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Gender identity

Personal sense of one's own gender

Gender identity is a personal sense of one's own gender, which may align or differ from a person's assigned sex. While gender expression often reflects gender identity, it can vary independently, influenced by societal expectations of gender roles. Most societies follow a gender binary dividing masculinity and femininity, but some recognize third gender categories, and others identify as transgender or non-binary. Research, including by the Endocrine Society, supports a biological basis for gender identity, although social constructivists emphasize cultural influences on its expression. The term was coined by Robert J. Stoller and popularized by John Money.

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Archived Web Articles Add Article

Dr. John Money, pioneer in sexual identity, dies

Jul 9 2006

Age of formation

There are several theories about how and when gender identity forms, and studying the subject is difficult because children's immature language acquisition requires researchers to make assumptions from indirect evidence.¹⁶ John Money suggested children might have awareness of and attach some significance to gender as early as 18 months to 2 years; Lawrence Kohlberg argued that gender identity does not form until age 3.¹⁷ It is widely agreed that core gender identity is firmly formed by age 3.¹⁸ ¹⁹ ²⁰ At this point, children can make firm statements about their gender²¹ ²² and tend to choose activities and toys which are considered appropriate for their gender²³ (such as dolls and painting for girls, and tools and rough-housing for boys),²⁴ although they do not yet fully understand the implications of gender.²⁵ After age three, it is extremely difficult to change gender identity.²⁶

Martin and Ruble conceptualize this process of development as three stages: (1) as toddlers and pre-schoolers, children learn about defined characteristics, which are socialized aspects of gender; (2) around the ages of five to seven years, identity is consolidated and becomes rigid; (3) after this "peak of rigidity", fluidity returns and socially defined gender roles relax somewhat.²⁷ Barbara Newmann breaks it down into four parts: (1) understanding the concept of gender, (2) learning gender role standards and stereotypes, (3) identifying with parents, and (4) forming gender preference.²⁸

According to the United Nations Educational, Scientific and Cultural Organization (UNESCO) comprehensive sexuality education should raise awareness of topics such as gender and gender identity.²⁹

Factors influencing formation

Nature versus nurture

Although the formation of gender identity is not completely understood, many factors have been suggested as influencing its development. In particular, the extent to which gender identity is determined by nurture (social environmental factors) versus biological factors (which may include non-social environmental factors) is at the core of the ongoing debate in psychology known as "nature versus nurture".³⁰ ³¹ There is increasing evidence that the brain is affected by the organizational role of hormones in utero, circulating sex hormones and the expression of certain genes.³²

Social factors which may influence gender identity include ideas regarding gender roles conveyed by family, authority figures, mass media, and other influential people in a child's life.³³ The social learning theory posits that children furthermore develop their gender identity through observing and imitating gender-linked behaviors, and then being rewarded or punished for behaving that way, thus being shaped by the people surrounding them through trying to imitate and follow them.³⁴ ³⁵

Large-scale twin studies suggest that the development of both transgender and cisgender gender identities is due to genetic factors, with a small potential influence of unique environmental factors.³⁶

Case of David Reimer and contrasting case

Further information: Nature versus nurture

A well-known example in the nature-versus-nurture debate is the case of David Reimer, born in 1965, otherwise known as "John/Joan". As a baby, Reimer went through a faulty circumcision, losing his male genitalia. John Money advised Reimer's parents to raise him as a girl. Reimer underwent sex reassignment surgery at seventeen months and grew up as a girl, dressing in girl clothes and surrounded by girl toys. In the early 1970s, Money reported that Reimer's sex reassignment to female was a success, influencing the academic consensus toward the nurture hypothesis, and for the following 30 years, it became standard medical practice to reassign intersex infants and male infants with micropenises to female.³⁷

John Money was instrumental in the early research of gender identity, though he used the term gender role.³⁸ He disagreed with the previous school of thought that gender was determined solely by biology. He argued that infants are born a blank slate and a parent could be able to decide their babies' gender.³⁹ In Money's opinion, if the parent confidently raised their child as the opposite sex from earlier than age two, the child would believe that they were born that sex and act accordingly.⁴⁰ Money believed that nurture could override nature.⁴¹

After Reimer tried to commit suicide at age 13, he was told that he had been born with male genitalia. Reimer stopped seeing Money, and underwent surgery to remove his breasts and reconstruct his genitals.⁴² In 1997, sexologist Milton Diamond published a follow-up, revealing that Reimer had rejected his female reassignment, and arguing against the blank slate hypothesis and infant sex reassignment in general.⁴³

Diamond was a longtime opponent of Money's theories. Diamond had contributed to research involving pregnant rats that showed hormones played a major role in the behavior of different sexes.⁴⁴ The researchers in the lab would inject the pregnant rat with testosterone, which would then find its way to the baby's bloodstream.⁴⁵ The females that were born had genitalia that looked like male genitalia. The females in the litter also behaved like male rats and would even try to mount other female rats, proving that biology played a major role in animal behavior.⁴⁶

One criticism of the Reimer case is that Reimer lost his penis at the age of eight months and underwent sex reassignment surgery at seventeen months, which possibly meant that Reimer had already been influenced by his socialization as a boy. Bradley et al. (1998) report the contrasting case of a 26-year-old woman with XY chromosomes whose penis was lost and who underwent sex reassignment surgery between two and seven months of age (substantially earlier than Reimer), whose parents were also more committed to raising their child as a girl than Reimer's, and who remained a woman into adulthood. She reported that she had been somewhat tomboyish during childhood, enjoying stereotypically masculine childhood toys and interests, although her childhood friends were girls. While she was bisexual, having had relationships with both men and women, she found women more sexually attractive and they featured more in her fantasies. Her job at the time of the study was a blue-collar occupation that was practiced almost exclusively by men.⁴⁷ Griet Vandermassen argues that since these are the only two cases being documented in scientific literature, this makes it difficult to draw any firm conclusions from them about the origins of gender identity, particularly given the two cases reached different conclusions. However, Vandermassen also argued that transgender people support the idea of gender identity as being biologically rooted, as they do not identify with their anatomical sex despite being raised and their behaviour reinforced according to their anatomical sex.⁴⁸

Other cases

One study by Reiner et al. looked at fourteen genetic males who had suffered cloacal exstrophy and were thus raised as girls. Six of them changed their gender identity to male, five remained female and three had ambiguous gender identities (though two of them had declared they were male). All the subjects had moderate to marked interests and attitudes consistent with that of biological males.⁴⁹ Another study,⁵⁰ using data from a variety of cases from the 1970s to the early 2000s (including Reiner et al.), looked at males raised as females due to a variety of developmental disorders (penile agenesis, cloacal exstrophy or penile ablation). It found that 78% of those males raised as females were living as females.⁵¹ A minority of those raised as female later switched to male. However, none of the males raised as male switched their gender identity. Those still living as females still showed marked masculinisation of gender role behaviour and those old enough reported sexual attraction to women. The study's authors caution drawing any strong conclusions from it due to numerous methodological caveats which were a severe problem in studies of this nature. Rebelo et al. argue that the evidence in totality suggests that gender identity is neither determined entirely by childhood rearing nor entirely by biological factors.⁵²

Biological factors

Several prenatal biological factors, including genes and hormones, may affect gender identity.⁵³ ⁵⁴ It has been suggested that gender identity is controlled by prenatal sex steroids, but this is hard to test because there is no way to study gender identity in animals.⁵⁵ According to biologist Michael J. Ryan, gender identity is exclusive to humans.⁵⁶

In a position statement, the Endocrine Society stated:⁵⁷

The medical consensus in the late 20th century was that transgender and gender incongruent individuals suffered a mental health disorder termed "gender identity disorder." Gender identity was considered malleable and subject to external influences. Today, however, this attitude is no longer considered valid. Considerable scientific evidence has emerged demonstrating a durable biological element underlying gender identity. Individuals may make choices due to other factors in their lives, but there do not seem to be external forces that genuinely cause individuals to change gender identity.

Transgender and transsexuality

Intersex people

Main article: Intersex

Estimates of the number of people who are intersex range from 0.018% to 1.7%, depending on which conditions are counted as intersex.⁷⁰ ⁷¹ An intersex person is one possessing any of several variations in sex characteristics including chromosomes, gonads, sex hormones, or genitals that, according to the United Nations Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies".⁷² An intersex variation may complicate initial sex assignment ⁷³ and that assignment may not be consistent with the child's future gender identity.⁷⁴ Reinforcing sex assignments through surgical and hormonal means may violate the individual's rights.⁷⁵ ⁷⁶

A 2005 study on the gender identity outcomes of female-raised 46,XY persons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation, found that 78% of the study subjects were living as female, as opposed to 22% who decided to initiate a sex change to male in line with their genetic sex.⁷⁷ The study concludes: "The findings clearly indicate an increased risk of later patient-initiated gender re-assignment to male after female assignment in infancy or early childhood, but are nevertheless incompatible with the notion of a full determination of core gender identity by prenatal androgens."

A 2012 clinical review paper found that between 8.5% and 20% of people with intersex variations experienced gender dysphoria.⁷⁸ Sociological research in Australia, a country with a third 'X' sex classification, shows that 19% of people born with atypical sex characteristics selected an "X" or "other" option, while 52% are women, 23% men, and 6% unsure. At birth, 52% of persons in the study were assigned female, and 41% were assigned male.⁷⁹ ⁸⁰

A study by Reiner & Gearhart provides some insight into what can happen when genetically male children with cloacal exstrophy are sexually assigned female and raised as girls,⁸¹ according to an 'optimal gender policy' developed by John Money:⁸² in a sample of 14 children, follow-up between the ages of 5 and 12 showed that 8 of them identified as boys, and all of the subjects had at least moderately male-typical attitudes and interests,⁸³ providing support for the argument that genetic variables affect gender identity and behavior independent of socialization.

Social and environmental factors

In 1955, John Money proposed that gender identity was malleable and determined by whether a child was raised as male or female in early childhood.⁸⁴ ⁸⁵ Money's hypothesis has since been discredited,⁸⁶ ⁸⁷ but scholars have continued to study the effect of social factors on gender identity formation.⁸⁸ In the 1960s and 1970s, factors such as the absence of a father, a mother's wish for a daughter, or parental reinforcement patterns were suggested as influences; more recent theories suggesting that parental psychopathology might partly influence gender identity formation have received only minimal empirical evidence,⁸⁹ with a 2004 article noting that "solid evidence for the importance of postnatal social factors is lacking."⁹⁰ A 2008 study found that the parents of gender-dysphoric children showed no signs of psychopathological issues aside from mild depression in the mothers.⁹¹ It has also been suggested that the attitudes of the child's parents may affect the child's gender identity, although evidence is minimal.⁹²

Parental establishment of gender roles

Parents who do not support gender nonconformity are more likely to have children with firmer and stricter views on gender identity and gender roles.⁹³ Recent literature suggests a trend towards less well-defined gender roles and identities, as studies of the parental association ("coding") of toys as masculine, feminine, or neutral indicate that parents increasingly code kitchens and in some cases dolls as neutral rather than exclusively feminine.⁹⁴ However, Emily Kane found that many parents still showed negative responses to items, activities, or attributes that were considered feminine, such as domestic skills, nurturance, and empathy.⁹⁵ Research has indicated that many parents attempt to define gender for their sons in a manner that distances the sons from femininity,⁹⁶ with Kane stating that "the parental boundary maintenance work evident for sons represents a crucial obstacle limiting boys' options, separating boys from girls, devaluing activities marked as feminine for both boys and girls, and thus bolstering gender inequality and heteronormativity."⁹⁷

Many parents form gendered expectations for their child before it is even born, after determining the child's sex through technology such as ultrasound. The child thus is born to a gender-specific name, games, and even ambitions.⁹⁸ Once the child's sex is determined, most children are raised to in accordance with it, fitting a male or female gender role defined partly by the parents.

When considering the parents' social class, lower-class families typically hold traditional gender roles, where the father works and the mother, who may only work out of financial necessity, still takes care of the household. However, middle-class "professional" couples typically negotiate the division of labor and hold an egalitarian ideology. These different views on gender can shape the child's understanding of gender as well as the child's development of gender.⁹⁹

A study conducted by Hillary Halpern¹⁰⁰ demonstrated that parental gender behaviors, rather than beliefs, are better predictors of a child's attitude on gender. A mother's behavior was especially influential on a child's assumptions of the child's own gender. For example, mothers who practiced more traditional behaviors around their children resulted in the son displaying fewer stereotypes of male roles while the daughter displayed more stereotypes of female roles. No correlation was found between a father's behavior and his children's knowledge of stereotypes of their own gender. Fathers who held the belief of equality between the sexes had children, especially sons, who displayed fewer preconceptions of their opposite gender.

Gender variance and non-conformance

Main articles: Gender variance, Transsexual, and Non-binary gender

History and definitions

Definitions

The terms gender identity and core gender identity were first used with their current meaning—one's personal experience of one's own gender¹⁰⁹ ¹¹⁰—sometime in the 1960s.¹¹¹ ¹¹² To this day they are usually used in that sense,¹¹³ though a few scholars additionally use the term to refer to the sexual orientation and sexual identity categories gay, lesbian and bisexual.¹¹⁴ Gender expression is distinct from gender identity in that gender expression is how one chooses to outwardly express their gender through one's "name, pronouns, clothing, hair style, behavior, voice or body features."¹¹⁵ It is thus distinct from gender identity in that it is the external expression of gender but may not necessarily portray a person's gender identity and may vary "according to racial/ethnic background, socio-economic status and place of residence."¹¹⁶

Early medical literature

In late-19th-century medical literature, women who chose not to conform to their expected gender roles were called "inverts", and they were portrayed as having an interest in knowledge and learning, and a "dislike and sometimes incapacity for needlework".¹¹⁷ During the mid-1900s, doctors pushed for corrective therapy on such women and children, which meant that gender behaviors that were not part of the norm would be punished and changed.¹¹⁸ ¹¹⁹ The aim of this therapy was to push children back to their "correct" gender roles and thereby limit the number of children who became transgender.¹²⁰

Freud and Jung's views

In 1905, Sigmund Freud presented his theory of psychosexual development in Three Essays on the Theory of Sexuality, giving evidence that in the pregenital phase children do not distinguish between sexes, but assume both parents have the same genitalia and reproductive powers. On this basis, he argued that bisexuality was the original sexual orientation and that heterosexuality was resultant of repression during the phallic stage, at which point gender identity became ascertainable.¹²¹ According to Freud, during this stage, children developed an Oedipus complex where they had sexual fantasies for the parent ascribed the opposite gender and hatred for the parent ascribed the same gender, and this hatred transformed into (unconscious) transference and (conscious) identification with the hated parent who both exemplified a model to appease sexual impulses and threatened to castrate the child's power to appease sexual impulses.¹²² In 1913, Carl Jung proposed the Electra complex as he both believed that bisexuality did not lie at the origin of psychic life, and that Freud did not give adequate description to the female child (Freud rejected this suggestion).¹²³

1950s and 1960s

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 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 intersex and transsexual individuals. 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 Stockholm, Sweden, in 1963.¹²⁴ Behavioral psychologist John Money was also instrumental in the development of early theories of gender identity. His work at 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.¹²⁵ ¹²⁶

Butler's views

In the late 1980s, gender studies scholar Judith Butler began lecturing regularly on the topic of gender identity, and in 1990, they published Gender Trouble: Feminism and the Subversion of Identity, introducing the concept of gender performativity.¹²⁷ Butler argues that the traditional view of gender is limiting in that it adheres to the dominant societal constraints that label gender as binary. In scrutinizing gender, Butler introduces a nuanced perception in which they unite the concepts of performativity and gender.¹²⁸

Present views

Medical field

Transgender people sometimes wish to undergo physical surgery to refashion their primary sexual characteristics, secondary characteristics, or both, because they feel they will be more comfortable with different genitalia. This may involve removal of penis, testicles or breasts, or the fashioning of a penis, vagina or breasts.¹²⁹ In the past, sex assignment surgery has been performed on infants who are born with ambiguous genitalia. However, current medical opinion is strongly against this procedure on infants, and recommends that the procedure be only conducted when medically necessary.¹³⁰ Today, gender-affirming surgery is performed on people who choose to transition so that their external sexual organs will match their gender identity.¹³¹

In the United States, the Affordable Care Act provided that health insurance exchanges would have the ability to collect demographic information on gender identity and sexual identity through optional questions, to help policymakers better recognize the needs of the LGBTQ community.¹³² In 2020, however, the Trump administration finalized a rule that "would remove nondiscrimination protections for LGBTQ people when it comes to health care and health insurance" in the Affordable Care Act and extends to "regulations pertaining to access to health insurance."¹³³ This rule "is one of the many rules and regulations put forward by the Trump administration that defines "sex discrimination" as only applying when someone faces discrimination for being male or female, and does not protect people from discrimination on the basis of sexual orientation or gender identity."¹³⁴

Gender dysphoria and gender identity disorder

Main article: Gender dysphoria

Gender dysphoria (previously called "gender identity disorder" or GID in the Diagnostic and Statistical Manual of Mental Disorders or DSM) is the formal diagnosis of people who experience significant dysphoria (discontent) with the sex they were assigned at birth and/or the gender roles associated with that sex:¹³⁵ ¹³⁶ "In gender identity disorder, there is discordance between the natal sex of one's external genitalia and the brain coding of one's gender as masculine or feminine."¹³⁷ The DSM (302.85) has five criteria that must be met before a diagnosis of gender identity disorder can be made, and the disorder is further subdivided into specific diagnoses based on age, for example gender identity disorder in children (for children who experience gender dysphoria).

The concept of gender identity appeared in the third edition of the DSM, DSM-III (1980), in the form of two psychiatric diagnoses of gender dysphoria: gender identity disorder of childhood (GIDC), and transsexualism (for adolescents and adults). The 1987 revision of the manual, DSM-III-R, added a third diagnosis: gender identity disorder of adolescence and adulthood, nontranssexual type. This latter diagnosis was removed in the subsequent revision, DSM-IV (1994), which also collapsed GIDC and transsexualism into a new diagnosis of gender identity disorder.¹³⁸ In 2013, the DSM-5 renamed the diagnosis gender dysphoria and revised its definition.¹³⁹

The authors of a 2005 academic paper questioned the classification of gender identity problems as a mental disorder, speculating that certain DSM revisions may have been made on a tit-for-tat basis when certain groups were pushing for the removal of homosexuality as a disorder. This remains controversial,¹⁴⁰ although the vast majority of today's mental health professionals follow and agree with the current DSM classifications. In recent years, however, there has been a "growing chorus of voices contesting the pathologization of transgender lives and the dominance of medical-scientific narratives about trans experience."¹⁴¹ As such, in 2019, the World Health Organization removed gender dysphoria from the mental illness chapter and moved it instead to the sexual health chapter, changing the term "Gender Dysphoria" to "Gender Incongruence," thereby removing gender dysphoria as a pathological mental illness.¹⁴²

International human rights law

The Yogyakarta Principles, a document on the application of international human rights law, provide in the preamble a definition of gender identity as each person's deeply felt internal and individual experience of gender, which may not correspond with the sex assigned at birth, including the person's sense of the body (which may involve, if freely chosen, modification of bodily appearance or function by medical, surgical or other means) and other experience of gender, including dress, speech and mannerism. Principle 3 states that "Each person's self-defined [...] gender identity is integral to their personality and is one of the most basic aspects of self-determination, dignity and freedom. No one shall be forced to undergo medical procedures, including sex reassignment surgery, sterilisation or hormonal therapy, as a requirement for legal recognition of their gender identity."¹⁴³ Principle 18 states that "Notwithstanding any classifications to the contrary, a person's sexual orientation and gender identity are not, in and of themselves, medical conditions and are not to be treated, cured or suppressed."¹⁴⁴ Relating to this principle, the "Jurisprudential Annotations to the Yogyakarta Principles" observed that "Gender identity differing from that assigned at birth, or socially rejected gender expression, have been treated as a form of mental illness. The pathologization of difference has led to gender-transgressive children and adolescents being confined in psychiatric institutions, and subjected to aversion techniques – including electroshock therapy – as a 'cure'."¹⁴⁵ The "Yogyakarta Principles in Action" says "it is important to note that while 'sexual orientation' has been declassified as a mental illness in many countries, 'gender identity' or 'gender identity disorder' often remains in consideration."¹⁴⁶ These Principles influenced the UN declaration on sexual orientation and gender identity. In 2015, gender identity was part of the United States Supreme Court case Obergefell v. Hodges in which marriage was no longer legally restricted to be only between man and woman.¹⁴⁷

Opposing views

Main article: Anti-gender movement

The anti-gender movement is a global phenomenon that opposes concepts often referred to as "gender ideology" or "gender theory". These loosely-defined terms are commonly used by the movement to critique a range of issues related to gender equality, LGBT rights, and gender studies including the validity of the concept of gender identity itself.

Originating in the late 20th century, the movement has drawn support from right-wing populist groups, conservative religious organizations, and social conservatives and the far-right worldwide. It views advances in gender inclusion and LGBT rights as threats to traditional family structures, religious values, and established social norms. The movement has been criticized for promoting discrimination and undermining human rights protections, particularly those concerning individuals with diverse gender identities and sexual orientations. Critics argue that it employs misinformation to delegitimize efforts toward gender inclusion and has been described as a form of moral panic or conspiracy theory.

A type of anti-gender rhetoric where people are ascribed a gender that does not match their gender identity is called misgendering. One example of misgendering is deadnaming, i.e. using a pre-transition name for someone instead of a post-transition one.

Measurement

No objective measurement or imaging of the human body exists for gender identity, as it is part of one's subjective experience.¹⁴⁸ ¹⁴⁹ Numerous clinical measurements for assessing gender identity exist, including questionnaire-based, interview-based and task-based assessments. These have varying effect sizes among a number of specific sub-populations.¹⁵⁰ Gender identity measures have been applied in clinical assessment studies of people with gender dysphoria or intersex conditions.

Terminology

Further information: Gender and Sex and gender distinction

Before the § 1950s and 1960s, the term gender was used exclusively as a grammatical category.¹⁵¹ ¹⁵² The terms male and man, or female and woman, were used more or less interchangeably when referring to people of one sex or the other. As the term gender took on new meaning following the work of John Money ¹⁵³[additional citation(s) needed], Robert Stoller, and others, a distinction began to be drawn between the terms sex and gender. As a result of the new understanding of gender, academic usage of the term sex began to be more restricted to biological aspects, and associated with the choices male and female, while the term gender was associated initially with man or boy, girl or woman.¹⁵⁴

Binary gender identities

Further information: Man and Woman

While academic usage of terms man and woman began to diverge at the same time, and become more restricted to concepts related to gender,¹⁵⁵ this distinction was not universal (and still is not) even in academic usage, and even less so in more informal writing or in speech, which often conflate the two.¹⁵⁶ ¹⁵⁷

Non-binary gender identities

Some people, and some societies, do not construct gender as a binary in which everyone is either a boy or a girl, or a man or a woman. Those who exist outside the binary fall under the umbrella terms non-binary or genderqueer. Some cultures have specific gender roles that are distinct from "man" and "woman." These are often referred to as third genders.

Fa'afafine

Main article: Fa'afafine

In Samoan culture, or Faʻa Samoa, fa'afafine are considered to be a third gender. They are anatomically male but dress and behave in a manner considered typically feminine. 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.¹⁵⁸ Fa'afafine also reinforce their femininity with the fact that they are only attracted to and receive sexual attention from straight masculine men. They have been and generally still are initially identified in terms of labour preferences, as they perform typically feminine household tasks.¹⁵⁹ The Samoan Prime Minister is patron of the Samoa Fa'afafine Association.¹⁶⁰ Translated literally, fa'afafine means "in the manner of a woman."¹⁶¹

Hijras

Main article: Hijra (South Asia)

Hijras are officially recognized as third gender in the Indian subcontinent,¹⁶² ¹⁶³ ¹⁶⁴ ¹⁶⁵ being considered neither completely male nor female. Hijras have a recorded history in the Indian subcontinent since antiquity, as suggested by the Kama Sutra. Many hijras live in well-defined and organised all-hijra communities, led by a guru.¹⁶⁶ ¹⁶⁷ These communities have consisted over generations of those who are in abject poverty or who have been rejected by or fled their family of origin.¹⁶⁸ Many work as sex workers for survival.¹⁶⁹

The word "hijra" is a Hindustani word.¹⁷⁰ It has traditionally been translated into English as "eunuch" or "hermaphrodite", where "the irregularity of the male genitalia is central to the definition".¹⁷¹ However, in general hijras are born male, only a few having been born with intersex variations.¹⁷² Some hijras undergo an initiation rite into the hijra community called nirvaan, which involves the removal of the penis, scrotum, and testicles.¹⁷³

Khanith

Main article: Khanith

The khanith form an accepted third gender in Oman. The khanith are male homosexual prostitutes whose dressing is male, featuring pastel colors (rather than white, worn by men), but their mannerisms are female. Khanith can mingle with women, and they often do at weddings or other formal events. Khaniths have their own households, performing all tasks (both male and female). However, similar to men in their society, khaniths 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 khaniths at the next wedding.¹⁷⁴

Two-spirit identities

Main article: Two-Spirit

Many indigenous North American Nations had more than two gender roles. Those who belong to the additional gender categories, beyond cisgender man and woman, are now often collectively termed "two-spirit" or "two-spirited". There are parts of the community that take "two-spirit" as a category over an identity itself, preferring to identify with culture or Nation-specific gender terms.¹⁷⁵

External links

Media related to Gender identity at Wikimedia Commons
"Gender identity" – Encyclopædia Britannica Online
Dr. Money And The Boy With No Penis
International Foundation for Gender Education
National Center for Transgender Equality
Gender PAC (archived 9 February 2011)
Gender Spectrum
Transgender Law Center
Human Rights Campaign Foundation, Transgender Resources for the Workplace (archived 17 May 2008)
World Professional Association for Transgender Health
Genderology Directory Project, International listing of service providers for those affected by GID (archived 9 December 2004)
Gender Identity Research and Education Society (GIRES), British Charity encouraging and reporting on research into gender variance
Gender Anarchy Project
TransFemmeButch A forum and discussion board for trans men, femmes, and butches (archived 18 March 2012)
Born Free and Equal – Sexual orientation and gender identity in international human rights law (OHCHR)

References

Morrow DF (2006). "Sexual Orientation and Gender Identity Expression.". In Morrow DF, Messinger L (eds.). Sexual orientation and gender expression in social work practice: working with gay, lesbian, bisexual, and transgender people. New York: Columbia University Press. pp. 3–17 (8). ISBN 978-0-231-50186-6. Archived from the original on 19 December 2021. Retrieved 19 December 2021. Gender identity refers to an individual's personal sense of identity as masculine or feminine, or some combination thereof. 978-0-231-50186-6 ↩
Bhargava A, Arnold AP, Bangasser DA, Denton KM, Gupta A, Hilliard Krause LM, et al. (May 2021). "Considering Sex as a Biological Variable in Basic and Clinical Studies: An Endocrine Society Scientific Statement". Endocrine Reviews. 42 (3): 219–258. doi:10.1210/endrev/bnaa034. PMC 8348944. PMID 33704446. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8348944 ↩
Summers RW (2016). Social Psychology: How Other People Influence Our Thoughts and Actions [2 volumes]. ABC-CLIO. p. 232. ISBN 9781610695923. 9781610695923 ↩
American Psychological Association (December 2015). "Guidelines for psychological practice with transgender and gender nonconforming people". The American Psychologist. 70 (9): 832–864. doi:10.1037/a0039906. PMID 26653312. S2CID 1751773. /wiki/Doi_(identifier) ↩
"Dr. John Money, pioneer in sexual identity, dies". NBC News. 9 July 2006. Archived from the original on 16 January 2022. Retrieved 16 January 2022. https://www.nbcnews.com/health/health-news/dr-john-money-pioneer-sexual-identity-dies-flna1c9439208 ↩
Bevan TE (2015). The psychobiology of transsexualism and transgenderism: a new view based on scientific evidence. Santa Barbara, California: Bloomsbury. p. 40. ISBN 978-1440831270. 978-1440831270 ↩
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"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." Money J (1994). "The concept of gender identity disorder in childhood and adolescence after 39 years". Journal of Sex & Marital Therapy. 20 (3): 163–177. doi:10.1080/00926239408403428. PMID 7996589. /wiki/John_Money ↩
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Haig, David (April 2004). "The Inexorable Rise of Gender and the Decline of Sex: Social Change in Academic Titles, 1945–2001". Archives of Sexual Behavior. 33 (2): 87–96. CiteSeerX 10.1.1.359.9143. doi:10.1023/B:ASEB.0000014323.56281.0d. PMID 15146141. S2CID 7005542. /wiki/David_Haig_(biologist) ↩
Stuhlsatz, Molly A. M.; Buck Bracey, Zoë E.; Donovan, Brian M. (December 2020). "Investigating Conflation of Sex and Gender Language in Student Writing About Genetics". Science & Education. 29 (6): 1567–1594. Bibcode:2020Sc&Ed..29.1567S. doi:10.1007/s11191-020-00177-9. S2CID 229490367. However, 40% of the students in the genetics of human sex condition and 16% in the genetics of plant sex condition used gender language in their responses. The patterns associated with students who use gender language in their responses in the genetics of plant or human sex conditions are indicative of conflation. ...Conflation of biological sex and gender has been shown to engender unscientific essentialist beliefs about the nature of human difference that could manifest in sexism and transphobia. /wiki/Bibcode_(identifier) ↩
Hall, Jennifer; Jao, Limin; Di Placido, Cinzia; Manikis, Rebecca (July 2021). "'Deep questions for a Saturday morning': An investigation of the Australian and Canadian general public's definitions of gender". Social Science Quarterly. 102 (4). Wiley-Blackwell: 1866–1881. doi:10.1111/ssqu.13021. S2CID 238679176. Archived from the original on 4 December 2023. Retrieved 13 January 2024. The next most common response category pertained to responses in which participants simply provided the terms male and female, without any further description or explanation. Examples of such responses included: 'Gender would be male/female' (A2P45) and 'Male or female' (C3P48). ... As shown, similar proportions of Australian and Canadian participants provided responses that were coded as Feelings/Identification or that were coded as Biology. The stark difference in response patterns by country pertained to responses that were coded as Male/Female: This was the modal category for the Australian participants, with nearly one‐third of participants providing such a response, whereas Male/Female was not even in the top three response categories for the Canadian participants. https://escholarship.mcgill.ca/concern/articles/db78th94f ↩
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Nanda S (1999). Neither Man Nor Woman: The Hijras of India. Wadsworth Publishing Company. p. 116. ISBN 978-0-534-50903-3. Archived from the original on 19 December 2021. Retrieved 19 December 2021. None of the hijra narratives I recorded supports the widespread belief in India that hijras recruit their membership by making successful claims on intersex infants. Instead, it appears that most hijras join the community in their youth, either out of a desire to more fully express their feminine gender identity, under the pressure of poverty, because of ill-treatment by parents and peers for feminine behavior, after a period of homosexual prostitution or for a combination of these reasons. 978-0-534-50903-3 ↩
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Age of formation

Factors influencing formation

Nature versus nurture

Case of David Reimer and contrasting case

Other cases

Biological factors

Transgender and transsexuality

Intersex people

Social and environmental factors

Parental establishment of gender roles

Gender variance and non-conformance

History and definitions

Definitions

Early medical literature

Freud and Jung's views

1950s and 1960s

Butler's views

Present views

Medical field

Gender dysphoria and gender identity disorder

International human rights law

Opposing views

Measurement

Terminology

Binary gender identities

Non-binary gender identities

Fa'afafine

Hijras

Khanith

Two-spirit identities

See also

Further reading

External links

References