An identity is not biological, it is psychological, a pediatrician writes.
“Congratulations, it’s a boy!” Or, “Congratulations, it’s a girl!”
As a pediatrician for nearly 20 years, that’s how many of my patient relationships began. Our bodies declare our sex.
Biological sex is not assigned. Sex is determined at conception by our DNA and is stamped into every cell of our bodies. Human sexuality is binary. You either have a normal Y chromosome, and develop into a male, or you don’t, and you will develop into a female. There are at least 6,500 genetic differences between men and women. Hormones and surgery cannot change this.
An identity is not biological, it is psychological. It has to do with thinking and feeling. Thoughts and feelings are not biologically hardwired. Our thinking and feeling may be factually right or factually wrong.
If I walk into my doctor’s office today and say, “Hi, I’m Margaret Thatcher,” my physician will say I am delusional and give me an anti-psychotic. Yet, if instead, I walked in and said, “I’m a man,” he would say, “Congratulations, you’re transgender.”
If I were to say, “Doc, I am suicidal because I’m an amputee trapped in a normal body, please cut off my leg,” I will be diagnosed with body identity integrity disorder. But if I walk into that doctor’s office and say, “I am a man, sign me up for a double mastectomy,” my physician will. See, if you want to cut off a leg or an arm you’re mentally ill, but if you want to cut off healthy breasts or a penis, you’re transgender.
No one is born transgender. If gender identity were hardwired in the brain before birth, identical twins would have the same gender identity 100 percent of the time. But they don’t.
Here’s what the doctor did when a little boy said he was a girl.
The PS is on-spot:
P.S. If a girl who insists she is male has been on testosterone daily for one year, she is cleared to get a bilateral mastectomy at age 16. Mind you, the American Academy of Pediatrics recently came out with a report that urges pediatricians to caution teenagers about getting tattoos because they are essentially permanent and can cause scarring. But this same AAP is 110 percent in support of 16-year-old girls getting a double mastectomy, even without parental consent, so long as the girl insists that she is a man, and has been taking testosterone daily for one year.