Chapter 1. The Boy Who Was a Girl

Synopsis

Human Development Video Activity
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You must read each slide, and complete any questions on the slide, in sequence.
gender differences
Differences in cultural expectations for the roles and behaviors of men and women.
gender identity
A person’s perception of himself or herself as male or female.
intersex
A variety of conditions in which an individual is born with sexual or reproductive anatomy that is not able to be categorized as either male or female.
nature
A general term for traits, characteristics, abilities, and inabilities that are inherited and genetically-derived as opposed to developing them from experience and/or environmental influences.
nurture
A general term for any environmental factors (i.e. parents, nutrition, community) that influence an individual's development after conception.
self-concept
The way in which one sees and understands oneself that includes one's perception of one's own appearance, personality, competence, and individuality.
self-esteem
The way in which one feels about oneself and how one values one's self. Self-esteem can be affected by one's environment and interactions with others.
sex differences
The biological differences between males and females.
sexual orientation
An individual’s sexual attraction to and sexual preference for members of the same sex, members of the opposite sex, and/or members of either sex. While some research suggests that sexual orientation endures over time, even over a lifetime, other research suggests that sexual orientation may not fit neatly into these categories and may be fluid and change over the course of a lifetime.

The Boy Who Was a Girl

Author

Pauline Davey Zeece, University of Nebraska – Lincoln

Synopsis

A form asking for you to check a box for male or female

This activity features the case of David/Brenda Reimer as an exploration of what it means physically and emotionally to be a boy or a girl. Gender identity and gender differences are examined in light of the Reimer case study as well as the research of John Money and Milton Diamond.

REFERENCES

American Academy of Pediatrics. (2007). Evaluation of the Newborn with Developmental Anomalies of the External Genitalia: Position Paper. Retrieved December 28, 2007, from http://aappolicy.aappublications.org/cgi/content/full/pediatrics;106/1/138

Cornell University Department of Plan Pathology and Plant-Microbe Biology Online Glossary. Retrieved September 25, 2009: www.plantpath.corell.edu/glossary/Defs_l.htm

Delamar, G. (1987). Mother Goose: From Nursery to Literature. Lincoln: University.com, Inc.

What is intersex? Intersex Society of North America. Retrieved September 27, 2012. From http://www.isna.org/faq/what_is_intersex.

Winnipeg Sun of Winnipeg, Manitoba, Canada, on Monday May 10, 2004: http:www.cirp.org/news/winnipegsun05-10-04/

What Are Little Children Made Of?

Two newborns sleeping side by side
Are they boys or girls?

What makes a child a boy or a girl? Around 1820, Robert Southey published the following nursery rhyme as part of a larger poem entitled What Folks Are Made Of:

What are little boys made of, made of?
What are little boys made of?
“Snips and snails and puppy dogs’ tails;
That's what little boys are made of.”

What are little girls made of, made of?
What are little girls made of?
“Sugar and spice and all things nice;
That's what little girls are made of.”

What do you think this English poet who lived at the turn of the nineteenth century was saying about gender differences and gender identity? When it comes to the children of today, how would you define gender differences and gender identity?

Gender Differences

Two infants in diapers

Identity as a male or a female is a crucial component of self-concept and a major source of self-esteem. Social scientists typically distinguish between sex differences, which are biological, and gender differences, which are cultural. As with every nature-nurture distinction, social scientists recognize that the interaction between sex and gender sometimes makes it difficult to separate these influences from one another. Thus, experts, teachers, and parents may disagree about the various effects that biology and environment have on gender development. The number of theories of gender differences reflects the vast variety of views on gender and gender differences.

Theories of Gender Differences

A young boy and girl lying on their stomachs smiling and looking at the camera

Let us review a main aspect of each of five major theories about gender differences.

Freudian theorists believe that gender differences are a result of unconscious, incestuous urges.

Behaviorist theorists believe that gender differences are a result of social reinforcement.

Cognitive theorists believe that gender differences may be attributed to immature categorization.

Sociocultural theorists believe that gender differences are related to patterns found throughout the culture.

Epigenetic theorists believe that gender differences are a result of the hereditary aspects of brain and body development.

Gender Identity

Over the past 50 years, Erikson’s term, sexual identity, has been replaced by the term, gender identity. Gender identity refers to a person's self-definition as male or female and acceptance of the roles and behaviors that society associates with these biological categories. Gender identity often coincides with gender role and sexual orientation but not always.

In rare instances, a child is born with a reproductive or sexual anatomy that does not seem to fit the typical definitions of either a female or a male. These children are labeled as intersex. Intersex is a socially constructed category that reflects actual biological variation. This biological occurrence often constitutes a social emergency that impacts the future of the family and specifically, the future of the infant. The decision as to which gender to rear a baby born with ambiguous genitalia is based on a number of considerations, including fertility potential, capacity for normal sexual functioning, endocrine function, and testosterone imprinting (American Academy of Pediatrics, 2007).

What happens when a child born as a biological male experiences gender reassignment at birth? Will the influence of the child’s environment be sufficient to override biology? Will the child’s gender identity conform to the reassigned gender?

Consider the story of David Reimer and Dr. John Money that is presented in the video clip to see if it might help you to answer some of these questions.

David Reimer and and Dr. John Money

Question 1.1

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The traditional view of gender identity as described in this video argues thatall individuals are born with a sense of being a boy or a girl. This unchangeable, naturalinstinct for being a boy or a girl iss programmed before birth and supports the idea thatgender identity is natural. Dr. Money challenged this idea calling it a “stereotype.” Hisadvice to Janet Reimer that she could turn her boy into a girl means that Dr. Moneybelieved that gender identity is not at all natural but is something that can be taught,changed, and nurtured

Another View

Dr. Milton Diamond, a professor of anatomy and reproductive biology, refuted Money’s Theory of Gender Neutrality with his findings on gender differences in rat brains. With the cooperation of Reimer's supervising psychiatrist, Dr. Diamond located the adult Reimer and found that Dr. Money’s sex reassignment of Reimer had failed. This case, which Diamond named “John/Joan” to protect Reimer's privacy, has become one of the most cited cases in the literature of psychiatry, psychology, women’s studies, child development, and biology of gender.

Play the video to learn about Brenda Reimer’s reaction to her gender identity and about Dr. Money’s response to reports on Brenda’s progress.

The End of the Story

Here are excerpts from David Reimer’s obituary as it was published in the Winnipeg Sun of Winnipeg, Manitoba, Canada, on Monday, May 10, 2004.

A Winnipeg man who was born a boy but raised as a girl in a famous nurture-versus-nature experiment has died at the age of 38. David Reimer, who shared his story in the pages of a book and on the TV show Oprah, took his own life last Tuesday.

“He liked music. He liked jokes. He was a very funny guy,” said Janet, who spent Mother’s Day grieving the loss of her son. “He was so generous. He gave all he had.”

The funeral is today at 1 p.m. at Klassen Funeral Chapel.

Play the video to find out how David Reimer spent the last part of his life. As you watch the clip, think about the most important lessons that can be learned from his story.

Assessment: Check Your Understanding

Two newborns sleeping side by side

Question 1.2

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That’s right! The research team believed that nurture can override nature under these circumstances.
Sorry. They believed that the main key to the development of gender identity is neither genetic nor hormonal but that gender identity is determined by how children are raised during the first two years of life.

Assessment: Check Your Understanding

Two infants in diapers

Question 1.3

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Correct. Brenda was unhappy at home and at school, where she was bullied,teased, and had no friends.
Sorry. Brenda was unhappy at home and at school, where she was bullied, teased, and had no friends.

Assessment: Check Your Understanding

A young boy and girl lying on their stomachs smiling and looking at the camera

Question 1.4

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Correct! Even though David struggled throughout his entire life, he wasmuch happier as a man and enjoyed being a husband and a father._feedback_incorrect: Sorry. Even though David struggled throughout his entire life, he was muchhappier as a man and enjoyed being a husband and a father.

Assessment: Check Your Understanding

A form asking for you to check a box for male or female

Question 1.5

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The rights of Brenda Reimer as a research participant were violated when Dr. Money failed to report Brenda’s severe unhappiness as a teenager and allowed the public and the scientific community to think that Brenda’s gender reassignment was proceeding without problems. Dr. Money was ethically required to report new developments even though his earlier research results related to the Reimer case and his concomitant fame might have been negatively impacted. Furthermore, Dr. Money did not attempt to help Brenda when her local therapist reported that she was struggling terribly. David Reimer was the victim of a tragic medical error, an unethical researcher, a bullying social system, and a dishonest business partner. The most important lesson to be learned from this case must be personally derived from your own sense of what is right and wrong. Just because a theory seems plausible or logical, that does not mean that it will work well in real-life situations. The feedback and personal experiences of individuals subject to research are vital and critical components to the interpretation of research results and findings and should never be ignored ESPECIALLY if those personal experiences contradict the original hypothesis.

Congratulations! You have completed this activity.Total Score: x out of x points (x%) You have received a provisional score for your essay answers, which have been submitted to your instructor.