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Intersex- cause of GID?

Started by LordKAT, January 05, 2011, 10:53:21 AM

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LordKAT

I was reading an article and came across this:
     
Quote

Genital defects usually are caused by abnormal levels of sex hormones during fetal development.
  ...
      To determine the sex of an infant with ambiguous genitals, a physical examination and blood tests to analyze chromosomes and check hormone levels are done.
    *
      Gender is then assigned, and hormones, surgery, or both may be needed.

Most experts believe that the child's sex must be assigned quickly. Otherwise, bonding by the parents to the child may become more difficult, and the child may develop a gender identity disorder

quoted from: http://www.merckmanuals.com/home/sec23/ch265/ch265d.html

The bolded lines are where I have issue.  Does anyone think that the bond babies have with parents really affect GID? Why not wait and let a child define their own identity, especially if intersexed? What gives? Does assigning a gender really affect a parental bond? Has it ever been tried with not assigning a gender at the start? If not, how can they say it is so and if so, where and who did they try it with? What happened?  Oi! Too many ponderings for this early in the morning.
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Renard

I think the issue is more the parents in cases like this; a lot of people may simply not be up to raising a child in a non-gendered manner. A baby doesn't care what's between its legs. However, people treat babies very differently based off what they perceive the child's gender to be, and a lot of this behaviour isn't even intentional. Getting rid of those biased behaviours is hard work - it basically requires constant, vigilant censorship - and my guess is that most new parents believe they have enough on their plate.
(Sorry if that sounds rambly. Hopefully it sorts of makes sense? I'm a bit rushed x3)

I recall reading about a case in Sweden(I think?) about two parents raising their child in a gender-neutral manner. Nobody besides them and their doctor, if I recall correctly, know the child's biological sex. Might be worth keeping an eye on?


EDIT - I just wanted to quickly add that I imagine instances of GID in intersex children who are not assigned genders 'quickly' would probably be the (partial) result of presumably well-meaning but misguided parents. A lifetime of conforming to gender 'norms' can't just be erased at the drop of a hat, and I assume receiving mixed messages from one's parents, or inconsistent messages, would be tough for anybody to come to terms with.
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rejennyrated

Ken, based on my own experience I would say that the exact inverse of what the morons who wrote the article suggest is true. Forcibly reassigning a baby without asking them what they feel is mutilation and assault and those who practice such  barbaric practices should have it done to them and see how they like it.

And Renard - I am sorry but I TOTALLY disagree. I perceive that you may be of the school that believes that gender is largely the result of nurture. Personally I would say that this is decidedly not the case. I think gender identity is hardwired into our brains from birth and I can think of nothing that anyone could say that would convince me otherwise. By the age of five I was sufficiently convinced that I was NOT male that I was willing to openly voice it and thankfully in my case I was believed.
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Renard

To clarify, I don't think gender's one hundred percent nurture or nature - I was talking about gendered behaviour - for example, people generally speak louder when dealing with a child dressed in blue, and speak more softly and use more baby talk when speaking to a child dressed in pink. People raised on the receiving end of these treatments pass them on, often without realizing it, by treating their children the same way.
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Janet_Girl

Parents will bond with their child regardless of any birth defect.  Cleft pallet, missing limbs or ambiguous genital, parents will over look them all and just love their child..  So it is not necessary to gender the child right away.  You raise the child with love and attention, not based on what is between the baby's legs.
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rejennyrated

Quote from: Renard on January 05, 2011, 12:54:45 PM
To clarify, I don't think gender's one hundred percent nurture or nature - I was talking about gendered behaviour - for example, people generally speak louder when dealing with a child dressed in blue, and speak more softly and use more baby talk when speaking to a child dressed in pink. People raised on the receiving end of these treatments pass them on, often without realizing it, by treating their children the same way.
Fair enough - that may be the case - although I am not sure how one would demonstrate it. I don't know how my mother treated me when I was very tiny other than from her own subsequent explanations.

She always said that she believed that she should take her cues from me - so if I had behaved in what she felt was a masculine manner she would have treated me more as a male and as in fact I was always rather sensitive, talkative and shy she probably did treat me in a rather more female manner. That however is observation after the fact and therefore is hardly scientific.
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lilacwoman

careful research shows mothers and female relatives respond to and treat female babies differently to males babies and fathers and male relatives treat and respond differently to male babies so if the only marker between babies is genitals then a TS baby will be wrongly treated right from day one.

Been there had that.
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rejennyrated

Quote from: lilacwoman on January 05, 2011, 02:00:49 PM
careful research shows mothers and female relatives respond to and treat female babies differently to males babies and fathers and male relatives treat and respond differently to male babies so if the only marker between babies is genitals then a TS baby will be wrongly treated right from day one.

Been there had that.
Very probably true - but in this thread we were really talking about babies where there is some degree of intersex condition either visible or diagnosed via testing.

In that case the question is more interesting because it may not be obvious to the parents what sex their child truly is.

For example although I was never told as a child, when I subsequently discovered in later life that I had genetic markers for a mild intersex condition I wondered what my mother may have known. As my family were wealthy they had the best available private health care in the 1960's and I know that I was tested in early childhood for all sorts of unspecified things. I never knew what, and indeed my early medical records were conveniently selectively destroyed when I was transferred to the NHS under the pretext of tidying up the file when I went up to university so I do wonder if anything was known...
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LordKAT

Quote from: Renard on January 05, 2011, 12:54:45 PM
To clarify, I don't think gender's one hundred percent nurture or nature - I was talking about gendered behaviour - for example, people generally speak louder when dealing with a child dressed in blue, and speak more softly and use more baby talk when speaking to a child dressed in pink. People raised on the receiving end of these treatments pass them on, often without realizing it, by treating their children the same way.

This was done with a female infant and telling people the baby  was male and people acted as the baby was male.
The reverse was also true.

As Jenny stated, this thread that makes no difference as we are talking about intersex conditions where the gender is an unknown.
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spacial

The Mereck Manual is one of the standard texts that many traning colleges teach their students to use. I use it myself, regularly.

As to some of the more controversial views and opinions expressed, I will always remember a consultant phsicsian I knew in Scotland who said of the manual, 'It's useful to check what someone else thinks!!'

No serious researcher would rely upon once source. The Mereck Manual just happens to be a rather useful and authoritive source for certain types of information and approaches, contained in a small, rather handy volume.

I also have to say, that I doubt this sort of information can ever be seen as particularly important in affecting parental atitudes Much more important is the ->-bleeped-<-ure within which the parents live.
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Renard

I really haven't heard of any research about raising intersex children, or assigning gender (the blue/pink baby stuff I was talking about is just standard psych textbook fodder). It would be interested to hear from some members of the forum who are intersex and either were or were not assigned a gender at birth, and their thoughts on this.

Also - Rejennyrated, your mother sounds like a good woman ^^


http://www.intersexinitiative.org/pdf/dreger-compare.pdf
- this has some basic information about what appear to be the two most popular models regarding intersex children and their (and I use the following term loosely) 'treatment'. It notes that intersex children experience higher rates of gender transition, like the OP's source, though it doesn't mention the parent-child bond.

Edit - This page, from the same site, has some quick info about the relation between GID and intersex - just figured it was relevant :)
http://www.intersexinitiative.org/articles/gid.html
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rejennyrated

Well as I have stated as it happens I am/was intersex although I did not know it until some while after I had completed my transition and SRS. This makes me almost a control subject because I was not aware.
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Karla

It seems to me that the infant child will be more likely to develop GID if their sex is (re)assigned based on chromosome tests rather than when there's a lack of bonding. I bonded plenty and now look at me. :-\
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Northern Jane

Much of the current practice regarding gender is still under the shadow of Dr. John Money (despite his spectacular failures!) and still promoted by quacks such as Dr. Ken Zucker.

The better informed practitioners are now aware of a multitude of factors but the critical factor is believed to be androgen exposure in the second trimester of pregnancy. Genital appearance is more dependant on androgen influences in the early weeks of pregnancy.  If gonads do not appear likely to be functional, the nod is generally given to genitals.

Except for a few hold-outs from the dark ages, androgen exposure during brain development is considered to be the determining factor in gender identity and generally accepted as immutable after birth.
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sneakersjay

I've met two intersexed people who had ambiguous genitalia at birth.  One had a vagina and uterus but deformed ovaries and not testicles; parents waited until kid could decide and he id'd as male, had corrective surgery in his teens, and lives as male.  The other guy also had ambiguous genitalia but I don't know the status of any potential internal organs.  His parents also let him live genderless until he told them he identified as male.  I met him in Serbia because Dr. Miro was fixing his junk.


Jay


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LordKAT

QuoteThe Mereck Manual just happens to be a rather useful and authoritive source for certain types of information and approaches, contained in a small, rather handy volume.
-from Spacial

My problem is exactly this. This 'authoritative' manual seems to think that assigning gender must be done quickly. Are there manuals with as much authority which say do not?

QuoteIt notes that intersex children experience higher rates of gender transition
-from Renard

This would not be true if they were not assigned a gender too early. If they told themselves instead of having someone else (doctor) decide for them before they can articulate which gender is theirs.

QuoteEdit - This page, from the same site, has some quick info about the relation between GID and intersex - just figured it was relevant :)
http://www.intersexinitiative.org/articles/gid.html

Actually all it says is intersex people don't want trans people to call themselves intersex and that most intersex people are happy with the gender choice made for them. The site is run by advocates of intersex people and not unbiased at all.

Quote from: Karla on January 05, 2011, 04:14:54 PM
It seems to me that the infant child will be more likely to develop GID if their sex is (re)assigned based on chromosome tests rather than when there's a lack of bonding. I bonded plenty and now look at me. :-\

While I agree with this statement , the question is why a parent would have difficulty bonding if gender is not assigned at or near birth.

@Northern Jane   What has that to do with bonding or assigning gender?

@sneakers Jay  Interesting and good stories but they were still officially assigned a gender at birth, were they not? Did that assigned gender match their true gender?

Would they have bonded with their parents if they weren't assigned at birth? and much as people try for genderless raising, I think it would be difficult to do as so many things are gendered. One thing is what restroom they used at school, what gym class, what pronouns were used at home when they were young? How were they named?

I guess I don't see parents not bonding just because a doctor didn't tell them they have a son or daughter instead of saying a healthy child. Why can the BC not be left blank until a later date such as age 16 or something?
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Renard

With regards to the links I posted - I know they're unbiased, I was just trying to get some info. I did try to find some studies from medical journals, but there are very few relevant ones :/ And for the ones that I did find, I was only allowed the read the excerpts. The Merck manual doesn't cite any of its sources, by any chance, do they? I checked out the doctor who reviewed that article, and couldn't find any studies by him that seemed relevant, though I'm still looking.


And I overheard something yesterday I thought might be worth mentioning. Two university kids were talking about having a hermaphrodite child. I'm well aware that intersex =/= hermaphroditism, but their respective attitudes were what struck me. The first kid said it would be 'cool', amongst other things, and the second kid responded with 'What? It would be a nightmare!' and went on to talk about how the child would have to go through therapy, face social rejection, and so on.

Going on the second kid's views, I guess stress might be one reason the parent-child bond would be affected? Sure, some people are understanding and handle it fine, but you'd undoubtedly get some parents who would be stressed and agitated from  worrying about their child. They might subconsciously view the child as the cause of that stress, which would in turn colour their interactions with their child, and affect the bond.

Again, it's just an idea. I'm not trying to justify the manual's claim, just explain it.
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LordKAT

That parent child bond is mostly formed within the first hours and days of  a child's life. A parents outlook could very well affect it. I think most parents know that physical aspects can be easily overcome with todays medical treatments. If a doctor said they could not tell which gender your child was, would you really not love them as much? I just don't see that.
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LordKAT

QuoteChildren born with genitals that are not clearly male or female (see Birth Defects: Genital Defects) usually do not have a gender identity problem if they are decisively reared as one sex or the other, even if they are raised in the gender role that is opposite their biologic sex pattern. There have been some highly publicized cases, however, in which this approach has failed.

- this is also from the Merck Manual. John Money anyone? This manual , if highly regarded, needs to be changed. Doctors who  look to this need to be aware of how wrong it is much like some thoughts on the ..(brain dead but I think you know what book I mean)
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envie

#19
People just seem to need to know at all cost who are they dealing with in regards to their gender in order to establish some connection. Something like "do I need to be cautious and afraid of you or are you potential mating partner"?.
This seems to be projected onto the relationship with the newborns which just seems so sick!

I have a daughter but I usually like to say to people that it appears to be a girl rather than it is a girl.
We are doing everything possible to not to sexualize her and raise her in gender neutral way.
She is a human, a child and there is no difference to us how to treat her in regards to her genitals. She does not have a gender that we know of yet as she is too young. We relate to her as our child and that is all we need to bond with IT and we love it more than anything in the world.

And yes, we are constantly fighting the sexualization attempts of other people who seem to be so eager to put her in one or the other drawer.
I believe we are giving our child complete palette of experiences, relationships and interactions regardless of her sex/gender wich would only make her well rounded person and help her figure out who she is on her own.

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