine grace potter generic lamotrigine 25mg, 26 (2017) ("Breast size only partially regresses with androgen therapy symptoms in spanish 25mg lamotrigine. Schechter treatment innovations purchase lamotrigine 200 mg, supra note 8 walmart 9 medications trusted lamotrigine 200 mg, at 21 ("Following hormonal therapy, there is frequently some breast growth in the transwoman. However, the degree of breast growth is often inadequate, and individuals may continue to wear external prostheses or padded bras. This surgery is provided in accordance with applicable medical and/or professional standards and is known to be effective, as proven by scientific evidence, in materially improving health outcomes. Internationally recognized medical associations and accepted standards of care acknowledge the medical necessity of chest reassignment. Malata, Immediate Breast Reconstruction After Mastectomy for Cancer, 87 British J. Sema Koзan & Ayla Gьrsoy, Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research, 12 J. Al-Ghazal, Comparison of Psychological Aspects and Patient Satisfaction Following Breast Conserving Surgery, Simple Mastectomy and Breast Reconstruction, 36 European J. If significant medical or mental health concerns are present, they must be reasonably well controlled). Chest reassignment surgery for transgender women is the clinical standard of care as recognized in peer-reviewed medical literature. Deutsch, Hormonal and Surgical Treatment Options for Transgender Women and Transfeminine Spectrum Persons, 40 Psychiatric Clinics of N. Unger, Update on Gender-Affirming Treatment for the Transgender Woman, 35 Seminars in Reproductive Medicine 442, 443 (2017). Fisher, Cross-Sex Hormone Treatment and Psychobiological Changes in Transsexual Persons: Two-Year Follow-Up Data, 101 J. Kanhai, Augmentation Mammaplasty, supra note 21, at 203, 205 ("The augmentation will then improve the psychological and social wellbeing of the [patient] reentering society as a woman. A prospective cohort study has shown that gains in breast satisfaction, psychosocial well-being, and sexual well-being after chest reassignment are statistically significant and clinically meaningful to the patient in both the short and long term. Chest reassignment "can greatly facilitate the experience of living in a gender role that is congruent with a gender identity. Papadopulos, Quality of Life and Patient Satisfaction Following Male-toFemale Sex Reassignment Surgery, 14 J. Cuccolo, supra note 48 at 2; Claes, supra note 18, at 369-70 ("provides a more feminine profile, facilitating adjustment to the gender identity"); Kanhai, supra note 21, at 542 (noting that mammaplasty allows the patient to be recognized as a woman "more easily, both in public and in private," which facilitates living openly as a woman). Medical necessity of chest surgery to treat gender dysphoria in transgender women Literature Review - Page 19 of 26 chest is more important for social recognition as female than genital reassignment surgery, which is a covered treatment. While chest reassignment is undertaken primarily to help alleviate the debilitating cognitive dissonance and discomfort of gender dysphoria, there are also effects in terms of reducing negative encounters with others. Misgendering, staring and confusion by others trigger gender dysphoria and threaten the well-being and safety of transgender women. People who are visibly transgender-generally due to their secondary sex characteristics-experience more discrimination than non-visibly transgender people. Grollman, the Social Costs of Gender Nonconformity for Transgender Adults: Implications for Discrimination and Health, 30 Soc. Wilson, Spilling the T on Trans-Misogyny and Microaggressions: An Intersectional Oppression and Social Process Among Trans Women, J. In a point that emphasizes both the extreme distress caused by gender dysphoria and the need for surgical treatment, when denied access to proper medical treatment, some transgender women attempt to alleviate their chest dysphoria by reshaping their bodies through "pumping," the use of highly dangerous black market injections by non-medical professionals of industrial-grade silicone into their chests. Wallace, Finding Self: A Qualitative Study of Transgender, Transitioning, and Adulterated Silicone, 69 Health Education J. Stowell, Imaging Findings in Transgender Patients after Genderaffirming Surgery, 39 RadioGraphics 1368, 1371 (2019), Ian K. Komenaka, Free Silicone Injection Causing Polyarthropathy and Septic Shock, 10 Breast J. Academy of Dermatology at 450 (2004) (infections, which cause chronic lung disease and post-traumatic wound infections, can be added to the potential complications of silicone injections, which also "include cellulitis, granulomatous reactions, migration of material, ulceration, scarring, pneumonitis, granulomatous hepatitis, reactive systemic illnesses, and iatrogenic infection"); Richard F. Clark, Subcutaneous Silicone Injection Leading to Multi-system Organ Failure, 46 Clinical Toxicology 834 (2008) (describing five trans women who attended a "pumping party" resulting in the death of one of them); Hage supra note 94 (subcutaneous injections of massive quantities of mineral oil or silicone lead to complications ranging from a change in skin color to death, and there are no available treatments to alleviate the effects); Anupam M. Journal of Emergency Medicine 336 (2000) (determining that "the risk of adverse systemic effects, particularly severe pulmonary involvement, can be very high for silicone fluid injection, especially when delivered in large volume and when injections are given without medical precautions as with transsexual [women]"); Andreas Schmid, Silicone Embolism Syndrome a Case Report, Review of the Literature, and Comparison With Fat Embolism Syndrome, 127 Chest 2276 (2005) (presenting data from thirty-two patients who were hospitalized after illegal silicone injections, six of whom died, while twenty-six were discharged within three weeks after experiencing respiratory symptoms); Ayke L.

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