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Between+XX+and+XY:+Intersexuality+and+the+myth+of+two+sexes

Between+XX+and+XY:+Intersexuality+and+the+myth+of+two+sexes

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BETWEEN AND Intersexuality andthe Myth ofTwoSexes GERALDN.CALLAHAN,PH.D.
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X X XY BETWEEN AND Intersexuality andthe Myth ofTwoSexes GERALDN.CALLAHAN,PH.D.
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Library of Congress Cataloging-in-Publication Data Callahan, Gerald N., 1946- Between XX and XY : intersexuality and the myth of two sexes / Gerald N. Callahan. — 1st ed. p. cm. Includes bibliographical references and index. ISBN-13: 978-1-55652-785-2 ISBN-10: 1-55652-785-3 1. Intersexuality. 2. Gender identity disorders. 3. Gender identity. 4. Andrology. I. Title. RC883.C35 2009 616.6’94—dc22 2008040531 Interior design: Jonathan Hahn Illustrations (unless otherwise indicated): Liv Larson Andrews © 2009 by Gerald N. Callahan, Ph.D. All rights reserved First edition Published by Chicago Review Press, Incorporated 814 North Franklin Street Chicago, Illinois 60610 ISBN 978-1-55652-785-2 Printed in the United States of America 5 4 3 2 1
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To my wife, Gina, who makes everything possible; to my children, Jennifer and Patrick, along with my honors students—people who make me think about things like this book; and to Kailana Sidrandi Alaniz, Nicky Phillips, Lisa May Stevens, and Dianne, people who opened my eyes to the world around me.
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Contents Acknowledgments vii Introduction ix 1 The Puzzle of Intersex: The Story of Lenore 1 2 A Brief History of Sex 9 3 Sex Versus Reproduction: Why Are We So Married to the Idea of Two Sexes? 33 4 Where Our Sexes Come From: The Abridged Version 47 5 Where Our Sexes Come From: The Rest of the Story 59 6 What We Do About the Ambiguous Child 115 7 Outcomes: Sex, Surgery, and Satisfaction 127 8 Alternatives: Other Cultures, Other Sexes 143 9 Choices: Exploring the Options 155 Epilogue: Untying the Knot 161 Notes 165 Glossary 175 Resources 183 Index 187
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Acknowledgments I wish to thank doctors Alice Dormurat Dreger and Joel Freder for their critical scientific contributions to and careful reading and revision of portions of this manuscript. I’m also grateful to Jane Dystel and Miriam Goderich for their encouragement and essential contributions to the development of this book. And I want to thank Cynthia Sherry and Lisa Reardon at Chicago Review Press for their interest in and support for what was clearly an unusual book proposal as well as for their contribu- tions to the final draft. vii
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Introduction One morning in the fall of 1998, Lisa May Stevens, then thirty-two years old, methodically loaded her revolver. When she was done she snapped the chamber into place, pushed her strawberry blonde hair behind her ear, and snubbed the barrel of the revolver beneath her jaw. The gun metal felt cool there, reassuring. Lisa May drew a deep breath, let go of her demons, and pulled hard on the gun’s trigger. The chamber rotated and brought the next shell in line with the barrel, and the ham- mer snapped down with all the finality of a slamming door.
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