2014年10月13日星期一

縮陽到底是不是一種病?

 
Credit: Éole Wind via Flickr

Credit: Éole Wind via Flickr

文/林奕萱|高醫精神科醫師

從媒體上看到一則新聞:在中國海南島三亞市東北邊的陵水黎族自治縣,最近發現一種只會出現在男性身上的「怪病」:「縮陽症」,並且提到「陸陸續續都有年輕男性發病」,只要用「祖傳祕方」在下體擦藥,就可以痊癒。咦,這似乎與周星馳電影當中,具有「縮陽入腹」神功的鼇拜,似乎有「異曲同工之妙」?

「縮陽」(男性生殖器向內縮入,甚至在某些女性身上,會覺得乳頭向內縮入)這件事情,在醫學的生理機轉上其實是說不通的,但這是一種極為焦慮、覺得這些器官都要內縮、甚至會導致死亡的「感覺」,所以會引發極大的恐慌與害怕。這種「生殖器官內縮」的感覺,在精神醫學上,其實是Cultural- bound syndrome的一種,稱作「Koro」。

Cultural-bound syndrome,中文翻譯翻作「文化依存症候群」、「文化結合症候群」、「文化束縛症候群」、「文化囿限症候群」等,以下以「文化依存症候群」稱之。從字面上來看,文化依存症候群是與文化息息相關的一群症狀;換個角度說,這是一群「民俗疾病」( local illness),談不上是醫學上定義的症狀或是疾病,而是一種由當地文化詮釋厄運或是不幸的方式。因此這已經不僅是精神醫學,更有人類學、社會學的成分。

在西方文獻中,首次談論到Koro的是1874年的一本辭典(B.F Matthes'dictionary of Buginese language of South Sulawesi Indonesia),但在不同文化社會中,「縮陽」這件事有不同的稱呼。例如在中文叫做「縮陽」(Suo-Yang),在廣東話稱作「Suk- Yeong」,或在印度的阿薩姆地區(Assam)稱為「Jhinjhinia Bema」。縮陽好發在教育程度較低的男女性,成因不明,得到縮陽症的個案甚至會有較頻繁的性行為(與其抱怨生殖器內縮互相矛盾)。

複雜的是,有些文化依存症候群,的確會跟真正的精神疾病,如思覺失調症(舊名:精神分裂症)、躁鬱症、憂鬱症等共存;而不同文化中對於該「文化依存症候群」的定義也不甚相同,使得「診斷」上更顯困難。但這仍然給予心理衛生工作者一個提醒:診斷準則畢竟是人為定義,我們的目的在於改善個案的痛苦;除了注意是否影響到個案的功能、生理上的機轉之外,還要考慮到這些「症狀」在當地的社會文化脈絡中的角色與定位,以更為人性化的方式介入與處理。

參考資料:

  1. 【動即時】海南驚傳「縮陽」病 村民下體狂塗藥。蘋果即時新聞 [2014/10/11]
  2. Psychiatric Times: introdunction to culture-bound syndromes (2001)
  3. Kumar R., et al. (2014 )Epidemic of Koro in North East India: An observational cross-sectional study. Asian J Psychiatr. 2014 Aug 7. pii: S1876-2018(14)00188-9. doi: 10.1016/j.ajp.2014.07.006.
 
 

2014年10月8日星期三

Hollysiz - The light [Clip officiel]


Dad: My son wears dresses and that's fine


2014年9月15日星期一

變性人Poyd:我天生女人心


ISSUE 071
在這個活像《1984》預言成真的時代,多少人大大聲指鹿為馬很是荒唐。反倒眼前這位比女人更女人、堪稱泰國最美變性人的Poyd,拿出無比勇氣由男轉換成女,只為忠於軀殼藏住的一顆天生女人心,對她來說變性不是一項手術,「那是一個撥亂反正的過程,我希望成為一個真女人。」
統籌:林妙萍
造型及撰文:趙潔恆
攝影:周樂恒
化妝及髮型:Wendy Lee of Wendy's Workshop
Ralph Lauren 銀色絲質晚裝裙
來自泰國的Poyd,去年參演《掃毒》與影帝張家輝上演激吻戲碼,因為充滿話題性的特別身份,加上令人驚艷的美貌,令她得到全城關注,今年更升級和周潤發合作。

Moiselle 黑色喱士裙

Moiselle 彩色花卉喱士裙
變性不是手術
鏡頭前騷首弄姿的Poyd,的確會叫不少女士無地自容咬牙切齒,除了33吋豐胸是人工,白滑肌膚、瓜子臉、精緻五官與無敵的41吋纖幼長腿,都是得天獨厚。難怪小時候的阿Poyd,從不認為自己是男兒身。「我一直覺得自己是女孩子,到我大約5歲時,媽媽告訴我 :『你不是女孩子。』但是我完全不像男生,我生得很瘦小,皮膚細緻。到我上高中,我的坐圍變大了,就像其他女孩一樣,我以為當我再長大一點,我的身體就會轉變成一個完美的女生。」
到她18歲,她毅然做了人生最重要的決定,接受變性手術。「我跟父母說我想做手術,父母卻反對,因為我還在讀高中。但當時我感到很困惑,我覺得我要去修正它。我去見醫生、心理學家,他們都說我應該立即處理。他們替我驗血,發現我身體內有九成的女性荷爾蒙。」進行手術經歷身體上的痛,但她內心卻感到無比快樂。「我從不認為那是一場手術,我覺得那是一個撥亂反正的程序,所以我並不覺得痛楚。」


入境曾被歧視
變性後的Poyd於2004年參加了泰國著名變性人選美比賽Miss Tiffany's,更獲得冠軍,被譽為最美的變性人。「我的確感到好自豪,更重要是我一直都從心底希望成為一個真女人,並非去跟風,我堅信自己,我的家人與朋友都明白,我想做自己。」問到她有否曾經被歧視,樂天的Poyd坦承曾經因為性別問題而遇過一次麻煩。「曾經去外地公幹時過海關,關員見到我的護照,他們很疑惑,因為護照上印着相反的性別。然後他們帶我去到辦公室,而且喝令我坐下,待我像犯人一樣,我其實並沒做錯事,感覺有點像被歧視。如果希望別人不歧視我們,我們也不要歧視任何人。若要向大眾傳遞這個訊息,就要證明自己也做到。」


■Poyd大讚周潤發是最有吸引力的香港巨星。

■於《掃毒》內上演激吻戲,令觀眾留下深刻印象。
拍戲專攻中港
繼《掃毒》一鳴驚人,Poyd今年有份客串《賭城風雲2》,與周潤發有對手戲,更不忘賣口乖。「從小就有看周潤發的電影,他有讚我在上一套戲的演出,也教我演戲。他很喜歡講笑,休息時我們都有一起玩自拍。香港有很多具魅力的演員,但跟發哥相處過,就覺得他是最吸引人的。」跟電影公司簽了5年約的她,剛完成拍攝新片《泰戀》,這次更榮升女主角,機會接踵而來。可有想過未來會衝出亞洲去荷李活?「我想暫時先專注於香港與內地的工作,至於未來如何,就交給命運吧!」

■Poyd帶上十多萬的私伙Balmain珍珠裙與Christian Louboutin閃石高踭鞋接受專訪。

出動極罕私伙
Poyd 說小時候看很多港產片,最深印象是那些貴氣的古裝女主角,夢想自己都可以着上華麗戲服。現實中的Poyd也是極愛華衣的時裝迷,拍攝當日更出動釘滿珍珠閃石重十幾廿磅、估計值2萬美元(約16萬港元)的私伙Balmain。「這款Balmain裙世上只有三條,一條在博物館,一條由Kim Kardashian擁有,第三條是屬於我的。」她還會於本月尾赴巴黎參加時裝周睇騷。

2014年9月3日星期三

Sarina Valentina : From Teen to Queen!


Danielle Foxx (SexChangeGirl) 's new pussy

Danielle Foxx 另一位shemale 明星
做完變性手術後
迫不及待地展現她漂亮的新陰戶
https://twitter.com/SexChangeGirl
 

Kimber James funny caption

The metamorphosis of Kimber James (NSFW)

The porn star on sex changes, her former penis, and the challenges of reentering the porn industry as a woman.

Posted By on Wed, Aug 7, 2013 at 1:23 AM

BUSTYKIMBERXXX.COM
  • BustyKimberXXX.com
Making a comeback in porn is not always easy, particularly if you come back lacking something many of your fans cherished, like your penis. In the case of Kimber, however, less may very well be more.

In May of 2010, Kimber James was at the top of her game; the petite 5-foot-3-inch performer with F sized breasts won the AVN Award for Transsexual Performer of the Year. Last year, she stepped out of the spotlight to undergo a full sex reassignment surgery and to decide if she wanted to continue in adult entertainment. With the confidence that only a brand new vagina can provide, Kimber released her first porno as a female last month. The film, Kimber James Busty Adventures: Amsterdams, was also the first film by her new studio, Kimber James Productions.

I caught up with Kimber over email to get her take on sex changes, saying goodbye to her penis, why she identifies with Barbie, and the challenges of reentering the porn industry as a woman.

Do you ever feel like a superhuman considering you have an extra sex chromosome?

LOL, no

You began transitioning into a woman at age 12, presumably when puberty started to kick in. Did your parents know you had Klinefelter's Syndrome from birth? If so, did they treat you as a gender-neutral child and allow you to choose which gender you identified with most?

My parents knew I had Klinefelters since I was an infant. I was a sick baby and the doctors were checking me for immune disorders. In the process they found out about the Klinefelters, which had nothing to do with me being sick, and I eventually just got healthy. After finding out what they had, I was never pressured to be like a certain gender until I started going to school, which confused me. At 12 I just couldn't take it anymore so, my parents had my name changed at 12 and I started hormones.

Before your sex reassignment surgery, did you do anything special with your penis, like take it out for one last hurrah?

Haha, no I never wanted it there anyway so I just said, "Peace out!"

Beyond your former penis, what has been your most difficult masculine feature to feminize: voice, feet, facial bone structure?

Probably my voice. I'm extremely self conscious about it. The thing that sucks the most about it is that it's the one thing I can't just go and have surgery on to fix.

Now, do you get more pleasure from anal or vaginal sex?

VAGINAL, VAGINAL, VAGINAL, I LOVE VAGINAL!

As a female performer, is there any relief in knowing you no longer have to worry about getting an erection on command for a scene?

Not really. I didn't really do it anyway.

Your pre-op website is TS-KimberJames.com, while your post-op website is BustyKimberXXX.com. Your Twitter is @KimberBarbieXXX and your Instagram is @KimberBarbieXXX. Did you consider changing your name to Kimber Barbie when you returned to the industry as a female to help distinguish your new persona?

There aren't two sites. Only one. As of now the site is TS-KimberJames.com. Soon the site will be re-launching with the new url, BustyKimberXXX.com and a new design. The site will be updated with all the new content once a week and I'll be doing live webcam shows for my members once a week. The members will be able to see all the new goodies as well as all the previous content from TS-KimberJames.com.

No, I never considered changing my name. I am who I am and there's no way around that. I just like Barbie lol.

Considering that you seem to like the moniker Kimber Barbie, and you look like a busty Barbie doll, I assume you have an affinity for those iconic dolls. What is it about the Barbie brand that you identify with, if anything?

Well we're both blonde and made of plastic haha. I've always loved Barbie and over time everyone started to tell me I looked like a living doll so I went with it. Do I think I look like Barbie? No, I have a long way to go.

What challenges do you expect to face in returning to the industry as a female?

All the same ones I did before. I'll strive for everything, but I'm realistic so I'm not getting my hopes up too high. Over the years I've had many exciting projects in the works and for various reasons things don't always fall the way you want them to.

From your Instagram profile, you seem to spend a lot of time with Mia Lelani. Do you have any embarrassing stories about her?

MANY, but that's top secret information.

Kimber James Busty Adventures: Amsterdam was just released. It's both the first porno you’ve shot as a female and the first film by Kimber James Productions. What can we expect from this video, and from future projects by Kimber James Productions?

I think a more comfortable, confident, happy, well rounded person who is enjoying what she is doing.

How do you feel about some retail websites tagging Kimber James Busty Adventures in the “transsexual” and “she-male” categories?

I'm fine with it. That's what I am no matter what I have between my legs. However, the DVD is being sold in other categories such as big boobs and fetish.


See explicit content of Kimber James at BustyKimberXXX.com. Follow her on Twitter at, @KimberBarbieXXX, and on Instagram at, @KimberBarbieXXX

Follow Alfie on Twitter or Facebook and email him here

Tyra Scott: the best of both sexes

http://cltampa.com/dailyloaf/archives/2013/11/14/tyra-scott-the-best-of-both-sexes#.VAaJqaPQrpc
The transsexual adult performer on why her penis is a business asset, transitioning, topping, and how she's still a virgin in the biblical sense.

Posted By on Tue, Nov 12, 2013 at 10:00 AM

2_1_tyra_scott_porn_star_transsexual_transgender_pre-op_male_to_female.jpg
  • tyrascottxxx.com
Straight men are traditionally the most intolerant of the transgendered community. Straight men are also the primary consumers of transsexual porn. This is why adult tube sites pepper clips of transsexuals in with other, "straight" offerings. These companies know that, behind closed doors, many straight men sample transsexual porn.
In this way, ts performers have become X-rated ambassadors of the transgendered community. The more comfortable straight men become masturbating in private to these performers, the more tolerant they will be in public of the transgendered community.
Not only do these rogue performers represent the transgendered community, they also embody the rainbow of diversity that exists in human sexuality and gender. In an effort to better understand this increasingly popular form of erotica, as well as the GLBT community as a whole, I caught up with the lovely TS performer, Tyra Scott.

When you were growing up, did Halloween give you the freedom to dress as a woman?
As a child, Halloween was strictly controlled by my mother. If she didn’t approve of my costume, I wasn’t allowed to wear it. We also never had store bought costumes. We would wear whatever my mother imagined. I remember being dressed as a clown, a lawyer, a hobo, and a cowboy... I wasn’t allowed to go trick or treating once I turned 13. My parents believed “teens” were too old to trick or treat. I didn’t really start enjoying Halloween until I was an adult and could drink.

You first started to realize that you were a woman trapped in a male body around 7 or 8 when you wished Santa would bring you girl clothes. Was it just a coincidence that you got your boob job on December 27, 2011, or was this a long awaited Christmas gift to yourself?
I actually never thought of the symbolism between wishing Santa would bring me girl clothes and having my breasts done at Christmas time. I never planned it that way, but I do guess things happen for a reason. I guess that was the universe giving me what I desired for so long, just many, many years late. But I think I had to go through a lot of personal struggles and self-revelations first. When I had my breasts done, I did change and I don’t deny that. I found a new confidence in myself. I feel more complete when I look in the mirror. One of the reasons it happened around Christmas is because it was an easy cover up for all the people at the office. They all just thought I was on vacation for Christmas. They didn’t realize I had my breasts done until a few months later when I stopped wearing loose shirts and sweaters.
1_tyra_scott_porn_star_transsexual_transgender_pre-op_male_to_female.jpg
  • TYRASCOTTXXX.COM
At 17, you started watching gay porn and frequenting gay chat rooms. Now when you masturbate to porn, what genre do you prefer: gay, straight, transsexual or a mix? Also, what avenues do you use to meet potential partners: gay bars, straight dating websites, Tinder?

I still watch porn. Nothing specific. I mostly watch porn when I am doing cam shows. It helps. I guess I would say I watch a mix. I don’t really search sites for potential partners. The only "fun" I have outside my relationship is when I shoot hardcore scenes.

At what age do you think a transgendered adolescent should be allowed to start taking hormone replacement therapy or undergo plastic surgery?
I really think that is best for the parents and medical professionals to decide. There is a lot of discussion about whether or not that should happen before or after puberty. I also applaud all the parents who recognize that their child is transgendered, even at a young age, and allow their child to identify with that sex. I do feel however that plastic surgery shouldn’t happen until the body has stopped growing. I have gone 32 years and the only plastic surgery I've had is breast augmentation.

A friend who is also TS convinced you to move from Richmond, Virginia to Las Vegas in 2003 because there was money to be made in Sin City. At the time, you had no money, no man, no family support, and no job other than working behind a bar. What kind of jobs did you work when you first moved to Vegas?
When I moved here to Vegas, I had no idea what I was going to do. I had no direction in life and, to be honest, I was immature. I wanted to go out and drink and have fun. But I did find a job within 7 days of moving here. I first worked at Kmart at the checkout line and then at the customer service desk. I then worked for Planet Hollywood in the housekeeping department cleaning rooms, and then as an office assistant in the housekeeping office. After working for Planet Hollywood for a year, I started working for an alarm monitoring company as a dispatcher, then was promoted to monitoring station supervisor. I worked there for 5 years, then took a job with an HOA Management Company in the accounting department and have been there for 2 1/2 years. I enjoy what I do and have been very fortunate and successful with working here in Vegas.

You’ve been living full-time as a woman since you legally changed your name in 2003. Is there anything you miss about living as a man: shorter bathroom lines, not having to worry as much about maintaining your appearance, being able to drink at a bar without constantly being hit on?
I have never been asked this question before, and I like it. I don’t regret or wish I could go back to my old life. There are times I will be sitting around with my female friends harping on how much time we girls take to get ready and how guys never appreciate it and how all they do is throw on whatever clothes they find on the floor and put on some deodorant and they are all ready. And then I find myself saying “if only I had a dick it would be so much easier.” Then my best friend will look at me funny and I remember, “Oh wait I do,” and we all laugh. But I love my life. I am very happy and wouldn’t change anything.
5_1_tyra_scott_porn_star_transsexual_transgender_pre-op_male_to_female.jpg
  • shemalestrokers.com
You got into adult entertainment after placing an ad on SexyJobs.com. You filmed a few solo scenes with your natural, unenhanced chest for SheMaleStrokers.com. Is there a lot of pressure for transsexual performers to undergo plastic surgery or hormone replacement therapy? Do you know any successful transsexual performers who have abstained from making any chemical or surgical change?
I never know how much of a fan following I had before I had my breasts done, but a lot of my fans were upset that I had them done and preferred me before. But I don’t think a lot of the girls in the business who have had a lot of work done to look more “real” look down on the girls who are just starting in transition while shooting porn at the same time. I personally don’t know any transsexual performers out there who have had no chemical or surgical changes, but I am sure they are out there. I don’t think girls should do what other people pressure them into doing or put them down for not doing.

While you are naturally a bottom, in a recent scene for TSSeduction.com, you were filmed penetrating another man. You mentioned that before the scene, you were worried you wouldn’t be able to “perform.” How much more difficult is shooting a sex scene when you have to worry about maintaining and getting an erection on demand?
Oh it can be extremely difficult. It is all work to do, but work is also fun. It can be extremely worrisome for me when I am shooting for a new director or company and know I have to “perform” and get that almighty and powerful cumshot. I think I put more pressure on myself to perform well and give them what they want from the scene. Sometimes I just have to say I need a break so I can get my head back in that space. I take 5 minutes to relax and then I am ready to get back in the saddle.

Why are so many transsexuals only half hard while receiving anal sex?
Sometimes it is mainly due to hormones. Personally speaking, I am currently not on hormones due to laser hair removal procedures that I have done monthly. Sometimes when I am shooting I am only half hard during scenes, but sometimes I think that is just due to having very hot film lights pointed at you, a camera in your face, bending your body in certain ways to make sure the director can get the right shot, and always actively thinking and making sure you look good on camera. Porn is more than just sex. It's acting.

In a previous interview, you said that you are still a virgin in the Biblical sense, meaning, I assume, that you’ve never had sex with a woman. Would you ever film a sex scene with a woman? Do you think you would have any trouble maintaining an erection with a female performer?
Yes I did say that and yes it is true. I have never been with a woman. I know that is a bridge I will have to cross as some point, though I fear that bridge is fairly close. I would like to think that I will be able to maintain an erection during the scene but I honestly don’t know. So I guess we will all have to wait and see how that goes.
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  • TYRASCOTTXXX.COM
You have not ruled out filming sex scenes with other transsexuals, though, to my knowledge, you have yet to film such a scene. From your understanding of the industry, do TS fans primarily want to see male performers fucking transsexual women?
I have not yet filmed a scene with another transsexual, but it is something I want to do. Years ago I think fans did only care for just male and TS performers, but now, like all things, times change and desires changes. We always crave more. And now I think that is where we are, with the “translesbians” and the TS performers doing scenes with genetic women.

You’ve been on and off hormones for nine years. What are some of the physical, mental, and emotional changes you experience while on these drugs?
When I am on them, I feel more focused, grounded, calm. I am off hormones right now, and I am focused and grounded. With hormones I guess that circle of “calm” is complete. There are also physical changes within my breasts. I also notice my skin is softer and has a glow about it. When my body is adjusting to the hormones, I am very emotional. I will cry at the drop of a hat and then bite your head off. But once I even out, I am good.
Are there any advantages a male body gives you in looking more feminine? For instance, is it easier to keep off fat, do your legs look more muscular in heels, are you taller than most women...?
Well I never looked at it like that. There isn’t much muscle definition anymore, but I think my legs look fabulous in heels. With hormones, you do tend to gain weight, and I have, but I also love love love love food. The women in my family are generally shorter and the guys are tall, but I was lucking to get the women's genes in my family when it comes to height. I am only 5’6 and love my heels.

One of your long-term goals is to get SRS (sex reassignment surgery). Will you wait to get the procedure until you are finished filming sex scenes, or would you like to come back and perform as a woman like Kimber James did? Does being a pre-op transsexual give you an advantage in this industry that you would lose if your penis were removed?
I would like to have SRS, but that will come later. Once I retire from being in front of the camera, I will have the surgery. Once I am retired as a performer I will start producing and directing. I will still be involved somehow in the adult industry. I have been lucky to have wonderful people around me teaching me the in’s and outs of the business. I do think being pre-op does give me an advantage. Guys want a pre-op transsexual. As they say it’s the best of both world. It fills that fantasy. I think that after I “lose it” I won’t be that same person anymore.

You recently started working fulltime as an accountant. Has the experience taught you any tricks that might be helpful to other adult performers in terms of doing your taxes on the income you earn in porn?

I have actually been working as an accountant since July of 2011, but I enjoy it. I think it would help a lot of girls with their taxes and what not. I do my taxes myself every year. I hear a lot of girls say they haven’t filled a tax return in years, and after I pick my jaw off the floor, I tell them “Girl, you are crazy. They gunna come get you.” I have always done my taxes, personally and professionally. A lot of girls don’t know how to handle their money. I am watching every penny, when it comes in and when it goes out. I know exactly what money I am expecting and what money is invested and I invest in myself to grow the business of Tyra Scott. I think managing the finances of my home and “business” is a job all its own. But my concern is making sure I have a future where I can retire and travel like I want to do.

Follow Tyra Scott on Twitter at @tsTyraScott and see explicit content of her at TyraScottxxx.com.