KUALA LUMPUR: Tiga gereja, satu di ibu negara dan dua di Selangor, dibaling bom api dalam kejadian tengah malam dan awal pagi semalam.
Ketiga-tiga gereja terbabit ialah Gereja Metro Tabernacle di Desa Melawati di sini, Gereja Assumption di Jalan Templer, Petaling Jaya serta Gereja Life Chapel di Damansara.
Ketua Polis Negara, Tan Sri Musa Hassan pada sidang media di Bukit Aman, pagi semalam, mengesahkan pihaknya menerima tiga laporan berhubung kejadian menyerang dan cubaan menyerang ketiga-tiga gereja terbabit.
Dalam kejadian lontaran bom api di dua gereja di Petaling Jaya, Timbalan Ketua Jabatan Siasatan Jenayah Selangor, Asisten Komisioner Omar Mammah, berkata sehingga kini tiada tangkapan dibuat.
Beliau berkata, polis menemui pecahan botol dan cebisan kain pencuci luka yang dijadikan sumbu bom.
Namun, katanya, tiada saksi melihat kejadian itu cuma mendengar bunyi benda pecah di atas jalan di perkarangan gereja terbabit.
Dalam kejadian di Gereja Metro Tabernacle, Desa Melawati, Ketua Polis Kuala Lumpur, Datuk Wira Muhammad Sabtu Osman mengesahkan ia perbuatan khianat dengan dua suspek dipercayai terbabit memecahkan cermin kaca sebelum mencurahkan petrol hingga memusnahkan pejabat pentadbiran rumah ibadat itu, kira-kira jam 12 tengah malam.
Kejadian itu menyebabkan hampir 80 peratus struktur pejabat di tingkat bawah gereja berusia lebih 12 tahun yang menempatkan komputer, kerusi dan buku agama berkenaan musnah dijilat api.
Bagaimanapun, tindakan pantas bomba berjaya memadamkan api yang marak dalam tempoh 20 minit, sekali gus menyelamatkan tingkat dua dan tiga gereja berkenaan.
Difahamkan, beberapa saksi mendakwa ternampak kelibat 'lembaga' melarikan diri sejurus kebakaran menaiki dua motosikal yang diletakkan di sekitar gereja terbabit.
Malah, sepasukan anggota polis dan bomba yang menjalankan pemeriksaan menemui dua topi keledar yang sudah terbakar di depan gereja berkenaan selain sebuah tong plastik dipercayai mengandungi bahan bakar hidrokarbon.
Difahamkan, cermin gereja itu dipecahkan menggunakan spanar sebelum mencurahkan petrol untuk membakar.
Muhammad Sabtu berkata, petunjuk kes itu sudah diperoleh, namun tidak boleh didedahkan kerana dikhuatiri akan mengganggu siasatan.
"Keterangan pengawal keselamatan termasuk empat saksi lain akan direkodkan dalam masa terdekat," katanya pada sidang media, semalam. - Bernama
Showing posts with label Religion. Show all posts
Showing posts with label Religion. Show all posts
Book About Christmas...
Nowadays, children has forgotten the habit of reading story books. My experience tells me that it is a need for a children to read a book - as my sunday school does to us long time ago. Nevertheless, we can make or at least ask them to read. Can't we? If you want your children to read the books that enthralled you in your childhood then why not keep one of the Christmas classic books in their stockings on the night of the Christmas Eve? The classic books, written on the theme of Christmas, are not only for children but everyone from any age group would enjoy reading those classics.
Here is a list of my favorite Top Five Christmas story book ever written.
A Christmas Carol by Charles Dickens
This is my all time favorite. I don't know how many times I read it but still I enjoy reading it.This famous story by Charles Dickens is about the miser Scrooge who does not believe in celebrating Christmas or enjoy company of any relation. The only concern of his life was having money, money and more money. On Christmas eve, the ghost of his former business partner visits him and warns him of the dire consequences that he will face for his miserliness and contempt for everyone. Then Three spirits of Past, Present and Future came to him and forced him to have a vision of Scrooge's past, present and future life. It was an eyeopening lesson for him and he changes into a kind-hearted, generous and cheerful person and embodied the true spirit of Christmas in his life.
Letters from Father Christmas by J.R.R. Tolkien
Let me be honest. I am not a big fan of Tolkien but I loved this book. This book is about the letters of Father Christmas describing the life and people in North Pole.
The Polar Express by Chris Van Allsburg
This is book written in 1985 and won the Caldecott Medal for best illustrations. It is story of a young boy, who, while waiting for Santa's sleigh on the night of Christmas Eve, actually takes a trip to North Pole along with other children. Santa gives him a bell but the boy lost it. In the morning, the boy and his sister finds the bell wrapped as a gift under the Christmas tree of their house. While both the children can hear its beautiful chimes, their parents could not do so and thought it to be broken. However, most of the friends of the siblings can hear the sound of the bell. But with years, it fell silent for all of them except the man who got it in his childhood.
How the Grinch Stole Christmas by Dr. Seuss
This is one of the most famous children's story on Christmas and Grinch is probably the most popular villain in the Christmas stories. This book, written in rhymed verse, along with the illustrations, is about the bitter creature Grinch living in a cave. Being envious of the mirth and joy of the warm -hearted Whos of Whoville during Christmas, Grinch decided to spoil their Christmas festivity. He stole all the presents and decorations to"prevent Christmas from coming" but still found Christmas has come. He realizes that Christmas is something beyond gifts and decorations and it is to be celebrated with love, joy and harmony. The heart of Grinch enlarged and after returning the gifts to the Whos, he was warmly welcomed to the their community.
The Best Christmas Pageant Ever by Barbara Robinson
This Barbara Robinson book is a hilarious tale of the chaos and craziness that happened when Grace Bradley, the protagonist of the story, tried to stage a Christmas Pageant with the misbehaved Herdman kids. It was through this play that the kids learnt the true meaning of Christmas and it was the best pageant ever of their place.
So I have given my reviews of my favorite books on Christmas. If you haven't read any one of these, then during the holidays, why don't you pick one of them and spend a cozy afternoon in the blanket reading it. You will enjoy- it's my guarantee.
Here is a list of my favorite Top Five Christmas story book ever written.
A Christmas Carol by Charles Dickens
This is my all time favorite. I don't know how many times I read it but still I enjoy reading it.This famous story by Charles Dickens is about the miser Scrooge who does not believe in celebrating Christmas or enjoy company of any relation. The only concern of his life was having money, money and more money. On Christmas eve, the ghost of his former business partner visits him and warns him of the dire consequences that he will face for his miserliness and contempt for everyone. Then Three spirits of Past, Present and Future came to him and forced him to have a vision of Scrooge's past, present and future life. It was an eyeopening lesson for him and he changes into a kind-hearted, generous and cheerful person and embodied the true spirit of Christmas in his life.
Letters from Father Christmas by J.R.R. Tolkien
Let me be honest. I am not a big fan of Tolkien but I loved this book. This book is about the letters of Father Christmas describing the life and people in North Pole.
The Polar Express by Chris Van Allsburg
This is book written in 1985 and won the Caldecott Medal for best illustrations. It is story of a young boy, who, while waiting for Santa's sleigh on the night of Christmas Eve, actually takes a trip to North Pole along with other children. Santa gives him a bell but the boy lost it. In the morning, the boy and his sister finds the bell wrapped as a gift under the Christmas tree of their house. While both the children can hear its beautiful chimes, their parents could not do so and thought it to be broken. However, most of the friends of the siblings can hear the sound of the bell. But with years, it fell silent for all of them except the man who got it in his childhood.
How the Grinch Stole Christmas by Dr. Seuss
This is one of the most famous children's story on Christmas and Grinch is probably the most popular villain in the Christmas stories. This book, written in rhymed verse, along with the illustrations, is about the bitter creature Grinch living in a cave. Being envious of the mirth and joy of the warm -hearted Whos of Whoville during Christmas, Grinch decided to spoil their Christmas festivity. He stole all the presents and decorations to"prevent Christmas from coming" but still found Christmas has come. He realizes that Christmas is something beyond gifts and decorations and it is to be celebrated with love, joy and harmony. The heart of Grinch enlarged and after returning the gifts to the Whos, he was warmly welcomed to the their community.
The Best Christmas Pageant Ever by Barbara Robinson
This Barbara Robinson book is a hilarious tale of the chaos and craziness that happened when Grace Bradley, the protagonist of the story, tried to stage a Christmas Pageant with the misbehaved Herdman kids. It was through this play that the kids learnt the true meaning of Christmas and it was the best pageant ever of their place.
So I have given my reviews of my favorite books on Christmas. If you haven't read any one of these, then during the holidays, why don't you pick one of them and spend a cozy afternoon in the blanket reading it. You will enjoy- it's my guarantee.
the whom pronounce himself as naruto..
I'm glad that in my shoutmix chat, there is someone whom pronounce himself/herself naruto whom are eager to know more about SIB. You said that you are a Hindu/Buddha. I know you want to met me that day and i always free to be call. I have lots of assignment to do here and maybe you also the same and can you just emel me as i reply on shoutmix chat or if you are uneasy...you are feel free to go to SIB Tanjong Malim-as in enclosure picture (the pastor is Pastor Jumi). He will make you feel great..as the LORD always the great.
The Pray......
First Prayer
Lord,
Thanks be to you for the hope for the better future that keeps us going.
Please help us to remember to be thankful for all that we have to be thankful here in the present.
We often feel like we know what is going on. You humble us by telling us that we don't. You know what is going on, and it is in accordance with thy will for our lives. Thy will be done.
We hope our lives will be good and filled with blessings from you.
Bless us as befits thy will.
Forgive me. Help me to forgive others. Heal me. Heal others.
Guide me.
You are great - more than I can possibly imagine.
Thy will be done.
Amen.
Second Prayer
Lord,
I am not yet what you would want to perfect me into. I pray that day by day you would get me closer, and each day, close enough to meet the challenges of that day.
Thank you for hope for the future, and help me be contented with the present. I have been blessed by you substantially in the present and I pray that I might not take it for granted, but continue to thank you as is your due, and to hope and pray for the continuation of such blessings.
Thy will be done.
Guide me.
You are great.
Thy will be done.
Amen.
Lord,
Thanks be to you for the hope for the better future that keeps us going.
Please help us to remember to be thankful for all that we have to be thankful here in the present.
We often feel like we know what is going on. You humble us by telling us that we don't. You know what is going on, and it is in accordance with thy will for our lives. Thy will be done.
We hope our lives will be good and filled with blessings from you.
Bless us as befits thy will.
Forgive me. Help me to forgive others. Heal me. Heal others.
Guide me.
You are great - more than I can possibly imagine.
Thy will be done.
Amen.
Second Prayer
Lord,
I am not yet what you would want to perfect me into. I pray that day by day you would get me closer, and each day, close enough to meet the challenges of that day.
Thank you for hope for the future, and help me be contented with the present. I have been blessed by you substantially in the present and I pray that I might not take it for granted, but continue to thank you as is your due, and to hope and pray for the continuation of such blessings.
Thy will be done.
Guide me.
You are great.
Thy will be done.
Amen.
SIB TANJUNG MALIM
Inilah SIB Tanjung Malim, di Perak.Dikendalikan oleh Pastor Jumi,yang bertemakan Rise Up Generation Ministry dan kebanyakan jemaat gereja adalah di kalangan bakal-bakal guru yang masih belajar di UPSI. Agak terkejut juga ramai juga pelajar SIB yang dari Sarawak.Tetapi paling ramai adalah dari Sabah.mereka amat aktif dalam pelayanan di sini walaupun dengan bebanan assignment yang banyak,mereka tetap dapat menganjurkan banyak aktiviti gereja dan juga luar gereja spt Saya Pengikut Kristus(SPK), Persatuan Kristian UPSI (PERKUPSI),Excellent Student Camp,etc..
Love Is Kind
Love is Kind
St Paul says, “Love is kind” (1 Corinthians 13:4 TEV).
A loving heart is a kind heart. Thus a kind person strives to make others happy. When he does good work for others he is kind. A kind person blesses others and when he blesses others he blesses himself. Unfortunately, he often forgets to bless himself at home. He forgets to be kind to his family members! How? He performs with a sour face or neglects the family activities such as:
• Encourage each other
• Cheer each other
• Share time together
• Smile at each other
• Talk to each other
• Have meals together
• Help in the cooking
• Wash up after the meals
• Vacuum the home
• Hang up the washing
• Give up, readily, his favorite TV program to other
• Share the computer
• Give a listening ear, etc
Since all Christians are called and challenged to be kind, how do we show kindness? Kindness shows itself by being generous, compassionate, and friendly.
A kind heart is a generous heart. A kind hearted person is generous with his time, money, advice and knowledge. His generosity is kind, when he does it:
• privately---done not to be seen by others.
• Sensitively---done with great consideration for the dignity and the feelings of the
recipient.
• Unselfishly--done not to seek praise, publicity, or rewards in return.
St Paul reminds us that, “Whoever shares with others should do it generously; . . . whoever shows kindness to others should do it cheerfully.” (Romans 12:8 TEV)
A kind person is compassionate and he seeks to ease another person’s pain. He takes the time to soothe another person’s anxieties, fears or anger. He uplifts the down-hearted and the discouraged with kind words. He knows that a kind word is often sufficient to make a sad person smile.
A kind heart is a friendly heart. Thus he extends kindness by being a friend. He shares their concerns and their sufferings. He listens patiently. He offers the glad hand of friendship and extends goodwill towards others. So do I hasten to search out his virtues whenever I happen to see his faults? Remember, there is no happiness like that of a person whose heart is filled with goodwill towards others.
One thing a kind person always avoids is to hurt others with his criticism and sick jokes.
Although some people will take advantage of our kindness, we should never be afraid to be kind since kindness will do us no harm, brings us no bitterness and cause us no regrets.
Henri Nouwen tells us, “Being kind is a human attribute. When we say, ‘She is a kind person’ or ‘He surely was kind to me,’ we express a very warm feeling. In our competitive and often violent world, kindness is not the most frequent response. But when we encounter it we know that we are blessed. Is it possible to grow in kindness, to become a kind person? Yes, but it requires discipline. To be kind means to treat another person as your ‘kin,’ your intimate relative. We say, ‘We are kin’ or ‘He is next to kin.’ To be kind is to reach out to someone as being of ‘kindred’ spirit.
Here is the great challenge. All people, whatever their color, religion, or sex, belong to humankind and are called to be kind to one another, treating one another as brothers and sisters. There is hardly a day in our lives in which we are not called to this.” (Bread for the Journey, Feb 4)
Yes, all of us are called to be kind so as to bless the people we meet. Thus we need to constantly remind ourselves:
Am I kind to the harassed check-out cashier who makes mistakes in my bill at the supermarket?
Am I kind to the driver who cuts across my path?
Am I kind to myself?
Can I be kind to someone who keeps interrupting me when I am at the computer doing something I want completed?
Am I gentle to displeasing people?
Am I tender-hearted or is my heart hard like stone?
Do I have to wound with words of retaliation instead of being kind?
When I am insulted do I answer back with kind words? St Paul says that, “when we are insulted, we answer back with kind words.” (1 Corinthians 4:13 TEV)
Here is how Max Lucado explains about the kindness of Jesus in the story of the woman with an issue of blood for twelve years (Matthew 9:18-22):
“Later in the day a woman came by. Middle aged. Hair streaked with grey and pulled back. Dress was simple. Reminded me of a middle-school librarian. Face was wrinkled and earnest. Said she’d been sick for a dozen years. HIV positive.
‘That’s a long time,’ I said.
Long enough, she agreed, to run out of doctors, money, even hope. But worst of all, she had run out of friends. ‘They were afraid of me,’ she said. ‘Worried about catching the disease. My church hadn’t turned me out, but they hadn’t helped me out either. I hadn’t been home in years. Been living in a shelter. But then Jesus came to town. He was on his way to treat the mayor’s daughter, who was dying. The crowd was thick, and people were pushing, but I was desperate.’
She spoke of following Jesus at a distance. Then she drew near and stepped back for fear of being recognized. She told of inching behind a broad-shouldered man and staying in his wake until, as she said, ‘There were only two people between him and me. I pressed my arm through the mob and reached for the hem of his jacket. Not to grab, just to touch it. And when I did, my body changed. Instantly. My face rushed with warmth. I could breathe deeply. My back seemed to straighten. I stopped, letting the people push past. He stopped too. ‘Who touched me?’ he asked. I slid behind the big man again and said nothing. As he and the crowd waited, my heart pounded. From the healing? From fear? From both? I didn’t know. Then he asked again, ‘Who touched me?’ He didn’t sound angry--just curious. So I spoke up. My voice shook; so did my hands. The big man stepped away. Jesus stepped forward, and I told the whole story.’
‘The whole story?’ I asked.
‘The whole story,’ she replied.
I tried to imagine the moment. Everyone waiting as Jesus listened. The crowd waiting. The city leaders waiting. A girl was dying, people were pressing, disciples were questioning, but Jesus . . . Jesus was listening. Listening to the whole story. He didn’t have to. The healing would have been enough. Enough for her. Enough for the crowd. But not enough for him. Jesus wanted to do more than heal her body. He wanted to hear her story--all of it. The whole story. What a kind thing to do. The miracle restored her health. The kindness restored her dignity
And what he did next, the woman never forgot. ‘As if he hadn’t done enough already’--her eyes began to water---‘he called me ‘daughter.’ ‘Daughter, be of good cheer; your faith has made you well. Go in peace.’ I’ve been told he never used that word with anyone else. Just me.’
After she left, I checked. She was right.
The kindness of Jesus. We are quick to think of his power, his passion, and his devotion. But those near him knew and know God comes cloaked in kindness. . . . Kind enough to bless a suffering sister.”
. . . . .
“Jesus’ invitation offers the sweetest proof of the kindness of heaven:
Come to Me, all you who labor and are heavy laden, and I will give you rest. Take My yoke upon you and learn from Me, for I am gentle and lowly in heart, and you will find rest for your souls. For My yoke is easy and My burden is light. (Matthew 11:2830 NKJV)
Farmers in ancient Israel used to train an inexperienced ox by yoking it to an experienced one with a wooden harness. The straps around the older animal were tightly drawn. He carried the load. But the yoke around the younger animal was loose. He walked alongside the more mature ox, but his burden was light. In this verse Jesus is saying, ‘I walk alongside you. We are yoked together. But I pull the weight and carry the burden.’
I wonder how many burdens Jesus is carrying for us that we know nothing about. We’re aware of some. He carries our sin. He carries our shame. He carries our eternal debt. But are there others? Has he lifted fears before we felt them? Has he carried our confusion so we wouldn’t have to? Those times when we have been surprised by our own sense of peace? Could it be that Jesus has lifted our anxiety onto his shoulders and placed a yoke of kindness on ours?
And how often do we thank him for his kindness? Not often enough. But does our ingratitude restrict his kindness? No. ‘Because he is kind even to people who are ungrateful and full of sin’ (Luke 6:35).” (A love worth giving, 25-26, 27)
Here is what Mother Teresa says about kindness:
“It is better to make mistake in kindness than to work miracles with unkindness. It is very important to be kind to ourselves and control ourselves by keeping our balance. If we want to live in peace and harmony with each other we must pay attention to our tongue. Especially when we deal with the poor we must be very careful in talking to them.” (The Joy in Loving, 18 October)
“Be kind in your actions. Do not think you are the only one who can do the efficient work, work worth showing. This makes you harsh in your judgment of others who may not have the same talents. God will ask of that sister only what He has given her, and not what He has given you; so why interfere with the plan of God? All things are His, and He gives as He pleases. You do your best and think that others do their best for God’s own purpose. Their best may be a total failure--what is that to you? You follow the way He has chosen for you. For others also, let Him choose.” (A Life for God, 66)
“If sometimes we feel as if the Master is away, is it not because we have kept ourselves far from someone? One thing will always secure heaven for us: acts of charity and kindness with which we have filled our lives. We will never know how much good just a simple smile can do. We tell people how kind, forgiving, and understanding God is--are we the living proof? Can they really see this kindness, this forgiveness, this understanding, alive in us?” (A Life for God, 65)
St Paul says, “Love is kind” (1 Corinthians 13:4 TEV).
A loving heart is a kind heart. Thus a kind person strives to make others happy. When he does good work for others he is kind. A kind person blesses others and when he blesses others he blesses himself. Unfortunately, he often forgets to bless himself at home. He forgets to be kind to his family members! How? He performs with a sour face or neglects the family activities such as:
• Encourage each other
• Cheer each other
• Share time together
• Smile at each other
• Talk to each other
• Have meals together
• Help in the cooking
• Wash up after the meals
• Vacuum the home
• Hang up the washing
• Give up, readily, his favorite TV program to other
• Share the computer
• Give a listening ear, etc
Since all Christians are called and challenged to be kind, how do we show kindness? Kindness shows itself by being generous, compassionate, and friendly.
A kind heart is a generous heart. A kind hearted person is generous with his time, money, advice and knowledge. His generosity is kind, when he does it:
• privately---done not to be seen by others.
• Sensitively---done with great consideration for the dignity and the feelings of the
recipient.
• Unselfishly--done not to seek praise, publicity, or rewards in return.
St Paul reminds us that, “Whoever shares with others should do it generously; . . . whoever shows kindness to others should do it cheerfully.” (Romans 12:8 TEV)
A kind person is compassionate and he seeks to ease another person’s pain. He takes the time to soothe another person’s anxieties, fears or anger. He uplifts the down-hearted and the discouraged with kind words. He knows that a kind word is often sufficient to make a sad person smile.
A kind heart is a friendly heart. Thus he extends kindness by being a friend. He shares their concerns and their sufferings. He listens patiently. He offers the glad hand of friendship and extends goodwill towards others. So do I hasten to search out his virtues whenever I happen to see his faults? Remember, there is no happiness like that of a person whose heart is filled with goodwill towards others.
One thing a kind person always avoids is to hurt others with his criticism and sick jokes.
Although some people will take advantage of our kindness, we should never be afraid to be kind since kindness will do us no harm, brings us no bitterness and cause us no regrets.
Henri Nouwen tells us, “Being kind is a human attribute. When we say, ‘She is a kind person’ or ‘He surely was kind to me,’ we express a very warm feeling. In our competitive and often violent world, kindness is not the most frequent response. But when we encounter it we know that we are blessed. Is it possible to grow in kindness, to become a kind person? Yes, but it requires discipline. To be kind means to treat another person as your ‘kin,’ your intimate relative. We say, ‘We are kin’ or ‘He is next to kin.’ To be kind is to reach out to someone as being of ‘kindred’ spirit.
Here is the great challenge. All people, whatever their color, religion, or sex, belong to humankind and are called to be kind to one another, treating one another as brothers and sisters. There is hardly a day in our lives in which we are not called to this.” (Bread for the Journey, Feb 4)
Yes, all of us are called to be kind so as to bless the people we meet. Thus we need to constantly remind ourselves:
Am I kind to the harassed check-out cashier who makes mistakes in my bill at the supermarket?
Am I kind to the driver who cuts across my path?
Am I kind to myself?
Can I be kind to someone who keeps interrupting me when I am at the computer doing something I want completed?
Am I gentle to displeasing people?
Am I tender-hearted or is my heart hard like stone?
Do I have to wound with words of retaliation instead of being kind?
When I am insulted do I answer back with kind words? St Paul says that, “when we are insulted, we answer back with kind words.” (1 Corinthians 4:13 TEV)
Here is how Max Lucado explains about the kindness of Jesus in the story of the woman with an issue of blood for twelve years (Matthew 9:18-22):
“Later in the day a woman came by. Middle aged. Hair streaked with grey and pulled back. Dress was simple. Reminded me of a middle-school librarian. Face was wrinkled and earnest. Said she’d been sick for a dozen years. HIV positive.
‘That’s a long time,’ I said.
Long enough, she agreed, to run out of doctors, money, even hope. But worst of all, she had run out of friends. ‘They were afraid of me,’ she said. ‘Worried about catching the disease. My church hadn’t turned me out, but they hadn’t helped me out either. I hadn’t been home in years. Been living in a shelter. But then Jesus came to town. He was on his way to treat the mayor’s daughter, who was dying. The crowd was thick, and people were pushing, but I was desperate.’
She spoke of following Jesus at a distance. Then she drew near and stepped back for fear of being recognized. She told of inching behind a broad-shouldered man and staying in his wake until, as she said, ‘There were only two people between him and me. I pressed my arm through the mob and reached for the hem of his jacket. Not to grab, just to touch it. And when I did, my body changed. Instantly. My face rushed with warmth. I could breathe deeply. My back seemed to straighten. I stopped, letting the people push past. He stopped too. ‘Who touched me?’ he asked. I slid behind the big man again and said nothing. As he and the crowd waited, my heart pounded. From the healing? From fear? From both? I didn’t know. Then he asked again, ‘Who touched me?’ He didn’t sound angry--just curious. So I spoke up. My voice shook; so did my hands. The big man stepped away. Jesus stepped forward, and I told the whole story.’
‘The whole story?’ I asked.
‘The whole story,’ she replied.
I tried to imagine the moment. Everyone waiting as Jesus listened. The crowd waiting. The city leaders waiting. A girl was dying, people were pressing, disciples were questioning, but Jesus . . . Jesus was listening. Listening to the whole story. He didn’t have to. The healing would have been enough. Enough for her. Enough for the crowd. But not enough for him. Jesus wanted to do more than heal her body. He wanted to hear her story--all of it. The whole story. What a kind thing to do. The miracle restored her health. The kindness restored her dignity
And what he did next, the woman never forgot. ‘As if he hadn’t done enough already’--her eyes began to water---‘he called me ‘daughter.’ ‘Daughter, be of good cheer; your faith has made you well. Go in peace.’ I’ve been told he never used that word with anyone else. Just me.’
After she left, I checked. She was right.
The kindness of Jesus. We are quick to think of his power, his passion, and his devotion. But those near him knew and know God comes cloaked in kindness. . . . Kind enough to bless a suffering sister.”
. . . . .
“Jesus’ invitation offers the sweetest proof of the kindness of heaven:
Come to Me, all you who labor and are heavy laden, and I will give you rest. Take My yoke upon you and learn from Me, for I am gentle and lowly in heart, and you will find rest for your souls. For My yoke is easy and My burden is light. (Matthew 11:2830 NKJV)
Farmers in ancient Israel used to train an inexperienced ox by yoking it to an experienced one with a wooden harness. The straps around the older animal were tightly drawn. He carried the load. But the yoke around the younger animal was loose. He walked alongside the more mature ox, but his burden was light. In this verse Jesus is saying, ‘I walk alongside you. We are yoked together. But I pull the weight and carry the burden.’
I wonder how many burdens Jesus is carrying for us that we know nothing about. We’re aware of some. He carries our sin. He carries our shame. He carries our eternal debt. But are there others? Has he lifted fears before we felt them? Has he carried our confusion so we wouldn’t have to? Those times when we have been surprised by our own sense of peace? Could it be that Jesus has lifted our anxiety onto his shoulders and placed a yoke of kindness on ours?
And how often do we thank him for his kindness? Not often enough. But does our ingratitude restrict his kindness? No. ‘Because he is kind even to people who are ungrateful and full of sin’ (Luke 6:35).” (A love worth giving, 25-26, 27)
Here is what Mother Teresa says about kindness:
“It is better to make mistake in kindness than to work miracles with unkindness. It is very important to be kind to ourselves and control ourselves by keeping our balance. If we want to live in peace and harmony with each other we must pay attention to our tongue. Especially when we deal with the poor we must be very careful in talking to them.” (The Joy in Loving, 18 October)
“Be kind in your actions. Do not think you are the only one who can do the efficient work, work worth showing. This makes you harsh in your judgment of others who may not have the same talents. God will ask of that sister only what He has given her, and not what He has given you; so why interfere with the plan of God? All things are His, and He gives as He pleases. You do your best and think that others do their best for God’s own purpose. Their best may be a total failure--what is that to you? You follow the way He has chosen for you. For others also, let Him choose.” (A Life for God, 66)
“If sometimes we feel as if the Master is away, is it not because we have kept ourselves far from someone? One thing will always secure heaven for us: acts of charity and kindness with which we have filled our lives. We will never know how much good just a simple smile can do. We tell people how kind, forgiving, and understanding God is--are we the living proof? Can they really see this kindness, this forgiveness, this understanding, alive in us?” (A Life for God, 65)
Something About Ego State
Selalunya orang bercakap bahawa apabila s3eorang itu sombong, orang akan menggelarkannya "ego person". tapi cuba tengok kat bawah ni....
PENTAFSIRAN KONSEP EGO STATE
1) Ibu bapa Kritikal(KP)
Selalu menegur, memberi nasihat, menuduh, menilai, mengawal dan menuntut.
Sentiasa merasakan dirinya saja betul, sukar bertolak ansur Melihat orang lain tidak berupaya dan tidak betul. Mengerutkan dahi, menggeleng-gelengkan kepala, bercekak pinggang, menggoncang-goncangkan jari telunjuk, berpeluk tubuh, memandang garang, menghentak kaki dan memasamkan muka. Selalu menggunakan perkataan jangan, mesti, itu salah/betul, saya lagi tahu dan sebaginya.
2 Ibu bapa Pengasih(NP)
Selalu melindungi, membimbing, membantu, mengambil berat, memahami dan sebagainya. Selalu cuba memahami orang lain, membelai, memberi peneguhan, memahami, menyokong dan sebagainya. Selalu senyum, membuka tangan, memeluk, mengusap, membelai, mengambil berat, menepuk bahu dan sebagainya. Kata-kata galakan seperti cuba lagi, jangan risau, jangan putus asa, baik, saying dan sebagainya.
3. Dewasa(A)
Selalu cuba menyelesaikan masalah, berfikir sebelum bertindak, mendapatkan maklumat, membuat keputusan dengan objektif. Tidak emosional, sentiasa membiat pertimbangan, rasional, terbuka dan sebagainya. Mendengar dengan aktif, sabar, tidak mendesak, cergas, bersedia, yakin, dan tidak defensif. Selalu menggunakan perkataan bagaimana, apa, sebab, kerana, hasilnya, cadangan lain dan sebagianya.
4. Kanak-kanak Bebas(FC)
Selalu bertindak impulsive, spontan, kreatif dan tidak terlatih, mengelak kesedihan, dan mempertahankan diri. Suka berseronok, ingin tahu, mudah kecewa, marah, merajuk, melawan dan menentang. Ketawa, bergurau, main, menangis, mengusik, marah, merajuk, mencebik bibir, mengasingkan diri. Selalu menggunakan perkataan saya hendak, saya suka, saya boleh dan sebagainya.
5. Profesor Kecil(LP)
Pintar, berfikir sendiri, kreatif, bijak memikat dan sebagainya Bebas, tidak terkongkong, dan lepas daripada tanggung jawab Suka manipulatif, menunjukkan simpati, memujuk, mementingkan diri sendiri. Selalu menggunakan perkataan saya boleh, saya suka dan sebagainya.
6. Kanak-kanak Patuh(AC)
Selalu kelihatan patuh, takut, rasa bersalah, cepat minta maaf. Tidak selamat, bergantung, berhati-hati dan penakut. Mengikut, menundukkan kepala/mata, menggigit bibir, memain-mainkan jari. Selalu berkata tunjukkan saya, tolong saya, lindungi saya, jangan tinggalkan saya
PENTAFSIRAN KONSEP EGO STATE
1) Ibu bapa Kritikal(KP)
Selalu menegur, memberi nasihat, menuduh, menilai, mengawal dan menuntut.
Sentiasa merasakan dirinya saja betul, sukar bertolak ansur Melihat orang lain tidak berupaya dan tidak betul. Mengerutkan dahi, menggeleng-gelengkan kepala, bercekak pinggang, menggoncang-goncangkan jari telunjuk, berpeluk tubuh, memandang garang, menghentak kaki dan memasamkan muka. Selalu menggunakan perkataan jangan, mesti, itu salah/betul, saya lagi tahu dan sebaginya.
2 Ibu bapa Pengasih(NP)
Selalu melindungi, membimbing, membantu, mengambil berat, memahami dan sebagainya. Selalu cuba memahami orang lain, membelai, memberi peneguhan, memahami, menyokong dan sebagainya. Selalu senyum, membuka tangan, memeluk, mengusap, membelai, mengambil berat, menepuk bahu dan sebagainya. Kata-kata galakan seperti cuba lagi, jangan risau, jangan putus asa, baik, saying dan sebagainya.
3. Dewasa(A)
Selalu cuba menyelesaikan masalah, berfikir sebelum bertindak, mendapatkan maklumat, membuat keputusan dengan objektif. Tidak emosional, sentiasa membiat pertimbangan, rasional, terbuka dan sebagainya. Mendengar dengan aktif, sabar, tidak mendesak, cergas, bersedia, yakin, dan tidak defensif. Selalu menggunakan perkataan bagaimana, apa, sebab, kerana, hasilnya, cadangan lain dan sebagianya.
4. Kanak-kanak Bebas(FC)
Selalu bertindak impulsive, spontan, kreatif dan tidak terlatih, mengelak kesedihan, dan mempertahankan diri. Suka berseronok, ingin tahu, mudah kecewa, marah, merajuk, melawan dan menentang. Ketawa, bergurau, main, menangis, mengusik, marah, merajuk, mencebik bibir, mengasingkan diri. Selalu menggunakan perkataan saya hendak, saya suka, saya boleh dan sebagainya.
5. Profesor Kecil(LP)
Pintar, berfikir sendiri, kreatif, bijak memikat dan sebagainya Bebas, tidak terkongkong, dan lepas daripada tanggung jawab Suka manipulatif, menunjukkan simpati, memujuk, mementingkan diri sendiri. Selalu menggunakan perkataan saya boleh, saya suka dan sebagainya.
6. Kanak-kanak Patuh(AC)
Selalu kelihatan patuh, takut, rasa bersalah, cepat minta maaf. Tidak selamat, bergantung, berhati-hati dan penakut. Mengikut, menundukkan kepala/mata, menggigit bibir, memain-mainkan jari. Selalu berkata tunjukkan saya, tolong saya, lindungi saya, jangan tinggalkan saya
Know More About Gender Identity Disorder
Gender Identity Disorder
Diagnostic Features
There are two components of Gender Identity Disorder, both of which must be present to make the diagnosis. Thee must be evidence of a strong and persistent gross-gender identification, which is the desire to be, or the insistence that one is of the other sex (Criteria A). This cross-gender identification must not merely be a desire for any perceived cultural advantages of being the other sex. there must also be evidence of persistent discomfort about one’s assigned sex or a sense of inappropriateness in the gender role of that sex (Criteria B). The diagnosis is not made if the individual has a concurrent physical intersex condition (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia) (Criteria C). To make the diagnosis, there must be evidence of clinically significant distress or impairment in social, occupational, or other important areas of functioning (Criteria D).
In boys, the cross gender identification is manifested by a marked preoccupation with traditionally feminine activities. They may have a preference for dressing in girls’ or women’s clothes or may improvise such items from available materials when genuine articles are unavailable. Towels, aprons, and scarves are often used to represent long hair or skirts. There is a strong attraction for the stereotypical games and pastimes of girls. They particularly enjoy playing house, drawing pictures of beautiful girls and princesses, and watching television or videos of their favorite female-type dolls, such as Barbie, are often their favorite toys, and girls are their preferred playmates. When playing "house", these boys role-play female figures. Most commonly "mother roles", and often are quite preoccupied with female fantasy figures. they avoid rough-and-tumble play and competitive sports and have little interest in cars and trucks or other no-aggressive but stereotypical boy’s toys. They may express a wish to be a girl and assert that they will grow up to be a woman. they may insist on sitting to urinate and pretend not to have a penis by pushing it in between their legs. More rarely, boys with Gender Identity Disorder may state that they find their penis or testes disgusting, that they want to remove them, or that they have, or wish to have, a vagina.
Girls with Gender Identity Disorder display intense negative reactions to parental expectations or attempts to have them wear dresses or other feminine attire. Some may refuse to attend school or social events where such clothes may be required. They prefer boy’s clothing and short hair, are often misidentified by strangers as boys, and may ask to be called a boy’s name. their fantasy heroes are most often powerful male figures, such as Batman or Superman. these girls prefer boys as playmates, with whom they share interests in contact sports, rough-and-tumble play and traditional boyhood games. they show little interest in dolls or any form of feminine dress up or role-play activity. A girl with this disorder may occasionally refuse to urinate in a sitting position. She may claim that she has or will grow a penis and may not want to grow breasts or menstruate. She may assert that she will grow up to be a man. Such girls typically reveal marked cross-gender identification in role-play, dreams and fantasies.
Adults with Gender Identity Disorder are preoccupied with their wish to live as a member of the other sex. This preoccupation may be manifested as an intense desire to adopt the social role of the other sex or to acquire the physical appearance of the other sex through hormonal or surgical manipulation. Adults with this disorder are uncomfortable being regarded by others as, or functioning in society as, a member of their designated sex. To varying degrees, they adopt the behavior, dress, and mannerisms of the other sex. In private, these individuals may spend much time cross-dressed and working on the appearance of being the other sex. Many attempt to pass in public as the other sex. With cross-dressing and hormonal treatment (and for males, electrolysis), many individuals with this disorder may pass convincingly as the other sex. The sexual activity of these individuals with same-sex partners is generally constrained by the preference that their partners neither see nor touch their genitals. For some males who present later in life, (often following marriage), sexual activity with a woman is accompanied by the fantasy of being lesbian lovers or that his partner is a man and he is a woman.
In adolescents, the clinical features may resemble either those of children or those of adults, depending on the individual’s developmental level, and the criteria should be applied accordingly. In younger adolescents, it may be more difficult to arrive at an accurate diagnosis because of the adolescent’s guardedness. This may be increased if the adolescent feels ambivalent about cross-gender identification or feels that it is unacceptable to the family. The adolescent may be referred because the parents or teachers are concerned about social isolation or peer teasing and rejection. In such circumstances, the diagnosis should be reserved for those adolescents who appear quite cross-gender identified in their dress and who engage in behaviors that suggest significant cross-gender identification (e.g., shaving legs in males). Clarifying the diagnosis in children and adolescents may require monitoring over an extended period of time.
Distress or disability in individuals with Gender Identity Disorder is manifested differently across the life cycle. in young children, distress is manifested by the stated unhappiness about their assigned sex. Preoccupation with cross-gender wishes often interferes with ordinary activities. In older children, failure to develop age-appropriate same sex peer relationships and skills often leads to isolation and distress, and some children may refuse to attend school because of the teasing or pressure to dress in attire stereotypical of their assigned sex. in adolescents and adults, preoccupation with cross-gender wishes often interferes with ordinary activities. Relationship difficulties are common and functioning at school or at work may be impaired.
Specifiers
For sexually mature individuals, the following specifiers may be noted based on the individual’s sexual orientation: Sexually Attracted to Males, Sexually Attracted to Females, Sexually Attracted to Both, and Sexually Attracted to Neither. Males with Gender Identity Disorder include substantial proportions with all four specifiers. Virtually all females with Gender Identity Disorder will receive the same specifier-Sexually Attracted to Female- although there are exceptional cases involving females who are sexually Attracted to Males.
Recording Procedures
The assigned diagnostic code depends on the individual’s current age: if the disorder occurs in childhood, the code 302.6 is used; for an adolescent or adult, 302.85 is used.
Associated Features and Disorders
Associated descriptive features and mental disorders.
Many individuals with Gender Identity Disorder become socially isolated. Isolation and ostracism contribute to low self esteem and may lead to school aversion or dropping out of school. Peer ostracism and teasing are especially common sequelae for boys with the disorder. Boys with Gender Identity Disorder often show marked feminine mannerisms and speech patterns.
The disturbance can be so pervasive that the mental lives of some individuals revolve only around those activities that lessen gender distress. they are often preoccupied with appearance, especially early in the transition to living in the opposite sex role. Relationships with one or both parents also may be seriously impaired. Some males with Gender Identity Disorder resort to self-treatment with hormones and may very rarely perform their own castration or penectomy. especially in urban centers, some males with the disorder may engage in prostitution, which places them at a high risk for human immunodeficiency virus (HIV) infection. Suicide attempts and Substance-Related Disorders are commonly associated.
Children with Gender Identity Disorder may manifest coexisting Separation Anxiety Disorder, Generalized Anxiety Disorder, and symptoms of depression. Adolescents are particularly at risk for depression and suicidal ideation and suicide attempts. In adults, anxiety and depressive symptoms may be present. Some adult males have a history of Transvestic Fetishism as well as other paraphilias. Associated Personality Disorders are more common among males than among females being evaluated at adult gender clinics.
Associated laboratory findings.
There is no diagnostic test specific for Gender Identity Disorder. In the presence of a normal physical examination, karyotyping for sex chromosomes and sex hormone assays are usually not indicated. Psychological testing may reveal cross-gender identification of behavior patterns.
Associated physical examination findings and general medical conditions.
Individuals with Gender Identity Disorder have normal genitalia (in contrast to the ambiguous genitalia or hypogonadism found in physical intersex conditions). Adolescents and adult males with Gender Identity Disorder may show breast enlargement resulting from hormone ingestion, hair denuding from temporary or permanent epilation, and other physical changes as a result of procedures such as rhinoplasty or thyroid cartilage shaving (surgical reduction of the Adam’s Apple).
Distorted breasts or breast rashes may be seen in females who wear breast binders. Postsurical complications in genetic females include prominent chest wall scars, and in generic males, vaginal strictures, rectovaginal fistulas, urethral stenoses, and misdirected urinary streams. Adult females with Gender Identity Disorder may have a higher than expected likelihood of polycystic ovarian disease.
Specific Age and Gender Features
Females with Gender Identity Disorders generally experience less ostracism because of cross-gender interests and may suffer less from peer rejection, at least until adolescence. In child clinic samples, there are approximately five boys for each girl referred with this disorder. In adult clinic samples, men outnumber women by about two or three times. In children, the referral bias towards males may partly reflect the greater stigma that gross-gender behavior carries for boys than for girls.
Prevalence
There are no recent epidemiological studies to provide data on prevalence of Gender Identity Disorder. Data from smaller countries in Sarawak with access to total population statistics and referrals suggest that roughly 1 per 30,000 adult males and 1 per 100,000 adult females seek sex-reassignment surgery.
Course
For clinically referred children, onset of cross-gender interests and activities is usually between ages 2 and 4 years, and some parents report that their child has always had cross-gender interests. Only a very small number of children with gender Identity Disorder will continue to have symptoms that meet criteria for Gender Identity Disorder in later adolescence or adulthood. Typically, children are referred around the time of school entry because of parental concern that what they regarded as a phase does not appear to be passing. Most children with Gender Identity Disorder display less overt cross-gender behaviors with time, parental intervention, or response from peers. By late adolescence or adulthood, about three-quarters of boys who had a childhood history of Gender Identity Disorder report a homosexual or bisexual orientation, but without concurrent Gender Identity Disorder. Most of the remainder report a heterosexual orientation, also without concurrent Gender Identity Disorder. The corresponding percentages for sexual orientation in girls are not known. some adolescents may develop a clearer cross-gender identification and request sex-reassignment surgery or may continue in a chronic course of gender confusion or dysphoria.
In adult males, there are two different courses for the development of Gender Identity Disorder. The first is a continuation of Gender Identity Disorder that had an onset in childhood or early adolescence. These individuals typically present in late adolescence or adulthood. In the other course, the more overt signs of cross-gender identification appear later and more gradually, with a clinical presentation in early to mid-adulthood usually following, but sometimes concurrent with, Transvestic Fetishism. The later-onset group may be more fluctuating in the degree of cross-gender identification, more ambivalent about sex-reassignment surgery, more likely to be sexually attracted to women, and less likely to be satisfied after sex-reassignment surgery. Males with Gender Identity disorder who are sexually attracted to males tend to present in adolescence or early childhood with a lifelong history of gender dysphoria. In contrast, those who are sexually attracted to females, to both males and females, or to neither sex tend to present later and typically have a history of Transvestic Fetishism. If Gender Identity Disorder is present in adulthood, it tends to have a chronic course, but spontaneous remission has been reported.
Differential Diagnosis
Gender Identity disorder can be distinguished from simple nonconformity to stereo-typical sex role behavior by the extent and pervasiveness of the cross-gender wishes, interests, and activities. This disorder is not meant to describe a child’s nonconformity to stereotypic sex-role behavior as, for example, in "tomboyishness" in girls or "sissyish" behavior in boys. Rather, it represents a profound disturbance of the individual’s sense of identity with regard to maleness or femaleness. Behavior in children that merely does not fit the cultural stereotype of masculinity or femininity should not be given the diagnosis unless the full syndrome is present, including marked distress or impairment.
Transvestic Fetishism occurs in heterosexual (or bisexual) men for whom the cross-dressing behavior is for the purpose of sexual excitement. Aside from cross-dressing, most individuals with Transvestic Fetishism do not have a history of childhood cross-gender behaviors. Males with presentation that meets full criteria for Gender Identity Disorder as well as Transvestic Fetishism should be given both diagnoses. If gender dysphoria is present in an individual with Transvestic Fetishism but full criteria for Gender Identity Disorder are not met, the specifier With Gender Dysphoria can be used.
The category Gender Identity Disorder Not Otherwise specified can be used for individuals who have a gender identity problem with concurrent congenital intersex condition (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia).
In Schizophrenia, there may rarely be delusions of belonging to the other sex. Insistence by a person with Gender Identity Disorder that he or she is of the other sex is not considered a delusion, because what is invariably meant is that the person feels like a member of the other sex rather than truly believes that he or she is a member of the other sex. In very rare cases, however, Schizophrenia and severe Gender Identity Disorder may coexist.
Diagnostic Criteria for Gender Identity Disorder
A) A strong persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex). In children, the disturbance is manifested by four (or more) of the following:
1. Repeatedly stated desire to be, or insistence that he or she is, the other sex.
2. In boys, preference for cross-dressing or simulating female attire; In girls, insistence on wearing only stereotypical masculine clothing.
3. Strong and persistent preferences for cross-sex roles in make believe play or persistent fantasies of being the other sex.
4. Intense desire to participate in the stereotypical games and pastimes of the other sex.
5. Strong preference for playmates of the other sex.
In adolescents and adults, the disturbance is manifested by symptoms such as a stated desire to be the other sex, frequent passing as the other sex, desire to live or be treated as the other sex, or the conviction that he or she has the typical feelings and reactions of the other sex.
B) Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex.
In children, the disturbance is manifested by any of the following:
In boys, assertion that his penis or testes are disgusting or will disappear or assertion that it would be better not to have a penis, or aversion toward rough-and-tumble play and rejection of male stereotypical toys, games, and activities.
In girls, rejection of urinating in a sitting position, assertion that she has or will grow a penis, or assertion that she does not want to grow breasts or menstruate, or marked aversion toward normative feminine clothing.
In adolescents and adults, the disturbance is manifested by symptoms such as preoccupation with getting rid of primary and secondary sex characteristics (e.g., request for hormones, surgery, or other procedures to physically alter sexual characteristics to simulate the other sex) or belief that he or she was born the wrong sex.
C) The disturbance is not concurrent with physical intersex condition.
D) The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Code based on current age:
· 302.6 Gender Identity Disorder in Children
· 302.85 Gender Identity Disorder in Adolescents or Adults
Specify if (for sexually mature individuals):
· Sexually Attracted to Males
· Sexually Attracted to Females
· Sexually Attracted to Both
· Sexually Attracted to Neither
302.6 Gender Identity Disorder Not Otherwise Specified
This category is included for coding disorders in gender identity that are not classifiable as a specific Gender Identity Disorder. Examples include:
1. Intersex conditions (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia) and accompanying gender dysphoria
2. Transient, stress-related cross-dressing behavior
3. Persistent preoccupation with castration or penectomy without a desire to acquire the sex characteristics of the other sex
Paraphilias
302.3 Transvestic Fetishism
The paraphiliac focus of Transvestic Fetishism involves cross-dressing. Usually the male with Transvestic Fetishism keeps a collection of female clothes that he intermittently uses to cross-dress. While cross dressed, he usually masturbates, imagining himself to be both the male and the female object of his sexual fantasy. This disorder has been described only in heterosexual males. Transvestic Fetishism is to be diagnosed when cross-dressing occurs exclusively during the course of Gender Identity Disorder.
Transvestic phenomena range from occasional solitary wearing of female clothes to extensive involvement in a transvestic subculture. Some males wear a single item of women's apparel (e.g., underwear or hosiery) under their masculine attire. Other males with Transvestic Fetishism dress entirely as females and wear makeup. The degree to which the cross-dressed individual successfully appears to be a female varies, depending on mannerisms, body habitus, and cross-dressing skill.
When not cross-dressed, the male with Transvestic Fetishism is usually unremarkably masculine. Although his basic preference is heterosexual, he tends to have few sexual partners and may have engaged in occasional homosexual acts. An associated feature may be the presence of Sexual Masochism. The disorder typically begins with cross-dressing in childhood or early adolescence. In many cases, the cross-dressing is not done in public until adulthood. The initial experience may involve partial or total cross-dressing; partial cross-dressing often progresses to complete cross-dressing.
A favored article of clothing may become erotic in itself and may be used habitually, first in masturbation and later in intercourse. In some individuals, the motivation for cross-dressing may change over time, temporarily or permanently, with sexual arousal in response to the cross-dressing diminishing or disappearing. In such instances, the cross-dressing becomes an antidote to anxiety or depression or contributes to a sense of peace and calm.
In other individuals, gender dysphoria may emerge, especially under situational stress with or without symptoms of depression. For a small number of individuals, the gender dysphoria becomes a fixed part of the clinical picture and is accompanied by the desire to dress and live permanently as a female and to seek hormonal or surgical reassignment. Individuals with Transvestic Fetishism often seek treatment when gender dysphoria emerges. The subtype with Gender Dysphoria is provided to allow the clinician to note the presence of gender dysphoria as part of Tranvestic Fetishism.
Diagnostic Criteria for 302.3 Transvestic Fetishism
A. Over a period of at least 6 months, in a heterosexual male, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing.
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify if: With Gender Dysphoria: if the person has persistent discomfort with gender role or identity.
Diagnostic Features
There are two components of Gender Identity Disorder, both of which must be present to make the diagnosis. Thee must be evidence of a strong and persistent gross-gender identification, which is the desire to be, or the insistence that one is of the other sex (Criteria A). This cross-gender identification must not merely be a desire for any perceived cultural advantages of being the other sex. there must also be evidence of persistent discomfort about one’s assigned sex or a sense of inappropriateness in the gender role of that sex (Criteria B). The diagnosis is not made if the individual has a concurrent physical intersex condition (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia) (Criteria C). To make the diagnosis, there must be evidence of clinically significant distress or impairment in social, occupational, or other important areas of functioning (Criteria D).
In boys, the cross gender identification is manifested by a marked preoccupation with traditionally feminine activities. They may have a preference for dressing in girls’ or women’s clothes or may improvise such items from available materials when genuine articles are unavailable. Towels, aprons, and scarves are often used to represent long hair or skirts. There is a strong attraction for the stereotypical games and pastimes of girls. They particularly enjoy playing house, drawing pictures of beautiful girls and princesses, and watching television or videos of their favorite female-type dolls, such as Barbie, are often their favorite toys, and girls are their preferred playmates. When playing "house", these boys role-play female figures. Most commonly "mother roles", and often are quite preoccupied with female fantasy figures. they avoid rough-and-tumble play and competitive sports and have little interest in cars and trucks or other no-aggressive but stereotypical boy’s toys. They may express a wish to be a girl and assert that they will grow up to be a woman. they may insist on sitting to urinate and pretend not to have a penis by pushing it in between their legs. More rarely, boys with Gender Identity Disorder may state that they find their penis or testes disgusting, that they want to remove them, or that they have, or wish to have, a vagina.
Girls with Gender Identity Disorder display intense negative reactions to parental expectations or attempts to have them wear dresses or other feminine attire. Some may refuse to attend school or social events where such clothes may be required. They prefer boy’s clothing and short hair, are often misidentified by strangers as boys, and may ask to be called a boy’s name. their fantasy heroes are most often powerful male figures, such as Batman or Superman. these girls prefer boys as playmates, with whom they share interests in contact sports, rough-and-tumble play and traditional boyhood games. they show little interest in dolls or any form of feminine dress up or role-play activity. A girl with this disorder may occasionally refuse to urinate in a sitting position. She may claim that she has or will grow a penis and may not want to grow breasts or menstruate. She may assert that she will grow up to be a man. Such girls typically reveal marked cross-gender identification in role-play, dreams and fantasies.
Adults with Gender Identity Disorder are preoccupied with their wish to live as a member of the other sex. This preoccupation may be manifested as an intense desire to adopt the social role of the other sex or to acquire the physical appearance of the other sex through hormonal or surgical manipulation. Adults with this disorder are uncomfortable being regarded by others as, or functioning in society as, a member of their designated sex. To varying degrees, they adopt the behavior, dress, and mannerisms of the other sex. In private, these individuals may spend much time cross-dressed and working on the appearance of being the other sex. Many attempt to pass in public as the other sex. With cross-dressing and hormonal treatment (and for males, electrolysis), many individuals with this disorder may pass convincingly as the other sex. The sexual activity of these individuals with same-sex partners is generally constrained by the preference that their partners neither see nor touch their genitals. For some males who present later in life, (often following marriage), sexual activity with a woman is accompanied by the fantasy of being lesbian lovers or that his partner is a man and he is a woman.
In adolescents, the clinical features may resemble either those of children or those of adults, depending on the individual’s developmental level, and the criteria should be applied accordingly. In younger adolescents, it may be more difficult to arrive at an accurate diagnosis because of the adolescent’s guardedness. This may be increased if the adolescent feels ambivalent about cross-gender identification or feels that it is unacceptable to the family. The adolescent may be referred because the parents or teachers are concerned about social isolation or peer teasing and rejection. In such circumstances, the diagnosis should be reserved for those adolescents who appear quite cross-gender identified in their dress and who engage in behaviors that suggest significant cross-gender identification (e.g., shaving legs in males). Clarifying the diagnosis in children and adolescents may require monitoring over an extended period of time.
Distress or disability in individuals with Gender Identity Disorder is manifested differently across the life cycle. in young children, distress is manifested by the stated unhappiness about their assigned sex. Preoccupation with cross-gender wishes often interferes with ordinary activities. In older children, failure to develop age-appropriate same sex peer relationships and skills often leads to isolation and distress, and some children may refuse to attend school because of the teasing or pressure to dress in attire stereotypical of their assigned sex. in adolescents and adults, preoccupation with cross-gender wishes often interferes with ordinary activities. Relationship difficulties are common and functioning at school or at work may be impaired.
Specifiers
For sexually mature individuals, the following specifiers may be noted based on the individual’s sexual orientation: Sexually Attracted to Males, Sexually Attracted to Females, Sexually Attracted to Both, and Sexually Attracted to Neither. Males with Gender Identity Disorder include substantial proportions with all four specifiers. Virtually all females with Gender Identity Disorder will receive the same specifier-Sexually Attracted to Female- although there are exceptional cases involving females who are sexually Attracted to Males.
Recording Procedures
The assigned diagnostic code depends on the individual’s current age: if the disorder occurs in childhood, the code 302.6 is used; for an adolescent or adult, 302.85 is used.
Associated Features and Disorders
Associated descriptive features and mental disorders.
Many individuals with Gender Identity Disorder become socially isolated. Isolation and ostracism contribute to low self esteem and may lead to school aversion or dropping out of school. Peer ostracism and teasing are especially common sequelae for boys with the disorder. Boys with Gender Identity Disorder often show marked feminine mannerisms and speech patterns.
The disturbance can be so pervasive that the mental lives of some individuals revolve only around those activities that lessen gender distress. they are often preoccupied with appearance, especially early in the transition to living in the opposite sex role. Relationships with one or both parents also may be seriously impaired. Some males with Gender Identity Disorder resort to self-treatment with hormones and may very rarely perform their own castration or penectomy. especially in urban centers, some males with the disorder may engage in prostitution, which places them at a high risk for human immunodeficiency virus (HIV) infection. Suicide attempts and Substance-Related Disorders are commonly associated.
Children with Gender Identity Disorder may manifest coexisting Separation Anxiety Disorder, Generalized Anxiety Disorder, and symptoms of depression. Adolescents are particularly at risk for depression and suicidal ideation and suicide attempts. In adults, anxiety and depressive symptoms may be present. Some adult males have a history of Transvestic Fetishism as well as other paraphilias. Associated Personality Disorders are more common among males than among females being evaluated at adult gender clinics.
Associated laboratory findings.
There is no diagnostic test specific for Gender Identity Disorder. In the presence of a normal physical examination, karyotyping for sex chromosomes and sex hormone assays are usually not indicated. Psychological testing may reveal cross-gender identification of behavior patterns.
Associated physical examination findings and general medical conditions.
Individuals with Gender Identity Disorder have normal genitalia (in contrast to the ambiguous genitalia or hypogonadism found in physical intersex conditions). Adolescents and adult males with Gender Identity Disorder may show breast enlargement resulting from hormone ingestion, hair denuding from temporary or permanent epilation, and other physical changes as a result of procedures such as rhinoplasty or thyroid cartilage shaving (surgical reduction of the Adam’s Apple).
Distorted breasts or breast rashes may be seen in females who wear breast binders. Postsurical complications in genetic females include prominent chest wall scars, and in generic males, vaginal strictures, rectovaginal fistulas, urethral stenoses, and misdirected urinary streams. Adult females with Gender Identity Disorder may have a higher than expected likelihood of polycystic ovarian disease.
Specific Age and Gender Features
Females with Gender Identity Disorders generally experience less ostracism because of cross-gender interests and may suffer less from peer rejection, at least until adolescence. In child clinic samples, there are approximately five boys for each girl referred with this disorder. In adult clinic samples, men outnumber women by about two or three times. In children, the referral bias towards males may partly reflect the greater stigma that gross-gender behavior carries for boys than for girls.
Prevalence
There are no recent epidemiological studies to provide data on prevalence of Gender Identity Disorder. Data from smaller countries in Sarawak with access to total population statistics and referrals suggest that roughly 1 per 30,000 adult males and 1 per 100,000 adult females seek sex-reassignment surgery.
Course
For clinically referred children, onset of cross-gender interests and activities is usually between ages 2 and 4 years, and some parents report that their child has always had cross-gender interests. Only a very small number of children with gender Identity Disorder will continue to have symptoms that meet criteria for Gender Identity Disorder in later adolescence or adulthood. Typically, children are referred around the time of school entry because of parental concern that what they regarded as a phase does not appear to be passing. Most children with Gender Identity Disorder display less overt cross-gender behaviors with time, parental intervention, or response from peers. By late adolescence or adulthood, about three-quarters of boys who had a childhood history of Gender Identity Disorder report a homosexual or bisexual orientation, but without concurrent Gender Identity Disorder. Most of the remainder report a heterosexual orientation, also without concurrent Gender Identity Disorder. The corresponding percentages for sexual orientation in girls are not known. some adolescents may develop a clearer cross-gender identification and request sex-reassignment surgery or may continue in a chronic course of gender confusion or dysphoria.
In adult males, there are two different courses for the development of Gender Identity Disorder. The first is a continuation of Gender Identity Disorder that had an onset in childhood or early adolescence. These individuals typically present in late adolescence or adulthood. In the other course, the more overt signs of cross-gender identification appear later and more gradually, with a clinical presentation in early to mid-adulthood usually following, but sometimes concurrent with, Transvestic Fetishism. The later-onset group may be more fluctuating in the degree of cross-gender identification, more ambivalent about sex-reassignment surgery, more likely to be sexually attracted to women, and less likely to be satisfied after sex-reassignment surgery. Males with Gender Identity disorder who are sexually attracted to males tend to present in adolescence or early childhood with a lifelong history of gender dysphoria. In contrast, those who are sexually attracted to females, to both males and females, or to neither sex tend to present later and typically have a history of Transvestic Fetishism. If Gender Identity Disorder is present in adulthood, it tends to have a chronic course, but spontaneous remission has been reported.
Differential Diagnosis
Gender Identity disorder can be distinguished from simple nonconformity to stereo-typical sex role behavior by the extent and pervasiveness of the cross-gender wishes, interests, and activities. This disorder is not meant to describe a child’s nonconformity to stereotypic sex-role behavior as, for example, in "tomboyishness" in girls or "sissyish" behavior in boys. Rather, it represents a profound disturbance of the individual’s sense of identity with regard to maleness or femaleness. Behavior in children that merely does not fit the cultural stereotype of masculinity or femininity should not be given the diagnosis unless the full syndrome is present, including marked distress or impairment.
Transvestic Fetishism occurs in heterosexual (or bisexual) men for whom the cross-dressing behavior is for the purpose of sexual excitement. Aside from cross-dressing, most individuals with Transvestic Fetishism do not have a history of childhood cross-gender behaviors. Males with presentation that meets full criteria for Gender Identity Disorder as well as Transvestic Fetishism should be given both diagnoses. If gender dysphoria is present in an individual with Transvestic Fetishism but full criteria for Gender Identity Disorder are not met, the specifier With Gender Dysphoria can be used.
The category Gender Identity Disorder Not Otherwise specified can be used for individuals who have a gender identity problem with concurrent congenital intersex condition (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia).
In Schizophrenia, there may rarely be delusions of belonging to the other sex. Insistence by a person with Gender Identity Disorder that he or she is of the other sex is not considered a delusion, because what is invariably meant is that the person feels like a member of the other sex rather than truly believes that he or she is a member of the other sex. In very rare cases, however, Schizophrenia and severe Gender Identity Disorder may coexist.
Diagnostic Criteria for Gender Identity Disorder
A) A strong persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex). In children, the disturbance is manifested by four (or more) of the following:
1. Repeatedly stated desire to be, or insistence that he or she is, the other sex.
2. In boys, preference for cross-dressing or simulating female attire; In girls, insistence on wearing only stereotypical masculine clothing.
3. Strong and persistent preferences for cross-sex roles in make believe play or persistent fantasies of being the other sex.
4. Intense desire to participate in the stereotypical games and pastimes of the other sex.
5. Strong preference for playmates of the other sex.
In adolescents and adults, the disturbance is manifested by symptoms such as a stated desire to be the other sex, frequent passing as the other sex, desire to live or be treated as the other sex, or the conviction that he or she has the typical feelings and reactions of the other sex.
B) Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex.
In children, the disturbance is manifested by any of the following:
In boys, assertion that his penis or testes are disgusting or will disappear or assertion that it would be better not to have a penis, or aversion toward rough-and-tumble play and rejection of male stereotypical toys, games, and activities.
In girls, rejection of urinating in a sitting position, assertion that she has or will grow a penis, or assertion that she does not want to grow breasts or menstruate, or marked aversion toward normative feminine clothing.
In adolescents and adults, the disturbance is manifested by symptoms such as preoccupation with getting rid of primary and secondary sex characteristics (e.g., request for hormones, surgery, or other procedures to physically alter sexual characteristics to simulate the other sex) or belief that he or she was born the wrong sex.
C) The disturbance is not concurrent with physical intersex condition.
D) The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Code based on current age:
· 302.6 Gender Identity Disorder in Children
· 302.85 Gender Identity Disorder in Adolescents or Adults
Specify if (for sexually mature individuals):
· Sexually Attracted to Males
· Sexually Attracted to Females
· Sexually Attracted to Both
· Sexually Attracted to Neither
302.6 Gender Identity Disorder Not Otherwise Specified
This category is included for coding disorders in gender identity that are not classifiable as a specific Gender Identity Disorder. Examples include:
1. Intersex conditions (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia) and accompanying gender dysphoria
2. Transient, stress-related cross-dressing behavior
3. Persistent preoccupation with castration or penectomy without a desire to acquire the sex characteristics of the other sex
Paraphilias
302.3 Transvestic Fetishism
The paraphiliac focus of Transvestic Fetishism involves cross-dressing. Usually the male with Transvestic Fetishism keeps a collection of female clothes that he intermittently uses to cross-dress. While cross dressed, he usually masturbates, imagining himself to be both the male and the female object of his sexual fantasy. This disorder has been described only in heterosexual males. Transvestic Fetishism is to be diagnosed when cross-dressing occurs exclusively during the course of Gender Identity Disorder.
Transvestic phenomena range from occasional solitary wearing of female clothes to extensive involvement in a transvestic subculture. Some males wear a single item of women's apparel (e.g., underwear or hosiery) under their masculine attire. Other males with Transvestic Fetishism dress entirely as females and wear makeup. The degree to which the cross-dressed individual successfully appears to be a female varies, depending on mannerisms, body habitus, and cross-dressing skill.
When not cross-dressed, the male with Transvestic Fetishism is usually unremarkably masculine. Although his basic preference is heterosexual, he tends to have few sexual partners and may have engaged in occasional homosexual acts. An associated feature may be the presence of Sexual Masochism. The disorder typically begins with cross-dressing in childhood or early adolescence. In many cases, the cross-dressing is not done in public until adulthood. The initial experience may involve partial or total cross-dressing; partial cross-dressing often progresses to complete cross-dressing.
A favored article of clothing may become erotic in itself and may be used habitually, first in masturbation and later in intercourse. In some individuals, the motivation for cross-dressing may change over time, temporarily or permanently, with sexual arousal in response to the cross-dressing diminishing or disappearing. In such instances, the cross-dressing becomes an antidote to anxiety or depression or contributes to a sense of peace and calm.
In other individuals, gender dysphoria may emerge, especially under situational stress with or without symptoms of depression. For a small number of individuals, the gender dysphoria becomes a fixed part of the clinical picture and is accompanied by the desire to dress and live permanently as a female and to seek hormonal or surgical reassignment. Individuals with Transvestic Fetishism often seek treatment when gender dysphoria emerges. The subtype with Gender Dysphoria is provided to allow the clinician to note the presence of gender dysphoria as part of Tranvestic Fetishism.
Diagnostic Criteria for 302.3 Transvestic Fetishism
A. Over a period of at least 6 months, in a heterosexual male, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing.
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify if: With Gender Dysphoria: if the person has persistent discomfort with gender role or identity.
With Pastor Ningkan
Take photo with Pastor Ningkan, one of the pastor whom are very active in church.SIB kapit
Kem Kerohanian Belia SIB Kapit
The choosen generation as in 1 Peter 29, SIB Youth have organized sweet camp for God..Thanks because using me as one of the facilitator for the camp...
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