Exterior. Langley home.

Music

00:14

 

ANDREW LANGLEY, ISABELLE'S FATHER: What do you want for breakfast Isabelle?

00:16

Langley family in kitchen. Breakfast.

ISABELLE LANGLEY, TRANSGENDER: May I please have some Vegemite crumpets.

00:18

 

ANDREW LANGLEY: And what do you want on your crumpets?

ISABELLE LANGLEY: Um...

ANDREW LANGLEY: Do you want vegemite?

00:21

 

ISABELLE LANGLEY: Ah, yes please.

HATTIE LANGLEY, DAUGHTER: Yeah definitely needs another mix...

NAOMI MCNAMARA, ISABELLE'S MOTHER: I know.

HATTIE LANGLEY: ...and another one minute and then maybe another one minute.

NAOMI MCNAMARA: This is supposed to take 90 seconds in the microwave you know, that's how you're supposed to eat it.

00:24

[sequence continues]

JANINE COHEN, REPORTER: The Langley home is busy in the mornings.

00:41

 

NAOMI MCNAMARA: Have you got the milk out?

ANDREW LANGLEY: Yeah I've got the milk out.

00:44

 

JANINE COHEN: The family live in Taggerty, a small rural hamlet, 100 kilometres north east of Melbourne.

 

00:47

 

NAOMI MCNAMARA: Yeah it's pretty noisy and chaotic (laughs) as a general rule.

(to children) You all go the same day?

HATTIE LANGLEY: Yeah.

NAOMI MCNAMARA: ...to the practice?

HATTIE LANGLEY: Yeah.

ANDREW LANGLEY: Yeah.

NAOMI MCNAMARA: Where... have you got a note?

HATTIE LANGLEY: Yeah.

NAOMI MCNAMARA: Well, where is it?

00:54

 

JANINE COHEN: Naomi's a social worker.

01:10

[Breakfast sequence continues]

ANDREW LANGLEY: Is... is that the best condition it can be in?

01:13

 

JANINE COHEN: And Andrew runs their bed and breakfast.

01:19

 

ANDREW LANGLEY: You think you've got the morning under control, everyone's up early and something

01:24

Andrew

always go and falls off... off the wagon.

 

01:28

[Breakfast sequence continues]

ANDREW LANGLEY: Though this morning you're running a bit late...

HATTIE LANGLEY: So was I!

ANDREW LANGLEY: Haven't had a shower yet?

HATTIE LANGLEY: So am I!

ANDREW LANGLEY: No.

01:30

Hattie and Isabelle at kitchen bench with Andrew and Naomi

JANINE COHEN: The couple have two children. Hattie's eight and Isabelle's eleven.

ANDREW LANGLEY: Oh they're best of friends, best of friends.

01:35

 

I think Hattie really adores Isabelle. She's looked up to her since she was really -- as long as I can remember. Always imitated Isabelle whenever they were playing. They're sisters, they have the best of fights too (laughs), they get on each other's nerves at times.

01:44

Hattie and Isabelle eat breakfast

JANINE COHEN: Do you girls always get along or

do you fight sometimes?

HATTIE LANGLEY: We fight a little bit, but not all the time.

JANINE COHEN: What do you fight about Isabelle?

ISABELLE LANGLEY: Um... lots of things.

HATTIE LANGLEY: Like sometimes if

02:05

 

Isabelle um, keeps my Barbie box - the Barbie box - open in my room.

ISABELLE LANGLEY: No one even said that you got to keep it anyway.

HATTIE LANGLEY: It's both of ours and I don't like Barbie, so.

ISABELLE LANGLEY: You don't like them?

HATTIE LANGLEY: So you can put it in your room - decision made.

02:20

Hattie and Isabelle cleaning their teeth

JANINE COHEN: Hattie and Isabelle both have bright futures. But one sibling may have a few more challenges than the other. As one was born a boy.

02:42

 

NAOMI MCNAMARA: There was probably a couple of months where she'd started a conversation with me saying I just feel weird, I don't feel right.

JANINE COHEN: But nothing prepared Naomi for what her son was about to tell her.

03:00

Naomi. Super:
NAOMI McNAMARA
Isabelle's mother

NAOMI MCNAMARA: Just... yeah said to me... I don't, I don't like my body, I don't feel right in my body. And I said well you know, what do you mean? And I think I started off on a tangent and said oh well you know lots of kids feel that way and um... it's, you know, normal to feel all weird in your body and your body's growing and all of those sorts of things, completely jumping to the wrong conclusion

03:14

Isabelle plays with doll

and she said no I feel like I'm a girl, I'm in the wrong body.

03:38

 

JANINE COHEN: This was within weeks of their son Campbell turning 10.

03:46

Isabelle. Super:
ISABELLE LANGLEY

ISABELLE LANGLEY: I just said to my mum that I didn't want to be boy, I felt like a girl and that I'm sick of living in this body.

JANINE COHEN: Was it making you sad?

ISABELLE LANGLEY: A little.

JANINE COHEN: And how did mum and dad react?

ISABELLE LANGLEY: Well my mum was rather calm about it, so was my dad.

03:53

Andrew. Super:
ANDREW LANGLEY
Isabelle's father

ANDREW LANGLEY: I think it is a bit of an emotional roller coaster. I sort of initially my thoughts were for

04:17

Photo. Campbell

Campbell then, it's oh Jeez what's life going to deal, um you know... there's just going to be barriers, are these barriers you really going to want to put up with?

04:23

Photos. Campbell in various dress ups

NAOMI MCNAMARA: We'd had conversations, Campbell he may end up being gay when he grows up and you know we were kind of prepared for that. I had these sort of little images of, you know, standing with a rainbow flag and you know, I was all for it, it was going to be great.

04:33

 

Music

04:50

 

NAOMI MCNAMARA: When Isabelle told me that night I sort of... Andrew and I sort of said

04:52

Naomi

why couldn't she have just been gay (laughs) it would have been a lot easier than this, at that time that's what we'd sort of felt, and obviously they're two completely separate things.

04:56

Photo. Naomi and Andrew with Campbell at birth

JANINE COHEN: Campbell was born on 6 June 2003.

05:08

Photo. Campbell dressed in pink butterfly costume

And from a toddler he always preferred girl's things.

(to Isabelle) Did you ever like boy's things?

05:14

Isabelle

ISABELLE LANGLEY: Never. My entire life I've used traditional girl's toys.

05:21

Andrew

ANDREW LANGLEY: I love sport, could not get Campbell into sport at all.

05:25

Photo. Campbell in mouse costume

We had Lego and Matchbox cars had not interest in them.

05:30

Photo. Campbell wearing butterfly wings, surrounded by kids

As soon as we're home from anywhere, straight into dress up, straight into either a mermaid tail or a Cinderella dress or fairy wings.

 

05:33

Isabelle

ISABELLE LANGLEY: I tried stopping it but I couldn't really.

JANINE COHEN: Did you fight against it for a little while?

ISABELLE LANGLEY: I was trying to.

05:44

Isabelle with doll

I didn't really know there was anything to do

05:53

 

about it. I started looking up things.

JANINE COHEN: Where did you look them up?

ISABELLE LANGLEY: Just on the internet. I just looked up what to do if you feel like a girl and I found all these websites and they were saying that you're able to get special surgery and that you can actually come out that way, and I found some videos too, about some other children feeling that way.

05:55

Isabelle watches video of Jazz Jennings on laptop

HOST: She's here in person, tonight. So say hello to Jazz.

06:26

 

JANINE COHEN: It was American transgender girl Jazz Jennings who made the biggest impression.

06:36

 

JAZZ JENNINGS, TRANSGENDER: Thank you so much, Kids and teens out there, I just want them to know that it is okay to step out of your shadows and just be who you are. Just be true to yourself and express yourself.

06:43

Naomi

NAOMI MCNAMARA: She had tears in her eyes, like she just said... oh, you know I'm just so glad I saw that. Like it was, she felt less alone and just came with... just a million questions came out of that for her. And she watched it over and over again.

06:57

Isabelle

ISABELLE LANGLEY: It's made me realise that there was ways to sort of cope.

JANINE COHEN: And before you saw Jazz, did you not know?

ISABELLE LANGLEY: I didn't think there was anything to do about it.

JANINE COHEN: What was it like when you realised you could do something?

ISABELLE LANGLEY: I felt very happy then and I told my mum that night.

07:13

Isabelle on bed with doll

Music

07:38

 

JANINE COHEN: After the initial high, Isabelle started to get very down.

07:41

 

Children can be most vulnerable between the time of coming out and getting treatment.

07:47

Andrew

ANDREW LANGLEY: It took three or four weeks to go through it but just to see how upset she was, she would come home miserable. "I don't see a future for myself", I remember her saying one night.

07:53

Naomi

NAOMI MCNAMARA: She'd been crying and we'd been having a discussion and she was upset so much of the time at that point in time and she said I just I can't and just whispered like "I just can't see what the future looks like for me". And that was awful... (begins to get upset) and that like I just. I think for me that was the point where the confusion kind of melted away a little bit and you just sort of think well God we've only got one job here and that is to help her create a future that she can live with, that she can thrive in and um... yeah.

08:04

Isabelle

JANINE COHEN: How hard would it be if you had parents who didn't support you?

ISABELLE LANGLEY: If that actually happened, I'd probably have run away by now, or killed myself.

08:49

Isabelle reading to dad in bed

Music/Isabelle reading

09:02

 

JANINE COHEN: Studies show 30 per cent of young people who don't get treatment attempt suicide and 50 per cent self harm.

ANDREW LANGLEY: One of the first things I came across was this high rate of suicide in children who have this issue and I think that put a bit of fear into me

09:08

Andrew

and it was like oh well, no, hang on, I've got a happy child. I'm... this can't be.

 

09:27

Andrew says goodnight to Isabelle

ISABELLE LANGLEY: "I love you."

ANDREW LANGLEY: "Love you".

ANDREW LANGLEY: I'm not going to do anything that's going to, you know, not make sure she does have a long and happy life.

09:32

Paige

PAIGE ELLIOT PHOENIX, TRANSGENDER: I haven't had an easy life.

09:43

Excerpt of Paige on X Factor reality TV show

 

09:45

 

PAIGE ELLIOT PHOENIX: Hi guys how are you going?

RONAN KEATING, JUDGE: Hello.

NATALIE BASSINGTHWAIGHTE, JUDGE: Good. How are you?

09:48

 

PAIGE ELLIOT PHOENIX: Very well thank you.

RONAN KEATING: What's your name?

PAIGE ELLIOT PHOENIX: My name is Paige Elliott Phoenix.

JANINE COHEN: Paige Elliott Phoenix is a transgender man who came out on X Factor.

 

 

09:50

[Excerpt continues]

PAIGE ELLIOT PHOENIX: So I'm a female to male transsexual.

RONAN KEATING: Wow, okay.

09:59

 

JANINE COHEN: What Paige didn't share with the audience that night was his struggle just to survive.

10:05

Paige sings

PAIGE ELLIOT PHOENIX: (singing) I told you if we could fly, because we all have wings and some of us don't know why. I was standing.

10:11

Photos. Paige as a child

Music

10:31

 

JANINE COHEN: When Paige was young she didn't know she was transgender.

10:34

 

Back then, many of these kids were treated as if they had a mental disorder.

ROB LYONS, DR, PSYCHIATRIST: Psychotherapy

10:38

Dr Lyons. Super:
DR ROB LYONS
Psychiatrist

was seen as the way of curing, and people were put through this process against their will and we all know that psychotherapy against will doesn't work anyway

10:46

Paige down stairs to dressing room

and in fact that process I think scarred a lot of the trans people of the ‘60s and ‘70s, and perhaps even ‘80s.

PAIGE ELLIOT PHOENIX: Home sweet home.

 

10:58

Paige puts on make up

JANINE COHEN: Backstage, Paige Elliot Phoenix is getting ready to perform at a transgender health conference.

PAIGE ELLIOT PHOENIX: I know, my secret is out, trans men wear foundation (laughs).

11:10

Photos. Paige as child

JANINE COHEN: Paige has come a long way since the confusing and traumatic years of his childhood. His parents tried to get their child to conform.

PAIGE ELLIOT PHOENIX: It started with gentle encouragement to you know to start to conform to which I just bucked massively and then

11:24

Paige. Super:
PAIGE ELLIOT PHOENIX

I guess the older I got the more pressure was being applied the more that I rebelled and made life very difficult for my parents.

11:47

Paige putting on make up backstage

JANINE COHEN: Since the age of 11, Paige lived in numerous foster homes, shelters and even on the street.

11:58

 

PAIGE ELLIOT PHOENIX: We couldn't find a way out of it,

12:06

Paige

we couldn't find a way to understand what was happening and my folks just didn't have the skill set to be able to deal with it.

12:09

Paige putting on make up backstage

JANINE COHEN: It wasn't until Paige was 32, after searching the internet, he discovered he was transgender. His parents had no idea.

12:16

Paige

PAIGE ELLIOT PHOENIX: If we had known what was going on, you know, it could have been dealt with really differently. If my parents had of been able to access some support around it, it could have been really different. I honestly believe they did the best they could with what they had.

12:28

Paige dresses for performance

JANINE COHEN: Seven years ago Paige had chest surgery.

PAIGE ELLIOT PHOENIX: It's shocking how many people when you consider the stats with the major population, how many of our community are in that much pain and suffering that much.

12:46

Paige

For young trans boys of the terror of breasts growing, of a menstrual cycle starting, which you know, is just on every level so wrong for them and not natural for them.

13:07

Paige dresses for performance

JANINE COHEN: Four Corners has spoken to young transgender men, who before treatment, bound their breasts, and even stabbed them.

PAIGE ELLIOT PHOENIX: We've had very little time to rehearse so we're going to be winging

13:27

 

a fair bit of it.

JANINE COHEN: To help keep his masculine appearance, Paige injects himself every 10 days with testosterone.

 

Photo. Paige

PAIGE ELLIOT PHOENIX: I was a 56 kilogram female, and hairless.

13:51

Paige

I'm now an 85 kilogram bear. (laughs).

13:58

Dr Lyons

ROB LYONS: So a person that transitions on testosterone late will be basically appearing as your average male within twelve to 18 months and probably would have deepened his voice within three.

14:05

Paige and Coco in dressing room

PAIGE ELLIOT PHOENIX: Yeah just stick with your ethereal kind of... what your were doing in rehearsal for... going for that lyric it was great.

JANINE COHEN: Tonight, Paige is singing a duet with transgender woman, Coco.

COCO, TRANSGENDER: Bad dress rehearsal means good show.

PAIGE ELLIOT PHOENIX: That's right,

14:22

 

(laughs) Let's hope. Let's go beautiful.

COCO: Let's go. Okay.

 

 

 

 

 

14:34

 

Good luck (kisses).

PAIGE ELLIOT PHOENIX: And to you.

COCO: Oops lipstick. Yep.

PAIGE ELLIOT PHOENIX: All right.

JANINE COHEN: Paige contacted his mother recently hoping for a reunion.

14:38

Paige

PAIGE ELLIOT PHOENIX: The reply was I think the sentence that stuck out was "To see you as you are breaks my heart". Yeah so it was like, ouch, okay yep. And it kind of, I kind of a hit a point with it where I was like yeah, you know what, holding this... even just holding this space for you and waiting, waiting for you is breaking my heart.

14:51

Paige and Coco on stage singing

PAIGE ELLIOT PHOENIX: (singing) I changed my face and I changed my name...but no one wants you when you lose...

COCO: (singing) Don't give up, 'cause you have a friend.

15:25

Exterior. Royal Children's Hospital

Don't give up, you're not beaten yet.

15:50

Isabelle with parents at hospital

JANINE COHEN: Back in Melbourne, Isabelle is making one of her regular visits to the gender clinic at the Royal Children's Hospital.

15:58

 

ANDREW LANGLEY: We're here.

16:05

 

JANINE COHEN: It was here 12 months ago that she was first assessed. The numbers of children presenting at clinics around Australia have skyrocketed.

MICHELLE TELFER, PAEDIATRICIAN, ROYAL CHILDREN'S HOSPITAL, VIC: So we've had a huge increase in new referrals to the Royal Children's Hospital

16:09

Dr Telfer. Super:
DR MICHELLE TELFER
Paediatrician, Royal Children's Hospital, VIC

l from one in 2003, to a hundred new referrals just this year. And this is replicated across the western world, so the same numbers are being seen across America,

16:26

Langley family at hospital, visit with Dr Telfer

across Europe.

(to Langley family) Oh hello.

16:37

 

Come through. Hi Isabelle how are you, you well?

JANINE COHEN: Doctors like Michelle Telfer don't think there's more transgender kids than 10 years ago, they're just coming out and accessing treatment much earlier.

MICHELLE TELFER: What's changed is that people are feeling safe to come forward because of social change,

16:41

 

but they are also becoming aware that we have treatments that can help them. And that's something that's only been around for about 15 years around the world, and probably only 10 years here in Australia.

17:01

 

JANINE COHEN: It's often difficult to diagnose children before puberty as their gender can be fluid.

MICHELLE TELFER: That's the reason that we don't use any medical interventions until puberty has started because

17:14

Dr Telfer

the evidence shows that if you look at the number of children in early childhood who show gender non-conforming behaviour, only about 25 per cent of those children will identify as transgender in adolescence.

17:26

Langley family at hospital, visit with Dr Telfer

JANINE COHEN: Many of the children will later identify as lesbian, gay or bisexual. Some will be heterosexual.

17:40

Dr Telfer

MICHELLE TELFER: Once someone has gone into puberty and I know Isabelle isn't quite there yet, but if she reaches puberty, and she's still identifying strongly as female, we know it's not a phase. There's a 99.5 per cent chance she's going to persist with that female gender identity.

 

 

 

 

 

17:49

Isabelle with Dr Telfer

(to Isabelle) So Isabelle, do you have any questions for me?

ISABELLE LANGLEY: How do hormone blockers work?

MICHELLE TELFER: That is a very good question.

JANINE COHEN: Isabelle's anxious to start the first stage of her medical treatment - puberty blocking hormones.

MICHELLE TELFER: Now the good thing

18:04

 

about the drug is it gives you time to think about what you want to do in the long term, without you having to worry about your voice dropping or getting hairy or any of those sorts of things.

18:21

 

If you decided in a couple of years time, so you are 11 now, say you were 13, 14, or 15 and you thought, you know what, I don't want to be a female, I'm going to go back to being Campbell, then we can stop the Zoladex.

ISABELLE LANGLEY: That won't happen, trust me (laughs).

 

 

 

18:31

[shot continuous]

MICHELLE TELFER: No, you know what, I don't think that will happen either. But if it does and it's really important to know that you can make this decision -- if it does happen we can stop this drug and your body goes back to how it would have been with no long term consequences.

18:53

[shot continuous]

JANINE COHEN: Dr Telfer takes regular blood samples so she will know when Isabelle is on the cusp

19:07

Isabelle

of puberty and ready for blockers.

MICHELLE TELFER: Do you have

19:12

Isabelle and Dr Telfer

any more questions about the blockers?

ISABELLE LANGLEY: What was that word called again?

MICHELLE TELFER: This one?

ISABELLE LANGLEY: Yeah.

MICHELLE TELFER: Gonadotropin-releasing hormones.

ISABELLE LANGLEY: Gonadotropin-releasing hormone.

MICHELLE TELFER: Gosh you could get a job here.

 

 

19:16

[shot continuous]

ISABELLE LANGLEY: It's hard to say.

MICHELLE TELFER: That's fantastic.

ISABELLE LANGLEY: It's almost longer... that's almost longer than Supercalifragilisticexpialidocious.

MICHELLE TELFER: Yep almost.

ISABELLE LANGLEY: It's almost longer.

MICHELLE TELFER: Well done.

19:35

[shot continuous]

JANINE COHEN: Ten years ago children like Isabelle didn't have access to this treatment and would have developed

19:46

 

masculine features.

19:51

Isabelle and Dr Telfer

MICHELLE TELFER: And testosterone is the hormone that makes someone look like a man, alright. So it makes... gives you a hairy face like your dad, and you get hairy legs and hairy arms...

ISABELLE LANGLEY: Like him again?

19:53

Andrew laughing

 

 

 

 

 

 

20:09

Assoc Professor Dr Campbell Paul enters consultation

CAMPBELL PAUL, PSYCHIATRIST, ROYAL CHILDREN'S HOSPITAL VIC : G'day.

MICHELLE TELFER: Hello Campbell.

ANDREW LANGLEY: How are you?

MICHELLE TELFER: Thanks for coming in and joining us.

CAMPBELL PAUL: Pleasure.

(To Isabelle) How are you?

ISABELLE LANGLEY: I'm good.

CAMPBELL PAUL: Good.

20:10

[shot continuous]

JANINE COHEN: Associate Professor Campbell Paul is Isabelle's psychiatrist. With help from Dr Paul, 10 months ago Isabelle started living completely as a girl.

20:20

Isabelle and Dr Paul

CAMPBELL PAUL: So are all the other kids using Isabelle or..?

20:30

 

JANINE COHEN: Before children are given puberty blocking treatment they're assessed by at least five doctors.

20:36

Dr Paul. Super:
ASSOC. PROF. CAMPBELL PAUL
Psychiatrist, Royal Children's Hospital, VIC

CAMPBELL PAUL: The process for the assessment is very rigorous. There is a team of us that are involved, and in the first instance it's a psychiatrist and an adolescent physician or an endocrinologist

20:43

Dr Telfer weighs Isabelle

and we get a detailed assessment from the family.

MICHELLE TELFER: "All right, just jump on here."

20:56

 

As doctors, every decision we make on a clinical basis is about weighing up the risks versus the benefits.

21:03

Dr Telfer

And in this case, what we have is a risk of self-harm and suicide that is extremely high, and yet a risk of regret that is very small.

21:10

Dr Telfer measures Isabelle

MICHELLE TELFER: We'll do your height next, good girl. That's it.

21:20

 

JANINE COHEN: Until recently, Isabelle and her family would have been legally bound to go to the Family Court to get approval for puberty blockers. That all changed after another family took on the court.

21:24

Jamie. Super: JAMIE

JAMIE, TRANSGENDER: I know how, how hard it is was, how stressful it was for my parents and how much work it was, and I am just so thankful to them for going through all that for me and for all the kids who are transsexual who now don't have to go to court for that.

21:37

Jamie having make up applied

JANINE COHEN: The Family Court forbids the identification of all children and their families who go before it. For this reason, Four Corners has gone to great lengths to disguise Jamie and her mother using facial prosthetics and digitally altering their voices.

22:01

Jamie

JAMIE: I don't want to be pixelated, because that would kind of be like I'm ashamed and I'm not ashamed. I just need, just my identity is private for the moment.

22:20

Jamie arrives home and embraces mother

JAMIE: Hi.

ALISON: Hello.

JAMIE: How was your day?

ALISON: It was lovely, how was yours?

22:32

[shot continuous]

JANINE COHEN: Jamie's family challenged the Family Court's jurisdiction to approve medical treatment of transgender children.

ALISON: Did you get your assignment in?

JAMIE: Yes.

ALISON: Good.

22:41

Photos. Jamie as child. Face obscured.

JANINE COHEN: From the time he could walk, Jamie never identified as anything else but a girl.

JAMIE: It was very gradual, because at the start I was just wearing girly dress ups at my house and then I would go outside in the wide world just as a boy, but gradually

2252

Jamie

I started to change things a bi, like growing my hair longer, trying to wear boy's clothes in a girlish way.

23:13

Photo. Jamie as child. Face obscured.

JANINE COHEN: Primary school was terrible.

23:21

Jamie

JAMIE: The teachers didn't understand. There were some really mean kids.

23:27

Photos. Jamie

ALISON: I think school became very difficult for her because school is very gendered and to have to fit into the role of a boy was extremely difficult for her.

23:32

Alison. Super:
ALISON
Jamie's mother

She would come home from school saying 'Mum I go to school disguised as a boy and it's so hard trying to be a boy'. And that language is very indicative of the deep understanding of herself as female. When she was around about seven she started to say suicidal things.

JANINE COHEN: Like what?

23:50

[shot continuous]

ALISON: I wish I was dead. Essentially. And that's a devastating thing to hear as a parent of a child whose very young,

24:18

Photo. Jamie cooking

so we knew that it was time to really do something.

24:32

Jamie with mobile phone, lying on bed

Music

24:39

 

JANINE COHEN: Until the talk of suicide, Alison thought her child may have just been going through a phase. Now, she knew she had to do more to help her.

ALISON: I love her with every fibre of my being.

24:43

 

She's very insightful, she's very clear, she's not precocious so I believe her

24:58

Alison

and I've believed her all along that she's needed to do this. It's been difficult, but because she is so true to herself she needed at least one person to have her back and because she is the amazing person that she is, she's got way more than one person.

25:09

Jamie singing at piano

JAMIE [singing]: Pretty please don't you ever ever feel like you're less than, less than perfect.

25:35

 

JANINE COHEN: Watching her daughter's back, has come at a cost.

25:47

Alison

ALISON: I did come across other parents at the first Primary School who were outraged by my support of Jamie.

JANINE COHEN: Why?

25:55

[shot continuous]

ALISON: I think they thought that I was doing it to her, for I don't know what reason -- perhaps they thought that I had wanted a daughter, and that's not the case.

26:05

Jamie

JANINE COHEN: How natural does it feel to be a girl?

JAMIE; Very natural. The same as you would feel being a girl 'cause you just are a girl and there's nothing else to it.

26:24

[shot continuous]

JANINE COHEN: What would your life be like if you couldn't be who you are?

JAMIE: It would be very dark, very bleak and very short.

JANINE COHEN: Short?

JAMIE: Yeah, very short.

26:36

Jamie and Alison clothes shopping

ALISON: Jamie. These ones.

JAMIE: Oh yeah. That's awesome.

ALISON: I love that.

JAMIE: It's cute.

ALISON: That's gorgeous.

JANINE COHEN: Three years ago, Jamie needed puberty blocking treatment.

26:52

Shopping sequence continues

Her mother was alarmed to learn it would cost about $30,000 to go to the Family Court to get approval for it.

JAMIE: Look at that.

JANINE COHEN: Australia is the only jurisdiction in the world that requires a court to approve these treatments.

27:07

Shopping sequence continues

ALISON: Unfortunately, that's created a really, really awful situation for young people who are transgender

27:24

Alison

and it means that a lot of children are not able to access treatment in good time, or even before they're 18, because they simply can't get access to lawyers and justice.

27:33

Alison and Jamie clothes shopping

ALISON: It's a lovely colour.

JAMIE: It is.

JANINE COHEN: At the time blood tests showed that Jamie was very close to puberty

27:50

 

and her voice was about to break.

ALISON: What do you think?

JAMIE: It's actually pretty good.

ALISON: That's actually really nice isn't it?

JAMIE: It is.

27:58

[shot continuous]

JANINE COHEN: To protect Jamie, her mother didn't tell her how close she was to physically changing. Michelle Telfer recently became Jamie's Paediatrician.

MICHELLE TELFER: Her puberty caused significant distress, significant.

28:05

Dr Telfer. Super:
DR MICHELLE TELFER
Paediatrician, Royal Children's Hospital, VIC

And starting the puberty blockers for Jamie was a form of medical emergency for her, because she knew that once her voice broke she could never get by in a body that's congruent with her female gender identity.

28:21

Jamie and Alison shopping

ALISON: Perfect colour isn't it?

JANINE COHEN: In the meantime, unable to find the money for court, Alison went begging to law firms to act free on their behalf. One agreed.

28:38

Alison

ALISON: Otherwise I do not know what we would have done. We are not wealthy people and we could not have afforded it. If that's the case then your child misses out on treatment that's going to improve their lives incredibly and going to give them a future that they can happily walk into rather than a future that they're scared of and that they don't want.

28:50

Dr Telfer

MICHELLE TELFER: Unfortunately, what the consequences of these decisions have been is that it's affected those who aren't in the court. So the rest of the transgender population as a whole who can't get access to the court process. And what it has done is increase the morbidity and the mortality associated with gender dysphoria by decreasing access to treatment.

29:23

Jamie applying lipstick

Music

29:49

 

JANINE COHEN: The court decided Jamie, who was 11 at the time, could have puberty blockers.

 

 

 

29:51

 

But the judge said she couldn't determine now what would be in Jamie's best interests in six years time when she would need the second stage of treatment - cross changing hormones.

ALISON: We had requested that both stages of treatment be awarded at the same time and that second stage was not granted.

29:56

Alison

We thought that that was unfair because it meant that we would have to go back to court twice for the same diagnosis and the same treatment regime.

30:20

Jamie brushes hair/exits bathroom

JANINE COHEN: Jamie's family appealed against this decision. They also challenged the court's jurisdiction arguing both stages of treatment should be decision of the child, their parents and doctors.

30:33

Diana Bryant at home reading law book

Diana Bryant, the Chief Justice of the Family Law Court of Australia, sat on the appeal case known as Re Jamie.

30:48

Diana Bryant. Super:
HON. DIANA BRYANT AO
Chief Justice Family Court of Australia

DIANA BRYANT, AO, CHIEF JUSTICE FAMILY COURT OF AUSTRALIA: Prior to the decision in Re Jamie court authorisation was required for what's commonly known as both stages of the treatment.

 

 

30:58

Beach/Beach café/Jamie and Alison at café

JANINE COHEN: The appeal was partially successful. Children would no longer have to go to court for puberty blockers. But to obtain the second stage of treatment the court would have to establish that the teenager was capable of informed consent, known as Gillick competency.

31:08

Bryant

DIANA BRYANT: It relates to the child's capacity in a holistic and psychosocial way to give informed consent to the treatment, so that in these kind of cases you'd want to be satisfied that the child concerned was aware of all of the problems, the risks, the dangers, you would want to know that the child was psychologically in a position where they could make these kind of decisions.

31:34

Jamie and Alison at café

JANINE COHEN: Many doctors and families are not happy that young people, who will be about 16 at the time, must still go to court. This time to establish their ability to consent to treatment.

32:01

Dr Telfer. Super:
DR MICHELLE TELFER
Paediatrician, Royal Children's Hospital, VIC

MICHELLE TELFER: I don't think going back to court is a good thing at all. I don't think it is necessary to be honest.

 

 

 

32:18

Jamie

JAMIE: I don't think it's necessary that we have to go back to court so they can decide if I'm Gillick competent, because that's just up to the parents and doctors I think. They would make... they will make just a good a decision as anybody, even better because they're experts.

32:23

Court exteriors.

JANINE COHEN: For things to change, there would have to be a test case to the full bench of the Family Court and then to the High Court.

32:42

Diana Bryant on phone

The Chief Justice told Four Corners she's keen to see this happen.

32:54

Bryant

DIANA BRYANT: Well look I'd like to see the High Court have the opportunity to examine these kinds of cases, these gender identity cases and to decide whether or not the court has to be involved at all.

32:59

Diana Bryant on phone

JANINE COHEN: But for now the chief justice is prepared to consult with doctors about the costs and the process.

33:10

Bryant

DIANA BRYANT: I am confident that we can put in place a process which will be easily manageable and will not be expensive for parties to be able to come to court and get a decision about capacity to consent.

33:20

Jamie at bus stop

Music

33:32

 

JANINE COHEN: Jamie's now in high school and no one knows her history. She's just another girl in class.

33:40

 

DIANA BRYANT: I think society is changing about these issues as well, and I think it is important to remember that I think from what I've seen it's completely innate and when you

33:50

 

read all the psychiatric reports and all the reports about how it affects a young person, it is undoubtedly innate.

33:59

Isabelle and Hattie picking flowers and making daisy chains

JANINE COHEN: It's been 15 months since Isabelle came out to her parents.

34:08

 

Music

34:18

 

ISABELLE LANGLEY: Sometimes people treat me different when they find out that I'm transgender.

JANINE COHEN: Do you look forward to one just being yourself and not having to have those conversations and just being a girl?

34:22

Isabelle

ISABELLE LANGLEY: I do have those days sometimes but not often, I don't often go through a day where I don't have to... really do something that involves it.

34:34

Isabelle and Hattie making daisy chains

JANINE COHEN: Isabelle faces a lifetime of hormone treatment. At 18 she hopes to take another big step.

ISABELLE LANGLEY: Well by then

34:46

Isabelle

I can get a sex change which is an operation where they like flip the penis inside out, it turns into a vagina.

JANINE COHEN: Is that important to have?

ISABELLE LANGLEY: I could probably wear a lot more suitable girls' clothes, because it gets a bit of a problem because they, like bathers and things like that, because I always have to wear a little skirt thing with bathers.

34:59

Naomi and Andrew watching a home video of Campbell and Hattie

JANINE COHEN: There's no doubt that Naomi and Andrew love their daughter. But they haven't forgotten that they once had a son.

35:28

 

ANDREW LANGLEY: I remember her as Campbell. It's um...

35:49

 

NAOMI MCNAMARA: Yeah.

ANDREW LANGLEY: It's interesting looking at old photos. I... you see... you know it's Isabelle but I see her as Campbell and I think of he - Campbell's, the little baby we had.

NAOMI MCNAMARA: Yeah, and I feel a little bit sad. Like,

 

 

 

 

35:52

 

I don't know... It's weird. I don't miss a son or anything like that... I think I see... I just feel sad for the...

ANDREW LANGLEY: We've still got her but yeah, you do... you grieve, you grieve for the son.

NAOMI MCNAMARA: I don't think I do.

ANDREW LANGLEY: Well, I reckon.

NAOMI MCNAMARA: Do you?

ANDREW LANGLEY: Oh, I miss Campbell, but I know it's Isabelle.

36:07

Watching home video continues

And it's hard doing this because Isabelle doesn't like seeing old footage of herself or old photos or having old photos up so.

NAOMI MCNAMARA: I think

36:26

Naomi

she's more herself now than she's ever been and um... yeah I'm so grateful for that.

36:37

Isabelle getting ready for school

(To Isabelle) Right, Isabelle you ready?

JANINE COHEN: A year ago, Isabelle decided she was ready to come out at school.

NAOMI MCNAMARA: She 'd bottled it up herself for so many years that now she'd told us she thought... she was just like right we've got to you know, we've got to get moving, we've got to get it happening.

 

36:44

[shot continuous]

(To Isabelle) Give me a hug. See ya. Have a good day, see you in a bit later okay?

HATTIE LANGLEY: Come on.

37:04

Driving away for school

NAOMI MCNAMARA: Isabelle was very keen to tell the school and I said, you know, I want you to wait, it's too early yet.

37:11

 

Music

37:20

David Pelosi. Super:
DAVID PELOSI
Principal, Alexandra Primary School

DAVID PELOSI, PRINCIPAL, ALEXANDRA PRIMARY SCHOOL: Isabelle walked into my office one day and sat down and had a chat and it turned out that wanted to have a meeting with me, with Mum and Dad.

37:25

Naomi

NAOMI MCNAMARA: And I got home from work the next day and she said to me "I've organised a meeting at school and you're invited." (laughs) It's like, well, thanks - that's great.

37:34

School exterior

DAVID PELOSI: When Isabelle arranged that meeting, I hadn't come across anything like this before. I was quite emotional about it, but I felt I had to be strong for Isabelle and the information that she was giving.

 

 

37:46

Pelosi

JANINE COHEN: Do you mean teary, like you were that affected?

DAVID PELOSI: Yeah I think so, particularly with the way that Isabelle was brave enough to say what she thought.

37:56

Isabelle in school yard

JANINE COHEN: Slowly Isabelle started changing her appearance at school wearing her hair longer and girl's trousers. This confused kids and they started to tease her.

38:07

Isabelle

(to Isabelle) And you been teased quite a bit hadn't you?

ISABELLE LANGLEY: I counted up to 10 times a day, sometimes even more.

38:22

[shot continuous]

JANINE COHEN: And what sort of things would they say to you?

ISABELLE LANGLEY: Well they would say, the most common one was "Are you a boy or a girl?" and sometimes they'd... sometimes people would say that I'm just, that I'm, how do I explain it, I'm not sure how to say it, because they did use a bit of a bad word and I don't want to say that one but.

 

 

 

 

38:33

[shot continuous]

JANINE COHEN: Tell me what they meant without saying the bad word?

ISABELLE LANGLEY: They said to me I still had a penis whether or not I dress up in girls' clothes, that one offended me a lot.

39:02

 

Music

39:18

Isabelle writing letter

JANINE COHEN: Isabelle decided to write a letter to all 200 students at her country school.

39:20

 

ISABELLE LANGLEY [reading letter]: Hello everyone. I am a transgender child. This means I have a girl's brain inside a boy's body. This has got harder and harder for me the last five years.

39:26

 

JANINE COHEN: What was in that letter and what was the point of it?

39:40

Isabelle

ISABELLE LANGLEY: To get people to understand who I am and to allow me to be myself at school and be able to go out in public in the clothes I wanted and to stop, to stop anyone teasing me.

39:43

Isabelle in class

TEACHER: Okay that was just to get your memory going a little bit about the concert. People who...

40:03

 

DAVID PELOSI: For an individual of her age to come forward and divulge that sort of information is, I think, incredible.

40:07

Pelosi

To follow that up with a letter that was really an experience that even parents have come forward and one parent actually wrote how every time she read, and she read it several times, she teared up and, you know, took her hat off and had a conversation with her son about it and being brave and sticking up for Isabelle should anything untoward come about with this. So it really had a powerful effect on not just us from a staff point of view, but as a school and a community.

40:13

Isabelle playing in school yard

JANINE COHEN: After the letter, the teasing stopped and Isabelle started to get on with life as a girl.

40:40

 

DAVID PELOSI: Ah, I've certainly seen some changes in Isabelle since she's transitioned. When she first arrived at our school, which was three years ago, she often kept to herself, very much her own person, but now I've seen her branch out into greater friendships. Since kids have known, they've been more accepting of who she is.

40:52

 

ANDREW LANGLEY: We were just overwhelmed with support.

41:15

Andrew

Getting stopped by people I had no idea who they were in the supermarket, just... you know, we got Campbell's letter, just to know we've got your support. Our phone was ringing off the hook.

 

 

41:21

Paige and Coco singing on stage

PAIGE PHOENIX ELLIOTT (singing): When times get rough, you can fall back on us...

JANINE COHEN: It can be a tough road for transgender people who are trying to be true to themselves.

COCO: (singing) Don't give up.

JANINE COHEN: But for most

41:31

 

it would be much tougher to stay in the shadows and do nothing.

PAIGE PHOENIX ELLIOTT: Sometimes it can be quite a journey to

41:50

Paige

develop the courage to be able to self-support and put yourself out there as you are, especially if you're different to everybody else. But that difference makes you even more beautiful.

41:59

Dr Telfer

MICHELLE TELFER: The courage that someone must have to go through all of that and still want to pursue being who they feel they are, I just think that's something to be admired.

42:16

Isabelle

ISABELLE LANGLEY: Well if you don't be yourself, you're going to be miserable for your whole life.

42:28

Isabelle riding bike

Music

42:35

Credits:

 

CREDITS:

 

Reporter: Janine Cohen

Producer: Catherine Scott

Researcher: Mary Fallon

Camera: Erik Havnen

Sound: Richard McDermott

Editor: Michael Nettleship

Assistant editor: Kate Deegan

Archive producer: Michelle Baddiley

Library researchers: Keryn Kelleway, Kate Burnham

Graphic designer: Peta Bormann

Special effects prosthetics: Make-Up Studio 114

Publicity: Rachel Fergus

Colourist: Simon Brazzalotto

Post production: James Braye

ABC Legal: Ross Duncan

 

Special thanks: Nik Dorning, Christine Miller

 

Producer’s assistant: Sophie Zoellner

 

Production manager: Wendy Purchase

 

Supervising producer: Mark Bannerman

 

Executive producer: Sue Spencer

 

abc.net.au/4corners

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