Do you have concerns related to your gender identity, or do you ever feel awkward about your gender identity?
Relevance/intent
This question encourages disclosure of and discussion about gender identity and related concerns. Traditional options for
gender, such as “male or female,” do not include people who are transgendered, transsexual, intersex and others. This item
invites people to be open about their gender identity.
Gender identity is distinct from sexual orientation. Regardless of gender, a person may identify as heterosexual, gay, bisexual
or any other sexual orientation.
If clients are confused about this question, explain that some people’s biological sex does not fit with who they feel they
are. For example, some people with male biology may feel themselves to be female.
There can be many genders other than male and female. One way to think about gender identity is as a fluid continuum that
ranges from more masculine to more feminine:
Masculine
Androgynous Gender variant Gender non-conforming
Feminine
Transgendered and transsexual people cover the entire range of the continuum, from very “butch” (masculine) to very feminine.
For example, a transsexual woman may be as feminine as a biological woman. A transsexual gay male may be less masculine than
a butch lesbian.
When people are exploring their gender identity, they may be deciding where they fit along this continuum. Others (e.g., someone
who identifies as genderqueer) may reject the continuum and gender categories altogether.
Clinicians are invited to think about their own gender identity to become conscious of feelings and preconceived notions about
this issue. A clinician’s own feelings and biases may help or hinder talking about gender identity with clients.
Gender is sometimes expressed differently in different contexts because there may be social roles or experiences that force,
pressure or encourage us to experience our genders in more or less fluid ways. For example, people may be expected to express
their gender in a certain kind of way within a workplace and may express their gender differently at home.
Sometimes, people from ethnocultural/racial communities may identify their gender identity in other ways. For example, some
male-to-female transgendered clients from other cultures may identify as “lady boys” or “she-males.”
“Sometimes people have very specific ideas about who is gay and who is straight and what a real transsexual person is supposed
to be in terms of their sexual orientation. That’s a huge problem. I remember being told flat out that my being bisexual or
queer-identified as a transman was unusual. And I said, ‘Actually, that’s not true. Tons of the guys in the FTM community
are bi or queer or gay-identified.’ And unless counsellors have this conversation with you, they won’t find out.”
“Everyone experiences being trans differently. Some people have more intense feelings and more dysphoric feelings, which means
they’re really at odds with their gender. Some people know exactly which way they are going.”
“In the Native communities, the respect is there. It’s not like in the white society, where they call me trash, freak and
a few other names. Because whenever a Native person sees me, most of them will go out of their way for me because I am special.
The two-spirit being is a higher being, and I am supposed to have a higher wisdom.”
“As a therapist, I don’t want to make assumptions about how someone identifies their gender. People who are transsexual or
on the transgender continuum probably feel pretty alienated by the assumptions.”
Gender identity , which does not always correspond to biological sex, is a person’s self-image or belief about being female or male. For
example, some people with male biology may feel themselves to be female.
Gender roles are the arbitrary rules, assigned by society, that define what clothing, behaviours, thoughts, feelings, relationships, etc.
are considered appropriate and inappropriate for members of each sex.
Gender transition is the period during which transsexual persons begin changing their appearance and bodies to match their internal identity.