Do people who identify as LGBTQ struggle for acceptance in Appalachia? Ideas about gender are changing across the country and in places like West Virginia.

Still, some people, like 20-year-old Kyra Soleil-Dawe, who lives in Shepherdstown, West Virginia and identifies as gender-queer, have found that coming out to their family isn’t easy.

“Do you care about your perceptions of girl and boy more, or do you care about your kid more?” Kyra told West Virginia Public Broadcasting for the station’s series ‘Struggle to Stay.

“And I think that those are the lessons my family’s learning right now — that I’m learning right now as well. But I love them dearly; they love me back. We’re working out the kinks in between.”

But how does Appalachian culture affect gender identity?

“In Appalachia culture, which is a valid culture, they have very strong views on what is masculine and what is feminine,” said Dr. Darlene Daneker, an Associate Professor in the Counseling Department at Marshall University. She’s published several peer-reviewed studies on gender identity and, for the past three years, she’s worked to counsel those who identify as transgender — both adults and teens.

At the same time, she says transgender people are finding acceptance here in the mountain state and elsewhere in the region.

“It’s not like these people aren’t loved by anybody. Their moms and dads and their family love them, and so they’re not outcasts. That’s one really big benefit for Appalachians in West Virginia,” said Daneker.

Daneker recently spoke with Inside Appalachia to discuss how changing attitudes towards gender are affecting teens and adults in West Virginia.

[soundcloud url=”https://api.soundcloud.com/tracks/334221810″ params=”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false” width=”100%” height=”166″ iframe=”true” /]

So we’ll start with the definitions. What is gender fluidity and what is gender dysphoria?

Gender fluidity refers to the concept that gender is not a binary concept. We used to think there was male and female — and that was all. But that’s not true. If we think about the very female or feminine end and we place Barbie there — and on the masculine end if we put Ken there — most of us are going to fall somewhere in between there. I don’t look like Barbie and I don’t look like Ken. I look somewhere in the middle there. So, gender fluidity is moving somewhere along that continuum. We can’t say he or she is male or female. We have to kind of see where they fall on that continuous line.

Gender dysphoria is a disorder that is described in the diagnostic statistical manual [of mental disorders] as an extreme abhorrence of the body’s sexual body parts that one was born with. And this is really a disturbing disorder for those that have it. They cannot abide the sex organs that they were born with. For a person who is born female  — and who is male identified — when their breasts begin to grow, it’s as if, you know, a strange fungus were growing on their chest. And it’s very, very disturbing.

Luckily, there is a cure for gender dysphoria. Once an individual is allowed to transition into who they really are on the inside, so that now their outside matches who they already knew they were inside, then they’re no longer dysphoric. Now, they are a healthy individual that just continues on in our society like the rest of us.

And can you describe where the line might be in gender fluidity not being a disorder and gender dysphoria being a disorder until they might have the opportunity to get the cure.

Gender fluidity is not a disorder. Anybody can be gender fluid. If you were to see me walking down the street, I may be wearing jeans and a T-shirt and sneakers. And that is not a — in our society — typical feminine dress. Sex is biology and gender is a social construction of that biology. So, if somebody tells you I am a female, I’m a woman, you expect me to look and dress and act a certain way.

How important is it for you as a counselor to understand culture as you work to help folks who are transgender?

It’s critical. Understanding culture is critical for any counselor working with anybody, but particularly for those who want to work with transgendered people. When somebody is transitioning from a male to a female, for example, our social and gender roles, those things that we do in our culture that are defined as what women do and what men do, are defined by culture, as you said. And if we don’t understand that culture — and we’re helping somebody transition — then we might not be there and be able to help them understand how to fit into the culture that they were born into and where they live.

For example in this area, in Appalachia[n] culture, which is a valid culture, they have very strong views on what is masculine and what is feminine. And if we don’t understand what that means, then we might help somebody transition and help coach them to act like a male or a female in this culture. And they may not pass, which is an absolute disaster. Passing is the goal for somebody who is [in or has been in] transition. Somebody who can pass well, who was born female, will not be questioned or looked at twice but will be accepted as male and masculine.

What does the public need to know that might help bring more understanding to communities in West Virginia and across Appalachia, knowing the culture here? What does the public need to know?

First of all, that their family loves their transgender children. And so it’s not like these people aren’t loved by anybody. Their moms and dads and their family love them, and so they’re not outcasts. That’s one really big benefit for Appalachians in West Virginia. Many areas it’s not like that, but it is here that from all that I’ve heard from all of my clients, it would be really important for everybody to understand that this isn’t something that anybody, you know, decides to do on a whim. It’s not something to get attention. It’s not something to try to hide from anything. This is something that there’s something different about the person and they figure out finally it’s because they’re in the wrong body. Somehow, you know, when they were getting made, there were some wires mixed or chemicals mixed that didn’t work right. And they ended up in the body that doesn’t look like who they are.

Jessica Lilly (@JessicaYLilly) is the host West Virginia Public Brodcasting’s ‘Inside Appalachia.’ A lifetime resident of southern West Virginia, Jessica hails from Mullens in Wyoming County.