Showing posts with label gender binary. Show all posts
Showing posts with label gender binary. Show all posts

Wednesday, October 22, 2014

Will 'Cisgender' Survive?

https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgm2wOlA0ywowCYd7vHWkphZpSOUOd3Psl92BFXr49YtvhYDJnGgYw8Os_jXwT54HwJhVEh8DDxStSkJGFPQBNDXian22OgVu8UFNSq2HFUjH_FwAb6D0inEXIGnbYtfeb7EWH-vt7K51c/s1600/trans+cis.jpg

Not the people, the word.

I think this is actually a very useful word - it removes the normativity of the male/female binary. I also like genderqueer as a way to subvert the binary.

Will 'Cisgender' Survive?

The linguistic complement to "transgender" has achieved some popularity, but faces social and political obstacles to dictionary coronation.



The new Amazon Original Series, Transparent, about a middle-aged father who's transitioning into a woman, is just the latest cultural sign that the word "transgender" has gone mainstream. No doubt there have been transgender people—that is, those with a gender identity or gender expression that doesn't conform to their assigned birth sex—since there have been people at all, but the term itself wasn't coined until the 1970s. Popular confusion about its usage notwithstanding (for example, questions about the difference between "transgender" and "transsexual"), "transgender" is here, it's queer, and a lot of people have gotten used to it.

The situation is more complicated for "cisgender," coined in the 1990s to mean the opposite of "transgender." The "trans" in "transgender" comes from a Latin word meaning "on the other side of," and the "cis" in "cisgender" comes from a Latin word meaning "on this side of." "Cisgender" refers to people who feel there is a match between their assigned sex and the gender they feel themselves to be. You are cisgender if your birth certificate says you're male and you identify yourself as a man or if your birth certificate says you're female and you identify as a woman. Presumably you are also cisgender if you were born intersex (that is, with some combination of male and female reproductive parts) and identify as an intersex or androgynous person.

For a while, "cisgender" only appeared in academic journals. But now it's all over the Internet, and not just on blogs and sites of, by, and for transgender people. It's made it into online reference works like the Oxford Dictionaries. And since "cisgender" is one of the 56 options for gender identification on Facebook (along with "cis female," "cis male," "cis woman, "cis man," "cisgender woman," "cisgender man," and just plain "cis"), it has already achieved a kind of pop officialdom. 
Even more auspiciously, Stephen Colbert referred to "cis-language" in a recent episode of The Colbert Report. On June 17, in a segment of the show called "The Word," the comedian announced that his racial identity is "ciswhite" because, as he put it, "I've always been comfortable with my birth-race." Colbert's announcement should be a big deal as far as disseminating "cis" goes. His 2005 coinage, "truthiness," became so popular that the American Dialect Society named it "The Word of the Year"—the term that best represented the times. In 2006 it was still going strong, as the Merriam-Webster Dictionary named it its "Word of the Year," too.

Still, "truthiness" never made into standard dictionaries of contemporary English. Neither have any of the "cis" words—at least not yet. Will "cisgender" go all the way into the English language, become mainstream, right alongside "transgender"?

Despite Facebook, even despite Colbert, "cisgender" may not last, let alone become a household word. And it's not because it started life as academic jargon. After all, "transsexual," the basis for "transgender," was first introduced in the American Journal of Psychotherapy. "Heterosexual" and "homosexual" were invented by neurologists in the late 19th century, to name what they considered to be opposing perversions ("heterosexuals" were deviants who enjoyed relations with the opposite sex for pleasure and not just for procreation). Since "transgender," "heterosexual," and "homosexual" have stuck despite their provenance, "cisgender" just might, too.

That said, "cisgender" sounds more improbable as a word than "transgender" ever did. While the prefix "trans" is familiar from hundreds of English words ("translate," "transport," "transcend"), "cis" occurs in only a handful, the least obscure of which is probably "cisalpine" ("on this side of the Alps"). Compared to "transgender," the meaning of "cisgender" isn't very transparent (so to speak). Research by Harvard linguist Steven Pinker has shown that neologisms with staying power can often be identified by their initial "unobstrusiveness" (see his 2007 bestseller, The Stuff of Thought: Language as a Window into Human Nature). Lexicographer Kerry Maxwell has since used a simpler (and more recent) word, "user-friendliness" to predict longevity. She says it helps if new words are easy to pronounce, easy to read, and easy to spell.

"Cisgender"? Not so much.

Of course, there's more at stake in the viability of "cisgender" than mere words. "Cisgender" suggests a commonality among transgender and non-transgender people, at a time when transgender people are struggling for recognition. It tells us that we all experience some kind of relationship between our bodies and our selves, whatever that relationship may be. And it reminds us that those who experience a "match" between their body and their selves have it a lot easier in our society than those who do not. To the extent that "cisgender" helps raise awareness of intolerance and injustice towards transgender people, it serves a crucial political purpose right now. Potentially, "cisgender" could help build consensus on transgender rights.



However, the politics of "cisgender" have already proven divisive. Perhaps the most surprising protests are coming from the left—from people, that is, who might otherwise be counted on to support the transgender movement. There are feminists who balk at the idea that cisgender women are privileged in relation to transgender women, who were born male. Among other potential benefits, such as "passing" as men in a patriarchal culture, transgender women don't have to worry about reproductive rights. The Huffington Post recently collected a grab-bag of very mixed reactions to "cisgender" from the gay community. It's clear that some gay men and lesbians see "cisgender" as a slur, a way of labeling them as elitists or conformists after all (i.e., as not "queer" enough). Some think "cisgender" validates the notion that there are two (and only two) genders, correlating with two (and only two) sexes, just as many are exploring non-binary gender identities, such as "genderqueer."
All of which brings us back to the problem of the word "cisgender" itself. Linguists agree that the survival of a neologism relies, above all, on whether it names a stable and coherent concept, an idea that will last. It's the uncertainty of the concept behind the word "cisgender," for now, that really hints at trouble.  

As the social and medical sciences tell us more and more about ourselves and one another, we may eventually settle on the right words, the true words or, at least, the ones that reflect the data. "Cisgender" may or may not end up being one of them. But maybe, in the long run, it doesn't matter. Maybe the impact of Facebook's 56 genders will one day prove to have had nothing to do with naming all the possibilities for gender identity, but rather with helping to make the idea of possibility, itself, official. Our vocabulary of gender and sex is in flux right now because our ideas about gender and sex are in flux, too.

So will "cisgender" be an upcoming "Word of the Year," the linguistic sign of our times? Or will we just forget about it?

Quite possibly, both.
Paula Blank is a professor of English at the College of William and Mary.

Tuesday, May 20, 2014

The Gender Binary (Omnivore)

From Bookforum's Omnivore blog, a new collection of links looking at the gender binary (and Facebook's "antagonistic relationship to gender), the gender gap in pay, and variations on gender differences and gender essentialism.

The Gender Binary

May 19 2014
3:00PM


Monday, January 20, 2014

Juliet Jacques - He to She (Aeon Magazine)

Juliet Jacques

The other day, an ignorant and blindly privileged woman named Dani Katz wrote a horrible article against transgender realities, of which she showed herself to be entirely clueless. The article was published at Reality Sandwich, an otherwise progressive and open-minded site with solidly spiritual values. Katz's article hides behind the pretense of spirituality to denigrate and degrade the experience of transgender people.

You can go read it if you choose, the link is above. Or you can read this article from Aeon Magazine.

Here, Juliet Jacques discusses not only the history of transgendered people but her own history as a trans woman and how that transformation occurred both psychologically and physically.

He to She

Transformation is sold as an instant miracle — but for transsexual people the journey is slow and painful

by Juliet Jacques

 
Christine Jorgensen, formerly George Jorgensen (seen, left to right, in 1943, 1952 and 1975). Photo by Bettmann/Corbis

~ Juliet Jacques is a British journalist who writes about gender, literature, film, art and football. She has written for The Guardian, New Statesman, Time Out, The London Review of Books, and other publications. She lives in east London.

AS A BOY, growing up in a small town in the south-east of England, I found little to nourish me when I questioned my gender; there was nothing on such issues in our local library and no discussion of it at school. I used to scour the TV listings and the newspapers, desperate to find anyone with the same issues as me, and learn how they handled them. In films and documentaries, and in articles that tried to explain transsexual lives, I kept seeing the same stories: people who ‘always knew’ that they were ‘born in the wrong body’, and who had to choose between being themselves or risk their family and friends disowning them. I soon tired of them. However, one thing about these articles struck me every time: the ‘before and after’ photographs.

I remember one article in a women’s magazine about someone who was ‘Born a Man’. At the time, I didn’t think about how stupid this phrase was: I was too dazzled by the photographs of a person reclining, her palm resting where her forehead met her long, blonde hair. ‘Now I’m a Beautiful Woman!’ screamed the headline. Clearly, the photographs were the story. In her past, the woman looked like any boy, neither exceptionally attractive nor unattractive. Now, she could have been a model. I didn’t care: although I knew deep down that I wanted to be a woman, I had no interest in fashion, and I soon realised that this article wasn’t for me.

In the Sunday People, I saw an ad for a company called Transformation. ‘From He To She … Instantly!’ it promised, above photos of a stubbly, balding man and a glamorous woman in heavy make-up, brunette wig and pretty dress. It was designed to sell feminising products to male-born people who cross-dressed or were transsexual. I was skeptical about what they sold to stop facial hair growth or to develop a bust, thinking this would require more than some miracle cream or stuffing something inside a bra. The ad seemed like it came from another world; yet it made me feel that transition might be possible, even if I still didn’t really know how.

The adult me, cannier and more cynical, can see that ‘before and after’ photographs have the strange effect of masking the process of change even as they appear to reveal it. I still see the ruse all the time, in the same tabloids that my parents read during my teens, notably the Daily Mail. And it’s a stalwart on pop culture websites, the main weapon in both malicious attempts to undermine someone’s identity, as well as seemingly sympathetic articles. Recently, the shortcomings of ‘before and after’ were exposed when a number of high-profile transsexual people, such as American actress Alexis Arquette, Chaz Bono (child of Sonny and Cher) and Hollywood film director Lana Wachowski, came out. With Arquette in particular, who was constantly in the public eye, and whose film roles include a memorable performance as the young cross-dresser Georgette in Last Exit to Brooklyn (1989) — there was no point in trying to pretend that she had changed overnight; so instead of trading on ‘before and after’, media outlets studied old images for gradual movement, scanning for any ‘signs’ they had missed.

Makeover TV shows such as 10 Years Younger or What Not to Wear also rely on the trope of dramatic and instantaneous change. Admittedly, these demonstrate more of the transformative processes, but still implying that all will be perfect once they are completed, making outer appearance and inner peace synonymous. What happened to their subjects once the cameras go away?

The rise of reality TV shows has made this question all the more visible, including for transgender contestants. Big Brother, in particular, made a near fetish of featuring outsiders, presumably in the hope that they would clash with each other. It had the surprising effect of normalising transgender people, while catapulting them to sudden fame. In 2004, the trans woman Nadia Almada won Big Brother, and in 2012 trans man Luke Anderson triumphed. Neither had told their housemates about their pasts, but revealed them to the public instead. Their victories made them into transgender role models, and the internet gave them longevity, creating a strange new middle ground in the old obscurity-celebrity-obscurity narrative.

‘BEFORE AND AFTER’ pictures have been part of print coverage of transsexualism from the start. In January 1937, less than a decade after the earliest sex reassignment surgeries were performed in Berlin, the American bodybuilding magazine Physical Culture ran one of the first articles on the subject, entitled ‘Can Sex In Humans Be Changed?’ Its opening paragraph was surprisingly relaxed about the possibility of radical social change, suggesting: ‘The old landmarks are going, nothing is static, everything flows … Life is created in the laboratory [and] Sex is no longer immutable.’ The writer, Donald Furthman Wickets, went on to look at historical ideas of ‘male’ and ‘female’, and the role of hormones in determining them.

The article was accompanied by two shots of Britain’s first surgically transsexual man, Mark Weston: one of him posing in a white shirt, tie and tank top with Alberta Bray, ‘a former girl chum to whom he is now married’; the other as ‘the late Miss Mary Weston, Great Britain’s girl [javelin] champion’ during the 1920s. The only clear difference between the two was that he had grown some stubble. There was also a single image of Zdenek Koubkov of Czechoslovakia, who’d won the women’s 100m at the 1932 Olympic Games as Zdeneka Koubkova, but who had since transitioned, and was shown wearing a suit and lifting his hat to show off his closely-cropped hair. The pronouns ‘he’ and ‘him’ were used throughout, and readers were offered little sense of what happened physically to the athletes. In both cases, they were told: ‘The miracle was accomplished by surgery and duly acknowledged by law.’

Weston and Koubkov did not become international news. It was only after the Second World War, as photographs on newspaper covers became commonplace, that transsexualism developed into a mass media phenomenon. On 1 December 1952, the New York Daily News ran the sensational story of Christine Jorgensen under the headline ‘Ex-GI Becomes Blonde Beauty’ – with contrasting images of her as a male soldier, then glamorous woman, dominating the spread. Instantly, Jorgensen became a celebrity, working as an actress, singer and transgender rights advocate.

In Transgender History (2008), Susan Stryker claims the fascination with Jorgensen ‘had to do with the mid-20th-century awe for scientific technology, which now could not only split atoms but also, apparently, turn a man into a woman’. Stryker, a professor of gender studies at the University of Arizona, also notes that Jorgensen was the first American transsexual woman to become prominent after the war changed women’s relationships with paid labour and domestic work. It wasn’t just gender roles that were in flux, but gender itself.

As it transpired, The Transsexual Phenomenon (as the sexologist Harry Benjamin called it in his influential 1966 book) did not destroy US society. Or even visibly change it. Looking at the New York Daily News photographs of Jorgensen now, they come nowhere near to justifying their attention-grabbing tag – ‘Operations Transform Bronx Youth’. Jorgensen’s facial structure, her hairline, eyes, nose and chin, barely altered between 1943 and 1952: the main differences were her clothes and make-up.

While magazines like Physical Culture and the New York Daily News, were modelling a radical discontinuity between ‘male’ and ‘female’ and emphasising the otherworldly, even anarchic, intentions of those crossing them, sexologists, feminists and gender/queer theorists were exploring the space between these categories and suggesting that it was here that behavioural expectations for men and women were socially generated. The writers I liked most argued that the very possibility of gender re-assignment meant there wasn’t as much difference between the sexes as was once thought. By the late 1980s, Sandy Stone’s seminal essay ‘The “Empire” Strikes Back: A Post-Transsexual Manifesto’ was calling for transsexual people to be open about the space between male and female identity, and how they moved within it. This is the space that ‘before and after’ pictures keep hidden in order to retain their power to humiliate and shock.

Cautiously optimistic about the future: Juliet, aged 22 (left) with Joe Stretch (centre) and Joe Cross (right) at the Retro Bar, Manchester, summer 2004. Photo courtesy of the author

I SPENT MY LATE TEENS and early 20s exploring my gender. I read essays and books, and watched many more films that featured transgender characters and even, sometimes, transgender actors. I wore women’s clothes at home and to clubs and bars, trying out different styles to see what felt comfortable, and talked to people who asked whether or not I wanted to ‘go all the way’. Eventually, in March 2009, I decided that I did, and asked my doctor about gender reassignment through hormones and surgery.

I didn’t expect the sort of rapid transformation I’d seen advertised in my youth, and I wasn’t surprised to learn that from start to finish the process would take about three years, partly due to waiting times for specialised services. Nor was I shocked when told that the physical changes would not transform me beyond quick recognisability, as they had not transformed Weston or Jorgensen. Instead, they’d form part of a longer psychological process; altering my body in a society with entrenched ideas about how men and women should appear and how they should be treated, meant rethinking how I dressed, spoke and moved, where I went and with whom, and how I felt about myself.

Like Sandy Stone, I decided to document the time it took to move, in what became my transgender journey blog for The Guardian (it ran from June 2010 to November 2012). I hoped to create something between those one-off ‘transition narrative’ articles, which seemed to have barely evolved since the 1990s, and transsexual autobiographies such as April Ashley’s Odyssey (1982), which for years were the only way people could explain what happened at any meaningful length.

Ashley’s memoir, co-written with Duncan Fallowell, documented her voyage from the post-Depression Liverpool slums of the 1930s to national fame in the 1960s. There were spells in the Merchant Navy and as a performer in a Parisian cabaret, surgery in Casablanca, an acting and modelling career hampered by tabloid revelations, and a marriage to Arthur Corbett, Lord Rowallan, later annulled on the grounds that she was ‘a person of the male sex’. That her beauty came with a transsexual history was central to her celebrity, yet the path from photos of ‘George Jamieson, aged 15, at school’ to ‘Toni April, aged 21’, and finally April Ashley in the early 1960s appeared not jarring but smooth and logical. Another British autobiography, Conundrum (1974) by Jan Morris, an established travel writer long before her transition, used no images at all — an approach I much preferred.

As a rebuttal of the implied instantaneity of ‘before and after’ photographs, I wanted my Guardian posts to cover the process in real time, but it was too slow: months passed between my appointments at the gender identity clinic, the hormone prescription took more than a year to arrive, and the effects of the oestrogen were gradual. Even allowing for the fact that my blog began a year after the medical pathway, I’d said all I wanted to say about the social and psychological aspects of transitioning long before I got a date for surgery.

One thing I did find hard to chronicle was the strange effect this all had on my sense of myself as a continuous subject. For many months, coming out and changing my name seemed like the major rupture: having people refer to me differently and treat me differently felt far more sudden than anything that later happened to my body. Besides, the hormonal effects were too subtle for me to see, so when friends said I looked different, I'd ask them to explain how. Their responses usually matched my expectations — thicker hair, softer skin, fuller cheeks.

After more than a year of despairing at how little impact the oestrogen seemed to have made, I undressed in front of a mirror and was astonished by my own appearance. Even without make-up, my face suddenly looked more female than ever before. I realised that nobody had heckled me on the street for being transsexual for months. Moreover, I’d developed breasts — smaller than the inserts I’d bought a couple of years earlier, which in hindsight weren’t well-judged, presenting too fast a change in my appearance, and they were too obviously prosthetic — but a visible and important change nonetheless.

At this point, I came across Becoming (2010), a flipbook by the Berlin-based artist Yishay Garbasz. She regularly photographed herself as a standing nude after starting gender reassignment, choosing 87 of the 911 pictures for her book, and installing 28 images as a zoetrope for the 2010 Busan Biennale in South Korea. Each picture was taken against a white backdrop, without make-up, emphasising the incremental changes to her frame. In this context, even her sex reassignment surgery in 2008 did not appear abrupt or incongruous, but was rather assimilated into the physical landscape she presented.

LIKE ME, Garbasz had struggled to take control of the ‘before and after’ conceit, and expose the potentially limitless terrain contained within it. I still enjoy seeing it debunked. For example, I recently laughed at how easily the ‘dramatic weight loss’ juxtaposition was taken apart by an Australian personal trainer on her blog, MelVFitness. She showed how better posture, fake tan lotion and black bikini bottoms — as well as zooming in for the ‘before’ and out for the ‘after’ — enabled her to fake such a ‘radical transformation’ in just 15 minutes.

I’ve seen this demystification so often that I now find it strange to see such pictures in print — and never stranger than when I spotted someone I’d known by a male name at sixth-form college who’d become famous as a female model, with the newspaper spreads yet again screaming ‘before and after’. I recognised her from the opening catwalk shot long before I got to the image of her as a boy, or the story of her gradual self-realisation, which closely mirrored mine.

This took me back to a photograph of myself from 2004, which I stumbled across just after my body epiphany. It was taken in Manchester; I was pictured with two friends, Joe Stretch and Joe Cross, and wore a 1920s-style dress and a headscarf over my hair, with make-up hiding my skin texture. This find led to another kind of epiphany, which instantly closed the psychological gap between my pre- and post-transitional self, and highlighted the continuum between the various identities I’d grown into while exploring my gender. I realised that I could have easily faked transsexual ‘before and after’ pictures back then, if I’d wanted to, editing out the fact that, at the time, I presented mostly as male.

This autumn, 15 months after surgery, and finally feeling settled — like someone who had transitioned rather than someone who was transsexual — I let the American singer-songwriter Emily Forst, a keen amateur make-up artist, give me a makeover. She styled my hair and took a portrait that made me feel, for the first time since 2004, like the person I wanted to be. This came after years of dodging cameras — a hangover from the negative self-image attached to presenting as a man. Comparing the two photographs, the main differences I see are in my expression: my cautious optimism as a 22‑year‑old against the deep sadness in my thirtysomething eyes, having endured five years of street harassment, anxieties about how my loved ones would react to my transition, the physical pain of surgery, and the responsibilities that came with writing about it all.

I doubt that anyone who looks only at the before and after pictures of me would be able to see much of this. Although they would probably be better placed to tell me how my features had changed. But, really, that always struck me as the least interesting thing about my experience. And after everything that’s happened, it still does.

Wednesday, December 4, 2013

Deformed Freak Born Without Penis (Satire as an Introduction to Intersex)

This bit of satire from The Onion generated some conversation at Facebook - and it brings up some issues about sexual and gender identity and intersex people. First up the story from The Onion:

Deformed Freak Born Without Penis

ISSUE 49•49 • Dec 3, 2013



The utterly disfigured creature, who sources say somehow has to make its way through life with no male genitalia whatsoever.

NORFOLK, VA—In an alarming case that has baffled and repulsed many, sources confirmed Tuesday that a severely deformed freak born without a penis has managed to live with the condition for over 26 years.

The bizarre, monstrous human specimen was reportedly born with no other noticeable maladies and has, amazingly enough, attempted to lead a normal, albeit severely impaired life despite possessing no male genitalia whatsoever.

“We first noticed something was off about three months into the pregnancy, and I was of course horrified,” said Dr. Mark Joules, the obstetrician who delivered the grotesque—some would say subhuman—abhorrence of nature. “You could clearly see in the ultrasound that a penis and testicles were not developing as one would hope—or at all, in fact—and we immediately knew something was terribly, terribly wrong.”

“Had we caught it earlier, we most likely would have recommended that the pregnancy be terminated,” Joules continued. “But it was unfortunately too late at that point, so we were forced to deliver the baby as planned and just pray that it could get by in that state. We did our best, but with such a horrible and incredibly crippling deformity, there wasn’t much hope to be had.”

According to reports, the sadly disfigured 26-year-old’s quality of life has been greatly diminished due to such a condition. Sources said the abnormal, visibly blemished creature has been repeatedly passed over for employment opportunities, frequently gawked at and harassed on the street by total strangers, and has faced near constant discrimination for over two decades, all due to the horrific and debilitating birth defect.

Indeed, many are reportedly unable to look past the glaring deformity and simply see the 26-year-old as a human being.

“Whoa, look at that,” said 31-year-old onlooker Grant Megson, who, like many others, gawked at the freakish human anomaly while passing by on the sidewalk. “I don’t mean to stare, but honestly, it’s hard not to. Jesus Christ.”

“I just wish some of my buddies were here to see this,” added Megson, smiling and taking one last look before continuing with his day.

Sources confirmed that, unfortunately, such cases are actually quite common, with roughly one in every two babies afflicted with the lifelong disfigurement.

However, that is reportedly little consolation to the malformed specimen’s father, who told reporters that a day doesn’t go by in which he doesn’t wish his child was born a normal, healthy baby with male genitalia.

“Sadly, because the deformity is so obvious, our child was treated very differently from all the other kids,” the father told reporters, admitting that he was incredibly upset and disappointed when he first learned that his baby would be born a freak, one to be mistreated and viewed as inferior its whole life. “Even though the doctors explained all the incredible challenges and prejudice the poor thing would face, I don’t think it really sunk in until after the birth, when I saw the disfigurement with my own eyes. You never want your child to have to grow up that way.”“But what can you do?” he added. “I’m just thankful that my other two kids weren’t born like that.”
* * * * *

One of the comments at Facebook mentioned that in Germany there has been an increase in children born with intersex features (or as not either clearly male or female). Intersex is much more common than people think - comprehensive statistics suggest 1 in 100 children are born with chromosome patterns other than the standard XX or XY. These are the numbers from the Intersex Society of North America:
Below we provide a summary of statistics drawn from an article by Brown University researcher Anne Fausto-Sterling.2 The basis for that article was an extensive review of the medical literature from 1955 to 1998 aimed at producing numeric estimates for the frequency of sex variations. Note that the frequency of some of these conditions, such as congenital adrenal hyperplasia, differs for different populations. These statistics are approximations. 

Not XX and not XYone in 1,666 births
Klinefelter (XXY)one in 1,000 births
Androgen insensitivity syndromeone in 13,000 births
Partial androgen insensitivity syndromeone in 130,000 births
Classical congenital adrenal hyperplasiaone in 13,000 births
Late onset adrenal hyperplasiaone in 66 individuals
Vaginal agenesisone in 6,000 births
Ovotestesone in 83,000 births
Idiopathic (no discernable medical cause)one in 110,000 births
Iatrogenic (caused by medical treatment, for instance progestin administered to pregnant mother)no estimate
5 alpha reductase deficiencyno estimate
Mixed gonadal dysgenesisno estimate
Complete gonadal dysgenesisone in 150,000 births
Hypospadias (urethral opening in perineum or along penile shaft)one in 2,000 births
Hypospadias (urethral opening between corona and tip of glans penis)one in 770 births

Total number of people whose bodies differ from standard male or femaleone in 100 births
Total number of people receiving surgery to “normalize” genital appearanceone or two in 1,000 births

For additional information on this topic, here is a documentary, Sex: Unknown.


Uploaded on Jan 17, 2011

Many babies are born intersex with genitals that did not fully develop in the womb. In such situations, most doctors declare a state of medical emergency, and quickly move to operate in an effort to "fix" the child and give it the appearance of either a male or female. But this intervention is not always welcome: Many intersex adults that were surgically changed in infancy now insist they should have been given a choice in the matter. In many cases the gender they were assigned at birth does not match the gender they grew to believe they were. This begs a larger question: How much of our gender identity is formed by nature and how much by nurture? "Sex: Unknown" delves into the complex world of gender identity.

Thursday, October 17, 2013

Cory Silverberg - Near the Edge of Sexual Ambiguity

Sex Determination 3838

Michael Weiss and his colleagues at the Case Western Reserve University School of Medicine have been for several years exploring at the micro level what it is that makes us perceive our bodies as being either one sex or another, only male or only female.

In this new study they look at the chromosomal structures that determine biological sex - and it turns out there are many variations other than our culturally accepted sex/gender binary.

Near the Edge of Sexual Ambiguity

September 5, 2013
By Cory Silverberg
My Bio

It's rare to find poetry in a press release.

But I pulled the above phrase, which is so evocative and rich, describing as it does, not our bodies but a moment during fetal development before sex assignment; I mean just think about it: What does that edge look like? What happens when you peer over it? Who is teetering there? Are they worried about falling off, are they waiting to jump, or are they happy living on the edge? This is clearly the stuff of poetry and humanity) from a Case Western Reserve University press release a few days ago.

The release describes a study conducted by Michael Weiss and his colleagues at the School of Medicine, who have for several years been exploring in the most micro way imaginable what it is that makes us think about bodies as being either one sex or another, only male or only female.

A bit of background is required:

Despite rich and varied histories that demonstrate it isn't so, most societies function on the premise that all humans are easily classifiable as male or female, and that we can identify who is who by looking at genitals, hormones, and chromosomes. Usually human experience (one of the things we call "culture") is juxtaposed with science in this regard. The science, we're told is more cut and dry. Only it isn't. Medicine and science has for some time documented that humans are not easily categorizable into one of two sexes. If you look carefully at the research, sexual diversity, on the level of genital appearance, hormones and chromosomes, is present and predictable in humans. To use the language of normativity, the fact that some of us don't fit into one of two boxes is as normal as the fact that some of us do.

As Prof. Weiss explains in the poetic release, developmental biology has stuck with the two category model based on the understanding that human bodies develop in a consistent or reliable way because "evolution favors reliability. Robust switches ensure that our genetic programs give rise to a consistent body plan to ensure that babies have one heart, two arms, ten fingers, and so forth."

The switches Weiss is referring to are a way that researchers like him conceptualize gene expression and sexual development. Essentially, it is thought, that all fetuses begin with "female tissues." At some point in fetal development a "switch" turns on and as a result the fetus begins to develop "male tissues." Eventually testes develop, which produce testosterone, which in turn informs the development of male genitalia.

You may have heard someone say that we all start off female. That's what they were referring to.

So the theory is that in order to have bodies that can reliably survive and reproduce, we have evolved "robust switches." In other words, our fetal development is more or less sturdy and fixed, not a lot of diversity.

But we know that there is more diversity than society advertises. Thinking only of chromosomal sex, there are far more than two options. Instead of the popular XY "male" and XX "female" options we hear so much about, some of us have cells with XXX, XXY, XXYY, XYY, XO chromosomes, and the list continues. These "other" options are usually referred to as chromosomal abnormalities. Of course they aren't "other" or abnormal, they are chromosomes in bodies, they are us.

For simplicity sake I'm not going to get deeper into gender here, but it's hard not to point out that there are many more of us whose bodies have XY chromosomes and who are women, whose bodies have XX chromosomes and are men, whose bodies have one combination or another but identify somewhere in between or completely outside of the popular models that we're offered by society. You can read this glossary entry for more about the difference between sex and gender.

Back to genes and sex and switches.

In an effort to understand all this confusion between fixity and diversity, Weiss has been looking for many years at a particular switch, the SRY gene "master switch," that sets into motion the process of fetal tissue changing in a way that is described as male sex development.

In this paper he and his colleagues decided to look at the SRY genes that are shared by a father and his daughter. In this case the daughter has XY "male" chromosomes, but the SRY genes didn't trigger the switch in the predictable way so instead she developed internal female genitalia (ovaries, fallopian tubes, and uterus).

The researchers assumed that something significant must happen to make the SRY switch function in this unexpected way (in their language they expected that a "severe insult to the Y-encoded switch" was necessary and would be in the neighborhood of a factor of 100 or more). What they found was the threshold at which the SRY functions in this unexpected way was only a factor of two. From the release:
"Therefore, human males actually develop near the edge of sexual ambiguity. This means that, unlike the robust genetic programs which develop other essential processes like heart function, the SRY gene master switch is particularly vulnerable to change. It only takes a slight deviation from the normal process to dramatically alter fetal sexual development.

Given the importance of sexual reproduction to the survival of a species, why do human SRY genes function so close to the boundary of infertility? The idea of an unreliable master switch might appear paradoxical, but a growing body of research suggests that it might be an evolutionary necessity."
Weiss hypothesizes that, rather than predictability, diversity in sex development and expression is itself an evolutionary advantage:
"We have this tenuous switch on the Y chromosome, and we anticipate that its gift to humanity is variability in the pathway of male development from its earliest stages. The essential idea is that our evolution has favored a broad range of social competencies. In prehistory, this range would have given a survival advantage to communities enriched by a diversity of gender styles."
Weiss is focusing on a very narrow part of our bodies, one group of genes on one chromosome. And to be honest I only have the most rudimentary understanding of the technology that allows them to do this work, and the science that describes the work they are doing. But with that caveat, it's hard for me not to want to think about the implications of this research not only on a chromosomal level but on a social one.

The incorrect notion that bodies should fit into one of two clear categories and those bodies are clearly and visibly different in ways that are fixed and consistent across time makes living in our bodies difficult and even intolerable for many of us. It also continues to contribute to the practice of performing unnecessary and harmful surgeries on infants in order to make their bodies fall in line with social expectations that have nothing to do with health or with the beauty of our bodies.

It's hard for me not to let out a little "damn right" yell when I read a Professor of Biochemistry and Medicine writing that all our bodies, especially those that insist on undecidable sex characteristics, are a "gift to humanity" (even if I'm unsure whose giving that gift and who is receiving it).

In some ways this research is only confirming what those of us paying particular attention to sex and gender already know is true. And given medicine's lackluster track record at dealing respectfully with bodies that don't fit its normative expectations, maybe I shouldn't get so excited. But I guess I'm happy any time it feels like someone is getting to speak some truth. It's a little bit of poetry.

Proceedings of the National Academy of Sciences: Inherited human sex reversal due to impaired nucleocytoplasmic trafficking of SRY defines a male transcriptional threshold
Full Citation:
Yen-Shan Chen, YS, Racca, JD, Phillips, NB, and Weiss, MA. (2013, Sep 3). Inherited human sex reversal due to impaired nucleocytoplasmic trafficking of SRY defines a male transcriptional threshold. Proceedings of the National Academy of Sciences, Published online before print September 3, 2013, doi: 10.1073/pnas.1300828110

The full article is behind a paywall, so here is the basic abstract info for the original article discussed above.

Inherited human sex reversal due to impaired nucleocytoplasmic trafficking of SRY defines a male transcriptional threshold


Yen-Shan Chen, Joseph D. Racca, Nelson B. Phillips, and Michael A. Weiss,
Author Affiliation
 

Significance


Mutations in human SRY (sex determining region on Y chromosome) associated with somatic sex reversal provide a model for the perturbation of a genetic switch in organogenesis. Inherited alleles, associated with either testicular or ovarian differentiation, provide unique probes of threshold biochemical properties, defining mechanistic borders between functional and nonfunctional transcription factors. This study exploited two such alleles to demonstrate that bidirectional nucleocytoplasmic trafficking (import–export shuttling) enables robust operation of this switch via phosphorylation at a site external to the DNA-binding motif of the transcription factor. In accordance with studies of intersexual mice, our results suggest that human SRY functions at the edge of ambiguity.


Abstract


Human testis determination is initiated by SRY (sex determining region on Y chromosome). Mutations in SRY cause gonadal dysgenesis with female somatic phenotype. Two subtle variants (V60L and I90M in the high-mobility group box) define inherited alleles shared by an XY sterile daughter and fertile father. Whereas specific DNA binding and bending are unaffected in a rat embryonic pre-Sertoli cell line, the variants exhibited selective defects in nucleocytoplasmic shuttling due to impaired nuclear import (V60L; mediated by Exportin-4) or export (I90M; mediated by chromosome region maintenance 1). Decreased shuttling limits nuclear accumulation of phosphorylated (activated) SRY, in turn reducing occupancy of DNA sites regulating Sertoli-cell differentiation [the testis-specific SRY-box 9 (Sox9) enhancer]. Despite distinct patterns of biochemical and cell-biological perturbations, V60L and I90M each attenuated Sox9 expression in transient transfection assays by twofold. Such attenuation was also observed in studies of V60A, a clinical variant associated with ovotestes and hence ambiguity between divergent cell fates. This shared twofold threshold is reminiscent of autosomal syndromes of transcription-factor haploinsufficiency, including XY sex reversal associated with mutations in SOX9. Our results demonstrate that nucleocytoplasmic shuttling of SRY is necessary for robust initiation of testicular development. Although also characteristic of ungulate orthologs, such shuttling is not conserved among rodents wherein impaired nuclear export of the high-mobility group box and import-dependent phosphorylation are compensated by a microsatellite-associated transcriptional activation domain. Human sex reversal due to subtle defects in the nucleocytoplasmic shuttling of SRY suggests that its transcriptional activity lies near the edge of developmental ambiguity.

Tuesday, October 1, 2013

The Real Boy Crisis: 5 ways America Tells Boys Not to Be “Girly”

From Salon, this is an important article on the many ways we emasculate boys by making them afraid to be "girly," and in doing so reinforce the most destructive elements of traditional masculinity. When we degrade boys for anything that might be at all feminine, we rob boys of their capacity for emotion as well.
When boys are taught that they can’t “be like girls” it has the threefold effect. First, it alienates them from core aspects of themselves. Second, it portrays what is feminine as undesirable and inferior. Third, it forces boys into a “man box” from which emotions and empathy are excluded. 
Read this article, and if you have boys please consider the various ways your values or the community values in which you are embedded may be impacting his sense of himself and his ability to express his feelings.

The real boy crisis: 5 ways America tells boys not to be “girly”

Mocking boys for doing "feminine" things leaves them ill-equipped for life, and makes America a worse place for all


By Soraya Chemaly

Wednesday, Sept 25, 2013

 
(Credit: GoodMood Photo via Shutterstock/Salon)

The ability to feel what others feel has many well-documented benefits, including, for empathetic people, greater psychological and physical health. The real and socially significant positive impact of empathy, however, is the ways in which it affects behavior toward others. People who are empathetic are less aggressive and prone to denigrate others; they are predisposed to act with care and compassion; they have increased egalitarian beliefs and act with less prejudice and stereotype-based hatred. Empathetic behaviors, however, are associated with being female. And weak.

The stereotypes that plague our lives teach that the characteristics of empathetic understanding are feminine: listening, sensitivity, quiet consideration and gentleness. Empathy is feminized and boys learn quickly that what is feminized is, in a man, the source of disgust. While parents, teachers, coaches, grandparents and others whose ideas shape children aren’t sitting around telling boys, “Don’t be empathetic!” they are saying, in daily micro-aggressive ways, “Don’t be like girls!” The process of “becoming a man” still often means rejecting almost any activity or preference that smacks of cross-gender expression or sympathy.

Expression and empathy are closely related for children. When boys are taught that they can’t “be like girls” it has the threefold effect. First, it alienates them from core aspects of themselves. Second, it portrays what is feminine as undesirable and inferior. Third, it forces boys into a “man box” from which emotions and empathy are excluded. An upcoming documentary, “The Mask You Live In,” carefully examines, from the perspective of boys and men, what this feels like and means in their lives.

While more and more parents are openly grappling with how to handle “non-conventional” gender behavior in children, many others won’t even consider the behavior as remotely acceptable. The policing of boys’ gender expression doesn’t require parents who yell, “Stop crying, you sound like a girl!” or homophobic classmates hurling some variation of “Don’t be so gay!” (which is, sadly, still a serious problem). A whole range or rules, traditions, daily interactions and media content come together to narrow boys’ options and, ultimately, abilities. Consider these five everyday ways that boys are taught first not to look like girls, not to be like girls, not to do “girly” things, and then, ultimately, to lose the ability to feel compassion.

1. Clothing. That we color-code kids needs no explanation. Without getting into the details of how fearful communities can be when it comes to gender-fluid children and their free self-expression, in general, boys and girls are taught to dress according to binary gender-types and stereotypes. We seem nationally fixated on making sure that boys and girls not only “know” “what they are,” but communicate it clearly to others. This is especially true for boys. We no longer think twice about girls who wear pants, but when women first started doing so, it was shocking and revolutionary. It meant, for example, that they could ride bicycles and be independent. Only this past spring was a 200-year-old law banning women from wearing trousers revoked in Paris.

But many girls now have the flexibility to be creative with their clothes, to use more colors, to dress with flair and generally enjoy a broader range of options when it comes to appearance than boys do. There are downsides, of course, because accessorizing in these ways is actually part of a bigger problem, namely, your entire gender being treated as an accessory itself. On the other hand, boys are far more strictly confined in their choices. Boys wearing skirts as a matter of daily habit, in the United States, is as shocking an idea as trousers for women were at the turn of the last century. Those who challenge limits are regularly mocked, bullied and penalized by peers and adults, especially when it comes to school dress codes. While most schools make provisions for girls to wear pants, very few include skirt options for boys who might want to wear them, for whatever reason. For example, Warren Evans, a student in Maryland, was suspended for wearing a skirt. For some people the simple idea of a boy wanting to wear a skirt, ever, is bizarre.

2. Hair. Only the most confident of boys, with a supportive family, can sport lengthy locks. Razzing and teasing often ensues. As one mother of a mop-headed boy put it, people considered it a form of “middle-class abuse” to allow her son to grow his hair. After, say, a “sissy” comment from a grandfather, or taunts from playground bullies, adults at schools often get involved. It’s easy to find news of boys suspended and expelled for growing their hair, even if they’re growing it to donate to cancer patients. What are children supposed to take away from these experiences? That boys should never look “like girls”? That they cannot express themselves freely? Or care for others? That all these things are punishable offenses?

3. Products. What do we do with girly things? When adult men mock one another by denigrating little girls, boys learn to do the same thing. Take men’s professional sports where pink locker rooms are designed to demoralize opponents and girls’ backpacks are used to humiliate rookies. Or comedy: I have to believe that Will Ferrell is a smart and funny enough man to make a 90-minute movie without mocking little girls (in a non-satirical way) for a profit, but so far, no banana. At best, these are lazy actions. At worst, they are shallow validations of masculinity at the expense of girls and women. Girls (like the Star Wars lunch box girl) and boys (My Princess Son) regularly encounter children who, even in preschool, are gender rule enforcers. Some of them have parents who stand up for them, write books, build communities and launch social movements. But what about all the others whose parents don’t?

4. Sports. Ballet? Synchronized swimming? Figure skating? These sports are dominated by girls and women not for physical reasons but for cultural ones. Girls can play sports like these, or others that have traditionally been thought of as boys’ sports (though they may be excluded from some sports, or taken less seriously as athletes than their male peers). Boys are frequently barred from sports seen as for girls. As a matter of act, the most “boyish” are often encouraged to play football. This a game where boys, despite what we’re learning about brain injuries, have until recently been uniformly taught to “play through the pain” (which is another way to say ignore your feelings and emotions), where coaches regularly insult boys with sex-based pejoratives and where girls quite literally can almost only be, with a few exceptions, supportive and on the margins.

5. Stories. Girls regularly immerse themselves in stories with male protagonists and identify with male heroes, boys and men. But boys aren’t encouraged to identify with female protagonists or to idolize women as heroes to anywhere near the same degree. Fifty-seven percent of children’s books published each year have male protagonists, versus 31 percent female. If the books feature animals, 100 percent of them have male characters and only 33 percent have female characters, often cast as mothers or romantic interests. The average number of books featuring male characters in the title of the book is 36.5 percent versus 17.5 percent for female. Statistics about television and movies are the same, where fewer than one out of three (28 percent) of the speaking characters (both real and animated) are female. It’s not only a quantitative imbalance, but also a qualitative one in which girls and women are misrepresented. Immediately after girls watch television, their self-esteem drops. (This is true of all children except young white boys.)

This all happens way before boys’ sexuality becomes an issue and when boys are subjected to pervasive messages telling them to objectify girls, be sexually promiscuous and boast about it. No wonder some men are able to go through life never once considering what it’s like to be a woman or why it matters.

Rigid gender rules and polarized sex-segregated ideas about everything from preschool playgroups to workplace dynamics come at great cost to everyone. And when parents, teachers, coaches, religious leaders and pop culture all insist on the importance of an exaggerated and binary gender dichotomy it is hard to see how children can resist. It’s not as though Julia Serano’s “Whipping Girl” has made it to many mainstream lists of parental how-to books.

And restrictive boy codes turn into restrictive man codes. Forcing boys to reject all “feminine” aspects of themselves means not teaching them to be fully human. It reduces their ability to be flexible, adaptable and nimble when encountering new situations. It reduces their opportunities for happiness.

Empathy is essential to changing this. Boys with sisters in households where gender roles are stereotypical are far more likely to grow up to be conservative men with a similar reliance on stereotypes. They end up, often, as benevolent sexists out of sync with the reality of women’s lives, but, worse, actively involved in making sure they are not successful in the workplace. One of the things that challenges their beliefs as adults, interestingly, is having daughters, something researchers call a “warming effect.”

People who claim to have egalitarian ideals while wringing their hands about a boy crisis in education are all the while advocating the exact course of action that limits boys in the first place: a greater emphasis on sex segregation and debunked, essentialist ideas about brains, gender and roles in life. The boy crisis we should be focusing on is how “boys will be boys” ideas and sexist media leave boys ill-equipped to function in diverse societies. School aren’t emasculating boys, American masculinity is dehumanizing them.

Tuesday, September 17, 2013

Tomorrow (9/18/2013) at Google Hangouts - “What is a Real Man?”

Okay, define real, then define man. If we are going to have this discussion, we will need to agree upon the meanings of the terms. However, I suspect that will not happen to my satisfaction. Besides, I'll be at work during that time, so my two cents are what I just wrote above.

If you would like to hang out and listen or participate, it's the What Kind of Man Do You Want to Be Google Hangout, supported by the Good Men Project - go HERE to get an invitation (required).

Upcoming Google Hangout Asks: “What is a Real Man?”

September 17, 2013 by Marie Roker-Jones



This month on the What Kind of Man Do You Want to Be Google Hangout, the conversation is about the image of a real man and how societal and media masculine standards perpetuates male stereotyping.

Marie Roker-Jones from Raising Great Men will be joined by radio personality and writer Dr. Vibe to discuss how hyper-masculinity and media stereotypes of men influence young men’s thoughts on manhood.

Panelists for the first half of the discussion at 8:00pm EST on September 18th are Enrique Pascal, author of What Does A Real MAN Look Like? and host of Transformation Radio and Alan Bishop, founder of The 365 Effect, producer and creator several television shows .

At 9:00pm EST, also on September 18th, Marie and Dr Vibe will be joined by three young men: Edmund Adjapong, Rey Saint-Vil and Alex Hanse to discuss how media messages have shaped their views on men.

To learn more about the hangout or to join in, see the invitation page on Google+.

Follow Dr. Vibe and Marie Roker-Jones on Twitter for more information.

Thursday, August 1, 2013

Al Vernacchio - Our Metaphors Shape Our Sexual Experiences (Video) - Baseball vs. Pizza


From the Good Men Project, this is a TED Talk I had missed, but is worth the 20 minutes or so to watch or listen. Al Vernacchio looks at how the language we use to talk about sex - our metaphors - shape our experience of sex. Language has power.

[Note: I edited this a little bit for clarity - there were typos and such that made it a rough read.]

How Our Metaphors For Sex Shape Our Sexual Experiences (Video)

JULY 31, 2013 BY ROSS STEINBORN


How the baseball metaphor for sex is toxic to our understanding of sexuality and why pizza might be a better metaphor.

“I only got to second base,” is a common lament from young men but they aren’t always referring to America’s past time, baseball, often they are referring to a sexual experience. Yes, baseball has become the dominate American metaphor to talk about sex but this metaphor, as Al Vernacchio points out, is toxic to our understanding of sexuality. Its competitive, there are winners and losers, two “teams” (genders) pitted against each other. There are set times when its expected—you can’t tell the coach you just don’t feel like playing today. There are set roles—you're a catcher, not a pitcher—which means there is little discussion.

Vernacchio suggests we change our metaphor to pizza. Wanting pizza is an urge for which there is no set time, no season. Ordering pizza with another requires communication. Even if you’ve been ordering pizza with that person for a long time you ask, “do we want the usual.” Finally, pizza is a common experience, where everyone gains some pleasure, and if someone didn’t like the pizza, you take that into consideration the next time you order out.

Tuesday, July 16, 2013

Have We Entered the Era of Gender Fluidity? Quite Possibly . . . .


I have written quite a bit on this blog about the idea of gender fluidity (see here, here, here, and here, as a start), but I did not believe there would be any cultural apparent move in that direction for quite a while. I was - I am very pleased to say - incredibly wrong.

That is what I learned in this short clip from NPR's All Things Considered.

A growing number of young people are standing in solidarity with their transgender and genderqueer peers. They do so in a number of ways, one of which is to answer (when asked about themselves) with their name, their age (or year in school), and their preferred gender pronouns (he/his/him or she/hers/her). To do so is to acknowledge that cisgender (see this page for an explanation of gender terminology) is only one of many possible gender identities, to stand against the traditional notions of a gender binary. Better still, some young people are rejecting gender labels of any kind.

The nature of gender fluidity transcends and includes gender normative structures - all forms of gender expression become available to each person, either one at a time or simultaneously. In this model, the need for labels on gender expression ceases to be relevant.

Young People Push Back Against Gender Categories


by MARGOT ADLER
July 16, 2013 4:53 PM



All Things Considered
7 min 50 sec | Download

As society has become more accepting of gays, lesbians and even transgender people, a new generation of young people is challenging those categories in favor of a more fluid understanding of gender. They refuse to be limited by notions like male and female.

Thursday, May 30, 2013

'Boy or Girl?' Transgender (and Gender Queer) Children in the Schools

Via the AP and ABC News, this is an interesting story on the challenges facing public schools with more children identifying as the opposite sex or refusing to adopt either sexual identity/gender identity. Here is a little piece from the beginning:
From early on, we divide toys and activities by very distinct gender lines, with superheroes and trucks and muck on one side and princesses and dolls and all things frilly on the other. 
Many children land, enthusiastically, on the expected side. Others dabble in both "girl" and "boy" things. But what if your kid, even from an early age, mostly showed interest in doing opposite-gender things? More importantly, what if they wanted to BE the opposite gender — or a less-defined mix of both? And what if they wanted to test those limits in public places, like school? 
Would you let them?
My sense is that we should allow kids to be themselves, whatever and whoever that is - BUT, I also know that other kids are cruel and brutal, so if my boy child wanted to wear dresses to school I would be afraid for him because I know how he will be treated by his peers. I also know that no rules or laws are going to protect him from verbal and even physical harassment on the playground.

The way I remember it, the playground at recess (in a small Southern Oregon community) was only a few steps away from Lord of the Flies. While I would never want to squash a child's individuality, I would also not want them to go through the likely ridicule from their peers.

On the bright side:
Some experts predict that views on gender will evolve in much the same way they have for sexual orientation, since homosexuality was removed as a mental illness nearly four decades ago. Today, the gender spectrum includes those who are transgender, who see themselves as the opposite gender, and those who are gender variant, or gender nonconforming, whose gender is more "fluid." For kids, it means they identify part of themselves as boy and part as girl.
I've written here about gender fluidity on many occasions so it's good to see the mainstream press also talking about it. Some articles from The Masculine Heart on gender fluidity are listed below:

'Boy or Girl?' Gender a New Challenge for Schools


By MARTHA IRVINE AP National Writer
CHICAGO May 28, 2013 (AP)



From the time they are born, we put our boys in blue beanies and our girls in pink ones. It's a societal norm, an expectation even, that you just are what you are born — a boy or a girl.

From early on, we divide toys and activities by very distinct gender lines, with superheroes and trucks and muck on one side and princesses and dolls and all things frilly on the other.

Many children land, enthusiastically, on the expected side. Others dabble in both "girl" and "boy" things. But what if your kid, even from an early age, mostly showed interest in doing opposite-gender things? More importantly, what if they wanted to BE the opposite gender — or a less-defined mix of both? And what if they wanted to test those limits in public places, like school?

Would you let them?

It's not, of course, that pat of a process. Parents don't just decide to let their kids switch genders. But, whether parents are dragged through the process, or if they decide to work it through more openly, more kids are challenging the boundaries of traditional gender, and going public at younger ages.

And they are doing so with the guidance of a growing faction of medical experts who no longer see this as something to be fixed. Last year, the American Psychiatric Association removed "gender identity disorder" from its list of mental health ailments.

Some experts predict that views on gender will evolve in much the same way they have for sexual orientation, since homosexuality was removed as a mental illness nearly four decades ago. Today, the gender spectrum includes those who are transgender, who see themselves as the opposite gender, and those who are gender variant, or gender nonconforming, whose gender is more "fluid." For kids, it means they identify part of themselves as boy and part as girl.

"Now these kids . are beginning to have a voice . and I think that's what's been making things interesting and challenging — and difficult, sometimes — depending on the family, the kid, or the school," says Dr. Robert Garofalo, director of the Center for Gender, Sexuality and HIV Prevention at Lurie Children's Hospital of Chicago.

While the numbers are relatively small, it means that, increasingly, schools are having to figure out how to accommodate them, some more successfully than others.

The questions often start with the basics: Which bathroom do they use? Where do they change for gym class? What if teachers or students don't want to use the pronoun, "he" or "she," or a new name the student prefers?
Transgender at 11: 'I Want Boobs!' Watch Video
It can be difficult, and uncomfortable. In Colorado, for instance, the parents of a 6-year-old transgender girl are suing their school district for trying to make her use a separate bathroom.

The center at Lurie opened recently, in part, to meet the demand from parents seeking guidance for children who are questioning their gender identity and to provide support to older transgender youth who sometimes struggle more in adolescence, even facing a greater suicide risk, especially if they have no backing from family and others around them.

The center also serves as a resource for schools with transgender and gender variant students.

Increasingly, those students are making the transition as early as elementary school, if not before.

———

Ryan, a fourth-grader in suburban Chicago, is one of those kids.

Most people, upon seeing her big blue eyes, long lashes and flowing blond hair, would never know she's anything but a girl. But underneath, she is still physically a boy.

Doctors call that gender variant, though Ryan prefers to call herself a "tomgirl."

"I feel that I'm a girl in my heart," she says, "and a boy in my brain."

Her parents allowed her to be interviewed and also agreed to speak to The Associated Press on the condition that the family's last name, the name of the town where they live and the school Ryan attends not be used in the story.

Though the decision to publicly express publicly as a girl happened at the end of kindergarten, Ryan had slowly been becoming "she" at home for a long time, even when she still had a crew cut.

Six months after her second birthday, her parents say Ryan was drawn to all things pink and sparkly. Ryan, the boy, wore pajama pants on his head, pretending it was long hair, or acted out girl roles from movies.

"I'm wishing . for the one I love . to find me!" the preschooler would enthusiastically sing into the toilet, copying Snow White, who sings into the echoing wishing well in the animated Disney movie.

By kindergarten, Ryan would bolt through the door of the family's suburban Chicago home, leaving a trail of boy clothes up the stairway — then quickly changing into a skirt and matching T-shirt.

Ryan's parents, initially told that Ryan had gender identity disorder, tried to get their child more interested in traditional boy things. But Ryan preferred chasing butterflies instead of footballs. Her dad scheduled extra "father-son" time, thinking that might have an influence. But nothing changed.

"The next step was to eliminate all girl things — can't write about girl things, can't draw girl things, can't talk about girly things ... and that just didn't feel right," says Sabrina, Ryan's mom.

They decided to stop resisting and allowed Ryan to start taking small steps into the outside world, at a nearby park, for instance, where she wore her girl clothes.

For her kindergarten Halloween party, Ryan dressed as a princess and, shortly after, asked her parents to refer to her as "she," a request to which they agreed, though it took a few months to adjust.

Their first support came from a pediatrician who specialized in gender, as well as other parents with children like Ryan, many whom they met through an online listerv. They are, as they call themselves, "affirming parents."

"There's a realization that it's not a phase or something that's ending when the preschooler gets to kindergarten," says Kevin Gogin, the program manager for school health programs at the San Francisco Unified School District, which recently added a transgender category in student health surveys. The survey found that 1.6 percent of high school students and 1 percent of middle school students identified as transgender or gender variant. Elementary students weren't in the survey, but Gogin says the district has seen more young transgender and gender variant students, too.

Sixteen states and the District of Columbia have transgender rights laws, according to Michael Silverman, the executive director of the Transgender Legal Defense and Education Fund in New York City. He is representing the family of Coy Mathis, the 6-year-old transgender girl in Colorado.

But even in states that don't have laws, he says districts are often open to guidance.

"By and large, most educators want to do the right thing and want to know how to treat all of their children equally," Silverman says. But often, they don't know how.

In California, which has had protections for transgender people for some time, a new law requires schools to provide transgender and gender variant students with "equal and full access to programs and facilities," such as gender-neutral bathrooms, if need be, and private changing areas for gym and sports.

There can be resistance, of course — even in families and friends, as Ryan's parents discovered.

Neighbors in the Chicago suburb where the family lived when Ryan was born stopped asking about or acknowledging her when she started dressing in girl clothes. "It was as if she no longer existed," Sabrina recalls.

Early on, people in their own extended family also struggled with their decision to let Ryan live outwardly as a girl. Some said: "I think what you're doing is wrong" or "Ryan's too young to know."

Cousins made fun of her, too, and once shut her in a dryer to taunt her.

Sabrina and husband Chris sat their family members down to talk and, over time, they say they came to an understanding.

"Our commitment is that our children are in an accepting, loving environment — and if someone's not on board with that, then they're not going to be around," Chris says, calmly but firmly.

They also moved to a neighboring suburb, where some said a particular elementary school would be more open to Ryan.

They still fear a harsh reaction from people outside their community. But they say most people locally have been accepting.

And she notes how well the staff at Ryan's school has handled things. She remembers meeting with the principal and teachers at the end of Ryan's kindergarten year. She told them that Ryan would likely enter first grade as a girl, then came home to find that Ryan was ready to make the transition — right then.

"I don't want to do this anymore," Ryan told her parents, referring to what she now calls the "revolving door" of changing her appearance from boy at school to girl at home.

Her mom alerted the school. "You know how we spoke about, that it might happen next year?" she said. "Well, it's happening tomorrow."

They were ready, and allowed Sabrina to explain things to Ryan's classmates — that Ryan liked to dress in girl clothes and liked girl things.

One of Ryan's friends also stood up: "I want everyone to know this is Ryan's first day as a girl, and everyone better be nice."

One boy talked about how he'd once worn his sister's shirt when his own got wet. A girl said she'd worn her brother's boots. And then the kindergarteners moved on, Sabrina says.

Of course, how a school staff and a community react still varies widely from place to place. But overall, attitudes about differences in gender identity have been changing, even in the last decade, says Eli Erlick, a transgender student and graduating high school senior in Willits, Calif., a small town in the northern part of the state.

When Erlick began her transition from boy to girl at age 8, she says that even she didn't know what the word "transgender" meant. She just knew that she wanted to live life as a girl. "I thought I was the only person like this," she says.

School was difficult. Some teachers made fun of her in front of the class, she says. To avoid dealing with which bathroom to use, she would pretend to be sick, so she could go home and use the facilities there.

Now Erlick is the director of an organization called Trans Student Equality Resources, which provides schools with training and information about students like her. Erlick also has helped her school district and others in California develop transgender policies.

Some schools in other states are doing the same.

"There is definitely more awareness," says Kristyn Westphal, vice principal at Grant High School in Portland, Ore.

There, they've established a student support team to determine how well the school is meeting the needs of transgender and other students. Earlier this year, the school also created individual gender-neutral bathrooms that any student can use.

Bathrooms often become a focal point because, when children are young, the transition is often more "social," a change in clothing and hairstyle.

As some kids move into puberty, they might use hormone blockers and, eventually, start hormone therapy to help their bodies transform from male to female, or vice versa. But any kind of surgery, experts say, is still relatively rare, even in adolescence.

Ryan's parents will consider these options later. But for now, Ryan sees no reason to choose one gender over the other — "at least until I get married or something," she says. So she uses a separate bathroom at school, as the principal has arranged with her parents.

A separate bathroom was not, however, a workable solution for the parents of Coy Mathis, who are suing their school district in Fountain, Colo. Kathryn Mathis, Coy's mother, says it's about more than that.

"If it were just a toilet, then just having the gender-neutral option would be fine. But it's really about being accepted," Mathis says.

"What's happening now — they will call you a girl but you're not really a girl, so you don't get to act like one. And that's incredibly damaging."

The school district has declined to comment on an ongoing case.

Mathis says she's heard from several parents who've made the decision for their transgender children to go "stealth." In other words, they make the transition — from boy to girl or girl to boy — and then move, so no one knows.

"That's how they're doing it ... because there aren't laws to protect them," Mathis says.

Even in Ryan's case, the initial transition at school wasn't always smooth.

While her own younger classmates were accepting, older kids called her "gay" and a "fag." Early on, a few followed Ryan around on the playground. "Are you a boy or a girl?" they'd ask repeatedly.

Her parents had prepared her for this type of reaction as best they could. Ryan, who her parents say is a strong-willed, independent kid, was mostly just annoyed. Still, she was relieved when her principal quickly stepped in to enforce the school's anti-bullying policy.

One mother also recalls how, early on, a few other parents worried about their boys being around Ryan — that it might cause them to be confused about their own gender. But that talk eventually dissipated, she says.

Sabrina took it upon herself to speak about Ryan at school curriculum nights, to answer parents' questions. And now, the principal says, it as a non-issue. "Ryan is Ryan," she says.

It's not been as easy at other nearby elementary schools, where there's been more friction over the few other transgender students. Some administrators have come to Ryan's principal for advice — and she's already been in contact with her counterparts at the middle school Ryan will eventually attend.

No one expects that adolescence will be easy.

"The more challenging times are up ahead, and we're clear about that," Sabrina says.

But Scott Morrison, a transgender student at Grant High School in Oregon, says having support at home and at school, as he did, will make a big difference for kids like Ryan.

Morrison, a graduating senior, moved to Oregon from Virginia three years ago.

"Gender identity is probably the most important part of me," Morrison says. "It's the most important discovery I've made about myself."

He transitioned from female to male a year later and says support from his mom, his friends and his new school — and help from a counselor — likely prevented him from committing suicide.

According to a 2010 National Transgender Discrimination Survey, 41 percent of transgender people surveyed said they had attempted suicide. That figure rose to 51 percent for those who said they'd also been bullied, harassed, assaulted or expelled because they were transgender or gender nonconforming at school. The survey was a joint project of the National Center for Transgender Equality and the National Gay and Lesbian Task Force.

With more support and an ability to live more openly, however, some wonder if it will be better for Ryan and this up-and-coming group of transgender and gender variant kids.

"I'll be really curious to see what this next generation looks like," says Masen Davis, the executive director of the Transgender Law Center, a civil rights and advocacy organization based in San Francisco. "I'm hopeful."

Ryan is, too. "It's just made me feel more strong and confident," she says of the support she's gotten from her parents and her school.

People who know her say that's true. She is a bubbly kid, they note. She loves to draw, sing and write poetry, loves sports and running. On the school playground, she can be found in the middle of a group of girls, doing cartwheels and playing tag.

"Most people forgot that she was ever a boy," says one of her girlfriends, a fellow fourth-grader.

If her parents ever question their decision to let Ryan go public at school, they say they pull out her first-grade photo and compare it with the one from kindergarten, taken when Ryan was still hiding her girl self.

"There is a light and a twinkle in her eye that's unmistakable," Sabrina says of the first-grade photo. "And if nothing else, just looking at that picture, we're clear we made the right choice."

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Watch a video on non-gender conforming kids: http://apne.ws/19jicJx

On the Internet:

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~ Martha Irvine is an AP national writer. She can be reached at mirvine(at)ap.org or at http://twitter.com/irvineap