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Timmermans S , Yang A , Gardner M , Keegan CE , Yashar BM , Fechner PY , Shnorhavorian M , Vilain E , Siminoff LA , Sandberg DE
Gender destinies: assigning gender in Disorders of Sex Development-Intersex clinics
Sociol Health Illn. 2019 Nov;41(8) :1520-1534
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Abstract
Based on audio recordings of consultations in three U.S. paediatric multidisciplinary Disorders of Sex Development-Intersex clinics, we examine the process of gender assignment of children with "atypical" genitalia. Rather than fully determined by the presence of biological sex traits, the gender assignment discussion hinges on how clinician and parent collaboratively imagine different aspects of what constitutes being a gendered person. They orient towards the potential for sexual intimacy, fertility, gender dysphoria, stigma, and gonadal cancer risk. While these futures remain inherently uncertain, clinicians and parents plan to mobilise gender socialisation and medical interventions to render their choice of gender a self-fulfilling prophecy. Gender destinies capture that the child always had a specific, innate gender awaiting discovery, and presumes a project for medical and social monitoring, intervention, correction, and optimisation.
Notes
1467-9566 Timmermans, Stefan Orcid: 0000-0002-4751-2893 Yang, Ashelee Gardner, Melissa Keegan, Catherine E Yashar, Beverly M Fechner, Patricia Y Shnorhavorian, Margarett Vilain, Eric Siminoff, Laura A Sandberg, David E Journal Article Research Support, Non-U.S. Gov't England Sociol Health Illn. 2019 Nov;41(8):1520-1534. doi: 10.1111/1467-9566.12974. Epub 2019 Jun 21.