Showing posts with label intersex. Show all posts
Showing posts with label intersex. Show all posts

Tuesday, June 30, 2015

Cis Gender, Ipso Gender


Last week, the Oxford English Dictionary, revered by many as the arbiter of the English language, finally added the term "cis gender." Many, like Slate's Anna Diamond, consider this an important step forward. Others, however, resist using the word. Some are overtly transphobic, and insist that they just be called "normal." Others claim to be allies, but insist that the term cis gender is just too strange or clinical or academic for the general public to ever use. The Guardian's Paris Lees says that it fails "the hair salon test."

I find this claim that "normal people" can't be expected to use the term cis gender ridiculous. My daughter was all of eleven when she started to use the term cis gender in conversation. By the time she was 13 or 14 she was having discussions with friends in which she could clearly articulate that she enjoyed wearing boxer shorts sometimes because messing around with gender expectations was fun, but that this activity did not make her any less a cis girl. When she was fifteen, she started dating her partner, who is genderqueer.

We do not live in San Francisco or New York--we live in the staid Midwest.

For kids growing up as digital natives, puberty involves surfing the internet and reading about a wide range of identities. The idea that the term "cis gender" is used only by academics and gender theorists and not hair stylists would make my daughter and her peers chortle.

For me, the struggle I'm involved in is not to get people to learn the term "cis gender," it's to get people to understand how that term does not apply in the way often presumed in the case of intersex people. I want people to learn about the term "ipso gender"--because that's a term that really is not widely known.

The term "cis gender" is often defined--I would say incorrectly--as having a gender identity that matches the sex one was assigned at birth. So, in standard usage, if your birth certificate says "F", and you identify as a woman (whether feminine or masculine in presentation being irrelevant), you are cis gender. If it says "F" and you don't, because you identify as a man, or as genderqueer, or as agender, or as anything other than a woman, then you are trans.

In the popular imagination, a trans person is someone "born in the wrong body," meaning they have a gender identity that conflicts with their physical sex. Trans people have been shifting the conversation away from the framing of trans experience as a gender identity/sex characteristic conflict, and toward framing it as a conflict between gender identity and sex assigned at birth, for understandable political reasons. Transphobes often present physical sex as binary, natural, and determinative of "reality." Trans advocates battle this by pointing out that physical sex is actually a spectrum, that binary sex is coercively imposed (see intersex people), and that gender identity determines one's reality. 

The problem is that this argument, which is conceived of as centering intersex experience, actually renders invisible much of my intersex community's experience with violence and gender identity. And that's because it refers to a person as "cis gender" when they are born with primary sex characteristics that are intermediate in nature, but are surgically reassigned to conform to a binary sex ideal, if they grow up to identify with that assigned sex. Calling someone who has essentially undergone a forced sex change in infancy "cis gender" is extremely problematic. This is something that intersex people have been justifiably protesting for years (for example, see gender fluid author and intersex activist Hida Viloria).

So, when speaking of intersex experience, what I hope people will do is to recognize that primary sex characteristics do matter, and we can't just talk about binary sex assignment on one's birth certificate. I urge people to define someone as cis gender if they have a binary gender identity that matches the one expected for people born with the primary sex characteristics they had at birth (genitals, gonads, chromosomes). For intersex people, being born sex-intermediate, a cis gender identity would be a nonbinary identity of some sort. A trans gender intersex person is one who gender transitions to the binary sex they were not forced into at birth. And a person who is born intersex, then medically and legally assigned to a binary sex, who then grows up to identify with that sex is ipso gender. (Ipso gender borrows from the prefix used in chemistry to refer to a substitution in the same place, as cis gender uses the prefix meaning "on the same side" and trans gender uses the prefix meaning "on the other side.")


So, for those of you who are fully familiar with the term cis gender as it is typically used, I'd like you to please consider rethinking it a bit. Because the majority of intersex people today do identify with the binary sex we were assigned, typically surgically, in infancy. The percentage of intersex people who gender transition is high, comparatively speaking (estimates vary widely, but the percentage is higher by at least a couple orders of magnitude in comparison to individuals who are not intersex by birth). Still, the majority of my intersex sibs do not gender transition from the sex they were assigned at birth. Yet great violence was done to my ipso gender siblings in forcing an assignment, rather than letting them grow up to assert their own identities, and to make their own decisions about what surgery, if any, to seek. Infant sex assignment surgery often robs a person of all or some capacity for sexual sensation, and leaves many feeling mutilated. Calling an individual who has endured this "cis gender" makes the pain and violence involved invisible.

I do want to point out that a cis gender intersex person, who has a nonbinary gender identity, suffers in the same way that a trans gender intersex person does, because they were assigned, typically surgically, to a sex with which they do not identify. For intersex people, cis and trans, this often means having to cope with two gender transitions--the first imposed in infancy, and a second one we consent to later in life. Ipso gender people at least have the privilege of not having to gender transition again. But we need a term to center the fact that imposed genital surgery in infancy, along with other unconsented-to medical interventions in later childhood, are a form of violence, even if a person does grow up to identify with the sex assigned at birth.

I hope people will familiarize themselves with the term ipso gender. Thanks!

Wednesday, July 24, 2013

On Teaching (Trans) Gender

I am a white, middle-aged, intersex trans man. I teach sociology at a large Midwestern state university, and sociologically speaking, gender transitioning here has been fascinating. It's a story of prejudice and of privilege.

On a personal level, it's been weird.

I'm the first professor to have transitioned at my university, despite its huge size; while locals think of the university and surrounding area as very liberal, from a national perspective, they're quite socially conservative. It's a land of racial segregation, and of LGBT+ closeting. Many of the tenured white gay cis male professors I know here, for example, are not out at work, and communicate about sexual orientation in coded phrases straight out of the 1950s. (Having moved here from the San Francisco Bay area, the level of closeting is eye-popping.) As far as I can tell through my social networks, two people proceeded me in gender transitioning at my university, both trans* women staff members who soon left. In any case, my administration had little experience in dealing with gender transitions, and none with the issues raised by an instructor doing so, when I announced that I had begun the process.

My university has no official policies and procedures for dealing with gender transitioners, though it does formally include a ban on discrimination on the basis of gender identity or expression in its antidiscimination clause. Since it's a huge institution, the lack of policies made transition a bureaucratic nightmare. I could write a long and very tedious post just about that, but suffice it to say that as I enter the fifth year of my transition, I am still finding my old female name being given out by yet another independent university software system.  And I still have in my files, where I regularly now ignore it, a memo to all individuals with offices in my building stating which single male bathroom I will use on campus, so that they can avoid it if they wish.

(This very awkward memo was the only notice given by my university about my transition to others, and I was expressly forbidden to send emails myself to people outside my department to let people know. The administration's reasoning was that if they let me announce my gender transition and name change, they'd have to let every woman who got married and changed her name to send a broadcast email, clogging up 40,000 mailboxes. When I pointed out the difference between getting married and gender transitioning, that was considered “political,” and sending political email on work computers a violation of state law. Thus, years into transition, I still find myself on committees with people I've worked with before who now have no idea who I am, and I have to come out endlessly. It's just as socially awkward for stammering others as it is for me.)

The physical process of my early transition was made especially awkward because I got to go through it in front of my large introductory-level class of 350 Midwestern students. Most of them were 18 or 19 and on the tail ends of their own awkward adolescences, and few of them were aware of ever knowing a trans* person in real life. I did explain to them that I had changed my legal name and the gender on my ID, that I was beginning my medical transition, and what pronouns to use in referring to me (despite explicit instruction from administration not to discuss my transition, because it was my “personal” and “political” business that I should not “impose” on students). I had to give students some way to understand and address their instructor. But many students couldn't process the information and didn't know what to make of me. In hindsight, it's sort of amusing, but at the time. . . ugh. My very androgynous body made students anxious, and they stood much farther away from me when speaking to me after class than students had in prior years. Every time my voice cracked, a little ripple or shudder moved across the lecture hall. I often caught students inappropriately staring at my chest or my groin, and both they and I would flush when I caught them.

That semester my student evaluations, while still generally positive, were much less enthusiastically so than in the past—and most were very awkwardly worded to avoid any use of pronouns (“The professor seemed to know what the professor was talking about.”). Of the modest number of students who did use pronouns in writing their evaluations, more used female pronouns than male (and none used gender-neutral pronouns). My gender—and students' discomfort with my physical androgyny—were front and center in everyone's classroom experience, both mine and that of the students.

But after a couple of years on testosterone I had grown a solid beard, and people by and large “read” me as male, including in my classes. The majority of my students called me “he” without hesitating, and the chest-and-groin-checking was much reduced. My student evaluations rebounded into the quite-positive zone. And my personal experience rebounded further yet. I found that I now received male privilege. Before my transition, students had regularly commented on my appearance, dress or hairstyle—now none of them did so, as men are judged by their minds much more than their bodies. Students now see me as more authoritative than in the past. Most defer to me more, challenge me less, and some even find me intimidating (at my mighty 5'2”).

And it's not just male privilege that I now experience, but that most celebrated form, white male privilege. I have become The Man. And while this means that some students of color in my very racially-segregated setting, while still respectful of me, also react to me with greater distrust than students of color displayed before my transition, amidst the white majority I am treated as a person of dignity, trustworthiness, competence, and esteem. This happens in the classroom, in administrative meetings, and when I'm driving a car or visiting a store. As I've only experienced this for a few years out of my almost 50, it's glaringly obvious to me, and I'm amazed that my fellow white men who are cis gender seem so often to feel disrespected and put-upon. Small reductions in deference to white male power prey on their minds, but believe me—our privilege is still very substantial.

I have to note how much easier it is to transition to male, and to do so as a white person. My wife is an intersex gender transitioner like myself, and I see every day how much more difficult it is to be a trans* woman. Transphobia directed at trans* women is much more virulent, and is compounded by misogyny. Androgyny in trans* women is treated with much more negative social sanction than androgyny in trans* men. Trans* women of color are routinely treated by others as if they were sex workers, and subjected to extraordinary levels of discrimination, abuse, and violence. So I enjoy not only privilege as a white man, but in comparison to others in the trans* community.

I wanted to lay all of this out before raising a problem I face, relating to a modest number of students who now complain about my teaching. I want to make it clear that I recognize how privileged I now am as a white male tenured professor to be able to have such a job issue to worry about at all. Still, as a trans gender man, I have issues to worry about that my cis counterparts do not.

I teach hundreds of students every year, and every year a small number of them who are not doing well in my classes, perhaps a dozen, complain about my teaching. It's rarely my teaching style that they object to; they usually complain about one of two content areas. One of these I don't worry about: they object to my teaching about global climate change in my social problems class. Students who complain about this are usually cis white guys with right-leaning politics who argue that I am teaching “pseudoscience” concocted in a leftist conspiracy. Whatever. The empirical evidence for global climate change is great, and I am sure the political motivations of this group of students' objections would be clear to my administration if the students were to file formal complaints.

The other group of students' complaints I worry about regularly, however. These involve students who object to what I teach about intersex and trans gender issues (basically, that forcing cosmetic genital surgery on unconsenting infants is a bad social policy, and that transphobia is a form of bias akin to sexism, racism, and homophobia). Unlike those who object to my teaching about climate change, these students are usually (cis) women who take my gender class. Some are white women from rural areas of the state; some are African American women from urban locations; many of them explicitly self-identify themselves to me as Christian. They believe that sex must be binary, and that “corrective” surgery for intersex “disorders” in infancy is a medical imperative. Further, they believe that binary genitals (constructed or present at birth) must determine gender, and that a desire to gender transition is both a mental illness and immoral.

From my perspective, this group of complaining students is exactly like the first group: they hold to an ideology that is political in nature and in conflict with the literature in my field. As I point out at the start of my classes, there are many different perspectives that can be taken on any given issue—biological, psychological, religious, political, etc.--but that they are taking a sociology class, and in this class, are expected to learn and employ the sociological position in assignments and exams. I have no desire to be the thought police, and I tell them I support their right to use other perspectives in other contexts. But it is my job as a professor to teach them the subject matter they have signed up to learn. Most students have no problem with this—but there are some who are very resistant.

So, the two groups of complaining students may be analogous in being resistant to learning class content—but the students who object to the intersex and trans gender components of my classes pose much more of a problem for me.

One problem they present for me is that they often persistently misgender me. Now, I teach my Sociology of Sex and Gender course as an online summer class. This means that students don't see me in front of them—instead I have a virtual presence for them, constructed mostly via text. During the first week of class, I do have students post pictures of themselves, and I post one myself. And our first exercise requires students to state their gender identity and list the pronoun they use—and again, I do the same myself. Further, each student receives at least four personal comments from me each week, and all are signed “Prof. Costello.” So, my gender, pronoun, and the form of address I expect are theoretically made clear to them. In the early days of my transition, I was more likely to be addressed as a male in this online setting, due to my clear masculine self-framing, than I was in my in-person classes, where my physical androgyny outweighed my self-presentation in students' minds. But now, the reverse is true. Students in my in-person classes don't often misgender me. Every summer, however, I have some students who persistently refer to me as “she,” or the eye-rolling “Mrs. Costello”--something students never called me before my transition. I correct them in a matter-of-fact manner, first addressing whatever their substantive point was in their post or email, but they often continue to mispronoun me. Rather than helping to correct any peers who misgender me in online discussions, other students often seem to become less sure of the “realness” of my male status, and some become uncomfortable, seeing me as “forcing my issue down other people's throats” (an aggressively Freudian description one student gave me in an email intended to be sympathetic). This happens despite my constant efforts to be polite to people who refuse to recognize my gender identity and legal sex that trans* friends see as going well above and beyond the call of professional duty. The persistent misgendering makes me feel dysphoric, and the class atmosphere less comfortable for all.

In my class on sex and gender, I assign one exercise about intersex issues, and one with an optional trans gender focus. It's in this context where I most often encounter active student resistance to course content, though it does arise elsewhere. Now, to be clear, the way I grade all course exercises is according to the quality of the essays submitted. Students are expected to cite course readings or lecture points in analyzing a hypothetical situation. So long as they do that, and write a coherent essay, their conclusions can be whatever they like. For example, this summer a student wrote her essay on the abortion unit of the course about how she believed doctors should universally screen fetuses for intersex conditions and abort those found to have them. I personally strongly disagree, but so long as the student cited course materials sensibly and wrote a cogent analysis, she'd receive full credit. I don't let the fact that I perceive writing such an essay to a professor whose intersex birth status was clearly revealed earlier as microaggressive impact my grading. But if students fail to try to engage in any way with the course materials, and simply assert their opinions, citing no class readings (or sometimes citing instead their Christian status, which is no more a source of sociological authority than is my being Jewish), then they do quite poorly on an exercise.

The problem is that such students often perceive their poor grade as due to my “pushing an agenda.” More: they frame me as an abuser. They often present themselves as trying to protect innocent children from sexual radicals who seek to damage them. Complex and inchoate ideas often come up relating to permissive versus authoritarian parenting, or eugenic ideology (from white students), or the imposition of purportedly white preoccupations onto struggling African American families (from Black students), or about the decline of American civilization. But central to most student complaints about poor grades on intersex and trans* exercises is the framing of me as lacking any authority to teach on these matters, because I am “biased.”

The idea that only the privileged have the right to speak about the marginalized because the privileged are objective and the marginalized are not has been critiqued by many. Before my transition, cis male students in my gender class often complained that as “a woman,” I was biased while they were not, and that the statistics I cited were not credible. I didn't worry about this at the time, because if any of them ever made a formal complaint to the administration, I expected the administration to be suspicious of such a claim. (It turned out I was probably wrong. I almost didn't get tenure because an outside reviewer claimed that my research on race/class/gender in the professions was a mere voicing of personal bias against white men. He bolstered this claim by attacking my very large qualitative research project (almost 100 in-depth interviews plus 18 months of participant observation) as not meeting the significance standard for a quantitative study, which was just silly, but it gave his critique the veneer of “objectivity” that led my tenure case to be voted down. I did finally get tenure on appeal, after a long and exhausting battle, but it was a very close thing.)

Now, my university, like most, is generally staffed by people who believe that gender discrimination is a bad thing, not to be tolerated. Even so, male professors earn more than female ones, are more likely to get tenure, and are less likely to be accused of bias in their work. But what about trans* gender discrimination? While my university does have a formal policy banning discrimination on the basis of gender identity or expression, in my experience, many of the faculty, students and staff are uncomfortable with gender transition and hold private or public cissexist views. And so I am rationally worried about what would happen if one of my students who do poorly on a trans* or intersex assignment in my class were to take their complaints beyond exchanges with me and up the administrative hierarchy. Supposedly I have job security in the form of tenure, meant to protect professors' ability to teach and engage in research with full academic freedom. But tenure is not “forever” if a professor commits an offense, such as criminal activity, dereliction of duty—or harassment. And I have no doubt that students who persistently misgender me and who refuse to engage in course materials dealing with intersex and trans* materials feel that I am “harassing” them, rather than vice versa. And remember, some frame me as advocating child abuse, which is a criminal offense. One of my recent students who watched an optional video link I posted to a mainstream TV news story about a young trans* girl wrote a post accusing me and the media of assisting the girl's parents in “abusing” her by “allowing” a “confused boy” to wear dresses. And while contemporary social science literature supports the recognition of trans gender identification in children, it's plausible that there are administrators at my university who share my complaining student's perspective: that I am pushing a disturbing agenda and harassing students who fail to parrot it back at me.

Given that I was explicitly instructed by administrators not to use my teaching podium as a soapbox for advocating my “personal agenda,” I worry that including segments on trans* and intersex issues in my courses on gender, sexuality, and on social problems might somehow be framed as a breach of duty on my part. But to avoid teaching on these topics where they are obviously relevant is something I see as the real breach of pedagogical duty. Should I as a Jew not be able to address religion in my courses, because as a religious minority I am not “objective”? Should my colleagues who are people of color not be able to teach about race in their classes? Taken to its logical extreme, are the only suitable sociology professors cis, straight, white, middle-aged, middle-class, Christian men without disabilities? (Of course, the opposite is in fact true: a person who has experienced something has a better understanding of what is involved than someone who has no such first-hand experience. You won't find me taking a SCUBA diving class from someone with only academic book-knowledge of diving. . .)

Many, many instructors have faced this issue of being members of a marginalized group and being accused of bias when teaching about that group. As a white man, I enjoy a privilege many of these instructors have not enjoyed, that of being presumed competent as a professor by virtue of my race and gender. At the same time, privilege is always context-dependent. As an intersex trans* person, I'm a member of a small minority that is currently considered quite outré , in the Midwestern city where I live.

And thus, in teaching on the topics on which I have the greatest expertise, I always feel at risk, my job security subject to challenge from people who refuse even to do class readings. And that. . . is sad.

Friday, August 3, 2012

On Trans Gender Identity and the "Intersex Brain"


Once upon a time, in the fairly recent past, people often asked what made a person gay or lesbian—taking the perspective that homosexuality was a pathology that needed explanation. Various theories were proposed: psychological (could a domineering mother and passive father be the cause?); moral (was it a failure to embrace “traditional Christian family values”?); and biological (was there some hormone imbalance or brain abnormality at fault?).

Today, when someone comes out as lesbian, gay, or bisexual, the question of etiology is rarely raised. Lesbian, gay and bisexual rights advocates are much less likely to spend their time tossing back at the homophobic the questions, “What made you straight? When did you realize you were straight? Could you do something to change your heterosexuality if you tried?” Sexual orientation is generally treated as a fact, something that is not pathological and that requires no etiological explanation.

Back in the 20th century, however, many advocates for “gay rights” sought to find a physical cause for homosexuality. They hoped that finding proof that there was some immutable, biological reason for homosexuality, beyond the individual's control, would lead to greater social acceptance. In fact, it was political activism, not scientific discoveries, that led to the social shift to viewing LGB people as a minority deserving of protection from bigotry. But for a while, many “gay rights” activists were focused on finding proof that there was such a thing as the “gay brain,” and research on the topic persists today. The size of the hypothalamus of gay men has been argued to be more similar to straight women's than straight men's. It's been posited that straight men and lesbians have brains with a right hemisphere slightly larger than the left, while straight women and gay men have balanced brains.

Implicit behind these arguments is a belief that gay men are in some way effeminate, and lesbians masculine. But LGB activists scoff at this belief today—the idea that gender expression relates to sexual orientation now seems offensive and ridiculous. So while scientific research continues to look for ways in which gay male brains are “feminine” and lesbian brains are “mannish,” LGB rights advocates no longer pay much attention.

We've not come to this point, however, in the struggle for trans gender rights. Trans people today are making strides, but we're now in the position LGB people were decades ago. We face a great deal of discrimination and disgust from the cis gender population, and we are constantly asked, “What made you trans? Was it psychological trauma, is it that you don't respect traditional Christian family values, or is there something wrong with you medically?”

And just like lesbian, gay and bisexual people in the 20th century, trans people today face such virulent bigotry that many trans people hope finding scientific proof that there is some immutable, physical reason for trans gender identity, beyond the individual's control, will lead to greater social acceptance. Today many trans activists are eager to trumpet neurological studies that purport to show that the brains of trans men are more like the brains of cis men than of cis women, or that the brains of trans women are more like those of cis women than cis men.

It was the philosopher Descartes who first argued that the brain contains localized areas that control the body. He declared that the soul occupied the pineal gland—a theory sounds ridiculous today, when we know that the pineal glad is more prosaically the structure that secretes melatonin. But today, many trans people (it must be clear by now that I am not one of them) are looking for a brain structure housing gender identity. They argue that people are born with a “brain sex,” and that if this “brain sex” differs from the individual's genital sex, they suffer from an intersex condition that must be treated via gender transition.

I am deeply uncomfortable with this intersex theory of gender dysphoria. While I know from personal experience that it gives some trans people great comfort, and while I worry about seeking to demolish what others feel is their life raft, I want to lay out my objections.

My first objection is a scientific one: gender identity and gendered behavior are deeply complex. They are no more located in the hypothalamic unciate nucleus than the soul is located in the pineal gland. If many of ares of the brain are involved in something as comparatively simple as speech, how many more must be involved in matters as complex as sense of self?

A second objection relates to the entire field that Cordelia Fine names “neurosexism.” Basically, the entire field of neurological study of sex differences is pervaded by sexism and flawed by a teleological approach: “We know that men are good at math, logic and sport, while women are good at nurturing and communicating, so let's pin these to some brain differences we can locate.  This will show that politically-correct resistance to the idea of eternal gender roles is pointless.” By linking claims to trans rights to this body of science, we're tying ourselves to gender stereotypes and a regressive social agenda.

A third objection is that the brain is a very “plastic” organ, meaning that it changes over time. For example, when a deaf person communicates via sign language, different areas of the brain are “recruited” to process communication than just those used for oral speech. Furthermore, early and late learners of sign have different patterns of brain activation when they observe another person signing. In other words, the brain, like other parts of the body, is affected by life experience and use--it varies greatly from individual to individual, and for one individual over time. Even if we were to find that trans men resemble cis men in their patterns of brain use, this would not mean that such a similarity is inborn. It would just mean that trans people have life experiences similar to cis people who share their identified sex, cultural norms, and gendered behavior.  This is certainly proof that we experience our gendered identities and lives in the same way cis people do.  It is not proof that trans people are born with intersex brains.

Another objection I have is to the foundational premise at hand: that trans men and cis men are uniformly masculine in their gendered behavior and style, and hence distinct from feminine trans and cis women. In fact, there are plenty of men, cis and trans, who are nurturant parents, or who like the color pink, or who are bad at sports. There are many women, cis and trans, who are dominant athletes, have bad verbal skills, are excellent at spatial relations, or who hate primping. Furthermore, plenty of trans people are nonbinary in identity, which can't be explained in the least by this dyadic, reductionist framework.

I also object as someone who is intersex by birth to the framing of trans identity as an intersex condition. The difficulties faced by intersex people can indeed relate to gender identity, since children born intersex today are forcibly assigned a dyadic sex at birth, and often subjected to sex reassignment surgery to which they cannot consent. If the child grows up not to identify with the sex to which ze was coercively assigned, gender dysphoria results. But no test has ever been developed that can determine what the eventual gender identity of an intersex person will be—not in the brain, the chromosomes, the gonads or the genitals. And the issues intersex people face center on forced sex assignment in childhood--something which advocates of the intersex brain thesis tacitly support when they argue that since trans status arises from an intersex brain, it "must" be treated medically. Like many intersex people, I boggle resentfully at the idea held by some trans people that intersex people are “lucky,” have a privileged relationship to the medical community, or are free from stigma in our lives. The belief that being categorized as intersex would lead to advantages, which causes some trans people to frame trans identity as an intersex condition, is deeply flawed.

Finally, I would argue that this entire issue is a distraction. Remember that it was not the discovery of a brain area “causing” homosexuality that led to the relative successes of the LGB community in gaining civil rights. It was activism that led to those gains. The belief that if differences could be shown to be inborn, liberation would result, seems hopelessly naïve to me. Bear in mind that for many decades, scientists argued that women should not be permitted to vote or attend college because their brains were too small. More starkly, consider the Holocaust, which was founded on a belief in inborn racial inferiority.  Some intersex conditions can be detected prenatally, but this has not led to more widespread acceptance of intersexuality.  When these conditions are detected, doctors typically offer to terminate the pregnancy.

For all these reasons, I urge people not to hitch the wagon of trans rights to the idea of inborn, dyadic, neurological differences. Brains are extraordinarily complex and shaped by culture and experience over time. Gender identities are multiple, gender roles constantly evolving, and gender expression varies widely from individual to individual. Intersex people face huge obstacles, and framing us as the lucky group to be emulated denies our suffering.

The solution to transphobia is not neurology, but political activism.