Zac Cannell – Sexual Health Counsellor, SHINE SA
Sean Miller – Peer Support Worker/Volunteer Coordinator, Trans Wellbeing Service, SHINE SA
The state of South Australia has had a long history of political blockades and community confusion to service provision for the trans and gender diverse community. This has rippled out to medical and community practitioners who may then be unsure about who can provide a service and how this can be done safely. Much of the confusion in SA can be attributed to the creation and implementation of the Sex Reassignment Act 1988 (SA) which, although considered progressive 29 years ago, was repealed in late 2016 as it had numerous areas of concern for the community. For decades, this piece of legislation hindered the community in accessing services and led to the belief that less than a handful of doctors could provide a service to those questioning their gender or wishing to medically transition, causing increased wait times and increased financial costs for those accessing care.
However, this changed when a number of transgender-identified people in SA sought to clarify the legislation and then work to rebuild community knowledge and engagement. It led to the abolishment of the Act and the creation of Trans Health South Australia. This website, found at www.transhealthsa.com, became the first of its kind in the nation. It is a resource aimed at professional service providers, the gender diverse community and their other supports, and is independently funded and operated by the transgender community.
Senior Clinical Nurse Consultant
Sydney Sexual Health Centre
The US Centers for Disease Control defines Transgender as a term for people whose expression of gender identity is different from the sex they were assigned at birth. The term gender identity refers to a person’s intrinsic understanding of their own gender. The term gender expression describes how a person outwardly presents their gender (eg. how they dress). In NSW, recently there has been increasing discussion about the HIV and sexual health needs of people who are trans and gender diverse.
In order for clinicians, researchers and the community to understand the needs of people who are trans and gender diverse we need, first and foremost, to be able to identify trans people in our communities and services. Unfortunately, data on people who are trans and gender diverse accessing sexual health and HIV services in NSW is poorly collected. This is mainly due to a lack of clarity and agreement on sexuality and gender indicators to capture these groups of people in data sets. Do other jurisdictions in Australia have standardised and agreed definitions for trans and gender diverse people?
Associate Professor Tiffany Jones (PhD),
ARC DECRA Fellow, ARCSHS La Trobe
Assume Marriage Inequality
The E-Males study, in which 273 FtM transgender Australians discussed their sexual health via an online survey and blog, showed sexual health workers must not carry any pre-concieved ideas about FtM transgender peoples’ sex lives. Perhaps the only assumption one can make in Australia, is that they do not yet experience marriage equality. FtM transgender people legally recognised as men (only) can get married to a woman (only), but all other options are off the table, and they also can’t maintain any pre-existing marriage to a man post-transition. Thus, the majority of participants had never married (66%), and 18% were in de facto relationships. However some smaller groups had engaged in legal marriages either prior to or after transition – 8% were married, 5% were divorced, and 2% were separated.
Dr Christopher Fox
Sex therapy is also referred to sex counselling, sexual health counselling, (clinical) sexology or sexual therapy. In Australia, the Society of Australian Sexologists, the National professional body for sex therapists and educators, uses the term Psychosexual Therapist for accredited members who must meet stringent educational standards.
What is Sex Therapy?
Sex therapy is a specialist form of counselling/therapy. It is just like other forms of psychological counselling only with a focus on human sexuality. Sex therapists are not a deviant bunch – they are professionals with specialist training and experience in dealing with issues of human sexuality.
Male Sex Work and Society, edited by Victor Minichiello and John Scott
Review by By Dr Margaret Redelman OAM, MBBS, MPsychotherapy
This very easy to read very pro-gay and pro sex worker book gives a wide-ranging introduction to ideas and concepts that need further scientific discourse and research in the field of male sex workers. The book mostly presents anecdotal and soft research data and repeatedly reiterates that this area is poorly researched and especially when compared to female sex workers.
There are few hypotheses and conclusions but maybe it’s too early for these and the material presented here can be the launching pad for more scientific work.
The Secrets of the ANZACS: The Untold Story of Venereal Disease in the Australian Army, 1914-1919 by Raden Dunbar
Published October 2014 and distributed by Penguin Books New Zealand. RRP $37.00
Review by Dame Margaret Sparrow, a doctor, reproductive rights advocate and author.
During World War 1 about 60,000 soldiers or 13-15% of troops in the Australian Army were treated for venereal disease (VD), mainly gonorrhoea, less commonly syphilis and fewer still for chancroid. In this pre-antibiotic era treatments were often prolonged and unsatisfactory and soldiers also had to cope with the stigma surrounding VD. The book is in three parts.
Edited by A/Prof. Meredith Temple-Smith
Review by Dr Lynnette Wray MBBS (Hons1) MM (VenSci), FAChSHM, President Australasian Chapter of Sexual Health Medicine
This new book is a sequel to and an expansion of the original book Sexual Health: An Australian Perspective which was first published in 2005 and gave us for the first time in Australia, a book which covered the broader concepts of sexual health, by focusing on a bio-psychosocial approach, rather than a disease and diagnosis focused text.