From "A nun's secret ministry brings hope to the transgender community" by Nathan Schneider, 2014-03-02, Al Jazeera America:
Bishops have confronted her outright. In their offices and on their stationery she has endured lectures about everything from doctrine to identity politics from men who insist that "homosexual" is the only acceptable word to use for lesbians and gays. They have warned each other about her. At times she has had to let them believe she's doing "just" lesbian and gay ministry, which at least they have some concept of. Her superiors have required her to pass up chances to write articles or be quoted by reporters because they're afraid of what the hierarchy would do if she went public.
But her trans community doesn't necessarily demand more of her. They mostly tell her to protect herself, to do what she must to make sure she'll be able to keep on being available to them. "One of the things that makes her even more significant," Mateo Williamson says, "is that she has faced persecution just for reaching out to people like me." Yet, for her, that's not enough. In the inability to speak out, she feels traces of the dysphoria, the deep incongruence, that trans people feel about their assigned gender. It's not just a frustration or annoyance; it's a kind of death.
And this eats at her. "I am silent while trans people are being killed," she says, clenching her shoulders as if holding an invisible weight. "They're being murdered and committing suicide, and I'm silent!" When she's worked up like this Monica can flash a gaze that makes her eyes seem steely and certain, until they fill with tears. And then a saying from St. Catherine of Siena comes to mind, turning her anger to a duller sadness. She recites it: "Preach the truth as if you had a million voices -- it is silence that kills the world."