Gender transition is the process of affirming and expressing one's internal sense of gender , rather than the gender assigned to them at birth . It is the recommended course of treatment for individuals struggling with gender dysphoria , providing improved mental health outcomes in the majority of people.
22-460: Patricia Marie MacLachlan ( née Pritzkau ; March 3, 1938 – March 31, 2022) was an American children's writer. She was noted for her novel Sarah, Plain and Tall , which won the 1986 Newbery Medal . MacLachlan was born in Cheyenne, Wyoming , on March 3, 1938. Her father, Philo, was a professor of philosophy of education ; her mother, Madonna, was an American English teacher before becoming
44-517: A TV movie by the same name in 1991, starring Glenn Close and Christopher Walken , with MacLachlan as one of its screenwriters. The two actors subsequently reprised their roles in the sequel Skylark two years later. Her novels Journey (1991) and Baby (1993) were also adapted for TV in 1995 and 2000 , respectively. MacLachlan ultimately authored over 60 children's books throughout her career. She collaborated with her daughter, Emily MacLachlan Charest, to create several picture books during
66-555: A formal diagnosis. Transitioning is a process that can take anywhere from several months to several years. As a personal journey, there will never be a one-size-fits-all approach to transition. This page uses topic-specific vocabulary that may be unfamiliar to the layperson. Below are some definitions to make this page more accessible: It is important to note that most transgender individuals will receive few, if any surgeries throughout their lifetimes and some may never receive HRT. Barriers to accessing medical transitioning can include:
88-465: A genital reconstruction surgery, as a valid form of sex reassignment surgery, while other states allow other forms of gender confirmation surgery to qualify individuals for changing information on their birth certificates. In some U.S. states, it is also possible for transgender individuals to legally change their gender on their drivers license without having had any form of qualifying gender confirmation surgery. Also, some U.S. states are beginning to add
110-644: A heterosexual one as a partner comes out as a trans man - or parents of a boy may become parents of a girl after their child comes out as a trans woman. Transgender people in many parts of the world can legally change their name to something consistent with their gender identity. Some regions also allow one's legal sex marker changed on documents such as driver licenses , birth certificates , and passports . The exact requirements vary from jurisdiction to jurisdiction; some require sex reassignment surgery , while many do not. In addition, some states that require sex reassignment surgery will only accept 'bottom surgery', or
132-543: A homemaker. Her family moved to Rochester, Minnesota , when she was five years old, then relocating to Connecticut after she completed elementary as well as middle school. MacLachlan later studied English at the University of Connecticut , graduating with a bachelor's degree in 1962. MacLachlan first worked as an English teacher at Bennett Junior High School in Manchester, Connecticut from 1963 until 1979. She
154-446: A lack of financing, a lack of desire, or a lack of accessibility. There is no one way to transition, and while a medical transition or surgery can absolutely be medically necessary for some individuals' personal wellbeing, no two transitions are the same. Transitioning is a complicated process that involves any or all of the gendered aspects of a person's life, which include aesthetics, social roles, legal status, and biological aspects of
176-453: A medical transition if it is still desired. A medical transition may include hormone replacement therapy (HRT), transgender voice therapy , and gender affirming surgeries . The ability to start a medical transition is typically offered after a diagnosis of gender dysphoria , a form of medicalization . In recent years, there has been a push for an informed consent model of transgender healthcare which allows adults to access HRT without
198-409: A medical transition, not everyone can access gender affirming care, and not all may wish to pursue it. A person's ideas about gender in general may change as part of their transition, which may affect their religious , philosophical and/or political beliefs. In addition, personal relationships can take on different dynamics after coming out. For instance, what was originally a lesbian couple may become
220-480: A new name, ask to be referred to with a new set of pronouns, and change their presentation to better reflect their identity. Socially transitioning does not involve medical intervention or gender affirming surgery, but it may be a prerequisite to access transgender healthcare in some regions. People may socially transition at any age, with documented cases of children as young as 5 , or adults as old as 75 . While many of those who socially transition will pursue
242-411: A social transition does not involve medical procedures. It can, however, be a prerequisite to accessing transgender healthcare in many places. In transgender youth , puberty blockers are sometimes offered at the onset of puberty to allow the exploration of their gender identity without the distress of irreversible pubertal changes . Upon reaching the age of consent, they become eligible to pursue
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#1732793300845264-508: Is the name given to a person upon birth. The term may be applied to the surname , the given name , or the entire name. Where births are required to be officially registered, the entire name entered onto a birth certificate or birth register may by that fact alone become the person's legal name . The assumption in the Western world is often that the name from birth (or perhaps from baptism or brit milah ) will persist to adulthood in
286-461: Is the masculine form. The term née , having feminine grammatical gender , can be used to denote a woman's surname at birth that has been replaced or changed. In most English-speaking cultures, it is specifically applied to a woman's maiden name after her surname has changed due to marriage. The term né can be used to denote a man's surname at birth that has subsequently been replaced or changed. The diacritic mark (the acute accent ) over
308-456: The e is considered significant to its spelling, and ultimately its meaning, but is sometimes omitted. According to Oxford University 's Dictionary of Modern English Usage , the terms are typically placed after the current surname (e.g., " Margaret Thatcher , née Roberts" or " Bill Clinton , né Blythe"). Since they are terms adopted into English (from French), they do not have to be italicized , but they often are. In Polish tradition ,
330-522: The body. People may choose elements based on their own gender identity, body image, personality, finances, and sometimes the attitudes of others. A degree of experimentation is used to know what changes best fit them. Transitioning also varies greatly between cultures and subcultures according to differences in the societies' views of gender. The social process of transitioning begins with ' coming out ', where others are told that one does not identify with their birth sex . The newly out trans person may adopt
352-503: The course of a gender transition, people who are close to the transitioning individual may experience a sense of loss, and work through a grieving process. This type of loss is an ambiguous loss , characterized by feelings of grief where the item of loss is obscure. Family members may grieve for the gendered expectations that their loved one will no longer follow, whereas the transgender person themself may feel rejected by their relatives' need to grieve. Feelings that arise are described as
374-601: The latter part of her career. These included Once I Ate a Pie (2006), Fiona Loves the Night (2007), I Didn't Do It (2010), Cat Talk (2013), and Little Robot Alone (2018). MacLachlan received a National Humanities Medal in 2002. She was a board member of the National Children's Book and Literacy Alliance , a national not-for-profit that actively advocates for literacy, literature, and libraries. MacLachlan married Robert MacLachlan in 1962. They met while she
396-405: The normal course of affairs—either throughout life or until marriage. Some reasons for changes of a person's name include middle names , diminutive forms, changes relating to parental status (due to one's parents' divorce or adoption by different parents), and gender transition . The French and English-adopted née is the feminine past participle of naître , which means "to be born". Né
418-515: The option of legally changing one's gender marker to X on legal documents, an option used by some non-binary people. Physical aspects of gender transition can go along with social aspects; as well as wearing gender affirming clothing, transgender people often hide features from their natal puberty, with many transgender men binding their breasts and transgender women shaving. Other physical aspects of transitioning require medical intervention, such as transgender hormone therapy or surgeries. Over
440-468: The term z domu (literally meaning "of the house", de domo in Latin ) may be used, with rare exceptions, meaning the same as née . Gender transition A social transition may include coming out as transgender, using a new name and pronouns, and changing one's public gender expression. This is usually the first step in a gender transition. People socially transition at almost any age, as
462-542: Was also employed by a family services agency during this time. She then began writing at the age of 35, after her children started attending school. She published her first volume, The Sick Day , in 1979, with her first novel, Arthur, for the Very First Time , being released the following year. Six years later, she was awarded the Newbery Medal for her book Sarah, Plain and Tall . It was adapted as
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#1732793300845484-571: Was studying at the University of Connecticut, and remained married until his death in 2015. Together, they had three children: John, Emily, and Jamison. She resided in western Massachusetts and kept a small bag of dirt from the prairies to call to mind her Wyoming roots. Patricia MacLachlan died on March 31, 2022, at her home in Williamsburg, Massachusetts . She was 84 years old. Birth name#Maiden and married names A birth name
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