Whimsical, queer exploration of all things gender.

Archive for the ‘Theory Literature’ Category

For any FtM readers in the UK in particular…

Below is my PhD proposal, which has been accepted to start later this year. I am going to be looking into problems that exist within medical policy and the medical establishment that unfairly hinder transition.

I am a cis (queer, but cis) white male, and I want you to believe that I recognise how problematic it could be, me trying to do this kind of work without having directly experienced the relevant issues myself. This is why it is going to be of utmost importance to me for this project to be lead by trans* voices. Not to just go around begging for interviews and treating people like data and stats. I intend to earn and keep the trust of anyone and everyone who agrees to work with me in the course of my work over the next few years.

What’s my motivation? Other than the obvious anger anyone who knows even a little bit about systematic cissexism should experience with regards to legistlative and policy structures, my best friend was an incredible trans man who I was very close to, but tragically he took his own life. Also I have been privileged in supporting my (now ex) long term partner through his own transition some time after this.

Bottom line is: please be in touch if you have anything to say about this project. I will take all criticism/encouragement/suggestions very seriously, as my cis-privilege means I should. Do feel free to pass this on to anyone you may feel would be interested, and follow this blog for further updates on this project – most of which won’t take off until October or afterwards, but yeah. So below is my proposal, as it was accepted:

Female to Male Transgender Transitions through the NHS – Addressing Policy Problems

There is no reason why psychiatrists and other mental health professionals cannot be charged with the responsibility of recognizing gender-identity issues without the necessity of labelling them as disorders.

Gianna E. Israel and Donald E. Tarver in Transgender Care: Recommended Guidelines, Practical Information and Personal Accounts

Research Context

Transgender people often experience an urgent need for medical treatment in order to facilitate a transition in gender presentation. Whilst data is lacking, it has been estimated that suicide risk in post-operative trans people is potentially seventy times higher than the risk for the overall US population (Haas et al. 2011), and suicide risk has been estimated at 19-25% for those seeking surgical gender reassignment (Dixen, Maddever, van Maasdam, Edwards, 1984). Whilst distress for trans individuals may result from the dissonance experienced between the mental and physical self (characterised as gender dysphoria), lack of support, as with any serious personal issue, may have an extremely detrimental effect on the individual’s ability to cope with their situation. This research will address medical (and legal) policy in the UK regarding transgender transition for AFAB (assigned female at birth) individuals. The reason for this particular focus is that treatment routes and transition difficulties are extremely different depending upon the direction of transition, and this focus will allow for both a wider consideration of AFAB experiences and greater depth of analysis. This research is particularly timely due to the new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) being due for release in May 2013, which should have some ramifications for how gender identity dissonance is addressed clinically.

Currently there exists no specific gender and sexuality minority training as part of UK medical degrees or clinical training. This leads to primary care physicians often being ill-equipped to deal with the needs of trans patients – and in some cases directly doubting or dismissing the patient’s needs, resulting in risk of harm. Of the knowledge of transgender issues amongst the primary care medical population, much is extensively pathologising. This is due to the historical status quo of the power dynamic between doctor and patient, whereby medical ‘expertise’ trumps lived experience and identity (Cohen-Kettenis and Friedemann, 2010). Similarities can be seen with the discourse generated by the reversal of knowledge/power relations between the medical establishment and HIV positive gay men in the 1980s, who also often had a more detailed grasp of their options and needs than their physicians did (Weeks, 1990). However, a key difference is the grassroots push towards recognition by the medical establishment that trans* identities are not inherently pathological – as reflected partially by the upcoming revisions to theDiagnostic and Statistical Manual of Mental Health Disorders (DSM-V). ‘Gender Identity Disorder’ will henceforth be understood as ‘Gender Dysphoria’, and ‘Transvestic Fetishism’ as ‘Transvestic Disorder’.

Relating to the Literature

Whilst the crux of this project will be the analysis of qualitative data generated by interview schema (as detailed in the methodology section), it will be important to further contextualise individual’s experiences in terms of queer theory. This will provide evidence of the extent of cissexist positions and behaviour within gatekeepers and other positions of social authority, and the social context of how this has come to be the case. Cissexism (the belief and treatment of transgender people as inferior to non-trans people) within society has already been considered by such important authors as Julia Serano and Riki Wilchins. It is also important to consider that in the formation of policy concerning gender and health, a binary model of gender is likely to be utilised, which may not provide recognition of the identities of all individuals who wish to transition (Bilodeau, 2005). The way in which any individual’s behaviour patterns (such as a doctor to a patient) are externally effected will depend upon the local cultures, geographies and other individuals they find to be their environment (Stevens 2004). A nuanced understanding of this may be aided by consideration of Social Identity Theory (Tajfel, 1981) and concepts such as dramaturgy – The idea that human actions are dependent upon where, when, and with whom they occur (Goffman, 1959).

Feminist epistemology will be used to address the intersection of patriarchal oppression (particularly when presenting as female) and trans identities, such as with the ‘border wars’ of butch lesbian, transmasculine and trans male identities (Halberstam 1998), transition from one group to another and how this can impact upon support networks and involvement in (for example) female-only spaces.

Research Questions

A key question of the thesis will be how and why did undesirable scenarios experienced by trans men happen? It is recognised that demand is greater than supply regarding appointments with NHS gender identity clinics, with 22% of users in October 2006 of the Charing Cross Gender Identity Clinic waiting over a year for a first appointment (Reed, Rhodes, Schofield and Wylie, 2009). Patients are required to have two meetings at such a clinic before being granted access to hormonal treatment, and the desperation and loss of morale that can accumulate in this time can result in risky self-medication using the internet to purchase hormones, self-harm, and suicide. The research will explore the space that exists between medical claims that may exist for the importance of the current framework that governs these appointments and the demands for improvement and change vocalised by the trans male population.

Other questions include asking to what extent may dissatisfaction with the medical establishment be a lack of detailed understanding of well founded (as opposed to well-intentioned but ultimately flawed) commitment to the well-being of patients? To what extent is the current medical establishment policy built on subtle cissexist assumptions and responses? A common argument for example, for the extent of hoops that need to be jumped through is that treatment with testosterone has certain irreversible physiological changes, and that protection must be offered to those who may ‘change their minds’, and be later caused distress and dysphoria by the retrospective treatments. The cisgender (to hold the same gender identity as was assigned at birth) perspective of how traumatic it would be to have one’s physiological gender markers (voice, fat distribution, breast tissue, musculature, etc.) altered in an undesirable way is arguably given a greater sense of importance than the provision to the treatment of trans people is (Taylor, 2010). It is considerably easier for a cis person to empathise with the former hypothetical scenario than it is with a trans person’s lived experience. The negative impact of undesirable physical traits is not at issue, but the insidious way in which what one is born with (or without) can be afforded a privileged position over the need for change.

 

Methodology

This project will have a multi-faceted and interdisciplinary approach, utilising both empirical data and queer theory to synergistically explore the reality of trans experiences and the political and social frameworks within which these exist and are shaped. The precedent for transgender activism leading to a revision of policy is the framework upon which I will build this thesis. Through qualitative methodologies such as semi-structured interviews and surveying, I will collect and analyse accounts of trans men’s experiences with both NHS and private medical establishments, paying particular attention to delays and dissatisfactions with prescription to testosterone and approval for surgical procedures.

Whilst the focus of this project would be the experiences of self-defined male experiences, I believe it is also important to cross-examine such data with the experiences and knowledge (or lack thereof) of both primary and secondary care medical practitioners regarding their practice and knowledge of both transgender treatment provisions and what may be termed political considerations, such as pronoun usage and the phrasing of questions, and their necessity and appropriateness. Collecting qualitative data from staff who are involved with any of the administrative processes which dictates a trans person’s trajectory through medical systems may also prove valuable, though whether this direction is taken or not may be informed by information gathered from trans reports. Recognition and treatment of those AFAB individuals with non-binary gender identities is also to be involved. Whilst medical transition processes and lived experiences do vary in a clear and divisible way based on assignation at birth (before consideration of intersexed individuals at any rate), the social model of binary genders is being increasingly recognised as a dissatisfactory lens through which to view the wide spectra of queer identities which have gained visibility over the last fifty years (Hubbard, 1996). It is a common conception by many trans people that in order to achieve the (variable) desired end-goals of engagement with the medical establishment, a favourable narrative may need to be constructed in order to be considered ‘right’ (Rubin, 2003).

Policy Implications

“I just want a therapist who ‘gets’ me. I don’t want to have to explain gender, sex, and all that other stuff. I have been to so many therapists where I have to educate them. I have to tell them first that I am not a ‘freak’. Then, I have to make sure they feel comfortable. And then we get down to my real issues.” – Luke, 21 year old transgender man

Handbook of Multicultural Counselling Competencies, Erickson Cornish J. A. et al.

The ultimate goal of the project is to offer a rigorous academic approach to both assessment of the efficacy of systems designed to alleviate suffering, whilst also exploring important questions of identities and power. The ramifications of such work would hopefully lead to policy review such that trans voices and experiences are better heard by medical establishments. Systems for recognising cissexism in policy (or where it could be enacted by free agents in positions of authority) can be created and used in protection from and prevention of cissexism, for transgender populations. This work will provide a rigorous, empirical approach to policy formation that will help provide a greater voice for an often poorly understood minority, undeniably improving lives.

References

Biloeau, B. (2005) ‘Beyond the Gender Binary: A Case Study of Two Transgender Students at a Midwestern Research University’, Journal of Gay and Lesbian Issues in Education, Vol. 3, Issue 1

Cohen-Kettenis, P. T., Friedemann, P., (2012) ‘The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults’. Archives of Sexual Behaviour, 39:499-513.

Erickson Cornish J. A. et al. (2010), Handbook of Multicultural Counselling Competencies, John Wiley & Sons.

Dixen, J. M., Maddever, H., van Maasdam, J., Edwards, P. W., (1984). Psychosocial characteristics of applicants evaluated for surgical gender reassignment. Archives of Sexual Behaviour, 13(3), 269-276.

Goffman, E. (1959), ‘The Presentation of Self in Everyday Life’. Anchor books.

Haas, A. P. et al. (2011), Suicide and Suicide Risk in Lesbian, Gay, Bisexual, and Transgender Populations: Review and Recommendations. Journal of Homosexuality, 58:10-51.

Halberstam, J. (1998) Female Masculinity, Duke University Press.

Hubbard, R. (1996) Gender and Genitals: Constructs of Sex and Gender, No. 46/47, Science Wars, pp. 157-165.

Reed, B., Rhodes, S., Schofield, P., and Wylie, K. (2009) Gender Variance in the UK: Prevalence, incidence, growth and geographic distribution, GIRES.

Rubin, H. (2003) Self-Made Men – Identity and Embodiment Among Transsexual Men, Vanderbilt University Press.

Serano, J. (2007) Whipping Girl – A Transsexual Woman on Sexism and the Scapegoating of Femininity. Seal Press.

Stevens, R. A. (2004), ‘Understanding Gay Identity Development Within the College Environment’, Journal of College Student Development, Vol. 45, No. 2, pp. 185-206.

Tajfel, H. (1981), ‘Human Groups and Social Categories: Studies in Social Psychology’, Cambridge University Press.

Taylor, E. (2010) ‘Cisgender privilege: on the privileges of performing normative gender’, in Gender Outlaws: The Next Generation by Bornstein, K. and Bergman, S. B., Seal Press.

Weeks, J. (1990) Coming Out, Quartet Publishing.

Wilchins, R. (2004), ‘Queer Theory, Gender Theory’. Alyson books, Los Angeles.

What is the Relevance of one’s Legal Gender?

Hey all – sorry for the large hiatus. Due to personal family reasons there isn’t likely to be much activity for the immediate future, but I will be back to writing regularly eventually. In particular there are lots of new book reviews lined up.

 

Whilst I haven’t written anything *new* per se, for those who have an interest in gender through an academic lens, I am posting one of my essays from my Master’s Degree in Multi-Disciplinary Gender Studies. Sorry about the lack of pictures, I don’t think the examining panel would’ve approved. This was written in May 2011.

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What is the relevance of one’s legal gender?

When asking about the relevance of one’s legal gender, one must address various questions that immediately lead from this. Some of these questions are legal in nature and others examine the social context within which the laws are made and executed. The most obvious place to start when asking about the relevance of one’s legal gender is to ask how does the law define one’s gender, and how does it distinguish this (if indeed it does at all) from one’s ‘sex’? One then needs to ask both how and when it is relevant for an individual to be placed in one legal category or another. How does the law deal with individuals whose categorisation is unobvious or contested for the purposes of making a decision for which the outcome varies based on the gender category of the individual in question? How are people who have changed legal category then treated by the law? And finally, is legal gender always relevant when scrutinised in legal proceedings, or indeed is legal gender ever ignored when it should not be? By addressing each of these questions in turn, not only are the factual ‘word of the law’ and the subjective way in which it is interpreted addressed, but the bigger picture of how legal, social and medical hegemony affect each other and come to shape what is accepted and therefore what is legislated is understood.

So how are sex and gender defined under the law? Under present UK law, the categories of ‘man’ and ‘woman’ are recognised, and are indicated on UK birth certificates under the heading of ‘sex’ as ‘boy’ or ‘girl’. This is used to define a person’s legal sex and gender. Whilst it is a legal requirement that births are registered within forty two days in England and Wales (Directgov, 2011) and that a child’s ‘sex’ is given, it is assumed rather than explicitly outlined that ‘boy’ and ‘girl’ are the acceptable possible responses. It is worth nothing that whilst it is common for the words ‘sex’ and ‘gender’ to be used interchangeably in any given context, it is also common particularly in scholarly parlance for ‘sex’ to be used to refer to a person’s categorisation based on biology (broadly understood to refer to a composite understanding based on genital, gonadal and chromosomal sex, which has been increasingly recognised as problematic when considering intersex individuals in particular) and ‘gender’ to refer to a person’s social categorisation, which may rest more on self-definition and social visibility, that which is presented for others to see.

An important legal precedent was established by the case Corbett vs. Corbett heard in 1970. In this case, the husband of the male-to-female (MTF) transsexual April Ashley petitioned for nullity upon the breakdown of their marriage on the basis that as April was legally male the marriage was void (Whittle, 1999). Whilst at the time it was held for the purposes of matrimonial law that hormone treatment and surgery did not result in a legal change of sex, which was then cited in many forthcoming legal cases, this changed with the advent of the Gender Recognition Act 2004.Interestingly, whilst the entirety of this act is written in terms of gender, the terms gender and sex are not formally defined as part of the Act. However, it is specified that “Where a full gender recognition certificate is issued to a person, the person’s gender becomes for all purposes the acquired gender (so that, if the acquired gender is the male gender, the person’s sex becomes that of a man and, if it is the female gender, the person’s sex becomes that of a woman)” (Gender Recognition Act 2004). One might think therefore that once an individual has received a gender recognition certificate, they would be legally indistinguishable from members of the same sex who were born as such. However there are exceptions to this which means that some individuals can problematically find themselves with a currently legal and previously legal gender that are both still legally relevant. Specific examples of where this may occur will be discussed later.

The law then, in its current form rests upon a binary understanding of sex and gender. There are a wide range of different scenarios where membership of a particular category results in different treatment under the law, thus demonstrating legal relevance. Before discussing these scenarios it is important to establish the difference between legal and social relevance. It is well established that the treatment of men and women is socially unequal, as can be evidenced from observing pay gaps that endure between men and women by occupational group (Browne, 2006). These inequalities exist as a result of how individuals are observed, socially categorised and treated by others rather than by a word present on their birth certificate which affects their treatment under particular legal circumstances. Individuals who are observed as ‘woman’ are treated differently to those who are observed as ‘man’, but may or may not be treated in the same way under the law. For instance a male-to-female transsexual who ‘passes’ is likely to have on average ‘a woman’s’ social experiences (the precise meaning of which could receive detailed treatment but is not the focus here), which must therefore be independent of their legal gender – if they remain technically, legally, a man.

Therefore, legal gender is not particularly relevant when considering many questions of women’s rights and women’s treatment under the law. This rather is the relevance of one’s social gender in legal contexts. An example of this would be the treatment of women as flight attendants during the late 1960s and 1970s. Female employees were restricted in ways that male employees were not, which could include not wearing glasses, being unmarried, physical attractiveness, and being under the age of thirty-two (Rhode, 1989). The age and marriage rules resulted in many women leaving their jobs each year, preventing a fair proportion of women from reaching senior positions, thus being unable to reach higher pay brackets and senior staff pension schemes. This discrimination is clearly based on female aesthetic rather than legal gender, and whilst clearly unacceptable under modern legal frameworks, if legally challenged would not need to consider legal gender in successfully arguing illegal sexism. Women are considerably more likely to be the victims of domestic violence, sexual assaults and rape (Walker, A., Kershaw, C., and Nicholas, S., 2006), but this is crime against individuals that is a product of their social rather than legal category as demonstrable by the successful socialisation within the desired gender by transsexuals (who successfully ‘pass’, and are not criminally targeted as a result of their trans status). If a female plaintiff makes a legal case of sexual harassment, it would not be usual practice to scrutinise her legal gender in order to ascertain whether the case was valid. It is chiefly where social and legal genders are not the same, or were once not the same (in the case of transsexual and transgendered people) and where sex does not readily fit into the binary (intersex people) that scrutiny of legal gender becomes most relevant.

There are still many important ways in which legal decisions vary based on a person’s legal gender, and a case with many relevant examples is that of Christine Goodwin v. The United Kingdom, at the European Court of Human Rights in 2002. Whilst this case occurred before the major change seen by the instigation of the Gender Recognition Act in 2004, the case still highlights the relevance of legal gender in several key ways than can be related to current law and to social theory.

In this case, Ms. Goodwin was successful in claiming breaches occurred of articles 8 and 12 of the European Convention on Human Rights, which are respectively the rights to respect for one’s private and family life, home and correspondence, and the right to marry and found a family. There were three key claims that were the basis of her case. Firstly,that the UK Government had not taken any steps to address the suffering experienced by post-operative transsexuals despite international court warnings to keep this under review. Secondly, rapid changes in regards to the social attitude towards transsexuals were taking place worldwide, and thirdly that discriminatory legislature regarding pension age and access to her NI number by her employee lead to significant distress and difficulty (Council of Europe, 2002). The European court’s response shows agreement that aspects of UK legislature were unsatisfactory by this time at dealing with social reality relative to trans people’s legal gender. By making the points that: “The stress and alienation arising from a discordance between the position in society assumed by a post-operative transsexual and the status imposed by law which refused to recognise the change of gender cannot, in the Court’s view, be regarded as a minor inconvenience arising from a formality”, “The Court is struck by the fact that nonetheless the gender re-assignment which is lawfully provided is not met with full recognition in the law” and “it appears illogical to refuse to recognise the legal implications of the result to which the treatment leads” (Council of Europe, 2002), demonstrates the necessity for legal gender to be harmonious with an individual’s (chosen and observed) social gender in all ways in order to avoid obvious inconsistencies leading to unequal treatment. Legal gender then, is highly relevant in the sense that there are many medical and professional contexts where one can be demanded to provide one’s legal gender. How necessary this is may be controversial, but due to being the reality which may impact heavily on an individual’s right to privacy, the relevance is undisputable. Yet, the requirements and responsibilities of individuals remain poorly defined. This point is well made by Whittle when he says: “If the trans man were born outside of Britain then his identity in each of these areas of the law would be dependent upon the nation state he was born in. yet the trans man would be classified on his driving licence (through the codification system) as a man. But what if the trans man is required to give his ‘sex’ to the court as he is facing a driving disqualification? Presumably the purpose of that disclosure is to ensure that the driving licence records of the correct person are marked up. Should he say he is a man or male, or should he say he is a woman or female? What is the requirement of the law, which would ensure that the correct person has his or her driving records amended? It is no defence to a criminal act to argue that you had no knowledge of the law or that you did not understand it” (Whittle, 1999). This also raises the question of how ‘relevant’ does legal gender have to be in order to justify a requirement for disclosure? There is no simple answer to this, but one could potentially argue that in the case of a driving offence, simpler alternative ‘non-gendered’ alternative records of identification could be used.

The Court also considered the potential significance of medical and scientific perspectives in the legal recognition of transsexuals. Whilst it was concluded that medical science did not offer any determining argument (Council of Europe, 2002) it highlights the fact that the law uses the medical and scientific perspective, and may offer this perspective a position of privilege in making judgements that then impact upon the social world. Certainly this method was used by Judge Ormrod in the creation of his sex determination text used in the Corbett vs. Corbett case, consisting of a consideration of the chromosomal, gonadal and genital features of an individual at birth (Whittle, 1999). This reflects the Foucaultian point made in The History of Sexuality that society regards minority issues of sexual orientation and identity through a medical lens (literally and figuratively), and that ‘knowledge’ of what ‘legal gender’ in this case is not set in terms of law and repression, but of power. The law does not look to sociologists for potential ‘truths’ to aid decisions which find legal gender to be relevant, but it is increasingly recognised that whilst hard science can present molecular fact about bodies, the social processing of such does not give a rational reason to infer decisive significance to that information. It can be argued therefore, that the Court in this case supported Ms. Goodwin’s claims of breaches of articles 8 and 12 due to her social experience as a trans-woman, and the behaviour of others as a result of this social experience resulting in the breaching of these articles, in spite of her legal gender at the time.

The difficulty that medical science can encounter when attempting to establish what an individual’s ‘real’ sex is for the purposes of treatment, law, and ultimately identity can be readily problematized. This is seen most clearly in the story of Agnes, whose treatment and narrative was published by Stoller and Garfinkel in the 1960s. Upon physical medical examination Agnes was seen to have female secondary sexual characteristics (hair pattern, breasts, fat distribution) but with male external genitalia, which resulted in her being identified as ‘male’ on her birth certificate, and treated and raised as male until late adolescence. She was found to have no uterus or ovaries, some atrophy of the testes, and moderately high female hormone activity.Agnes was also observed to present as a “120 per cent female” in terms of behaviour and identity, with a history suggesting not only typical but stereotypical female behaviours and attitudes such as passivity, coyness, avoidance of rough games, etc. (Garfinkel, 1967). It was concluded that Agnes was suffering from an unusual case of an already very rare condition, ‘testicular feminization syndrome’, whereby the testes produce oestrogen and ‘feminize’ the genetically male foetus – however in this case the possession of Agnes of a normal sized penis and testes remained present and relatively unexplained.

The fact that Agnes presented as she did convinced the medical establishment to allow and perform surgery in 1959 where: “the penis and scrotum were skinned, the penis and testes amputated, and the skin of the amputated penis used for a vagina where the labia was constructed from the skin of the scrotum”. This was incredibly unusual for the time given both social and legal contexts, and rested heavily upon Agnes’ ‘gendered performance’. It is interesting that in scrutinising whether Agnes was to be considered a ‘real’ woman and deserving of surgery, it was explicit that she must’ve experienced no sense of homosexual desire – that is, attraction to women, despite the irony that based on her legal gender, attraction to men would be homosexual, of course illegal at this time. It was still true once homosexuality was legalised that the medical establishment looked for “a distain or repugnance for homosexual behaviour” in trying to identify the ‘true transsexual’ (Billings and Urban, 1996). This attitude would be characterised by Butler as “the heterosexualisation of desire” (Butler, 1990). Individuals can be considered to be trapped by the social sex and sexuality chosen for, and required of them.It was also a matter of concern that it was unable to be ascertained that her penis was not used with erotic purpose (Garfinkel, 1967), as this would be seen as evidence with identifying with a ‘male’ sexuality. This is evidence that Agnes’ legal gender was not of huge relevance to the doctors, which makes sense given that it would be implicitly understood that given her unique physiology, this would provide a shallow understanding of her sex/gender that would not usefully allow them to ascertain a deeper ‘truth’. As said by Whittle: “A quick glance at birth determines whether a child has a penis of appropriate length. If it has, it is designated as a boy/man, if not, it is designated a girl/woman. Here in the UK, that cursory glance and the decision made as a consequence is transcribed onto the record of birth, and will remain with the child for ever more. The sighting at birth will be the ‘citing’ for the remainder of life” (Whittle 2002). It may be considered somewhat worrying that being labelled with a legal identity that may have very real and complex consequences for a significant minority can be routinely made in such a fleeting and inexpert manner. That said, this is assuming that the categories available are even satisfactory in the first place!

The most crucial element to Agnes’ narrative is that she was able to receive legitimisation of her gender identity and be granted privileged access to the treatment required to ‘match’ the category of female as she so wished – by the fact that she lied. Agnes later revealed to her doctors that she had been taking oestrogens since the age of 12 (Garfinkel, 1967). By withholding this information, Agnes was capable of manipulating the medical establishment into providing her with social legitimisation. Given social context, people ‘suffering’ from intersex conditions were treated (both with pity, and medically), whilst ‘transsexuals’ and ‘transvestites’, whilst also pathologised, were degraded, blamed, and considered perverse. Social legitimisation, gained through passing in the desired category (of man or woman, strictly) was the chief goal, and has been the holy grail for trans people for longer than the term trans has even existed. This was far more relevant to Agnes’ experiences than her legal gender, as highlighted by the report of the attitude of Agnes’ family regarding her performance of her gender as female before and after medical legitimisation: “The aunt, said Agnes, reflected the attitude of other family members. This attitude, said Agnes, was one of gender acceptance prior to the trip to Midwest city [when she had lived as a boy], consternation and severe disapproval after the return [she ran away to attempt to live as a girl], and relieved acceptance and treatment of her as a “real woman after all” (Agnes’ quotation of the aunt’s remark) following the operation” (Garfinkel, 1967).

It can be said then, that Agnes was (really) a transsexual who was able to be successfully accepted as having indeed ‘always’ been a girl as she so claimed, rather than a boy who ‘became’ a girl. To have the sex/gender of desire accepted as the individual’s only reality is a common desire of many trans people. It has been pointed out that for many trans people, ‘success’ in one’s gender is to become entirely removed from the ‘trans identity’ – one is not a man who feels they are a woman, one is not a trans woman, one is a woman (or vice versa)! The limitation of legal gender as strictly relevant (it wasn’t for Agnes, as despite her success it was legally impossible at the time for the sex on her birth certificate to be altered)is challenged by Roz Kaveny who asks: “how does changing our birth certificates and passing and disappearing into the wider community free us from discrimination and oppression? Some bigots, some of the time, will spot us, or think they spot us, and be able to discriminate against us, or anyone else they think is one of us, with impunity, arguing in self-defence that they were doing no such thing. If there is no document that states who we are, our right not to be discriminated against as TS disappears. The possibility, or even probability, that someone passes most of the time is no defence for them on the rare occasions when they do not. You are only as safe as your roughest day” (Kaveny, 1999).

How relevant then is possession of a legal gender that does not accurately reflect one’s gendered life experience, especially when this problem is equally true for those who may indeed embrace their trans identity as more than transitional, and those who feel their intersexuality is not something that can be ‘vanished’ by ‘correction’ to one of the two available legal categories. This is concordant with the conclusions from the Goodwin case, in that it can be argued that to truly live without fear of judgement one needs a concurrency between legal and socially identified gender which can at best only be partially achieved within current legal categorisation.In her social discourse, Butler points out that “The binary regulation of sexuality suppresses the subversive multiplicity of a sexuality that disrupts heterosexual, reproductive, and medicojuridical hegemonies” (Butler, 1990). Indeed, as it is increasingly recognised that to be transgender and have one’s legal gender recognised as independent from one’s ‘birth biology’, the monopoly held by medical practitioners on what gender variance means is lessened. It is now no longer the case (in theory) that one under UK law must receive surgery to have one’s legal gender change recognised. However in practice a review board will take this into account when considering whether to approve an application for a gender recognition certificate particularly in the case of trans women (the surgery that may be undertaken by trans men is recognised as more complex with greater risk).The trans advocate group ‘Press for Change’ states that in regards to having reassignment surgery: “unless for reasons of health, it is not a good idea to simply say you do not want it. Better to state that you intend to have it in the future when the surgical waiting list has spaces” (Press for Change, 2011)

What is the relevance of one’s legal gender when possessing an intersex condition? Unless an individual can be placed into one legal gender category or another, one may encounter difficulties in receiving the rights of both or either categories. Within western culture, there has been a prevailing view that being ambiguous in sex is a dramatic problem, as highlighted by this quotation from a textbook on intersexual disorders published in 1969: “One can only attempt to imagine the anguish of the parents. That a newborn should have a deformity…[affecting] so fundamental an issue as the very sex of the child…it is a tragic event which immediately conjures up visions of a hopeless psychological misfit doomed to live always as a sexual freak in loneliness and frustration” (quoted in Fausto-Sterling, 2000). Given the incredibly dramatic language, it is somewhat surprising that this account does not directly justify its purple prose by mentioning that intersex disorders may be associated with some serious medical dysfunction. This is not always the case by any means, and it is worth saying that the term ‘intersex’ is used to refer to a wide range of conditions, many of which may remain undetected for an entire lifespan.

The American Academy of Pediatrics is quoted as having said “The reasoning behind this [early ‘corrective’] genital surgery is the need for a clear and unambiguous sex assignment to save intersex children from being ostracized and to enable parents to bond with their baby girl or boy” (quoted in Benatar, 2006). The assignment of intersex children to one legal gender category or another, and modifying surgery to better justify this regardless of whether or not there is a physiological need for this in terms of medical wellbeing is thus justified on social grounds, and reinforced by the legal requirement for a child’s sex to be declared.

The relevance of one’s legal gender can therefore be said to rest heavily on how social genders are viewed, because it is the view of society that is used to form legislature. Alison Shaw makes the point that “Sex and gender are not always either mutually exclusive or corresponding categories because ideas about the nature and significance of anatomical and physiological sex differences vary and can influence the rigidity or flexibility of gender categories and, conversely, the social significance of gender in any given context may in turn influence the ways in which biological differences are perceived” (Shaw, A., 2005). The fact that there is no straightforward biological test to show a ‘man’ or ‘woman’ that can’t be problematized through social discourse means that likewise a legal difference between ‘father’ and ‘mother’ is also problematic.

When it comes to parental status of trans people in the UK, there is no obvious or simple answer to the range of questions that may be asked. UK law maintains the categories of ‘mother’ and ‘father’ as distinct legal terms. Whilst both parents receive joint responsibility of a child that is born or adopted if the couple are married (or civilly partnered), should partners not have their relationship legally recognised parental responsibility is always given entirely to the ‘mother’. This presents the obvious problem of trans parents being registered as the ‘parent type’ that does not match their legal gender, and thus compromises their social treatment by the lack of the total recognition of their (new) legal gender as  their only legal gender. The argument that the mother is defined by ‘that parent which carries the child’ is rendered insufficient by the existence of both adoption and surrogacy. Parenthood is a scenario whereby legal gender is afforded more attention than can be justified – parental aptitude is not strictly sex/gender dependent nor would any court following equality frameworks claim such in the modern day. The legal categories of mother and father are arguably linguistic artefacts stemming from the social and psychological need of most individuals to categorise people by the binary gender system upon sight, or upon receiving information concerning a given individual.

Another example of where current legal gender and past legal gender may both be brought into question is in the context of military service. Whether a trans man would be called up on the basis of a new legal gender or a trans woman could be called on the basis of an old or unchanged one would depend upon the legal systems (and of course, social attitudes) of the country in question, but the most obvious problematisation would again be in a visible context. How would a barracks deal with an individual who appears and is judged to be female in every visible capacity, only contested actively by documentation? There is an interaction between the social and the legal in that, as we have seen, social categories lead to legislation, but the legislation leads to problematisation of the social, and vice versa. There will always be some level of problem with legislation on categories of sex and gender, due to the necessary black-and-white nature of the law. As Judith Butler puts it: “the notion that there might be a “truth” of sex, as Foucault ironically terms it, is produced precisely through the regulatory practices that generate coherent identities through the matrix of coherent gender norms…the cultural matrix through which gender identity has become intelligible requires that certain kinds of “identities” cannot “exist” – that is, those in which gender does not follow from sex and those in which the practices of desire do not “ follow” from either sex or gender” (Butler, 1990). Would the creation of further legal categories (trans, intersex, ‘other’, etc.) make legal gender more relevant to more individuals? Only in the sense that this logically goes hand in hand with social recognition. Legal recognition is quite separate from acceptance, as can be historically considered from the comments of Lord Arran at the third reading of the Sexual Offenses Bill in 1967 decriminalising homosexuality in the UK: “let me remind them that no amount of legislation will prevent homosexuals from being the subject of dislike and derision, or at best of pity. We shall always, I fear, resent the odd man out. That is their burden for all time” (Hansard, 1967). Whilst obviously discussing a different variation, Kaveny makes the related point that “It is less important to pass than to be accepted. If being transgendered is valued as a human variation, then many problems disappear. And it is more likely to be valued if we value it ourselves – being out and proud and prepared to defend ourselves is probably rather less risky than being in the closet, ashamed of our pasts and relying on a piece of paper” (Kaveny 1999). Legislation is an extension of social acceptance, affording people the rights afforded to others regardless of gender identity based on a liberal and rational society. This does not compromise the special protection and needs that individuals may require (for example, maternity leave for birth mothers who experience physical stress that requires remit and recovery time), as this may be provided in a manner that does not dictate and limit in a manner that restricts based on category but provides based on need.

To conclude then, what is the relevance of one’s legal gender? It is nothing if not dependent on a web of factors including location, personal identity, circumstances, and perhaps most importantly social context. Individuals are not ‘invisibled’ through lack of adequate legal category when there is no-one contesting those individuals legitimacy – often not merely to rights, but to existence, or at least visibility. An entirely positivist approach to answering questions of gender conclusively have been considered flawed as it has been “shown to be driven by the value-laden but unexamined presumptions of scientists themselves in numerous fields, especially medicine and human biology” (Carver 2007). As this medical justification was used for body policing in a thoroughly Foucaultian power-play, legal concession resulted in order for those outside of the gender hegemony to be silenced by inclusion in ‘normality’ and normativity. This ironically allowed a defence of gendered variance from within the normative system, which moves with social progression as further legal rights are demanded worldwide to solve questions of gender injustice. Legal gender will be relevant for as long as there are questions where legal (and therefore social) outcomes are contested by individuals based on personal rights and freedoms. It must be understood however that the impact of legal gender as a defence from social repression is limited, and does not have the impact on day to day existence as the willingness of the general public to accept difference.

 

References:

Benatar, D., 2006, ‘Cutting to the Core: Exploring the Issues of Contested Surgeries’, p. 80

Billings, D. B. and Urban, T., 1996, ‘The socio-medical construction of transsexualism – an interpretation and critique’, in Ekins, R. and King, D., ‘Blending Genders – social aspects of cross-dressing and sex-changing’, p. 105

Browne, J. 2006, ‘Sex segregation and inequality in the modern labour market’, p. 11

Butler, J., 1990, ‘Gender Trouble’, p. 17

Butler, J., 1990, ‘Gender Trouble’, p. 19

Butler, J., 1990, ‘Gender Trouble’, p. 17

Carver, T., ‘‘Trans’ trouble – trans-sexuality and the end of gender’ in Browne, J., ‘The future of gender’, p. 129

Council of Europe, 2002, ‘Case of Christine Goodwin v. The United Kingdom’, p. 17-18

Council of Europe, 2002, ‘Case of Christine Goodwin v. The United Kingdom’, p. 22-23

Council of Europe, 2002, ‘Case of Christine Goodwin v. The United Kingdom’, p. 24

Directgov website, legal information on registering and naming one’s baby: http://www.direct.gov.uk/en/Governmentcitizensandrights/Registeringlifeevents/Birthandadoptionrecords/Registeringorchangingabirthrecord/DG_175608

Fausto-Sterling, A., 2000, ‘Sexing the Body: Gender Politics and the Construction of Sexuality’, p. 47

Garfinkel, H., 1967, ‘Passing and the managed achievement of sex status in an “intersexed” person part 1’ (in collaboration with Stoller), in Garfinkel, Studies in ethnomethodology, chapter 5, p. 3

Garfinkel, H., 1967, ‘Passing and the managed achievement of sex status in an “intersexed” person part 1’ (in collaboration with Stoller), in Garfinkel, Studies in ethnomethodology, chapter 5, p. 24

Garfinkel, H., 1967, ‘Passing and the managed achievement of sex status in an “intersexed” person part 1’ (in collaboration with Stoller), in Garfinkel, Studies in ethnomethodology, chapter 5, p. 36

Garfinkel, H., 1967, ‘Passing and the managed achievement of sex status in an “intersexed” person part 1’ (in collaboration with Stoller), in Garfinkel, Studies in ethnomethodology, chapter 5, p. 7

Gender Recognition Act, 2004, section 9, subsection 1. Accessed at: http://www.legislation.gov.uk/ukpga/2004/7/crossheading/consequences-of-issue-of-gender-recognition-certificate-etc

Hansard, The parliamentary debates, House of Lords official report, volume 285, p. 523

Kaveny, R., 1999, ‘Talking Transgender Politics’, in More, K. and Whittle, S. ‘Reclaiming Genders: Transsexual Grammars at the Fin de Siècle’, p. 148-149

Ibid.

Press for Change website, accessed last on 2/5/11: http://transequality.co.uk/Legislation.aspx

Rhode, D., 1989, ‘Justice and Gender – Sex discrimination and the law’, p. 94

Shaw, A., 2005, ‘Changing Sex and Bending Gender: An Introduction’ in Shaw, A., and Ardener, S., ‘Changing Sex and Bending Gender’ – p. 3

Walker, A., Kershaw, C. and Nicholas, S. (2006) ‘Crime in England and Wales 2005-6’

Whittle, S., 1999, ‘The Becoming Man: The Law’s Ass Brays’ in More, K. and Whittle, S. ‘Reclaiming Genders: Transsexual Grammars at the Fin de Siècle’, p. 18

Whittle, S., 1999, ‘The Becoming Man: The Law’s Ass Brays’ in More, K. and Whittle, S. ‘Reclaiming Genders: Transsexual Grammars at the Fin de Siècle’, p. 19

Whittle, S., 2002, ‘Respect and Equality, Transsexual and Transgender Rights’, p. 5

Whittle, S., 1999, ‘The Becoming Man: The Law’s Ass Brays’ in More, K. and Whittle, S. ‘Reclaiming Genders: Transsexual Grammars at the Fin de Siècle’, p. 28-9

Book Review: Scapegoat – Why we are failing disabled people by Katharine Quarmby

(Trigger warning: disability hate crime)

Whilst not explicitly about gender, I consider reviewing this book (and others that deal with issues of discrimination of various types) important due to the importance of intersectionality. How could I, as a writer who engages with a broad cross section of material claim (implicitly, by writing) to be in any way enlightened about, for instance, the experiences of a disabled queer person? Gendered analysis cannot exist in a vaccum, otherwise it rapidly and depressingly can lose its relevance for a great deal of people, and potentially erase their experiences in the process. I consider books addressing disability, class, race, and culture to be important parts of the educational diet of those developing their understanding of gender.

I was excited to read this book, and purchased it based simply on its importance highlighted by the title. It’s undeniable that ableism (discrimination and prejudice against disabled people) is rife, as highlighted by some of the facts on the back cover of the book. Only two out of ten disabled people have non-disabled friends, and nearly 50% of disabled people have recently experienced or witnessed physical abuse? Seems like something the privileged, able bodied population should be asking themselves ‘why?’ about, and also offers some juicy insights into how prejudice can infiltrate society.

Overall, my feelings on this book were mixed. It is clear from the narrative that the author, Katharine Quarmby, has invested a great deal of time and effort in researching the topic of the book. Some very important and disturbing examples of disability hate crime are recounted in great detail, and used to illustrate problems with housing policy, police responses, and considerations (or lack thereof) of disability in court cases. The structure was clear, and points poignant. I felt however that each time a particularly heinous crime was described to prepare for these salient and enlightening points, it was done so in a frustrating way. Often the environment was painted like poor dramatic fiction – ideas like ‘you’d never have thought such a terrible thing could happen in such a peaceful neighbourhood’. It made me imagine a spun-out Daily Mail article, but without the offensive bits. Irrelevant details about the origins of a town where a particular hate crime happened didn’t serve to enrich; only to make me ask ‘is this filler’? I was also left with my eyebrows raised that the author included very questionable paragraphs concerning the murder of one man, Brent Martin:

Brenda knew that something was wrong. ‘When they came for me, at half past three in the morning, with me daughter Tracey7, I’d had me coat on, I was out of me mind.’ She had had two premonitions, she said, that something was going to happen to Brent. In bed, a few days earlier, her body had been twisted and pulled by invisible forces. [...] Brenda feels Brent’s presence still, as well of that of her dead husband Alec. She talks to them downstairs, she told me, and tells them: ‘I know you’re waiting up for me, but it’ll be a few years yet!’

This bizarre nod of legitimization toward’s this poor woman’s supernatural beliefs only served to undermine the legitimacy of the useful discussion in the book. I believe the quality of the writing would have been vastly improved had the author distanced herself from the tabloid-esque style which I suspect she may employ quite successfully in her work, even as a Sunday Times, Telegraph, and Guardian writer. I also felt that elements of the book were under-referenced, with sentences such as:

Research shows that children and young people are overwhelmingly involved in antisocial behaviour around disabled peoples’ homes, on the buses and on the streets.

…then with no reference whatsoever. A very large number of the book’s references are URLs to BBC news stories. I have some sympathy regarding the fact that this author may be regarded as a pioneer in disability hate crime research (as an activist rather than an academic, at least) but some discussion of these limitations would have been well warranted.

Despite these problems, I am still glad to have read this book. The few chapters that provide some basic history on the treatment of disabled people through witch hunts and freak shows offers some intriguing historical context, and the progression from asylums to ‘care in the community’ is definitely an interesting journey that is examined in a manner that remains entirely accessible.

Quarmby also recognises the importance of intersectionality in her writing, which is certainly not to be undervalued. As well as giving some helpful discourse on the early origins of ‘hate crime’ within UK legal systems and social consciousness, gender, race, and religious intolerance also all feature in her discussions. Here is a powerful example concerning gender, also highlighting potential system flaws:

The council has confirmed that a team social worker who visited Steven Gale , after he jumped from a third-floor window to escape what was said to be a domestic row, found him ‘to be very capable, apparently happy, and he was adamant he didn’t want any help or services from us’. Further information I have obtained denies, however, that the council had decided not to intervene, saying instead, in double-speak: ‘No decision had therefore been made not to give Mr Gale any extra support.’ Steven Gale starved to death a few months after he threw himself from the window. He was described by a social worker as ‘reluctant to engage’. I suspect that if a woman had thrown herself out of a window after a domestic row, police and social workers would not describe her as ‘reluctant to engage’ but would conclude, instead, that she was living in fear of her life and was a ‘vulnerable and intimidated witness’.

Adequate space is given to allow the read to easily explore the ideas and social commentary that are presented. Whilst a powerful resource for those who may have little to no contact with the prejudices that disabled people face, it may be obvious or upsetting in many ways to the individuals who deal with physical or mental disability.

Despite its imperfections, this book has a great deal to give. It was somewhat surprising how little disability hate crime has been recognised, and the extent of social failure that still occurs by gatekeepers, caregivers, and the public. Maybe this book will be eventually overshadowed when this field of inquiry receives the attention it certainly deserves, but I don’t recommend you wait. This book deserves your time.

Book Review: Feminism is Queer – The Intimate Connection Between Queer and Feminist Theory by Mimi Marinucci

So the first thing I have to say about this book  is that I consider the title to be extremely misleading. I was – unsurprisingly – expecting a work that examined perhaps different areas of feminist thought and queer theory, and perhaps examined their tensions, agreements, and nuances. I think it’s generous to say that a quarter of the book does this. The final two chapters (7 and 8), ‘Feminism Explained and Explored’ and ‘Notes Toward a Queer Feminism’ offer a very accessible synopsis of a range of different definable branches of feminism (such as Liberal Feminism, Radical Feminism, Marxist Feminism, etc.) without assuming any existing knowledge of other gender scholars whilst introducing a few in a baby-steps capacity. Even bearing in mind these two chapters make up only 22 pages (excluding notes and references) I would still say I found simplifications and generalisations that very unsatisfactory. For example:

Although there is some disagreement about whether or not the second wave is over, those who believe a third wave [of feminism] has begun…

I find it alarming that someone could purport to write a book focussing around feminism, whilst giving the impression to readers who may be new to this area that the existence of Third-Wave Feminism is somehow tenuous or in its infancy. Whilst distinctions between Second and Third-Wave Feminism can be interesting and/or open to discussion, this implies a poor exploration of the literature given that discussion of a Fourth-Wave of Feminism certainly exists. Another textual example (also from chapter 7) that concerns me concerns a stunningly oversimplified definition.

…womanism, unlike liberal feminism, addresses intersectionality. Intersectionality refers to the simultaneous impact of race, gender, and class on the lives of Black women.

(emphasis original)

Okay, so yes, this is an example of intersectionality – but the definition implies that only the interplay between the three categories of race, gender, and class are considered, and worse, that this might only be in relation to black women. It comes off to me like saying ‘LGBT activism is the activism of gay men who live in Chicago’. I may sound like I’m nitpicking, but in a book that makes obvious efforts to be accessible to readers who are not already entrenched in queer or feminist literature, an opportunity was lost here to produce communication on a key concept. Plus, the short definition given doesn’t manage to be properly accurate.

Sadly other confusing errors have also entered the text – most noticeable for me being a short discussion of the evolutionary history of lactose intolerance, in relation to how social processes can impact on physical bodies. For someone without any background in biology, they could be forgiven for not knowing that lactose is not “the enzyme that digests milk sugar”. Whilst perhaps a typo of ‘lactase’, this one letter change causes the entire paragraph to cease making any sense.  This is on page 70, for anyone who ever gets hold of a copy. With a background in philosophy, my sense was that Marinucci has some problematic understanding regarding scientific methodologies and epistemological objectives. Just in using turns of phrase like “contemporary science acknowledges two basic sex categories” (chapter 4) strongly implies some ridiculous notion of ‘science’ being some kind of hive-mind monolith, able to declare objective facts, with further ‘fluffy’ discussion being an outside realm.

My discussion so far has engaged only with the last two of eight chapters of this book for the most part. So what is the book about if not what the front cover indicates? This is covered in the preface, and caused my eyebrows to disappear into my fringe.

Introductory texts in gender studies, sometimes identified as women’s studies or feminist studies, address gender identity. Introductory texts in sexuality studies, sometimes identified as lesbian, gay, bisexual, and transgender studies (or LGBT studies) address sexual identity. Unfortunately however, introductory texts situated at the intersection of gender identity and sexual identity are rare. This book attempts to fill that gap, and could therefore serve as a text for any course of study, be it in a university setting or in the context of independent scholarship, directed towards the examination of virtually any aspect of gender, sex, and sexuality.

This made me ask three questions:

  1. How is the sweeping claim of the (I think erroneously) conglomerated gender/women’s/feminist studies being about ‘gender identity’ justified?
  2. How can introductory books considering gender identity and sexuality be considered rare?
  3. How is Marinucci defining and differentiating between ‘gender’ and ‘sex’?

Gender identity concerns one’s sense of oneself as male, female, non-binary, without gender, or any other minority gender identity. I would not say that gender/women’s/feminist studies ‘address’ this per se, as if to imply this is ‘the’ central area of investigation and discourse production in these fields. This closed statement by Marinucci left me uneasy, as the book begins with a factually-stated premise which I not only find over-simplifying but problematic. Secondly, a good range of gender studies readers exist – such as this one, this one, and this one – which contain essays covering a broad range of topics, as probably the most obvious thing about gender studies (other than it being about gender) is that it’s very multi-disciplinary. Marinucci’s book was published in 2010. Feminism is Queer doesn’t quite hark from the era completely lacking in intersectional resources.

Thirdly, well, at no point in reading the book did I feel this question was properly addressed. The book is divided into four sections – I. Sexuality, II. Sex, III. Gender, and IV. Queer Feminism. The way this played out was a first section that engages with some tired old figures to discuss the Kinsey Spectrum and discussion of philosophy and social construction in chapter 1. Chapter 2 talks about social history, and I thought actually does a pretty nice job of discussing the interplay of the work of Foucault on power relations and D’Emilio on how capitalism and wage labour allowed for the emergence of sexual identities*. A lot of emphasis was also put on the works of Mary McIntosh (who wrote an article called ‘The Homosexual Role‘ in 1968) and Alan Bray (who wrote ‘Homosexuality in Renaissance England‘ in 1982), which seemed like odd resources to focus on. In the third chapter ‘Queer Identities’, a little more Wikipediable LGB history is recounted, a rather modest nibble at the meaning of queer is attempted in the form of more history, how binary constructs are avoided, and the philosophy of underdetermination.

Two big alarms went off in my head when reading chapter 3. Firstly, Marinucci uses language like “biologically unproblematic women and biologically unproblematic men” when referring to cisgendered people. I find it very unfortunate that such painful cissexism is slipped into given that in the preface, she rightly holds her hand up regarding her possession of race and class privilege. Marinucci also demonstrates an awareness of ableist language, and also states:

I resist the use of binary language by avoiding the gender pronouns ‘he’, ‘she’, ‘him’, ‘his’, ‘her’, and I resist the use of universalizing language by avoiding the plural pronouns ‘we’ and ‘our’. I also resist oppositional language by avoiding such expressions as ‘arguably’ and ‘on the contrary’.

Sadly, this list makes me feel that whilst an effort has been made to avoid offending individuals, engagement with detailed scholarship of trans issues and language use are somewhat lacking. This feeling doesn’t come from this single example, but gnawed at me at various points throughout the book. Not least section II, which boils down to being on medical and social treatment of (binary) trans people. That Marinucci also claims in a note that:

Gender usually refers to constellations of characteristics commonly regarded as feminine and masculine, whilst sex usually refers to constellations of characteristics commonly regarded as female and male.

Left me with the sense that I was glad I wasn’t trying to make my first investigations into gender studies using this book, due to how ideas about biology, gender presentation, and identity are slooshed around together to give banality at best and downright erroneousness at worst.

I may sound like I am utterly damning every element of this book. I do not mean to entirely. Whilst each chapter was started with a fairly irrelevant Wizard of Oz quotation simply for containing the word ‘queer’ (the joke gets old after being used 8 times) and the appendix is literally passages copied verbatim from the main text, some of the metaphors used (particularly regarding philosophical concepts) were useful. Any even slightly technical language was defined in the main body of the text, which is certainly more useful for students than the assumptions made by many teachers. Being led by the hand a little too much is preferable to being shoved out alone in the dark, after all. But as this book made lofty claims regarding its importance and usefulness, I critique it in these terms. Not only would a book covering such a wide range of material be unable to do a solid job in only 100 pages, much of the text is relatively commonly discussed work or narratives that has been dealt with by a scholar who has left me unconvinced that she has a masterly grasp on the range of areas touched on.

Get this book out of a library and check out chapters 7 and 8. But perhaps spend your money on other works.

*Both of these scholars are big and important names, and it would be nice to talk in detail about both of them. I won’t enter discussion on them in this review for brevity’s sake, but at some point their work will be reviewed independently.

Book review: Gender Outlaws – The Next Generation by Kate Bornstein and S. Bear Bergman

Gender Outlaws: The Next Generation is a collection of essays submitted from a wide range of people with very different experiences of gender, and very different things to say.

This book is brilliantly original. Never before have I read a book that blurs the boundaries between academic discussion, activists talking about their causes, artists talking about their passions, and humans talking about their pain, love, and needs. This coupled with things like comics, recipes, and poetry mixed in, and the introduction formed entirely of an online conversation between Bornstein and Bergman themselves. The tone struck is witty, thoughtful, relaxed, and (certainly in my case) draws the reader in.

Obviously in a work with contributions from…*counts*…52 different authors, some styles and content will speak more to any individual than others. Despite this large heterogeneity, I found the ‘tone’ of the book remarkably cohesive. Not because what the different writers say is necessarily over-similar, but virtually all inspire a wonderful state of thoughtfulness.

Each submitted piece stands alone, and all are short (2-7 pages each). This makes it extremely easy to dip in and out of, but the organisation of the essays is such that one can read straight through and stay gripped. Even accounts that may be very abstract for some readers – for example, the negotiation of gendered experience whilst being in an all-women Roller Derby league – contain powerful insights into the treatment of other people, and I would suggest offer at least a wonderful set of alternate perspectives and empathy-inducing thought patterns.

Some of the writers speak to me more than others, and I mean this to mean how much I enjoy and respect what they’re saying and their style and clarity – rather than necessarily a direct resonance with personal experience. Indeed, many of the articles are so interesting because they can cause you to think about experiences you may never have considered – but this can then shape how you consider gender in your own life. I didn’t find terminology confusing despite much specific ‘gender language’ being used by lots of different people, but this could reflect my academic privilege. I imagine this is a book that will speak most loudly to people with either an active interest in gender or those who have experience of being a gender or sexuality minority – rather than as a present for grandma. Though I would love to be wrong about this. I would imagine that not that many straight and cis readers would pick this book up of their own accord, but that the world would be a better and cooler place if more did.

The wide range of topics covered does involve a range of areas that may be distressing for some readers. As one might expect, the submissions from writers often discuss some of the post poignant (and difficult) occurances in their own lives, which may be triggering for some readers – and unfortunately each chapter does not come with trigger warnings or particularly indicative titles. Eating disorders, gendered violence, experience of chronic illness, and racism are all themes that are touched on. Though despite this, the book didn’t leave me with a sense of heaviness. Many of the writers imbue their pieces with valuable humour.

A point that may cause some controversy and disagreement very early on in the book (which is a point raised by Bergman in the introduction) is their use of the word/slur ‘tranny’. I think they produce some valuable discourse around this important and sensitive topic, but at the same time you may not like it. If the following quote gets your brain fired up, then you will probably find the book stimulating.

S. Bear Bergman: I can see the argument for outlawing “it’s so gay” better. They’re trying to outlaw bullying, but “don’t be mean” isn’t – evidently – an enforceable school rule, so they list particular meannesses the young people are not permitted to engage in.

Kate Bornstein: But look at what happened a generation after people were damning the word queer. Now it’s something you can major in, in college.

SBB: The think I just thought is: people are who are super-protective to police the word tranny have no real confidence in the cultural power of transpeople. They police it because they fear that if not-trans-identified people get hold of it, their power will make it always and forever a bad word. And I, we, feel find about it because we have a lot of faith in the cultural power of transfolks – of trannies – to make and be change.

If this tickles your imagination, then bearing in mind some of the other essays are about:

  • The insights being trans gave one writer into corporate politics
  • A love affair with a non-binary bathroom
  • Christian anti-gay and anti-trans actions in Singapore and activism against this
  • The experience of being a Drag Queen having being Female Assigned at Birth
  • Queer sex as performance art

I would hazard you’ll be very stimulated indeed if you pick this book up.

Why trigger warnings are essential…

Tumblr is fun. I’m still rather new to it all, but one aspect I’ve enjoyed is the ability to search by topic, using tags – and then scrolling through a whole bunch of often relevant and interesting subject matter.

I did this for ‘LGBT’ and one of the things that came up (*trigger warning* – attempted rape) was this.

In case you were not comfortable reading this but would like some context, behind the link is a short, personal account of a sixteen year old gay guy and his visceral description of nearly being raped but being rescued by some drag queens. The tone sets up a horrific situation whilst then expressing gratitude for the awesome ‘guardian angel’ ladies.

I had no problem with this story being posted. But I did and do have a problem with the fact that it went up with no trigger warning at all.

Here is a good explanation of what a trigger warning is.

I wrote a small message to the person who posted the piece, and received a quick reply. Below is what was said:

Me:

Hey – saw your post about the 16 year old’s experience and the saviour drag queens. Any possibility of a trigger warning being put on it? Due to some of my own life experiences it was pretty distressing to read. Thanks :)

Them:

I’m sorry it was distressing for you. I had considered putting a warning on it, but ultimately decided not to because I want people to read it and I’m afraid a warning will deter people from reading it, which ultimately defeats the purpose of me posting and now having re-posted it. Unfortunately, the very reasons that it’s likely distressing you are the same reasons it’s compelling to read.

So again, I’m sorry if you were offended, but I hope you understand my reasons for not going ahead with a warning. :) (boldness added by GenderBen)

Okay… No. No no no no. Trigger warnings are there in order to protect the well-being of those people who need them. If a person is deterred from reading something because they have been informed of the content and see that it could be harmful to their well-being, this is a good thing. Whilst personally my reaction was relatively small from being disturbed from the post, it is vital to think about someone who has perhaps survived a sexual assault may feel on reading such a piece. Distress, depression, self-harm, and even attempted suicide are all very real possible outcomes from an individual being triggered. Such people are not the target audience. Wanting more people to read what one has posted ranks below people’s welfare in importance.

Also, for some people, whether a person feels like they are in an emotional place where they can comfortably read something or not be very time dependent. It may be the case that a survivor wishes to read something, but that ‘now is not a good time’. Trigger warnings act as a basic courtesy, which grants people agency. Often a clear title or subtitle can do this job, if an article is entirely or has a large focus on a distressing issue (for those who didn’t follow the link to the original post, this particular instance had no title).

A good way to think about trigger warnings is like when on TV you might see ‘this program contains strobe effects’ – a warning required to prevent triggering for people with types of epilepsy. Not having the warning there would be irresponsible, as the content can damage the individual’s health. The only difference here is the type of potential damage.

Unfortunately, the very reasons that it’s likely distressing you are the same reasons it’s compelling to read.

Hopefully without coming across as snarky, I think it’s fair to say that unless I take the time to personally discuss it with someone, they can’t know why something like this is distressing to me, or anyone else for that matter. Making assumptions is not so great.

It may sometimes be easy to think “I don’t see how this could possibly be triggering” – you don’t need to. A little reading around and/or empathy shows the importance of trigger warnings on a wide range of issues for a wide range of people. In the grand scheme of things, not much of the huge amount of stuff that is created and posted every day needs trigger warnings, but if it’s to do with rape or sexual assault, medical conditions and description, eating disorders, racism, homophobia, transphobia/cissexism, and ableism – then it quite likely does. This list is by no means exhaustive.

Here is a whole community blog dedicated to education and awareness about trigger warnings!

The only other point I’d like to address in the response I received – I wasn’t offended, and I’m not really sure where this interpretation came from. The original post itself certainly isn’t offensive to me. This post/response is born from the importance of putting safeguards in place to avoid harm to people.

GenderBen is now on Tumblr!

So I’ve finally started exploring the wonderful queer and gender-y nooks and crannies and communities present on Tumblr. I’m currently in the process of posting links on there to older blog works on here, but I’ve also found there’s so much good stuff (particularly images) that I want to share, i’ll be reposting lots of things on there that won’t actually be found here.

So if you want more gender fun, beauty and thought in your life, then follow:

http://genderben.tumblr.com/

Because this sort of thing is all kinds of awesome.

Book Review: Whipping Girl by Julia Serano

So at the top of the GenderBen homepage there has been a forlornly empty tab dedicated to book reviews. Today marks the day when this emptiness is no more! This tab will be where links to any book reviews I write can be easily looked up.

It’s probably not normal procedure to open a review with a huge endorsement, but I will be very (and delightfully) surprised if I read any book as thought provoking, clear, useful, and important as this one for quite some time. With the subtitle ‘A Transexual Woman on Sexism and the Scapegoating of Femininity’, Serano utilises structural and stylistic devices in her book that make it a real breath of fresh air compared to many stodgy collections of gender essays and other works useful to scholars of gender.

An incredibly important element of the book which I thought was handled more masterfully than any other gender book I’ve seen was the clarity with which technical terms are used. Also the recognition of the different ways such can be used or understood by different people helps support not only her own robust arguments but also shine a revealing light on the assumptions, misconceptions and prejudices of others.

For example, very early in the book a distinction is made between transphobia, defined by Serano as “an irrational fear of, aversion to, or discrimination against people whose gendered identities, appearances, or behaviors deviate from societal norms.”  and cissexism, defined as “the belief that transsexuals’ identified genders are inferior to, or less authentic than, those of cissexuals.” This allows for an analysis that recognises differences in experience based on whether individuals identify as or experience being transsexual as opposed to transgender.

Whilst these are terms that are often used interchangeably (as are cissexism and transphobia), Serano uses the word ‘transsexual’ to refer to individuals who specifically were assigned a given gender at birth, and wish to transition from this (most often referring to MtF and FtM transitions, though appreciation of non-binary identities is also given). Transgender is used as a more general term to allow discussion of issues in a broader sense that may impact upon individuals who may identify as a cross-dresser, as butch, effeminate, queer, or any number of other non-conforming gender identities. The point is made though that “The focus on “transgender” as a one-size-fits-all category for those who “transgress binary gender norms” has inadvertently erased the struggles faced by those of us who lie at the intersection of multiple forms of gender-based prejudice.” Lack of commonality between individuals who may be described by the same terms receives the important attention it deserves. Serano manages to carefully define a large number of gender terms to allow for construction of excellent arguments and observations based on this without simplifying or invisibilising individual experiences as caveats and clarifications are also abound in the text without becoming overwhelming.

The second chapter offers direct commentary on the portrayal of trans individuals in the media, both in fictional and non-fictional circumstances. With films and TV shows covered including The Crying GameAce Ventura Pet Detective, Jerry Springer and The Adventures of Priscilla, Queen of the Desert, a perhaps controversially critical analysis is given yet it’s very difficult to fault. The only criticism I have of this section of the book is a small factual inaccuracy made when describing what happens in Ace Ventura. It is claimed that a large group of police officers proceed to vomit after having it revealed to them that the film’s villain who is portrayed as female throughout the film  possesses a penis and testicles. They actually all begin spitting – the ‘joke’ being that they have all kissed her at some point, in reference to her having kissed Ace at an earlier point in the film. This hardly makes a huge difference to the nature of the analysis in pointing out unambigous homophobia, and portrayal of a trans individual as ‘deceptive’, and ‘really a man’. The analysis of media output in this chapter rests on trans characters usually falling into one of two patterns, either ‘pathetic’ or ‘deceptive’. Whilst such a binary analysis may seem simplistic, its impressive (and alarming) point is disappointingly supported by a good range of sources cited.

The book repeatedly draws upon the author’s personal experiences, in terms of both how other individuals have responded to her gender identity and gender presentation, but also her direct experiences of dysphoria and ‘gender dissonance’, and the sensation of one’s hormonal profile changing. These accounts are not only very brave (and indeed an honour for the reader – it is a privilege to know the intimate details of an individual’s transition experience), but also tie in important discussion of biological difference to produce an argument that “socialization acts to exaggerate biological gender differences that already exist”. Serano is not only valuably situated as having experienced different gender identities in her life, but also possesses great familiarity with queer theory and the social sciences literature AND a PhD in biochemistry and a scientific career. Such multi-disciplinary scholarship coupled with vital personal experience packs a serious punch. In saying this I of course do not wish to imply that Serano’s PhD and scholarship makes her accounts and arguments on transgender politics and experience superior to the experiences recounted by other trans people. Serano however occupies an uncommon position in possessing such awareness of intersectionality, plus personal understanding of disparate academic and gendered experiences.

The largest chapter in the book is titled “Pathological Science: Debunking Sexological and Sociological Models of Transgenderism”, and gives not only an excellent historical overview but also challenges some methodological problems with scientific modes of inquiry (such as disconnection of the author from work done, or the assumption that some kind of true objective position is actually possible). Discourse on medicalisation, the cissexist declarations made by various feminists, and how masculinity and femininity are considered are tied together in an accessible manner. This leads into a chapter dealing with the dismantling of cissexual privilege which I found provided more clarity and focus than I had achieved through my own introspection, even given that I am actively engaged with trying to be the best ally I can be.

All of this, together with a most original chapter where the appropriation of intersex and transsexual identities in art and academia is critiqued makes up part one of two of this book. The sensation I had from reading each of these two parts was rather different. Part one contained a greater range of material, and had more of an ‘academic’ structure – unsurprising as this half of the book was subtitled ‘Trans/Gender Theory’ – whilst the second section (Trans Women, Femininity, and Feminism) is pithier and contains a greater sense of polemicism. Three of the ten chapters of this section contain only 4 pages each, but each has its place and each makes a point. I had a small sense that some material was repeated, giving me the sense that some chapters were written independently from consideration of the book as a whole, and I felt I gained more from Part 1 than Part 2. This is a book where each chapter stands alone quite well – not quite separate essays, but not a book that necessitates being read linearly from start to finish. Maybe it’s only because I did read it through from start to finish that made me wish for more of a sense of ‘wrapped up conclusion’, but these are ephemeral concerns. In writing this review it was difficult to not write condensed, reworded versions of every chapter, such was the importance of their contents that resonated with me. This book is too important to not be more widely read. One becomes a better human for reading this book.

Can a man be a feminist?

I myself have never been able to find out precisely what feminism is: I only know that people call me a feminist whenever I express sentiments that differentiate me from a door mat or a prostitute” - Rebecca West

I have never really been able to find out precisely what feminism is either. I’m inclined to think this is because it isn’t ‘one thing’, any more than being a woman is. Personally, I like to think of feminism in its most simple terms – that people defining as women should experience the same rights as people defining as men. Thus I can sometimes find it difficult to understand why anyone would not define as a feminist. Yet, it would be at the very least inflammatory for many to suggest that the antonym of ‘feminism’ is ‘sexism’. Of course it’s pretty obvious why the majority of feminists are women, but it’s interesting to consider why many men do not identify as feminists (other than simple lack of awareness, or sad, persistent misogyny) and indeed, whether they can.

Bill Bailey

Photograph credit: Fawcett society

It has been argued that being a feminist is more than an intellectual agreement with a set of principles that then influence a person’s behaviour. It has been argued that having not lived a woman’s experiences, and/or the fact that men possess an inescapable degree of social privilege makes it impossible for men to truly identify with female struggles. Some also consider that for a man to take the label of feminist allows for the co-opting of a feminist identity, potentially resulting in less power for women themselves and the silencing of female voices. This has led to some men taking on the moniker of ‘profeminist’- agreement with feminist goals and politics, without claiming inclusion within the group of ‘feminist’ themselves.

Problems with this arise in several ways. Firstly, this understanding rests entirely on a binary model of gender with no obvious way to resolve the inclusion or exclusion of those who exist outside of this framework, or have moved transitioned from one group to another. Trans men have often lacked male privilege and have experienced a ‘female’ narrative based on how they have been treated before transition, yet do not identify as female. Likewise trans women will be experiencing a female narrative after transition, but have also arguably been privy to male privilege at some point in their lives. This reduces acceptability into the group of ‘feminist’ based on both bodies and on how gender is expressed (that is, whether one appears adequately ‘male’ or ‘female’ to ‘pass’) which is clearly problematic as infertile women, ‘masculine’ women, and indeed any other variation one cares to mention does not in any way invalidate their membership of the identity category.

One can call into question whether this argument of needing to have direct experience of ‘a woman’s narrative’ is indeed valid, as what is a woman’s narrative? As the feminist writer bell hooks (deliberately not capitalised) points out that “the insistence on a “women only” feminist movement and a virulent anti-male stance reflected the race and class background of participants”, that whilst bourgeoisie white women experience sexism, they still retain more social privilege and particularly in historical contexts would be less likely to be exploited than poor, uneducated non-white men. To attempt to simplify narratives such that the intersectionality of race, class, and sexuality aren’t considered to shape the idiosyncrasies of identity experience may only serve to alienate various (poor, non-white, etc.) women from such a feminist movement. A blanket-exclusion of men also implies that experience of male privilege by men is a homogeneous thing, as is enforcement of patriarchal systems, both of which are (hopefully) patently untrue. Men (and sometimes, women) can repress and marginalise men, too. Power is sourced in more than sex.

An interesting historical perspective can be considered when examining the quest for women’s rights and recognition before feminism was established as a term or identity. The philosopher John Stuart Mill co-published the paper ‘The Subjection of Women’ with his wife in 1869. His empathy, intentions, and actions were not invalidated by his gendered position. Likewise the acts of the male abolitionists William Lloyd Garrison, Charles Lenox Remond, Nathanial P. Rogers, and Henry Stanton to sit silently with the women (who were forbidden to speak) at the World Anti-Slavery Convention in 1849 was a clear refusal to accept this element of male privilege, challenging the patriarchy in a way that is not dependent on gendered identities or bodies of the social actors.

Parker Pillsbury, 1809-1898. Pillsbury was another important early male feminist, who co-edited the women’s rights newsletter ‘The Revolution’, founded in 1868 with Elizabeth Cady Stanton.

There also exists the problem that the exclusion of men from the group ‘feminist’ places the tasks of this movement as an exclusively feminine task, arguably a hypocritically sexist circumstance. This argument clearly cannot be extended to the occupation of women-only spaces by men, as marginalised and oppressed groups have a requirement of, and a right to safe spaces. However, men certainly have at least as much responsibility in battling sexism and patriarchal structures as women, and to attempt to do this in a political environment with an extremely dubious (as race relations have taught us) ‘separate but equal’ policy, does not best serve either group.

The distinction then, between profeminism (or pro-feminism) and feminism is a construct that arguably echoes an inflexibility regarding the nebulous nature of gendered identities, as well as the interplay that exists between different facets of an individual’s personal, social identity. The complexities that exist in then grappling with the differences in stance that various interpretations of feminism can hold are another question entirely. However, I am proud to call myself a feminist, and accept with the use of that label the social reactions and judgements that follow.

The story of Agnes – Gender recognition and surgery in the 1950s

This post is based off a chapter of a book. It’s a rather obscure book called ‘Studies in Ethnomethodology’, which may be among the least catchy possible titles for a book, even given that the chapter was originally published as a paper in 1967. Bear in mind that much of the way in which this story is discussed will be reflecting on attitudes held widely on gender in the 1950s and 1960s.

Don’t give up on me just yet, as the contents are rather unexpectedly fascinating.

The paper was written by one Dr. Garfinkel and his experience treating a patient called Agnes, whom he first met in November of 1958. Agnes had sought medical attention in her home town, been referred to a doctor in Los Angeles, who referred her to a colleague of Dr. Garfinkel who saw her with him.

The nineteen year old Agnes was the youngest of four children, supported by her mother who worked in an aircraft plant. Her father died when Agnes was a child. She was raised Catholic, but no longer believed in God.

These particular sisters may not have put Agnes back on the path to righteousness…

She also had a penis, and testes.

Agnes was presenting with what nowadays would be referred to as an intersex condition – in that she possessed physiology typically associated with the social categories of ‘male’ and ‘female’ at the same time. To quote from Dr. Garfinkel’s account directly:

Agnes’ appearance was convincingly female. She was tall, slim, with a very female shape. Her measurements were 38-25-38. She had long, fine dark-blonde hair, a young face with pretty features, a peaches-and-cream complexion, no facial hair, subtly plucked eyebrows, and no makeup except for lipstick. At the time of her first appearance she was dressed in a tight sweater which marked off her thin shoulders, ample breasts, and narrow waist. Her feet and hands, though somewhat larger than usual for a woman, were in no way remarkable in this respect. Her usual manner of dress did not distinguish her from a typical girl of her age and class. There was nothing garish or exhibitionistic in her attire, nor was there any hint of poor taste or that she was ill at ease in her clothing, as is seen so frequently in transvestites and in women with disturbances in sexual identification. Her voice, pitched at an alto level, was soft, and her delivery had the occasional lisp similar to that affected by feminine appearing male homosexuals. her manner was appropriately feminine with a slight awkwardness that is typical of middle adolescence.

As tempting as it is to pick apart the frankly amazing number of problems there are with anyone, let alone a doctor scrutinising someone in such terms, this isn’t actually the focus of where this is going. Please feel free to pick it apart in your own delicious, juicy minds.

This is a fairly common intersex (and more generally, trans) pride symbol. To think that being intersex is to be a ‘mix’ of male and female (rather than its own state of being, not framed in terms of a binary) as the stereotypical pink-purple-blue colour scheme suggests may be a bit simple.

Agnes wanted to get treatment for what she regarded as a very problematic condition. She thought of her penis and scrotum as being nothing more than a tumour that she wished to have removed so she could get on with living a ‘normal female life’. The fact that she had been born with a penis had meant that for the first 17 years of her life she had been treated and socialised as a boy by her family others who knew her. When she was around 12 years old, she was delighted when she noticed breasts beginning to develop, and other female secondary sex characteristics associated with the onset of puberty.

After much medical scrutiny, it was decided Agnes had a rare disorder known as ‘testicular feminisation syndrome’ , where the testicles, rather than producing testosterone, instead produce lots of oestrogens, causing an XY fetus to develop female genitalia and female traits at puberty. Agnes was seen to be a unique variation on this, in that she had a penis and scrotum and no vagina, and also no ovaries or womb. The doctors were a bit confused by this, but it was the best they could come up with – particularly given how ‘obviously female’ Agnes was to them in all other respects.

Agnes considered herself to be entirely apart from feminine homosexuals, “transvestites” (n.b. I put this in inverted commas because this was the term Dr. Garfinkel and Agnes herself were using at the time to refer to cross-dressers. The term ‘transvestite’ may be considered offensive, and it’s important that this be borne in mind), or any other gender variant individuals, considering them to be “freaks”, and nothing like her whatsoever. She went to an incredible amount of trouble to ensure that she was never scrutinised as being anything other than a ‘normal female’. To again quote directly from Garfinkel’s account:

“I’m not like them” she would continually insist. “In high school I steer clear of boys that acted like sissies … anyone with an abnormal problem … I would completely shy away from them and go to the point of being insulting just enough to get around them … I didn’t want to feel noticed talking to them because somebody might relate them to me. I didn’t want to be classified with them.”

Just as normals frequently will be at a loss to understand “why a person would do that, i.e. engage in homosexual activities or dress as a member of the opposite sex, so did Agnes display the same lack of “understanding” for such behavior, although her accounts characteristically were delivered with flattened affect and never with indignation. When she was invited by me to compare herself with homosexuals and transvestites she found the comparison repulsive.

Agnes was also very anxious about how her situation may affect her relationship with her boyfriend, Bill. Agnes met bill in April of 1958, seven months before she received medical scrutiny. Her refusal to let him allow his hands to wonder below her waist was met with much frustration by him, only temporarily alleviated by claims of her modesty and virginity. Agnes disclosed her situation to him in June, and whilst Bill accepted that it was “like an abnormal growth”, he found it difficult to understand why Agnes attended sessions every Saturday to discuss the condition with the doctors (over 70 hours of interviews were recorded and analysed). This was because Bill did not know that Agnes had been raised as a boy, and she sure as hell wasn’t intending for him to find out. She was also somewhat scared about the fact that Bill might himself be ‘abnormal’ (i.e. homosexual…) due to staying with her after disclosure – though she put this worry to rest after remembering that he took interest in her before he ever knew.

In March 1959, Agnes received a castration operation, where her penis and scrotum were removed, and a vagina constructed in their place. Before the surgery, she was scared that the doctors would make the decision that she was ‘actually’ male, and would amputate her breasts without telling her – but was reassured when told this definitely would not happen. With some time for healing and the use of a penis shaped mould, she was able to acclimatise her new genitals such that she was able to have vaginal sex.

After surgery, Agnes was well accepted by her immediate family and Bill. This was because the doctor’s treatment legitimised her claims of having been ‘female all along’, and that her being raised as male was simply an unhappy mistake due to a condition. The medical justification also meant that her “man-made vagina” was seen as ‘legitimately deserved’ by her, unlike individuals making claims of being women, whilst being ‘unambiguously’ physiologically and genetically ‘male’. Sorry for all the inverted commas, but I hope you see I’m illustrating the beliefs of Agnes and wider society at the time, rather than my own.

PRIDE SHARKTOPUS. I swear, coming up with images to break up the text of this post in a relevant way has been nearly impossible. But I could not resist this badass. For anyone wondering, they’re brandishing the (from bottom left going clockwise): the STRAIGHT ALLY flag, the ASEXUAL flag, the BISEXUAL flag, the PANSEXUAL flag, the GENDERQUEER flag, the INTERSEX flag, the TRANSGENDER flag, and the rather more common LGBT flag. This link is the best I could do towards crediting. 

Five years after her surgery and consultation sessions had finished, Agnes returned to catch up with the doctors who had helped her. Whilst she was no longer with Bill, none of the men she had been with sexually since him had ever given any reason to think they found her in any way out of the ordinary. She was still worried however, so Garfinkel arranged for her to see an expert urologist, who confirmed that “her genitalia were quite beyond suspicion”.

Agnes then dropped a massive bombshell.

During the hour following the welcome news given her by the urologist, after having kept it from me for either years, with the greatest casualness, in mid-sentence, and without giving the slightest warning it was coming, she revealed that she had never had a biological defect that had feminised her but that she had been taking estrogens since age 12. In earlier years when talking to me, she had not only said that she had always hoped and expected that when she grew up she would grow into a woman’s body but that starting in puberty this had spontaneously, gradually, but unwaveringly occurred. In contrast, she now revealed that just as puberty began, at the time her voice started to lower and she developed public hair, she began stealing Stilbestrol from her mother, who was taking it on prescription following a panhysterectomy. The child then began filling the prescription on her own, telling the pharmacist that she was picking up the hormone for her mother and paying for it with money taken from her mother’s purse. She did not know what the effects would be, only that this was a female substance, and she had no idea how much to take but more or less tried to follow the amounts her mother took. She kept this up continuously throughout adolescence, and because by chance she had picked just the right time to start taking the hormone, she was able to prevent the development of all secondary sex characteristics that might have been produced by androgens  and instead to substitute those produced by estrogens. Nonetheless, the androgens continued to be produced, enough that a normal-sized adult penis developed with capacity for erection and orgasm till sexual excitability was suppressed by age 15. Thus, she became a lovely looking young ‘woman’, though with a normal sized penis…

This 19 year old girl with no medical training, by sheer, unadulterated luck, and using a method that now would be essentially impossible, managed to achieve the treatment and recognition she desired in a time when any gender or sexuality variance was seen near-universally as sickness and/or criminal.

Try reading all that again, bearing in mind what you now know about Agnes. Do you find yourself thinking of her in any way differently? It’s quite amazing how even today, many people still consider legitimacy in gender identity to require the green light from the medical establishment. Agnes’ genius manipulation of the system gives a great big middle finger to anyone who would try and question or prevent her legitimacy. For her, being transgender wasn’t an identity she felt any connection with. She had no interest in waging a political fight, or in challenging any aspect of social norms. There’s no way to really comment on whether her disgust at gender and sexual minorities was an act or real. She got what she needed.

Respect.

The original chapter can be read here (at least in part), through Google books.

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