He said, she said

Rachael Wallbank: Sexual identity is determined between the ears, not the legs. Photo: Janie Barrett

Sydney, Australia — Lawyer Rachael Wallbank turned 50 on Saturday. Among those sharing the family law specialist’s milestone were her grown children, Rebecca, Kate and James. They often refer to her as Rachael, but still think of her as — and sometimes still call her — Dad.

Lawyer Rachael Wallbank turned 50 on Saturday. Among those sharing the family law specialist’s milestone were her grown children, Rebecca, Kate and James. They often refer to her as Rachael, but still think of her as — and sometimes still call her — Dad.

The lives of people with transsexuality, and their emotional, medical and legal battles have entered the mainstream’s consciousness with the release of firsttime writer-director Duncan Tucker’s groundbreaking film Transamerica, starring Felicity Huffman in a critically lauded role. Huffman scored a Golden Globe in January for her performance and was favoured to win a Best Actress Oscar on Sunday for her role as Bree, previously known as Stanley, who was born with transsexualism.

Wallbank, a formidably intelligent woman, changed her “public sex” at 38, but does not call herself “a transsexual” or a “transsexual woman”. Previously married and known as Richard, and having fathered three children, Wallbank refers to herself as a “female who has experienced transsexualism”.

For her, the description transsexual reduces a person to a condition. Pop culture could now improve public understanding of people with transsexualism. Last week, Wallbank and her son James, 16, saw Transamerica. Felicity Huffman’s Bree plans to undergo sex affirmation surgery (what used to be commonly known as sex change surgery) to change her genital sex to female, but her plan is diverted by the discovery of a teenage son she never knew she’d fathered.

Confused? So is Toby, Bree’s 17-year old son, played by Kevin Zegers. He takes her at face value as a female missionary as they travel America’s roads together, only to spot her in the rear view mirror standing, rather than squatting, to take a roadside pee, in a fairly graphic moment.

“I was pleasantly surprised,” Wallbank says, seated behind her desk in her office in Burwood, in Sydney’s innerwest. “I enjoyed it. And I found it quite poignant, particularly the parent-child issues; the reality of a female father and her relationship to her son. It’s used as a vehicle to tell a human story. It’s not used as a circus routine.”

Sally Goldner, 40, a spokeswoman for Transgender Victoria , says Transamerica is a “landmark transsexual film and very relevant”. In it, Bree’s parents essentially say they love her but don’t respect her.

“That was the part that hit the spot for me,” says Goldner, who was declared male at birth and today is happy to be called a “transsexual woman” for the sake of conciseness. Huffman, Goldner says, is very believable in the role of Bree. One child’s question of Bree in the film — “are you a boy or a girl?” — is the classic experience of transsexual people, says Goldner.

Wallbank was also impressed by Bree facetiously telling her psychiatrist how funny it is that cosmetic surgery can “fix” a psychiatric condition: a reference to the continued treatment in some medical and cultural quarters of transsexualism as a mental disorder, sometimes referred to as “gender dysphoria”.

Wallbank’s views are noteworthy, and not only for the cause of the estimated 5000 Australians who live with transsexualism. Her efforts in the Family Court on behalf of her clients “Kevin and Jennifer” — not their real names — who wed in 1999, established marriage rights for couples where one partner has already had sex affirmation surgery.

Kevin’s sex had been “reassigned” in 1995. The full court of the Family Court affirmed the marriage in 2003 , dismissing the Commonwealth’s objection that Kevin could not qualify as a husband because he was born with female genitalia. In doing so, the court significantly rebuffed the Howard Government’s views about who should be allowed to marry.

An anticipated High Court challenge has not materialised. In the past three years many more such couples — at least a dozen that Wallbank is aware of — are known to have also married. Kevin, 40, and Jennifer, 39, remain married in Sydney’s inner-west with their two sons, conceived by donor sperm.

In essence, Wallbank helped to advance the understanding that sexual identity — as manifested in transsexualism — is biological and innate and not a psychological disorder or chosen.

Her case on behalf of Kevin and Jennifer introduced influential scientific expert evidence about “brain sex” into Australian common law. It means that the common assumption that genitalia automatically determine if we are a boy or a girl has been overthrown. Rather, as Wallbank puts it, sexual identity is “determined between the ears, and not between the legs”.

But there are still many battles to be won. Wallbank likens Kevin and Jennifer’s actions to those of Rosa Parks , the woman who sparked the US civil rights movement by refusing to stand for a white man on a bus in Montgomery, Alabama, in 1955.

In the journal Nature in 1995, a team of endocrinologists and sexologists published a landmark paper that established the “brain sex” concept and challenged the gender dysphoria model .

In Kevin and Jennifer’s case, two of those experts, Dutch professor Louis Gooren and American professor Milton Diamond , gave evidence accepted by the court that some people are born with a brain that recognises them as a member of the sex opposite to that indicated by their chromosomes, genitals and gonads at birth. This is the proposition the Family Court of Australia recognised, concluding that transsexualism is a biological variation in human sexual formation , rather than a psychological disorder. Transamerica wins Wallbank’s praise mostly because of the emotions it shows between Bree and her son, given her experiences with her own son, James. It takes almost the whole film before Bree can declare of her son: “I am his father.”

Wallbank, however, says her own sex affirmation as a woman never stopped her being a father. James was five when his Dad “transitioned” from Richard to Rachael. As a little boy, James tried to correct the occasional stranger who referred to Rachael as his mother, telling them she was his father. James’s two older sisters, Kate and Rebecca, would try to stop him explaining the whole story .

As her children have grown, Wallbank has been aware that they were obliged to share her difference. Kate is now 23 and Rebecca is 19.

Wallbank thinks they had to mature sooner than their peers. But she does not think they have experienced any significant emotional difficulties as a result of her affirming her identity as a female and as their father. “I loved being a father. I really liked that role, and I still do.”

Becoming Rachael, in the mid-’90s, was tough, despite her children’s ready acceptance. She had no way of knowing what would be left of her legal practice after her transition. Wallbank, as Richard, recognised she had become dependent on alcohol and would have to stop drinking if she was to survive “transitioning” and managing a new life.

And there were other emotional adjustments. Rachael’s mother, Clare, had died two years earlier, and her father, Ed, could not understand what had become of the person he thought of as his son. “I knew he loved me, but he withdrew,” Wallbank says.

One day, though, Wallbank’s father phoned, and she visited him. Ed gave Wallbank her mother’s engagement ring, and said: “I know she’d be as proud of you as the daughter you’ve become as I am.” He died in 1999.

Wallbank has found herself on a spiritual journey — her belief in God strengthened when she experienced the rejection, isolation and despair that went with making the decision to transition.

While Wallbank has experienced her sexual identity as fixed, her sexuality or sexual orientation appears more fluid. She loved and was sexually attracted to her wife when they were married but, in transitioning to Rachael, a “light went on”, and she became attracted to men. Some might describe this as bisexuality, but Wallbank says she wanted to have a sexual relationship with a man because she could do so with a female body.

Wallbank hopes one day to marry. “I’ve met some nice guys, but I haven’t met the right one yet,” she says. “But then, neither have so many of my girlfriends. I’ve been so busy, too. I’d have to meet someone who so owned his own stuff, and was so sure of his maleness, that he could handle me doing this public reform work.”

The estimate of 5000 people with transsexualism in Australia is low, Wallbank says, as an unknown number suffer in silence, harm themselves or take their lives. Even trying to talk to a medical practitioner about such lifelong feelings is fraught with potential rejection and ignorance. “To be seen is sometimes to be destroyed,” Wallbank says.

If pop culture is now making a mark — alongside internet home pages and blogs by people with transsexualism announcing themselves to the world — the law is far from satisfactory in the eyes of many.

A person whose anatomical sex has been “reassigned” or rehabilitated by surgery can get themselves a new birth certificate under NSW or Victorian law. But people who get married first — as an opposite-sex couple according to genitalia — and then have the same treatment cannot have their legal sex changed unless they get divorced. Otherwise, state authorities believe, same-sex marriage would be effectively sanctioned.

As well, Australian laws differ significantly from state to state, creating “needless inhumane uncertainty and confusion”, Wallbank says.

The next big battlefront, as Wallbank sees it, is restoring the rights of children with transsexualism to have medical treatment in their teens. Access was restricted in a 2004 ruling that forced parents to first obtain approval from the Family Court before any treatment started. Wallbank has been acting for the parents of a teenager under 16 in such a case (she declines to give the age).

The parents recently obtained approval for the teenager to receive medication to enable her to postpone the physical effects of puberty while she is assessed for later hormonal treatment at 16. The teenager, “on her own insistence and with medical approval”, Wallbank says, has for several years been living as a girl in her everyday life, even though she was born a boy. The 2004 requirement, Wallbank says, has caused considerable delay in treatment.

©Steve Dow, The Age 2006. All Rights Reserved

Australian court allows gender change for teen

Sydney, Australia — A 13-year-old who believes she is a girl born into a boy’s body has won permission to undergo the first stage of gender-changing treatment, with at least four other NSW adolescents hoping to secure similar rights.

The 13-year-old was granted permission to undergo controversial puberty-blocking treatment by the NSW Family Court three weeks ago, in an application supported by family members.

The child’s psychiatrist, Dr Louise Newman, said they sought the court’s permission to use the hormones to delay pubertal changes because they would prove distressing and unacceptable to the child.

Lawyer Rachael Wallbank , herself a transsexual, said she presented the Family Court with evidence that puberty-blockers were reversible and could save the child from self-harm or suicide.

“All the medical evidence, all the lived experience of people with transsexualism like myself however, and all of the post-treatment studies of children indicate that the earlier the children with transsexualism receive this treatment, the better their lives are, the happier they are, the more they can actually live out a useful and fulfilling life,” she told ABC’s Four Corners in a program due to screen tomorrow night .

Ms Wallbank will soon return to court seeking a precedent-setting order that could remove the requirement for children to get Family Court approval for sex-change treatment. This could clear the way for the four other teens to begin treatment without a legal battle.

“In my view, once a court hears more complete evidence about transsexualism … then the court will be more comfortable about allowing the treatment of transsexualism in childhood to follow … a medical course rather than imposing on parents of these children the additional financial and mental burden of having to take the child through a legal process to enable that child to receive the treatment it needs,” she said.

The NSW court’s recent decision follows the Family Court ruling last year that will allow Melbourne 13-year-old Alex, who was born a girl but identifies as a boy, to change gender, beginning with testosterone treatment at age 16.

Professor Garry Warne, of Melbourne’s Royal Children’s Hospital, believes a compromise has to be reached on such treatments whereby the courts agree to certain guidelines. He believes puberty blockers shouldn’t be given to children aged under 16 years, despite advocates saying they can be used from age 12 or 13.

“They’re worried about making the wrong decision and they’re worried about it coming back to bite them later on,” Prof Warne said.

The NSW children’s bids to change sex are revealed as part of the Four Corners report on new research into what determines gender, with science now suggesting gender is dictated not just by chromosomes but by “brain sex” — a hard-wiring of the brain before birth.

As many as 40,000 Australians don’t have standard sex chromosomes.

©TimesOnline, UK, 2005. All Rights Reserved

Legal limbo for transsexual people

Transcript — REBECCA CARMODY: Now to a dilemma that affects many transsexual people: the case of a woman in Western Australia has brought to light the shadowy legal status endured by the thousands of Australians who feel they are not the sex they were born to. The federal Government has declared the woman who has not had sex change surgery must be described as a man on official records – that is in spite of Centrelink officially calling her a woman for five years. All States have legislation allowing individuals to change their sex on birth certificates, but they can only apply if they have had sex change surgery, and that is cost-preventive for many. Mick O’Donnell reports on the legal limbo faced by transsexual Australians.

ROBERTA MANSFIELD: I’m a woman.

MICK O’DONNELL: How do you know that?

ROBERTA MANSFIELD: Because I have known since I was 15 that I was different. When I realised that I was different, I changed my life to try to be that woman.

MICK O’DONNELL: Five years ago, Roberta Mansfield, though born male, registered with Centrelink as a woman.

ROBERTA MANSFIELD: This card says I’m a female; Centrelink files say that I’m a female – their own letters.

MICK O’DONNELL: For five years each fortnight she received her disability pension with a slip acknowledging her sex with “f” for female. Then out of the blue in March this year, that changed.

ROBERTA MANSFIELD: They decided, oops, as they’ve stated in a letter of theirs, they’ve realised that somebody has made a mistake -

PETER WARD: “Incorrectly”.

ROBERTA MANSFIELD: – “incorrectly” actually changed my sexuality from male to female.

HANK JORGON (Centrelink): As soon as we identified the mistake, which was at our counter, our counter officer alerted Ms Mansfield to the fact there was a problem.

ROBERTA MANSFIELD: Now that they’ve realised with their investigations that somebody did that against their own legislation, now it is time that I have no choice but to be a male.

MICK O’DONNELL: So Centrelink this month sent a letter apologising to Roberta Mansfield, but insisting on its clerical sex change.

HANK JORGON: It’s not a question of Centrelink changing its mind. We are required by law to register an individual’s gender as it appears on their birth certificate, unless there’s proof of surgery.

MICK O’DONNELL: Do you want to have gender reassignment surgery?

ROBERTA MANSFIELD: I would do anything in my life to have that.

PETER WARD: I live a life with my partner, Roberta Mansfield, Ms – not male. She’s a female in my eyes. Accept it Australia.

MICK O’DONNELL: The problem for Roberta Mansfield is that here in Perth, as in every State and Territory in Australia, the law insists that physical anatomy defines sex.

ROBERTA MANSFIELD: I hardly have any money these days to live and they expect me now to have my operation done with the snap of a finger.

RACHEL WALLBANK (Transsexualism Activist and Lawyer): I think it is difficult for people to understand that when you experience a condition like this, it is so uncomfortable on a minute-by-minute basis that you will take your life unless you receive the treatment.

MICK O’DONNELL: Rachel Wallbank, herself a woman who has made the transition from malehood, is the country’s most prominent specialist on transsexual law.

RACHEL WALLBANK: If you are unmarried and if you are an adult, then you can apply in the various States under the births, death, and marriages legislation to have your legal sex reassigned.

MICK O’DONNELL: In January, Victoria joined the other States in allowing transsexual people to change their birth certificates but only after gender reassignment surgery.

RACHEL RAE: You have that bit of paper to say “Rachel Wendy Rae, born female,” with no reference whatsoever to ever having been a male, is, as I said, the icing on the cake; it is the last piece of the jigsaw puzzle in my life.

MICK O’DONNELL: Rachel Rae was among the first to use the new Victorian law to change her birth certificate.

RACHEL RAE: A lot of people cannot understand it, but it got to the stage that if I had not done what I did, I would not be sitting here right now.

MICK O’DONNELL: Rachel Rae said like many transsexuals, she had come close to suicide because families and friends refused to accept her.

RACHEL RAE: I had my operation two and a half years ago when I was 56, and it is the most wonderful two and a half years I’ve had in my life – absolutely fabulous.

RACHEL WALLBANK: It can cost up to $30 000 to $50 000 for the total treatment in the case of females with transsexualism to have their body hair removed by the electrolysis to have hormone treatment, to have other ancillary treatments and then to undergo sex affirmation surgery.

MICK O’DONNELL: Activist and lawyer Rachel Wallbank believes that somebody like Roberta Mansfield should have the cost of transition surgery met by Medicare or state hospitals.

RACHEL WALLBANK: It’s a fundamental breach of these people’s rights to condemn them to a lack of treatment for a chronic medical condition simply because they lack the money or the fortunes of life that would enable them to find the money.

MICK O’DONNELL: Rachel Wallbank is now fighting the case of a young boy in New South Wales whose parents believe he’s really a girl. They want her to have hormone treatment to delay puberty before reaching the age at which to make the big decision to change legal sex.

RACHEL WALLBANK: These children should have some preliminary legal documentation that allows them to sit their exams and be identified at school in that affirmed sex in which they are living.

MICK O’DONNELL: For the estimated 5 000 Australians who have found themselves born into the wrong sex, there’s a long way to go before the complicated web of state and federal bureaucracy fully accepts them.

RACHEL WALLBANK: All this legislation enables people like me to do, people with transsexualism, is to live a normal full and fulfilling life to the extent that medical treatment and the law will allow.

©ABC Stateline WA, 2005. All Rights Reserved