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TRANSSEXUALS IN THE WORK PLACE --

A GUIDE FOR EMPLOYERS By Barbara L. Chambers,
contributing editor (WEST COAST) Gender Expressions Magazine grants permission for this material to be freely copied and distributed provided that the article is reproduced in its entirety and this notice is retained intact.

To the employer: possibly you were presented this material by one of your employees, quit likely soon after learning that the employee was undergoing or had already undergone a "sex change." Much information and misinformation abounds in the media, but little of it is helpful to the employer in comprehending the new status of their employee. Also, small or new companies are likely to have never encountered such a change in status before; hopefully the text that follows will be useful and informative. This article is written in respect to the case of the male-to-female employee; however,most of the information applies identically to the female-to-male employee if the sense of the pronouns and gender-specific statements is reversed. The remainder of the text is presented in question/answer format. What IS a transsexual? The answer to this question is best given in rather technical medical terms. Strictly speaking, a transsexual is a person with the condition known as Gender Dysphoria Syndrome, a psychiatric term which means "feelings of conflict and discomfort felt by a person due to the anatomical gender of their body". Research indicates that Gender Dysphoria Syndrome is the psychological condition which results from a birth defect in the matching of brain and body, similar and perhaps related to the condition known as intersex, in which a child's body at birth has genitalia which are not clearly ether male or female or has the characteristic of both male and female. Inother words, transsexuals are persons born with a perfectly normal and healthy brain of one gender, but in a body with a perfectly healthy and normal anatomy of the opposite gender. The affected person lives with a struggle to reconcile their natural personality, gender identity, and body image with their physical body and social status until a time in their life when the conflict becomes too great to bear and they seek medical help to change their anatomy and social role. No effective psychotherapeutic treatment for transsexualism exists, since the only defect is the mismatch of body and brain, and a heathly gender identity (even a mismatched one) cannot be changed; therefore the only effective treatment is to surgically change the gender of the body to align with the person's natural gender identity, a "sex change." Such treatment is effective in relieving the secondary problems of depression, low self esteem, and anxiety which often accompanies gender dysphoria,and thepatient is then able to pursue a normal life in their new gender. Today, transsexuals are potentially valuable research subjects in the new studies of pre-birth programming of gender identity and personality into the brain during fetal development,though the rarity and desire for privacy of transsexual persons often makes the gathering of data difficult. At present there is little agreement in the medical community as to the cause of a person being born transsexual; researchers and physicians today are largely divided into groups advancing theories of ethergenetic cause or fetal-development causes. Environmental conditions seen to have an effect on how long the individual isable to adapt to their reversed-gender life situation before seeking medical help to correct it. Transsexualism is rare occurring at a rate of one in every ten thousand births. Currently no method capable of detecting the condition at birth is known. Why aren't there female to male transsexual person? There certainly are: about 45% of all transsexuals are female to male. Male to female transsexuals receive the largest amount of exposure thought the media of TV and print, apparently because they are considered more "newsworthy" in our traditionally male-oriented society. Are Transsexual persons homosexual? No, transsexualism has nothing directly to do with sexuality at all; the "sex" root of the word refers to gender rather than sexual preference. This misconception, largely disappearing today, apparently resulted from public confusion of transsexuals with two much larger groups: effeminate homosexuals (gay males imitating feminine mannerisms or dress as an expression oftheir sexuality) and transvestites (males, usually heterosexual, who find enjoyment in wearing female clothing); neither of these two groups has the body-identity gender conflicts which are experienced by transsexuals and lead to an eventual change of physical gender. Transvestites out number transsexuals by at least 50 to 1; gay males out number transsexuals by about 900 to 1. in addition, these other two groups are composed entirely of males only; transsexuals are nearly evenly divided between male-to-female cases and female-to-male cases. Transsexual, both before and following surgery, may be heterosexual, bisexual, Lesbian, or celibate, with the proportion of celibacy being some what higher than with the general population of women. transsexuals are NOT members of any known AIDS high-risk group. Dose this effect our company's medical insurance? Many group insurance policies have specific exclusions which limit or eliminate payments for transsexual surgery; if your policy has no such exclusions, your employee may seek coverage for medical expenses under your current plan. Insurance companies with exclusion provisions do so only because the surgical costs are expensive--surgical and hormonal treatment for transsexuals has ben legally established as medical necessary treatment, and not cosmetic in nature. An insurance company might, for instance, have similar exclusion for liver transplants, another vary expensive procedure. Whether or not your insurance company provides coverage, it should not affect your rates. Will this affect the productivity of my employee? Often, the employee in their new gender role is more productive and produces higher quality work than in the past, due to improvement in their own self-esteem and motivation. Time off from work to recover from surgery procedures may be necessary, however--but it should be noted that your employee will have no need for maternity leave in the future since she will not be ableto bear children, so net time lost from work may prove to be less than in the case of your other female employees. the process of changing gender usually takes several years to complete, with surgical, hormonal, and social changes progressing at different rates with different individuals; you can expect a dramatic change in her appearance and in expression of her personality. Your employee may already have completed much ormost of the transition before advising you. Transsexuals are often conservative individuals and frequently set high standards on their appearance and performance following their gender change. If your employee is doing heavy physical work, bear in mind that her entire muscular structure will change to femalenorms. and she May not handle task requiring physical strength aseasily as she did before. [The opposite applies to the female-to-male, of course.] How do other companies handel this? With the increased public awareness of transsexuals today, the major problem which remains is that the employee is an object of curiosity among co-workers for several days following her appearance in her new gender role. Vary large corporations with large numbers of employees may encounter a transsexual employee every few years, and often set up internal guidelines. in nearly all cases. a memo is circulated among co-workers informing them simply that the employee will return to work at a certain date as a female employee. Some companies call a short meeting of co-workers at which management and the employee is present to inform them of the change and to answer questions which may appear; this techniqueis particularly effective in keeping the transition smooth. One company (IBM) also transfer the employee laterally for several months to a different department; at the end of than time she is given the option of ether returning to her original department or staying in her new position. If the employee is new to the company sometimes no action at all is nessary,since her former gender status may be undetectable to others, or even to management itself. What is my employee's legal status? Upon completion of her surgery, under state law in every stat sheis consider to be female, and entitled to all the considerations applying to that gender. There are differences in detail of how administrative law handles such cases from state to state -- your employee will take care of any needed legal matters concerning state and federal identification papers, tax status,social security, and legal name change herself. Please note that for employers participating in a state-subsidized equal- employment plan, your employee may now be a "double bones" person, fitting into both the female and handicapped categories, and entitling the company to a substantial subsidy(details vary from state to state.

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