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Tuesday, October 20, 2015

Middlesex | The Oracular Vulva

Peter Luce had appeared on Phil Donahue along with two hermaphrodites and a transsexual to discuss both the medical and psychological aspects of these conditions. On that program, Phil Donahue said, "Lynn Harris was born and raised a girl. You won the Miss Newport Beach Contest in 1964 in good old Orange County, California? Boy, wait till they hear this. You lived as a woman to the age of twenty-nine and then you switched to living as a man. He has the anatomical characteristics of both a man and a woman. If I'm lyin', I'm dyin'."

He also said, "Here's what's not so funny. These live, irreplaceable sons and daughters of God, human beings all, want you to know, among other things, that that's exactly what they are, human beings."

Because of certain genetic and hormonal conditions, it was sometimes very difficult to determine the sex of a newborn baby. Confronted with such a child, the Spartans had left the infant on a rocky hillside to die. Luce's own forebears, the English, didn't even like to mention the subject, and might never have done so had the nuisance of mysterious genitalia not thrown a wrench into the smooth workings of inheritance Law. Lord Coke, the great British Jurist of the seventeenth century, tried to clear up the matter of who would get the landing estates by declaring that a person should "be either male of female, and it shall succeed according to the kind of sex which doth prevail." Of course, he didn't specify any precise method for determining which sex did prevail. For most of the twentieth century, medicine had been using the same primitive diagnostic criterion of sex formulated by Klebs way back in 1876. Klebs had maintained that a person's gonads determined sex. In case of ambiguous gender, you looked at the gonadal tissue under the microscope. If it was testicular, the person was male; if ovarian, female. The hunch here was that a person's gonads would orchestrate sexual development, especially at puberty. But it turned out to be more complicated than that. Klebs had begun the task, but the world had to wait another hundred years for Peter Luce to come along and finish it. 

In 1955, Luce published an article called "Many Roads Lead to Rome: Sexual Concepts of Human Hermaphroditism." In twenty-five pages of forthright, high-toned prose, Luce argued that gender is determined by a variety of influences: chromosomal sex; gonadal sex; hormones; internal genital structures; external genitals; and, most important, the sex of rearing. Drawing on studies of patients at the pediatric endocrine clinic at New York Hospital, Luce was able to compile charts demonstrating how these various factors came into play, and showing that a patient's gonadal sex often didn't determine his or her gender identity. The article made a big splash. Within months, pretty much everyone had given up Klebs's criterion for Luce's criteria.

On the strength of this success, Luce was given the opportunity to open the Psychohormonal Unit at New York Hospital. In those days he saw mostly kids with adrenogenital syndrome, the most common form of female hermaphroditism. The hormone cortisol, recently synthesized in the lab, had been found to arrest the virilization these girls normally underwent, allowing them to develop as Luce oversaw the girls' psychosexual development. He learned a lot. In a decade of solid, original research, Luce made his second great discovery: that gender identity is established very early on in life, about the age of two. Gender was like a native tongue; it didn't exist before birth but was imprinted in the brain during childhood, never disappearing. Children learn to speak Male or Female the way they learn to speak English or French.