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Gender Identity and Sex Assignment: A Reappraisal for the 21st Century

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Pediatric Gender Assignment

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 511))

Abstract

Identity is the core of human existence. This existential reality manifests itself in the human as a species-specific evolutionary focal point. It appears that no other earthly species abstractly contemplates its very nature. This is as important for a discussion of identity in general as it is for the concept of gender identity.

Of all relations the most universal is tha of identity. David Hume, A Treatise of Human Nature, 1739.

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References

  • American Psychiatric Association. DSM-IV, Diagnostic and Statistical Manual of Mental Disorders,American Psychiatric Association Press, Washington, pp. 538, 1994.

    Google Scholar 

  • Baskin LS, Erol A, Li YW, Cunha GR. Anatomical studies of hypospadias. J Urol, 160:1108–1115, 1998.

    Article  PubMed  CAS  Google Scholar 

  • Berenbaum SA. Early androgen effects on aggression in children and adults with congenital adrenal hyperplasia. Psychoneuroendocrinology 22:505–515, 1997.

    Article  PubMed  CAS  Google Scholar 

  • Berenbaum SA. Effects of early androgens on sex-typed activities and interests in adolescents with congenital adrenal hyperplasia. Horm Behav 35:102–110, 1999.

    Article  PubMed  CAS  Google Scholar 

  • Bradley SJ, Oliver GD, Chemick AB, Zucker KJ. Experiment of nurture: ablatio penis at 2 months, sex reassignment at 7 months, and a psychosexual follow-up in young adulthood. Pediatrics 102:e9, 1998. Coffey DS. Self-organization, complexity and chaos: The new biology for medicine. Nature Med 4:882–885, 1988.

    Google Scholar 

  • Cook D, Giacomini M. The trials and tribulations of clinical practice guidelines. JAMA 281(20):1950–1951, 1999.

    Article  PubMed  CAS  Google Scholar 

  • Dennett DC. Darwin’s Dangerous Idea–Evolution and the Meanings of Life, Simon & Schuster, New York, pp. 23–28, pp. 68–84, 1996.

    Google Scholar 

  • Diamond M, Sigmundson HK. Sex reassignment at birth: long-term review and clinical implications. Arch Sex Behav 151:298, 1997.

    CAS  Google Scholar 

  • DiPietro JA. Fetal neurobehavioral development. Child Dev 67:2553–2567, 1996.

    Article  PubMed  CAS  Google Scholar 

  • Dreger AD. “Ambiguous sex” – or ambivalent medicine? Ethical issues in the treatment of intersexuality. Hastings Center Report, 28:24, 1998.

    PubMed  CAS  Google Scholar 

  • Elliott C. Why can’t we go on as three? Hastings Center Report, 28:36–39, 1998.

    Article  PubMed  CAS  Google Scholar 

  • Fitch RH, Denenberg VH. A role for ovarian hormones in sexual differentiation of the brain. Behavioral and Brain Sciences, 21:311–352, 1998.

    PubMed  CAS  Google Scholar 

  • Giedd JN, Castellanos FX, Rajapakse JC, Vaituzis AC, Rapoport JL. Sexual dimorphism of the developing human brain. Prog Neuropsychopharmacol Biol Psychiatry 21:1185–1201, 1997.

    Article  PubMed  CAS  Google Scholar 

  • Glassberg Kl. The intersex infant: early gender assignment and surgical reconstruction. J Ped Adol Gynecol, 11:151–154, 1998.

    Article  CAS  Google Scholar 

  • Gorski RA. Sexual dimorphisms of the brain. JAnim Sci,61:38, 1985.

    Google Scholar 

  • Gould SJ. The evolution of life on earth. Sci Amer, 271:84–91, 1994.

    Article  PubMed  CAS  Google Scholar 

  • Hagq CM, Donahoe PK. Regulation of sexual dimorphism and mammals. Physiol Rev 78:1–33, 1998.

    Google Scholar 

  • Hines M. Androgen and the development of human sex-typical behavior: Rough-and-tumble play and sex of preferred playmates in children with congenital adrenal hyperplasia (CAH). Child Dev 65:1042–1053, 1994.

    Article  PubMed  CAS  Google Scholar 

  • Imperato-McGinley J, Peterson RE, Gautier T, Sturla E. Androgen and evolution of male-gender identity among male pseudohermaphrodites with 5 -reductase deficiency. New Engl J Med 300:1233, 1979.

    Article  PubMed  CAS  Google Scholar 

  • Jusczyk PW. The Discovery of Spoken Language, MIT Press, Boston, 1997.

    Google Scholar 

  • Kessler Si. The medical construction of gender: Case management of intersexed infants. J Women in Culture and Society,16:3–26, 1990.

    Article  Google Scholar 

  • Lieberman P. Eve Spoke: Human Language and Human Evolution, Norton Press, New York, 1999.

    Google Scholar 

  • McFadden D. Sex differences in the auditory system. Dev Neuropsych,14:261–298, 1998.

    Article  Google Scholar 

  • Mental Disorders.American Psychiatric Association Press, Washington, 538, 1994.

    Google Scholar 

  • Meyer-Bahlburg HFL, Sandberg DE, Yager TJ, Dolczal CL, Ehrhardt AA. Questionnaire scales for the assessment of atypical gender development in girls and boys. J Psychology and Human Sexuality 6:19–39, 1994.

    Google Scholar 

  • Migeon CJ, Wisniewski AB. Sexual differentiation: From genes to gender. Horm Res, 50:245–251, 1998.

    Article  PubMed  CAS  Google Scholar 

  • Money J, Devore H, Norman BF: Gender identity and gender transposition: Longitudinal outcome study of 32 male hermaphrodites assigned as girls. J Sex and Marital Ther 12:165–181, 1986.

    Article  CAS  Google Scholar 

  • Money J. Ablatio Penis: Normal male infant sex-reassigned as a girl. Arch Sex Behav 4:65–71, 1975.

    Article  PubMed  CAS  Google Scholar 

  • Money L, Hampson JG, Hampson JL. Hermaphroditism: recommendations concerning assignment of sex, change of sex and psychological management. Bull Johns Hopkins Hosp 97:284, 1955.

    PubMed  CAS  Google Scholar 

  • Ochoa B. Trauma of the external genitalia in children: amputation of the penis and emasculation. J Urol 160:1116–1119, 1998.

    Article  PubMed  CAS  Google Scholar 

  • Potts R. Humanity’s Descent, The Consequences of Ecological Instability, William Morrow and Co., New York, pp. 12–15, pp. 225–227, 1996.

    Google Scholar 

  • Raisman G, Field PM. Sexual dimorphism in the preoptic area of the rat. Science 173:731–733, 1971.

    Article  PubMed  CAS  Google Scholar 

  • Reiner WG. Case study: sex reassignment in a teenage girl. J Amer Read Child Adol Psychiatry 35:799–803, 1996.

    Article  CAS  Google Scholar 

  • Reiner WG. Sex-assignment in the newborn with ambiguous genitalia–a review of the literature. Current Opinion in Pediatrics, August, 1999.

    Google Scholar 

  • Reiner WG. To be male or female — that is the question. Arch Pediatr Adolesc Med 151:224–225, 298–304, 1997.

    Article  PubMed  CAS  Google Scholar 

  • Reiner WG. Unpublished data, available on request.

    Google Scholar 

  • Roberts JM. History of the World. Penguin Books, London, pp. 5–26, pp. 34–38. 1997.

    Google Scholar 

  • Schobur JM. Early feminizing genitoplasty or watchful waiting. J Ped Adol Gynec 11:154–156, 1998.

    Article  Google Scholar 

  • Schobur JM. Feminizing genitoplasty for intersex, in: Pediatric Surgery and Urology: Long Term Outcomes. MD Stringer, KT Oldham, PDE Mouriquand, ER Howards, eds., W.B. Saunders, London, pp. 549–558, 1998.

    Google Scholar 

  • Shaneyfelt TM, Mayo-Smith MF, Rothwangl J. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA, 281:1900–1905, 1999.

    Google Scholar 

  • Slijper FM, Drop SL, Molenaar JC, de Muinck Keizer-Schrama SM. Long-term Psychological evaluation of intersex children. Arch Sex Behav 27:125–144, 1998.

    Article  PubMed  CAS  Google Scholar 

  • Swaab DF, Gooren U, Hoffman MA. Brain research, gender and sexual orientation. J Homosex 28:283–301, 1995.

    Article  PubMed  CAS  Google Scholar 

  • Wilson B, Reiner WG. Management of intersex: A shifting paradigm. J Clin Ethics 9:360–369, 1998.

    PubMed  CAS  Google Scholar 

  • Woodhouse CR. Sexual function in boys born with exstrophy, myelomeningocele, and micropenis. Urology 52:3–11, 1998.

    Article  PubMed  CAS  Google Scholar 

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Reiner, W.G. (2002). Gender Identity and Sex Assignment: A Reappraisal for the 21st Century. In: Zderic, S.A., Canning, D.A., Carr, M.C., Snyder, H.M. (eds) Pediatric Gender Assignment. Advances in Experimental Medicine and Biology, vol 511. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0621-8_11

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  • DOI: https://doi.org/10.1007/978-1-4615-0621-8_11

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5162-7

  • Online ISBN: 978-1-4615-0621-8

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