Situation and needs of transgender and non-binary people in Serbia

  • Jelena Vidić Geten, centar za prava LGBTIQ osoba
Keywords: transgender, gender identity, discrimination, violence., transspecific health care

Abstract


Transgender and non-binary people are one of the most marginalized groups in the society exposed to different forms of violence and discrimination, both on the structural and individual level. The aim of our research is to provide a better understanding of the situation of transgender and non-binary people in Serbia. Besides overall socio-demographic characteristics, we explore experiences of violence and discrimination in public space, during education, at work; difficulties with legal gender recognition, experiences within the health care system and needs for different forms of support. In this explorative study we used an online questionnaire consisting of closed and open-ended questions. The convenience sample consists of 71 respondents and includes both transgender men and women and the non-binary people. Our results confirm that transgender people in Serbia are exposed to violence and discrimination in different life periods and different areas of life, that they do not feel safe and often hide their gender identity. When it comes to medical gender affirmation procedures, respondents are divided between rating them as satisfactory and non-satisfactory. As the main priorities, they see regulation of hormone shortage, training of health providers on working with transgender and non-binary people, individualization of the treatment, and decentralization of services. They also voiced out the need for psychological support, which can be regarded as the invitation to mental health experts to better understand specific aspects of everyday lives of their transgender clients.

References

American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender-nonconforming people. American Psychologist, 70(9), 832-864. doi: 10.1037/a0039906
Arnoldussen, M., Steensma, T.D., Popma, A., van der Miesen, A. I. R., Twisk, J.W.R. & de Vries, A. L. C. (2020). Re-evaluation of the Dutch approach: are recently referred transgender youth different compared to earlier referrals? European Child and Adolescent Psychiatry, 29, 803–811. doi: 10.1007/s00787-019-01394-6.
Barišić, J. (2016). Psihološki aspekti transseksualizma (rodne disforije). U: Duišin i Đorđević (ur.). Transseksualizam: multidisciplinarni fenomen. Beograd: Beogradski centar za urogenitalnu rekonstruktivnu hirurgiju.
Benjamin, H. (1966). The Transsexual Phenomenon. Dusseldorf: Symposium Publishing
Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103, 943–951. doi:10.2105%2FAJPH.2013.301241
Bockting, W.O. (2008). Psychotherapy and the real-life experience: from gender dichotomy to gender diversity. Sexologies, 17, 211-224. doi: 10.1016/j.sexol.2008.08.001
Bouman, W.P., Schwend, A.S., Motmans, J., Smiley, A., Safer, J.D., Deutsch, M.B., Adams, N. J. & Winter, S. (2016). Language and trans health. International Journal of Transgenderism, 18(1), 1-6. doi:10.1080/15532739.2016.1262127
Burgwal, A., Gvianshishvili, N., Hard, V., Kata, J., Garcia Niento, I., Orre, C., Smiley, A., Vidic., J. & Motmans, J. (2019). Health disparities between binary and non-binary trans people: a community-driven survey. International Journal of Transgenderism, 20(2-3), 218-229. doi: 10.1080/15532739.2019.1629370
Cohen-Kettenis, P.T.C & Kreukels, B.P. C. (2016). Gender dyshoria in children and adolescents: Currently debated concepts and treatment strategies. U: Duišin & Đorđević (ur.). Transseksualizam: multidisciplinarni fenomen. Beograd: Beogradski centar za urogenitalnu rekonstruktivnu hirurgiju.
Colizzi, M., Costa, R. & Todarello, O. (2016). Transsexual patients psychiatric comorbiditiy and positive effects of cross-sex hormonal treatment on mental health: Results from a longitudinal study. Psychoneuroendocrinology, 39, 65-73. doi: 10.1016/j.psyneuen.2013.09.029.
Costa, R. & Colizzi, M. (2016). The effect of cross-sex hormonal treatment on gender dysphoria individuals’ mental health: a systematic review. Neuropsychiatric Disease and Treatment, 12, 1953-1966. doi: 10.2147/ndt.s95310
De Vries, A.L.C., McGuire, J.M., Steensma, T.D., de Vries, A.L.C, Wagenaar. E.C.F., Doreleijers, T.A.H., Cohen-Kettenis, P.T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134, 696-704. doi: https://doi.org/10.1542/peds.2013-2958
Denny, D. (2004). Changing model of transsexualism. Journal of Lesbian and Gay Psychotherapy, 8(1,2), 25-14. doi: 10.1300/J236v08n01_04
Drescher, J. (2010). Queer diagnoses: parallels and contrasts in the history of homosexuality, gender variance, and the diagnostic and statistical manual. Archives of Sexual Behavior, 39, 427–460. doi: 10.1007/s10508-009-9531-5
Duišin, D., Barišić, J., Stojanović, B., Kojović, V., Bižić, M., Vujović, S. & Đorđević, M. (2017, april). Transgender Health Care in Serbia. Saopštenje sa 2. EPATH konferencije Contemporary Trans Health in Europe: Focus on Challenges and Improvements, Beograd.
Duišin, D., Nikolić-Balkonski G., Batinić B. (2009). Sociodemographic profile of transsexual patients. Psychiatria Danubina, 21(2), 220-223.
FRA (2014). Being Trans in European Union. Comparative Analysis of EU LGBT Survey Data. FRA – European Union Agency for Fundamental Rights.
Grant, J.M, Mottet, L.A., Tanis, J., Harrison, J., Herman, J. & Kesiling, M. (2011). Injustice at every turn. A report of the national transgender discrimination survey. Washington: National Center for Transgender Equality & National Gay and Lesbian Task Force, preuzeto sa: https://www.thetaskforce.org/wp-content/uploads/2019/07/ntds_full.pdf
Hammarberg, T. (2009). Human Rights and Gender Identity. Strasbourg: Council of Europe Commissioner for Human Rights.
Handler, T., Hojilla, J.C, Varghese, R.,Wellenstein, W., Satre, D.D. and Zaritsky, E. (2019). Trends in Referrals to a Pediatric Transgender Clinic. Pediatrics, 144(5). doi: 10.1542/peds.2019-1368
International Commission of Jurists (2007), Yogyakarta Principles - Principles on the application of international human rights law in relation to sexual orientation and gender identity. Preuzeto sa: https://www.refworld.org/docid/48244e602.html
Lev, A. I. (2004). Transgender emergence. Haworth Clinical Practice Press.
Marković Žigić, D., Zulević, J. & Maksimović, K. (2015). Rad sa transseksualnim klijentima – specifičnosti tranzicije i izazovi nakon nje. U V. Miletić and A. Milenković (ur.), Priručnik za LGBT psihoterapiju (str. 172-188). Beograd: Udruženje za unapređenje mentalnog zdravlja.
McNeil, J., Bailey, L.. Ellis, S., Morton, J. & Regan, M. (2012). Trans Mental Health and Emotional Wellbeing Study 2012. Scottish Transgender Alliance; TREC, Traverse; Sheffield Hallam University, TransBareAll. Preuzeto sa: https://www.gires.org.uk/wp-content/uploads/2014/08/trans_mh_study.pdf..
Meyer, I.H. (2007). Prejudice and Discrimination as Social Stressors. In: Meyer, I.H., Northridge, M. E. (eds). The Health of Sexual Minorities. Springer, Boston, MA.
Richards, C., Bouman, W.P., Seal, L., Barker, M.J., Nieder T. & T’Sjoen., G. (2016). Non-binary or genderqueer genders. International Review of Psychiatry, 28(1), 95-102. doi: https://doi.org/10.3109/09540261.2015.1106446
Robles, R., Fresan, A., Vega-Ramirez, H., Cruz-Islas, J, Rodrigues-Perez, V., Dominguez-Martinez, T., Reed, G. (2016). Removing transgender identity from the classification of mental disorders: a Mexican field study for ICD-11. Lancet Psychiatry, 3: 850-59. doi: 10.1016/S2215-0366(16)30165-1
Službeni glasnik Republike Srbije / Official Gazzete of the Republic of Serbia (2011). Zakon o zdravstvenom osiguranju. (broj 57).
Službeni glasnik Republike Srbije/Official Gazzete of the Republic of Serbia (2018). Pravilnik o načinu izdavanja i obrascu potvrde nadležne zdravstvene ustanove o promeni pola (br. 103). Službeni glasnik Republike Srbije/Official Gazzete of the Republic of Serbia (2018). Zakon o matičnim knjigama (broj 47).
Smiley, A., Burgwal, A., Orre, C., Summanen, E., Garcia Niento, I., Vidić, J., Motmans, J., Kata, J., Gvianishvilli, N., Hard, V. and Kohler, R. (2017). Overdiagnosed but Underserved. Trans Heathcare in Georgia, Poland, Serbia, Spain, and Sweden: Trans Health Survey. TGEU.
Smith, E., Jones, T., Ward, T., Dixon. J., Mitchel, A., Hilier, L, (2014) From Blues to Rainbows. The mental health and well-being of gender diverse and transgender young people in Australia. Australian Reserach Centre in Sex, Health and Society, La Trobe University and University of New England. Preuzeto sa: https://researchers.mq.edu.au/en/publications/from-blues-to-rainbows-the-mental-health-and-wellbeing-of-gender--2.
Taylor, J., Zalewska, A., Gates, J.J. & Millon, G. (2019). An exploration of the lived experiences of non-binary individuals who have presented at gender identity clinic in the United Kingdom. International Journal of Transgenderism, 20(2-3), 195-204. doi: 10.1080/15532739.2018.1445056
Turner, L., Whittle, S. & Combs, R. (2009). Transphobic Hate Crimes in the European Union. London: Press For Change.
Valentine, S. & Shipherd, J. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24-38. doi: https://doi.org/10.1016/j.cpr.2018.03.003
Vujovic, S., Popovic S, Sbutega-Milosevic G, Djordjevic M, and Gooren L. (2009). Transsexualism in Serbia: A twenty-year follow-up study. Journal of Sexual Medicine, 6, 1018–1023. doi: 10.1111/j.1743-6109.2008.00799.x
White, B. P., & Fontenot, H. B. (2019). Transgender and non-conforming persons’ mental healthcare experiences: An integrative review. Archives of Psychiatric Nursing,, 33, 203-210. doi: 10.1016/j.apnu.2019.01.005
Worthen, M. (2012). An Argument for Separate Analysis of Attitudes Toward Lesbian, Gay, Bisexual Men, Bisexual Women, MtF and FtM Transgender Individuals. Sex Roles, 68, 703-723.
Zucker, K. J., Wood, H., Wasserman, L., VanderLaan D. P., Madison Aitken, M. (2016). Increasing Referrals for Gender Dysphoria, Journal of Adolescent Health, 58(6), 693-694. doi: https://doi.org/10.1016/j.jadohealth.2016.02.015
Zulević, J. (2012). Istraživanje problema transeksualnih osoba u sferama školstva, rada i zapošljavanja, zdravstvene zaštite i državne administracije. U: Gajin, S. (ur.). Model zakona o priznavanju pravnih posledica promene pola i utvrđivanja transeksualizma. Prava trans osoba - od nepostojanja do stvaranja zakonskog okvira. Beograd: Centar za unapređenje pravnih studija.
Published
2021/07/07
Section
Scientific Articles