Gender identity 162025 225657999 2008-07-14T19:42:23Z Cailil 2058793 [[WP:UNDO|Undid]] revision 225657786 by [[Special:Contributions/Hoejamma|Hoejamma]] ([[User talk:Hoejamma|talk]]) - please see [[WP:EL]] {{Refimprove|date=June 2007}} {{transgender}} '''Gender identity''' (or '''core gender identity''') is a person's own sense of [[identification]] as [[male]] or [[female]]. The term is intended to distinguish this [[Psychology|psychological]] association, from [[Physiology|physiological]] and [[Sociology|sociological]] aspects of [[gender]].<ref> "Gender identity is an individual's self-conception as being male or female, as distinguished from actual biological sex." [http://www.britannica.com/eb/article-9036351 Gender Identity], Encyclopædia Britannica Online, 2007.</ref> ''Gender identity'' was originally a medical term used to explain sex reassignment procedures to the public.<ref name=GID> "The term 'gender identity' was used in a press release, November 21, 1966, to announce the new clinic for transsexuals at The Johns Hopkins Hospital. It was disseminated in the media worldwide, and soon entered the vernacular. ... gender identity is your own sense or conviction of maleness or femaleness." [[John Money]], 'The concept of gender identity disorder in childhood and adolescence after 39 years', ''Journal of Sex and Marital Therapy'' '''20''' (1994): 163-77.</ref> The term is also found in psychology, often as ''core gender identity''.<ref name=Psychoanalysis> [[Richard G. Kopff]], [[Edward Nersessian]], ''Textbook of Psychoanalysis'', ([[American Psychiatric Association]], 1996), p. 645.</ref> [[Sociology]], [[gender studies]] and [[feminism]] are still inclined to refer to gender identity, [[gender role]] and [[Sexual preference|erotic preference]] under the catch-all term ''gender''. Gender identity is affected by "genetic, prenatal hormonal, postnatal social, and postpubertal hormonal determinants."<ref> [[John Money]], 'The concept of gender identity disorder in childhood and adolescence after 39 years', Journal of Sex and Marital Therapy 20 (1994): 163-77.</ref> Biological factors include the influence of [[testosterone]] and gene regulation in brain cells. Social factors are primarily based on the [[family]], as gender identity is thought to be formed by the third year of life.<ref name="Psychoanalysis" /> The [[Diagnostic and Statistical Manual of Mental Disorders]] (302.85) has five criteria that must be met before a diagnosis of [[gender identity disorder]] (GID) can be made. "In gender identity disorder, there is discordancy between the natal sex of one's external genitalia and the brain coding of one's gender as [[masculinity|masculine]] or [[femininity|feminine]]."<ref name="GID" /> == Gender identity - below the surface == Most [[human being]]s are considered to be [[cisgender]]ed, attributed to either [[women]] or [[men]], on the basis of their biological sex. Before the 20th century a person's sex would be determined entirely by the appearance of the genitalia, but as [[chromosome]]s and [[gene]]s came to be understood, these were then used to help determine sex. Those defined as [[women]], by sex, have [[sex organ|genitalia]] that is considered female as well as two X chromosomes; those viewed as [[men]], by sex, are seen as having male [[genitalia]], one X and one Y [[chromosome]]. However some individuals have combinations of chromosomes, hormones, and genitalia that do not follow the traditional definitions of "men" and "women". In addition, genitalia vary greatly or individuals may have more than one type of genitalia, and other bodily attributes related to a person's sex (body shape, facial hair, high or deep voice, etc.) may or may not coincide with the social category, as woman or man. Recent research suggests that as many as one in every hundred individuals may have some [[intersex]] characteristic.<ref>{{cite journal |quotes= |last= Blackless|first= Melanie|authorlink= |coauthors= Anthony Charuvastra, Amanda Derryck, Anne Fausto-Sterling, Karl Lauzanne, and Ellen Lee|year= 2000|month= February|title= How sexually dimorphic are we? Review and synthesis|journal= American Journal of Human Biology|volume= 12|issue= 2|pages= 151–166|pmid= 11534012|doi= 10.1002/(SICI)1520-6300(200003/04)12:2<151::AID-AJHB1>3.0.CO;2-F|url= http://bms.brown.edu/faculty/f/afs/dimorphic.pdf|accessdate= 2007-02-15}}</ref> [[Transsexual]] individuals are those who wish to undergo physical surgery to refashion their [[primary sexual characteristics]], secondary characteristics, or both. Typically this will involve removal of penis, testicles or breasts, or the fashioning of a vagina or breasts. Historically, such surgery has been performed on infants who present with ambiguous genitalia. However, current medical opinion is broadly against such proceedures, shaped to a significant extent by the mature feedback of adults who regret these decisions being made on their behalf at their birth. Gender reassignment surgery (formerly ''sex change operations'') elected by adults is also subject to several kinds of debate. One discussion involves the legal sex-gender status of transgender people, for marriage, retirement and insurance purposes, for example. Another involves whether such surgery is ethically sound. Is it a right people should be free to exercise, or is it a responsibility surgeons should accept only in cases of genuine need? The most easily understood case in which it becomes necessary to distinguish between sex and gender is that in which the external genitalia are removed - when such a thing happens through accident or through deliberate intent, the [[libido]] and the ability to express oneself in sexual activity are changed, but the individual's gender identity may or may not change. One such case is that of [[David Reimer]], reported in ''As Nature Made Him'' by John Colapinto. It details the persistence of a male gender identity and the stubborn adherence to a male gender role of a person whose penis had been totally destroyed shortly after birth as the result of a botched [[genital mutilation]], and who had subsequently been surgically reassigned by constructing female genitalia. In other cases, a person's gender identity may contrast sharply with that assigned to them according to their genitalia, and/or a person's gendered appearance as a woman or man (or an androgynous person, etc.) in public may not coincide with their physical sex. So the term "gender identity" is broader than the sex of the individual as determined by examination of the external genitalia. == Formation of gender identity == The formation of a gender identity is a complex process that starts with conception, but which involves critical growth processes during gestation and even learning experiences after birth. There are points of differentiation all along the way, but language and tradition in many societies insist that every individual be categorized as either a man or a woman, although there are societies, such as the Native American identity of a [[two-spirit]], which include multiple gender categories. When the gender identity of a person makes her a woman, but her genitals are male, she will likely experience what is called [[gender dysphoria]], i.e., a deep unhappiness caused by her experience of herself as a woman and her lack of female genitals and breasts. Some research has been done that indicates that gender identity is fixed in early childhood and is thereafter static. This research has generally proceeded by asking transsexuals when they first realized that the gender role that society attempted to place upon them did not match the gender identity that they found in themselves and the gender role that they chose to live out. These studies estimate the age at which gender identity is formed at around 2-3. Such research may be problematic if it made no comparable attempt to discover when non-transsexual people became aware of their own gender identities and choice of gender roles. Some critics question this research, claiming that the studies suffer from a sampling bias. The acquisition of [[hormone replacement therapy]] and [[sexual reassignment surgery]] is generally controlled by doctors. One of the questions some doctors ask to distinguish between "real" transsexuals and others is to ask them when they first felt identification with the opposite sex. The researchers may then be unintentionally eliminating some subjects from consideration when they try to determine a typical time of gender identity formation. There is also a possibility of reporting bias, since transsexuals may feel that they must give the "correct" answers to such questions in order to increase the chances of obtaining hormones. [[Patrick Califia]], author of ''Sex Changes'' and ''Public Sex'', has indicated that this group has a clear awareness of what answers to give to survey questions in order to be considered eligible for hormone replacement therapy and/or sexual reassignment surgery: :"None of the gender scientists seem to realize that they, themselves, are responsible for creating a situation where transsexual people must describe a fixed set of symptoms and recite a history that has been edited in clearly prescribed ways in order to get a doctor's approval for what should be their inalienable right". == Gender identity and sex == <!-- Image with unknown copyright status removed: [[Image:UndefinedSym.jpg|thumb|left| A symbol that depicts that biological gender does not matter in a relationship.]] --> Some people do not believe that their gender identity corresponds to their biological sex, namely [[transgender]] people, including [[transsexual]] people and many [[intersex]]ed individuals as well. Consequently, complications arise when society insists that an individual adopt a manner of social expression (gender role) which is based on sex, that the individual feels is inconsistent with that person's gender identity. One reason for such discordances in intersexed people is that some individuals have a chromosomal sex that has not been expressed in the external genitalia because of hormonal or other abnormal conditions during critical periods in gestation. Such a person may appear to others to be of one sex, but may recognize himself or herself as belonging to the other sex. The causes of [[transgender]]ism are less clear; it has been subject of much speculation, but no psychological theory has ever been proven to apply to even a significant minority of transgender individuals, and theories that assume a sex difference in the brain are relatively new and difficult to prove, because at the moment they require a destructive analysis of inner brain structures, which are quite small. In recent decades it has become possible to surgically [[sex reassignment surgery|reassign sex]]. A person who experiences gender dysphoria may, then, seek these forms of medical intervention to have their physiological sex match their gender identity. Alternatively, some people who experience gender dysphoria retain the genitalia that they were born with (see [[transsexual]] for some of the possible reasons), but adopt a gender role that is consonant with what they perceive as their gender identity. There is an emerging vocabulary for those who defy traditional gender identity - see [[transgender]] and [[genderqueer]]. == Relationship to gender role == {{Seealso|Gender role}} There are probably as many shades and complexities of sexual identity and gender identity as there are human beings, and there are an equal number of ways of working those gender identities out in the intricacies of daily life. Societies, however, tend to assign some classes of social roles to "male" individuals, and some classes of social roles to "female" individuals (as society perceives their sexes). In some societies, there are other classes of social roles for, e.g., surgically neutered physiological male. See [[Hijra (India)]], for example. Sometimes the connection between gender identity and [[gender role]] is unclear. The original oversimplification was that there are unambiguously male human beings and unambiguously female human beings, that they are clearly men and clearly women, and that they should behave in all important ways as women and men "naturally" behave. (Compare [[Heteronormativity]]) Investigations in biology and sociology (see [[Biology of gender]]) have strongly supported the view that "the sex between the ears is more important than the sex between the legs", and the implication has been that people with masculine gender identities will truthfully give external representation of their gender identities by adopting gender roles that are appropriate to men, and, similarly, that people with feminine gender identities will adopt gender roles that are appropriate to women. It may be very difficult to determine, however, whether a specific [[drag queen]] is someone who has a female gender identity and is learning a female gender role, or whether that person is someone with a male gender identity who enjoys mimicking a female gender role to entertain others, to taunt the more rigid members of his society, or for some other reason, such as to repudiate the value or validity of rigid gender roles. Some, such as [[RuPaul]], refuse to be categorized; others use terms like [[genderqueer]] or "gender fluid". Similarly, it may be very difficult to determine, however, whether a specific [[drag king]] is someone who has a male gender identity and is learning a male gender role, or whether that person is someone with a female gender identity who enjoys mimicking a male gender role to entertain others, to taunt the more rigid members of her society, or for some other reason, such as to repudiate the value or validity of rigid gender roles. Some famous people known for their cross-dressing or androgynous appearances in the 20th century include [[Pat Dardis]], [[Dame Edna]], [[Gladys Bentley]], [[David Bowie]], [[Pete Burns]], [[Eddie Izzard]], [[Boy George]], [[Norman Iceberg]], [[k.d. lang]], [[Annie Lennox]], [[Jaye Davidson]], [[Marilyn Manson (person)|Marilyn Manson]], [[Marlene Dietrich]], [[Mylène Farmer]], [[Gackt]], [[Grace Jones]], [[Patrick Wolf]], [[Marc Bolan]], [[Brian Molko]], [[Pat]], [[Phranc]], [[Madonna (entertainer)| Madonna]], [[Prince (musician)|Prince]], [[Susan Powter]], [[Kate Bornstein]], and [[Kristen McMenamy]]. ==Conceptual origins== During the 1950s and '60s, psychologists began studying gender development in young children, partially in an effort to understand the origins of [[homosexuality]] (which was still viewed as a mental disorder at the time). In 1958, the Gender Identity Research Project was established at the [[UCLA Medical Center]] for the study of intersexuals and transsexuals. Psychoanalyst [[Robert Stoller]] generalized many of the findings of the project in his book ''Sex and Gender: On the Development of Masculinity and Femininity'' (1968). He is also credited with introducing the term ''gender identity'' to the International Psychoanalytic Congress in 1963. Psychoendocrinologist [[John Money]] was also instrumental in the development of early theories of gender identity. His work at [[Johns Hopkins University|Johns Hopkins Medical School]]'s Gender Identity Clinic (established in 1965) popularized an interactionist theory of gender identity, suggesting that, up to a certain age, gender identity is relatively fluid and subject to constant negotiation. His book ''Man and Woman, Boy and Girl'' (1972) became widely used as a college textbook, although many of Money's ideas have since been challenged.<ref>{{cite book | last = Haraway | first = Donna | authorlink = Donna Haraway | year = 1991 | title = Simians, Cyborgs, and Women: The Reinvention of Nature | pages = 133 | publisher = Free Association Books | location = London | id = ISBN 0-415-90386-6}}</ref> Money's famous case study was [[David Reimer]]. Money wrote that Reimer's sex reassignment proved that gender identity is socially constructed. Reimer later went public with accusations that he had always identified as male, and that Money had largely fabricated his results.<ref>Colapinto, John. [http://infocirc.org/rollston.htm "The True Story of John/Joan."] ''Rolling Stone'', [[December 11]], [[1997]]: 54–97.</ref> ==Sexual differentiation and neurobiology== There is still much that is unclear regarding the development of the brain and our (core) gender identity. It is known that sex hormones can influence behaviour, eg. aggression and [[libido]] which are under direct influence of [[testosterone]] and power motivation which is under the influence of [[estrogen]].<ref>http://www.sciencedaily.com/releases/2008/05/080522075940.htm</ref> Animal experiments (particularly rodent research) has led to a series of theories on prenatal hormonal influences on gender as well as theories regarding hormone-independent brain development. ===Hormonal influences=== Melissa Hines postulated three models of action of hormonal influences on gender in 2002. *The Classic Model of hormonal influences states that presence of testicular hormones (testosterone) during early fetal life causes a masculine development of rodents, while absence of testicular hormones causes a feminine development. *The Gradient Model describes a more gradual effect of hormonal influences on behaviour. Normal variations in hormones cause movement along a male and female gradient within each sex. Therein we assume that a greater amount of hormones administered in animal tests, creates a more dramatic change in behavior. *The Model of Active Feminization Theory postulates that ovarian hormones are, opposed to the previous mentioned models, needed to induce, in some degree, the female sexual differentiation. It is thought that ovarian hormones cause a lesser, but present effect of mild [[virilization]] to some brain areas.<ref> Hines M, Sexual Differentiation of Human Brain and Behavior. Hormones, Brain and Behavior. Vol. 4. 2002: Elsevier Science (USA). 425-461.</ref> In fact, all these models reveal different aspects of reality. The Classic Model can be explained in a human context through the human disease [[Congenital adrenal hyperplasia|Congenital Adrenal Hyperplasia]] (CAH). This disease causes overproduction of male hormones in females and males, due to a steroid enzyme deficiency (often [[CYP21]]). The influence of [[testosterone]] on the female fetus causes virilization, showing in external sexual genitalia in various degrees: clitoral hypertrophy, labial fusion and sometimes appearing as fully ambiguous genitalia. The behavior of CAH girls is often described to be “[[tomboy]]ish”, more masculine due to the early influences of testosterone. The majority of these females, however, have a female gender identity.<ref>Dessens, A.B., F.M. Slijper, and S.L. Drop, Gender dysphoria and gender change in chromosomal females with congenital adrenal hyperplasia. ''[[Archives of Sexual Behaviour]]'', 2005. 34(4): p. 389-97.</ref> ===Sexual differentiation of the human brain=== Several brain areas have been found to be sexually [[dimorphic]]; they differ between males and females. The [[Sexually dimorphic nucleus|Sexually Dimorphic Nucleus]] of the [[Preoptic area|PreOptic Area]] (SDN-POA) for example, shows a sexually dimorphic difference favoring males; the SDN is normally several times larger in males. When female rats are pre- and postnatally exposed to [[testosterone]] or to (synthetic) [[estrogens]], the SDN-POA appeared similar in size.<ref>Green, R., Sexual Identity and Sexual Orientation. Hormones, Brain and Behavior. Vol. 4. 2002: Elsevier Science (USA). 463-485.</ref> Similar to the SDN, the Interstitial Nucleus of the Anterior Hypothalamus (INAH-3) was found to be almost 3 times as big in males<ref>Allen, L.S., et al., 'Two sexually dimorphic cell groups in the human brain'. ''J Neurosci'', 1989. 9(2): p. 497-506.</ref>. Also the Bed Nucleus of the Stria Terminalis (BNST) has been said to have a sex difference. It appeared 2.5 times larger in men.<ref>Allen, L.S. and R.A. Gorski, 'Sex difference in the bed nucleus of the stria terminalis of the human brain'. ''J Comp Neurol'', 1990. 302(4): p. 697-706.</ref> Surprisingly, a particular part of the BNST, the BNST posteriomedial bed nucleus (BNSTpd), has been found to be female-sized in male-to-female transsexuals.<ref>Zhou, J.N., et al., 'A sex difference in the human brain and its relation to transsexuality'. ''Nature'', 1995. 378(6552): p. 68-70.</ref> Furthermore, in a female-to-male transsexual, the number of somatostatin neurons in the BNSTpd was found to be in the normal male range.<ref>Kruijver, F.P., et al., 'Male-to-female transsexuals have female neuron numbers in a limbic nucleus'. ''J Clin Endocrinol Metab'', 2000. 85(5): p. 2034-41.</ref> ==Non-Western gender identities== {{See also|Third gender|Two-Spirit}} ===Fa'afafine=== In some [[Polynesian]] societies, [[fa'afafine]] are considered to be a "[[third gender]]" alongside [[male]] and [[female]]. They are biologically male, but dress and behave in a manner considered typically female. According to Tamasailau Sua'ali'i (''see references''), fa'afafine in [[Samoa]] at least are often physiologically unable to reproduce. Fa'afafine are accepted as a natural gender, and neither looked down upon nor discriminated against.<ref>SUA'ALI'I, Tamasailau, "[[Samoa]]ns and [[Gender]]: Some Reflections on Male, Female and Fa'afafine Gender Identities", in: ''Tangata O Te Moana Nui: The Evolving Identities of Pacific Peoples in [[Aotearoa]]/[[New Zealand]]'', Palmerston North (NZ): Dunmore Press, 2001, ISBN 0-86469-369-9</ref> ===Hijra=== In the culture of the [[Indian subcontinent]], a [[Hijra (South Asia)|hijra]] is usually considered to be neither a man nor a woman. Most are biologically [[male]] or [[intersex]], but some are biologically [[female]]. The hijra form a third [[gender]], although they do not enjoy the same acceptance and respect as males and females in their cultures. They can run their own households, and their occupations are singing and dancing, working as cooks or servants, sometimes [[prostitute]]s (for men), or long-term sexual partners for men. Hijras can be compared to [[transvestism|transvestites]] or [[drag queen]]s of contemporary western culture.<ref>LORBER, Judith. Paradoxes of Gender. Yale University Press:Yale, 1994. pp. 92-93.</ref> ===Xanith=== The [[xanith]] form an accepted third gender in [[Oman]], an Islamic, gender-segregated society. The xanith are [[male]] [[homosexual]] [[prostitute]]s whose dressing is male, featuring pastel colors (rather than white, worn by men), but their mannerisms female. Xanith can mingle with women, and they often do at [[wedding]]s or other formal events. Xaniths have their own households, performing all tasks (both male and female). However, similarly to men in their [[society]], xaniths can marry women, proving their [[masculinity]] by consummating the [[marriage]]. Should a [[divorce]] or death take place, these men can revert to their status as xaniths at the next wedding.<ref>LORBER, Judith. Paradoxes of Gender. Yale University Press:Yale, 1994. pp. 94-95.</ref> ==See also == * [[Gender bias]] * [[List of transgender-related topics]] * [[Sex/gender distinction]] * [[Queer theory]] * [[Queer studies]] * [[Masculinity]] * [[Femininity]] ==References== {{reflist|2}} ==External links== *[http://www.ifge.org International Foundation for Gender Education] *[http://www.nctequality.org National Center for Transgender Equality] *[http://www.ntac.org National Transgender Advocacy Coalition] *[http://www.gpac.org Gender PAC] *[http://www.transgenderlawcenter.org Transgender Law Center] *[http://www.hrc.org/workplace/transgender Human Rights Campaign Foundation], Transgender Resources for the Workplace *[http://www.hbigda.org The Harry Benjamin International Gender Dysphoria Association] *[http://www.genderology.org Genderology Directory Project], International listing of service providers for those affected by GID {{Sexual Identities}} [[Category:Gender]] [[Category:Gender studies]] [[Category:Self]] <!-- interwiki --> [[br:Stad-den revel]] [[bg:Полова идентичност]] [[cs:Gender]] [[da:Kønsidentitet]] [[de:Identitätsgeschlecht]] [[es:Identidad de género]] [[eo:Seksa identeco]] [[fr:Identité sexuelle]] [[hr:Spol i rod]] [[it:Identità di genere]] [[he:זהות מגדרית]] [[nl:Gender (sekse)]] [[ja:性自認]] [[pt:Identidade de gênero]] [[ro:Identitate de gen]] [[ru:Гендерная идентичность]] [[simple:Gender identity]] [[sv:Könsidentitet]] [[zh:性別認同]]