Case of johnjoan why didnt john money inform us other

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Unformatted text preview: are not clear yet Congenital Adrenal Hyperplasia (CAH) Biological vs Assigned Gender • Can one turn a biologically normal XY((XX) into a normal female (male) through rearing? • • • • • • • Case of John/Joan Why didn’t John Money inform us? Other Cases (Bradley, Oliver, Chernick & Zucker, 1998) Micropenis study (Reilly & Woodhouse, 1999) Follow-up Attitude Study (Meyer-Bahlberg, 2004) Ethical Issues Current practice “Disorders of Sexual Development (2006, Consensus Conference) ” • Rename intersex • New classification • Reassignment – Complete Androgen Insensitivity Syndrome (XYs) & Congenital Andrenal Hyperplasia (CAH)(XXs) assigned female gender – 5 alpha reductase (XYs)-assigned to male gender • (based on current data which suggests that 2/3 of those originally assigned female and all of those originally assigned male live as males) – Micropenis assigned to male – Appearance altering surgery not urgent – Multidisciplinary teams to decide Is Gender a Social Construction? • Some of the time? • Partially? • There appears to be a biological influence? • It’s going to take a good 50 years to figure this out....
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