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DISCUSSION<br />
"P@t. e alrair oIhP thnst tk! do mt btg tor "'t'^tatut" @'I tnr' dE6<br />
-ii,tr)i ,ii,iii; 'i' -*",;" .r t;@enas 'ha oE otknr'oftd B d'r'<br />
Th. oai idaa of rh. preer nudv is lo d'li" th' t'm t'ro (8cn&r<br />
dyspnric), id.t iry iG div.& tvD.3 dd di$inguish batw4' lhc @l ed fake lt'd<br />
of Paktbn, tt .ins to.min. the i.bom poportid! of Mc'tiro'Jtmtiire gtnd$<br />
$ th. mjor €e of 8ad.r dvstldn ed s t toot fot suh'cqudt q|lonztion of<br />
difennt lyDe of Scnder dvsphorica lt cxDinca lhe dilfcme bctw'cn lh' r'f<br />
coep,r lnd impa.t ol th. g.nd q on t* st'ruttP ftDi'ie @td @'nie iat6 s<br />
Evdlcd by Flf{o*pt qlc, nd .1o ih' dlsimilditv lnd idplot of Eliglous<br />
b.li.& d ih. .t Esd .nd .o,ta'led b'hltir ol Mllaro_Fcmtl' 8'ndcr<br />
dtsphorics, tt flrlher inrestig.tcs thc eiTds ol fanilv €liaious terchin8t o'<br />
fomularing the s.ll{o6p1 .nd Etigiou! belitls ofth€s !'ndcr d}5phori6<br />
Gcmmtly p@Ple in Psldrd !d rcilhcr @ll v'6td i'' not silling to<br />
ft@gria !e @nflicdng situalion of gcnds dvslhodcs Tltv 'idicul' $cm Dd<br />
Ndly f. ro c.Gllv d.firc ilEir *d8p fr,ffi6 Th@8I lh'v @ shon of<br />
adequrte infomadon tbout the cd$ aid vdhne of gcndo dvsDnoicq vct e<br />
@lly v!ry much fdilid silh tttta bct@ rh" s rh@ "dnd !d tknowl'dgc<br />
$er d tan of$cir sictv Ev.n $. nost e
Thc d6iF to dB in rnc cbihing oflh' ot'si!' *x b a ph4@enon thd<br />
h6 .xisd in .vcry osc obd cultue 'd *'! &n'd as 'Td*'slis" Ac@ding lo<br />
M.m@tu (2ool) n.nv tr.nw.nit6 bdidd twing dc f*linlt of b'loieing ro lhc<br />
opposile ex .le dcaic to cN'd6s dd belicvc $al th'v ha!' b@n giv'n lhc<br />
wMg body, .st ciaUv lhe rrcng crLd'l $r chaFckrisica ud lh'v rh'EfoG Mnr<br />
10 b. oFdGd upon s dBt lhcir bodv l@b s ruch s lhtt of tn' oDDosil€ *x Dr'<br />
A.njonin (1964) coinod uE woii Gctulcr DtsPI$i!' ' lcm which htrs bcen u*d<br />
noE ed m@ i. |!gl y6.<br />
& ton.vcslism and lansxulaism sir' ri$ 6 Fanv pobltms: wialr<br />
hcdical, .lhiel and t.s.!, v.r nor much *Fditu ts b'!n gtin'd m dE b'sic<br />
chlr{cLrinics of th.c ph€.oh.m s to $tai sues rn'o' how rh'v pdgre$ $d<br />
how to tE.l lh@ Mo61ofth. vtitin$ on dE aubjccl @'sisr of Nuoptiod and $e<br />
dekions tnd pnysici.s m.t. h..s of tra'qulais Some oftte imPorbtt<br />
!$mptioN tlve b..n b.s.d on shatv ihoEtic'l donine kt'lv' Di Bcnjmit<br />
(196a), Rolh !d B.ll (1964). cd sid Stouc' (1966) hlvc poinild o ln' red of<br />
sysr.malic creninltions of tMsv6lilcs Dd tnn$quls' p'ople vho Pobablv hlve<br />
nocn gFGr Psrchologi@l .d so.i.l Prcblds $6 do dDs wirh uionic inlcs<br />
Ihc prsnt rceNh h D endq'!o! lo inv's:tig t rhe basi' ground! ol tfiis<br />
diMfott b6i& oua nolivtdng f.ctds which phv d inpcaliE olc i'<br />
cnh@ing $is condition. Foi 0ris p!ipo6. 6n!ln Nunptions w'e fomulatcd This<br />
chapt r povid.s ddliLd deiplid of$* tvpolh*3 a gi@ b'l'os-<br />
Th. p.dprio $.1<br />
gendd dysphona, ilE &m<br />
dE io lhc I&k of knowlcdlp ed infomtrid about<br />
Jtte qould havc bccn us.d 6 o' unbElla lcm for<br />
t62
diltml6!.gorics $d divdili6 of gdda di$!*s i! sifi'd bv drc p| st sludv<br />
s shown in Tdble 12 (n @,,.r,tJ)<br />
Thc Fsutl is in lin' Yhh tn€ $udv o'Bonfilio<br />
(1980), who Ev6le{t difaM6 t'twdn ttu' ldsxualn fdisnkic rilNruls<br />
.nd r6nsvcnn s. Thav wE 006l onen found in thc @n@ptual aEas ol thek s<br />
b.harior, Ltistis, cbssnrtsin& *ir living 6 lmd lnd thc 'xp'ricn6 whil'<br />
rh.y N Stowing up MMv p@pl. 9d to now bltsd thc wious d'sod's quit'<br />
fFqu.nlly. This should nor b. vla€d 6 .n dpt'sion of a P'uo' s "cotrlsio' ! blr<br />
urdc6tood t Et rnc limir.non of ot gdi6 toblblv dG iol Bllv mlch $e elitv<br />
fof surh p@ple. This Fqrch also speoill's five mrjor €le8oti's of a'nd'r dvsphori'<br />
@rding !o tncir sE q "CoDbincd C.ndd ldolitv ttd Tinsqulig lnv'nlorv'<br />
S@lc, Th. 51udy 3l6nBt s.tlcd thal gcneEllv u$n tem<br />
dismfods Eltt d lo e.ndd<br />
.nd sial GF*'isdont<br />
'{i/a<br />
conbi'6 whly of<br />
wintcr td Udod$lq (2002) dcfin' setdcr dvsphotisi 6 ! div'e souF ol<br />
D@pte who sho*€d sonc kind of vtiario n'n cul$61 nomt in $cir gpndd<br />
cip6sions The nod h.lptul datiiitio ofgadd dt5pnodca fNnd va thll lhcv @<br />
! sroup ot Fople *ho displav bch.vio! dilIeMt fM 0E1 "nomallv' qpetcd foo<br />
! pqFn of thcir bint s ftis d.Iinli@ rcithr 'xpbitu this drcB b'htvid and<br />
fie.auss thal senctlt. i! nor dcs it cxpEs tha dircuitt oflhe group n Erru lo n<br />
als dcs nor .dequr.ly dlow unldu.dhg G sub{rflps $ct a c'Nicsc6 6<br />
hn$cxuok who !e srcupinss<br />
still show ! high dcgE ofdivmilv w hin tun eoupin$'<br />
thal m moe rcldily idc'dncd in thc @mm!'ilv btt<br />
ll shdrd bc notd ltlt th. cucnt studv dd ite infmltion suppon $e<br />
ircrcdibl. 6ull3 Eltted 10 thc mnjccturc rhat thcE will bG a sF l p'sibilirv oflh'<br />
pllvddeof f.kcI'-d inPltisttn(ltP,,,E e,ssno$inTiblcll' hhrou(t<br />
that in son€ qe! M,tit Hrrd of Prktbn wclt ! d'sk 6wr th'n dcviant<br />
'r 'ot<br />
l6l
sul rcds. Th* f.lc ttd @ slinic in lh'i' @gnnid dtrt th'v !E mr<br />
@lly {omen: howeler ftev *4 LmaL oloding' tak' lcmininc namcs ond u*<br />
fdale pon@n!. Th.v pEf.r th.n mbiglN snnls b b'ing hc' Moib'(2001)<br />
sbr.d th do6l of $d t lons lo poor fanili* lhcv joih lttla @nnunitv for dtir<br />
liv.lihood s'h.rc thev liv! cosnEs, deq sing sd b'g or heodc ex md€6 a<br />
Mo{ of then @s{Es fot 6 fen dd.ioin 'itro conmu'ty 10 polc'l<br />
th6slv.s liom si!! Ejectlo Thb fake c@irs Esnbt6 lhc p*udo<br />
f!$v6ril. of Dr' Bdjdin lt slold bc nolcd $tr In Palisbn mwldtv5 !<br />
.mdob nudbct of homNxuds dd bisub prcrend io b'<br />
su.l gntificarion rn ca:y vav tstan d.nou@s 3rch ftk' rl t@<br />
"i,-B<br />
for ddjvinS<br />
Amongn rh. @hho 9F of ttc ttli4 in Ptkisli "116'004'is ' ndicd<br />
tid. lt -d i@.lly do nor n&ry but if dEv dq that b not ! Egisltcd nMitgc<br />
dd k lcpl scrcl so 6 to prold a husb d frcn ridicuL dd eib'Gs"t'<br />
Lft.wie ",V@d , (c$Fdrcd o.or) i! utuIv rnc fa'Ld na1l' who fd @nvcni4c"<br />
pFf.6 to lirc lilc a f.male, nsj.d 6 a Mtat, (h6bond who is a no@'l ml' and<br />
Anotho rtp. is tne Fu,b. frztu f /ttm) who is Mn lh' Ml MtlcrGF nar'<br />
glrds dysphoric, b@@ h., due .o un.mplovmt ed pov'n joins lhe<br />
'<br />
"ro<br />
.onmunity, By belng c6t'atcd jun drlv adllt h' avoid th' dawlolrn'nr of<br />
'M<br />
nalc sdondary s cisetdisie (.epl fd rh. bdldis dd l@dng of hn rcie)<br />
Sinifulr,. Guloko (SinS.r ntjn) h slidic in nis E@gnnion tn'r he is nol rcollv o<br />
*omrn. How.v.r, ho {6n f.malc clothing, tslc fniri'e 'mcs tnd ue f'md'<br />
164
pD.oons. Hc .mbdas his dbiglNs riitus 6 pFfdblc to b'inr ! mln The<br />
p6cti* is vcry wid6pFld in ltdi! !.d Ptkisitt'<br />
'',add is t FM vtlo @s his li*ftood thmugl Posritutid dd wonr<br />
in hous of.nlielv ,ltro pbslitut s in r'd'light districq oth'6 mlv worL fot !<br />
pimp, Amc.na M.lik (2ool) Epon d th in tod'v's Indi' dd Ptl'th ttt'4 @<br />
nilt srisn.tia s pf$inn s' d$osh dEE b onlv<br />
' eilin ptn of th'm lhat @llv<br />
$ll th.n bodi.s coing in b noF d€t ils Aje ul Hsq (2005) @mdoni@lc lhar o@<br />
hs ro kmw dDr pdritllio is in m mv s' s idal tmdE:t lt'-ld In h@s ol<br />
t6did@l livi.g ttd prcsdrution is stridlv fodiddcn lnd Ittla ctL6 disitn@<br />
$.mstws lrcn rhN who indulg. iEnelv6 in sch 'cli{ri6' h it onlv ' friid<br />
is* in rudl ar6 dd is equllv lrne fo. mal. dd f'Dale prcsiiluL'<br />
/drrrlu-ae.r is a homosilal aoing tro'sxuol tnd hono$xul !rc t*o<br />
onpkrct difimnt thinss, Tdnsxuttis i! about rh' im6 slndd iddlitv whilc<br />
homo$xu.lily is .boul lh. diHrion of sul ddws Th'E aE somc homsx@ls<br />
vho by crcs dBsinc join $e tta @muit,<br />
srxili€lidt fte lalc ttd rcMblc Bldchad dd R'v (1982)_'NoF<br />
iuN*xualg"; in which cas. ! dminmt peMalitv h thc t mdn con b'<br />
"mdtc;<br />
knpr.d doM this pdh.<br />
SExul oricntiti@ of fak tid vdica ed is nol in lin' vilh thc Fligious'<br />
cultur.l .nd sial noms Homoglllitv is considcEd to be a gst sin in lsld'<br />
Alh[ hd @ndhn.
Bukhori) cuerl lhc clTcdinatcs who orc m!ld, lnd t€ m.lc_petndcs who !d<br />
womcn, ud h.soid: tiP€ltlEm<br />
TIE lrlc sddd dv+hon6 hisnlv {tispto$ fie a'tiviii6 ollhc fate tt6<br />
teming rh.m u.tni{t, disg@fll 6d lnsulting Thav toLllv ablbr tnd Ej'd the<br />
falc trrd rd @.s ht rhd tlE "bLck slEP" rho n'v' disbn'd $cn hisnrv<br />
ellin d in.8. of b.ing h. ed toval $ a ki t, whi'h hd End'cd distimlish<br />
sdh6 siic. dly Itlmic d. Fd rh. tu! gd&r dvsphorica ' f'k' ttu k ' no-<br />
Aft4 dissinS lh. mtr* of sre dd falc g'nder dvsphoics' 'ow it is<br />
irdisp€nebt. lo dpl.in tn pFdicdon thtl highci pt!!oti' 6f in'hom f'minine<br />
gcn&r, lods bsatdt hisn r dcsG or s.n&r<br />
dvsphdia dd vi* vcd ftlp"ttn_<br />
l,). Ccrcrdlly p.oplc d.fift gcnd.r in rc&En* to th'i' ex ganittk but sc l'n6<br />
th.y qnnot do e. A cld dmPlc is rn ce of i't'dx or l*mlDhtditeg lh'v d<br />
bon wilh mixed, unclelr, and mbieuous or ev no $x md tE not idenlin'd hv<br />
pcopl. in Lms of !p(l€r' Now o quGrid tlgb dEr il s is lh' btsic cdrqd!<br />
Esponsiblc for d.!.mining oms sendcr lh'n whv thc in|cex tc nol $sisncd rh'<br />
scx{isht lns binh? Th€ msw€r is vcrv obYious Ttough th'v aE bom *irh u<br />
lppodt .nbis@us e{, y.1 dEv !'arc ! wrv srrcng sodf dccp in lhc psvchc thll<br />
Inc&of lhc i eB.r nbqult asv lo obsrc dd sa&r &d thcn ail'<br />
pbp€r ex witt @nconl ro th. 8d{t r lh.v wE bom wnh Bd ehdt atorl lhc Mal€_<br />
to-F€rale gc.d.r dysthorics wno haw bott Scx .'d G'!d'r blt tn'v bo$ 6 el into<br />
opposit diE !ds? Clte 6 Bien q b inlasa thnugh ' dGtirc opcElid bul<br />
g..d.r 6not b. signe{t, The oV slmileitv b'tNeo inle^ex dd MdeteFetulc<br />
t6
eflb d}?h@s b tnd lh. inLs is boh tilh gcndd td @dlcrivc o'cElioB<br />
qill ssign lh.d ex in a@rdane to $.n e'nder' Mtil' ! Mtl'_l@F dal' s'ndcr<br />
drsphonc k boi wilh ol@ dcfitublc $x sd {noni'finall' Sddq)<br />
$etrfoE rhev<br />
Fquesl fot sex chsg. op.ations to be phvliollv in eodde with 1hcn 8'ndcr'<br />
TIE impa.t of lbn;oEs dunog lhci. fcr'l dctclopDdl ous tlE b6in ro<br />
d.rclop in ! wy vhich is in@nsist.nt wlh ft€n gcnintit, goods md usuall' with<br />
dEn .hMos6- This Mv sirc ne ro dorhd. 6lhs difl'Fn( e}dpl' of XY<br />
f.mal6, ihrl is, indivlluah vho3. vhibk phvsisl s lpped to b' $at ola n!n' bul<br />
vn@ g.nd.. id.nlitiodon k f@.1€. or' @welv, gr
"H. @d..1 .try t@a bei'g vith Fi@ (nat@) th't tuiB hik or tEr"<br />
Sirce F,ta (8.ndcr) is an in{uilt s,3kn ddiSrcd b $n €v"v cdrior dd<br />
h.E ihe cxi5L@ of ils di6ni6 dd poponiotr ofF"E ('4!0tet)<br />
'rhc rcaulE of lhe stud, nre consisr'nt wi1h rhe lindings or Sp'ne tnd<br />
I lcrmdicn. (197s) who oflcEd a @nclprd *n'me fq {hrmin! dtuE Nduc nT rs<br />
o$ thc numan dev.loph.ntal pl6s bv wing lhe fande $h'no 6 a be For '<br />
m.l. dbrto ro dcv.lop s.thing nusr b' adrlcd Thor $mcthing muli b€ o Y<br />
chooosohe inhdil.d liom th. ftlnq, wnich telb th' cmbryo lo difrGcntiotc dd<br />
d*lop o.lc lpniidia Ehbrvc wirhd thc ficior 6'tinuc lo d?velop<br />
undif.rc iated as fentlc. Sq the wv rhc fetus dcv'!op6 tnd foncrioc in L@ of<br />
s ed gddcr. itcpendr o. ic innarc e6ilivirv 10 Pdniculs<br />
fiomoei 6 ell 6 rh'<br />
d!.itabllity of thc rclcvonl homonB (CMbc4' i985) TlEs will influctce lhc<br />
devcloonnr of. bdin, whict vilt idc'ni9 6 otl" o' fdlL (M!c Lxskv sd<br />
Nriolh 1981, !s cited in GRIES) tnd s p\sbt sx d'vclopmdl wnich is<br />
coBistc.t with sd ty?iot of @t gdLr-<br />
ln ord.. to gd ddct picruc lhe id'nincd gendd dvsphodcs arc tuahd<br />
clstcrld .@rding ro rh.i. ott iNd pFponio of F r'tlFM@'le Sddcr a<br />
shoM i. Tablc I I The ido hd b.cn bostd on lhe d@dptio! of Moiev (19?2)<br />
vho coind !E t m gad.r id€ntitv ed &fincd i' 6 rh' s'n63' mitv ud<br />
paEi3l.o@ of oCs individoalitv s n.l', fcndc, or anbivll'n( in sE6t'i or lcss<br />
d€si.., .{€itlly 6 n is .xpcricnc.
sinibdy Dsid cruld@ll 0996) egg'3'd 1h!1 ! p6ons' g'ndcr idc'titv is<br />
usuollt bul nol atwor3 in linc wifi he/hh biologictl s'x' In lh' eoe ltv Anf,e<br />
vitalc (2003) d.fi..d rhlt scnd.t ids itv is e intio ct inctvdd vin $' slt<br />
thal n is ltnost imposible lo ngu6 inEll@t!'lly, "d ry'n doE 'motid'llv *nar<br />
gdd* dtQhdc h.s E llci (2002) sht'd rhat hc hld nev'r *n or h'!rd ol t*o<br />
rnns*xub in tn. se f.milv, n'ithd hs it b'd F orcd i' lh' $rcnl hundEd<br />
c@r in tilrltuE. Thn s[onglt $ppon! dE ltudv thal if g'ndcr dvsptorh is th'<br />
dull of..vnonn nt e 1h.E nus b' nm rhe on' child $ft'dns from tn' se<br />
diehforl in $c en. fadily,<br />
Th. studv @nlid! fic hvpothctical Mod'l of id'nritv tnd rfie Fldictions<br />
bd*d on d6t hypoth€ti@l Modll. Thc lcgrch speifi" 6!t a nisld poponion ol<br />
feminiie 8en
e lrd*idcd slFut $x ttsi8lmqt t!4!ry' As (onNt' (2OOt) dpts ihlt if<br />
suoh p.ople pl.cc a high impodane on sooia! p€s ation dd iE<br />
wll rh.y will sc.c.d al p!$ingi' dE q!61ion of oblai'ing s Fs$snhdr<br />
surgery, E lttgely id.6ibt. p@ss, pMls quit' t dil'Fn! Likowist lhc @'<br />
dildn! is @nfMLd in dt sturtv wt n it on6 !o rhe p'n of Eligion in the<br />
pEwntior ofsx rcasienncnl sorc€ry'<br />
Th. srudy d.enhe th. poFnios of inbom "Msulinilv-F mininitv of<br />
g.hder dysphorics tbat tunhd clsifi.s th.m in dilIcrent calcgori's of g'nder<br />
dtspnorit A ,l t who sce hisi' ot S.x@l ldc.tilv Sdl' md l@ on Saill<br />
Iddig S.ol€ and P.Mn.l ldcn$ty Scllc is a '"Tmsv6rilc" n!vi'8 "Mod'd"<br />
d.g@ oi Fenininig' .nd 'HiSn deSta of Meuli.itv" dd volld bt a tzl€ *itn<br />
Essds to his social sd sxull ldentiti.3<br />
Sinihrly s din sho $E hi€Jr o squl ldcttitv sslc &d lo{ on S&itl<br />
Identitt Scals and P.en;l td.ntity Scal. is ! "F.mininc M!1.". hovinE "Modedl€<br />
Fcdininity and Meolinily" qald be siallv a malc dd sxuatlv htving ! fcdal'<br />
tn rh. Mc sv 'Tm8.ndc/ h.ving "Hid Fdirinitv od Modmr'<br />
M.eulinig' will scorc modcdld to high on PeMnal, Socitl and S.xu'l idcntilv sole<br />
b. sirlly . fcnd. but *hal ldentitv @ld .ithd b. of fddc ot lt of mlc<br />
''Probabl. TEns$xual" i! an indivtlul havi.8 "Hid F.hiniii9 lnd L'!w<br />
Meuliniqf would b. hlving bolh fo.l. $i.l ad sul ldcnftid of<br />
'cmalcs'<br />
Tnns*xual" i3 m i.dividlal h.ving "V.ry High F.mininiiv dd Vcrv ttw<br />
Meulinity- aE individlak h.ving boln @irl dd exual ld.ntili's of fcnalct<br />
t?0
Thh study h in lin. *iih 0E FeNh of Doctct (1988) eio in his nod'l<br />
cMead €pndd i& iq to exud ondtrio! ln mfoldins ih' primtrv tdtiex@l<br />
.s b.ins sttmctcd otv lo memb€6 of fi' sn' binh sx (M!k-rGF od'<br />
tr nsxuils wold h. attnltcd lo ncn) dd amlltion to ncob'ts of rhc oppositc<br />
birrh s (seh s Msle-GFdal. trsuilt wlb e srFaded to *md) would bv<br />
d.finnion dM a Pso! in the qtegory of s@ndarv lrnsqu0l *hbh bv<br />
ioplidtion, ddddr rh.t th.ir moriv.lion is @ of ctsilsing Ddt'r dasnbe<br />
gcRl.r idcnrilt lo hc synony'noN wilh *xutrl otiontdion For hor' cla'ilv il h<br />
impo.ldt 16 lndcRhd rhb wrv sihpl. Dhdm'n@ $d avcrv individdl 'cts in<br />
&6rd0ncc wilh lhc sender they aE tom with Malca tE atttact'd lowads Lntl6<br />
a.d vi@ !@. So rh. lddcrcv of ec.tu dvsphdiB iowards nllct dcPicls ih'n<br />
ns&Et b.h.vior h.@e $.v !E hd wifi fdtlc g'ndcr dd f'mar's d aleavs<br />
.tticicd lowrds ntlcs lf ti.ir $xu.l Ltdeei6 e moE !ow'r& flm'16 this<br />
mdns thal lhcy aF nol b.taving nmrtlv and thcn w' lhinl of thcm a Lstis<br />
bee!* having bc6 ton wnh ! tentl. scndd lh.v tE not suPD@d ro be sxuillv<br />
@./ire twlds fd.l6 Thcir Fning<br />
for Ml* h 0E naodl t'lrvio( wl cn<br />
lh.y dpt$ on lhe bes of thcn li-bon C.nd.i bu1 !ft judg'd bv ihc sicll in<br />
!@rd!@ 10 lh.ir EEniiib.<br />
h is vary importint 10 disus rhd th. eqlal nu6bd of Participfrs<br />
qt gory vs not lvaltbl. ln P.tisr p.oplcderoPot.tv&d u<br />
for 4h<br />
vcry hu.h fahlliar with @unslitS 'n. PaniciPanis intefliNcd w@ thos who<br />
.i.r eddny nd tdninittEliq of"COChTr sF idatift'd a ga!t" dvsphcics'<br />
so it is dificult to .omPtc and inidPrct ih. ftsulc of ceh tlAc of gpnder dFphont<br />
individElM lh@fc lhc ptlgt !ts@h di$lgs lnd s ! si'Cla lor' Il is<br />
l?l
inDotnnt ro ncntid rh|l th. nudv funn'! slg8ds dna! high *o€ @ Fson<br />
idcnllty l€o& iowa.& lan$dualish Tl$ c6{E!s who $od high on rfic si!'<br />
ihnrity sL tnd ld on p6ond id.nlity slc is dtiLt'd 6 t' ' Msv'sitq lbt<br />
h ndvinE nod@le inbom feoi.iniq and hiStd nasulinitv' rnnsvcttism @u6<br />
anons individusk who ;bin hign $c on thd sl6, s'h.6 trdsulis<br />
@!6 Mdg itdiYiduls vtio ohbin hi8! sE on tn' peMMl idcntilv sle Fom<br />
$* $t!.s, we mutd dp€d filt noE 'dftnc" fdini" g'nd'r muld l"d ro<br />
hagha delres of 8p.dd d)sPhdi& Th. dhrionship betw*' $e md croup sF<br />
on ide ily scal6 is illus1t Ld in Fis!E_5.<br />
Among thc p.nicip6n! a$.sd, n is obs.d lntt eilh lhc Inc@ in dE<br />
poDonion of f.sititu g.nd.r th. delte of Sctdcr dvsphoii' ale incrcs we<br />
hrvc llE.dy .at gori&d fiv. typ6 of gondlt dvsphons on lht boss of lh'ir<br />
fcni.im lcndd tfll Nhc dtlr 84d4 dt{phdi6 witt l()@ pEP'niot of<br />
f.fiinirc gcndd givc l€s importdne lo pcBonal tnd sc'al idc itv dd moe<br />
impoi!tu. lo sud idolitv. sinildlv qirh rh. !dE6 >e of g'ndd dFphsit<br />
th.n dNE fo. FeMt, si.l Dd $xut identiti's incrs Bot lhs callLs mov<br />
bc innuenccd by a d.sr olrcligious r.acninls prcvid'd to th'm 'long with $e<br />
cunudr and sitl mm9 Th. Mtbl. c@l.tid t t*H lh' idcnlily el6<br />
suppons lhc hypothcsis that lhc sl* ccrtti.lv cvahale iid.pddent beh'vior'<br />
Dlrins tnc @ue oa srdy th. pddiclion th.l lhe inbqf, high fdinirc g'nd'r<br />
vill lod lousrds moE f.minin. rcndoci6 dd will si8rifi'ddv atT@ld 'drid<br />
onsl of cros-drc$i.8 is @nfidcd bv $e (rdv (Hrpothev!'5) Most ot nt'<br />
Esrond.ntr srlri clGsn6ing b.foE th. .sc ofsix 6 shown in T'bL -37'<br />
t12
Gddd dtsphoric Nih inbom fdlninc gcndar is MoDllv inolined lowards<br />
r.minirc b€haYior, Slch a cniB findt doE hlp0i6 sd cmfdt in ldoptin8<br />
fdininc habiE likc plavins wilh dolh lnd fenininc fiiends lnd he shuns mole<br />
chd.tc.i.tics. A1 rhk oge svhpr@ ol utl.e *ilh lh' siErcd' sEndcr ihnlitv aE<br />
ono only sppenl to lhe inliridutb @n@o'i and nlv not b' und'Flood *n bv<br />
rhd, Thcy d mosllv fa$idLd ro tlt tn@ b'l6si'gr ich d 6pdiallv<br />
@itt {t dd sun.n for fcrold in olr crtuF Thit inolud's '{"M 'pplica$on<br />
Od{t-p.inri.s) 64,8ts5, Bqing fer'l' shds s'ta (hom'{td'<br />
"' li6)'<br />
vsi.A.h'pdt, (wtr, tutl-pol!;h, brighl 'ol@, ri'sq and k"n inl€€sl in hou*hold<br />
chc in tuding @tjng dd .l6in&<br />
Mos! intcr6tingb lhc ardv snds $'l *n th' dl 8pn
or hs Epdl.{t fdt!5i6 alout b.ins th. othi sx (d) lhQ chitd bldlt wets !o<br />
p..ricitt . in remi.in dclivitica<br />
& sdrio.d, no6t 4db6 bcliM thal thc anmat nlke nl atpc!@e !t<br />
a very .irly ag.. Th. paiticiplnb tn.melvcs u@llv slv thtt rhcv hnw had tlE<br />
felinr: of bel@8ing !o rlt. olhd s Qv.r siM lhcv @ld Fmhbd fi is ntrd !o<br />
de&min. fie ag. ofonsel flfi x'h6l th. Pqrti€ips 5 ev, slnct dd ptsdmts of6'<br />
oth.r sx .nd rh€ oiild tudy ptlreF to pl.r wilh childFn of lht odet 3 6 shw'<br />
All au|ho6 on gcnd.r idcntitv dcvclopn.nt agc tht a sn$ ol genda<br />
identity lemed "@F ecndct id.ntily" cd b. found in cvery child b'foE 3 v€6 ol<br />
.ge. coe slndcr i'jqfir" w b. dcsibqt c rhc child's Mornnion that hc h t bov<br />
or shu B a gnt, Blrnchad (1988) in his sttrdv eporLd that 75% ofth' SEndct<br />
{rysph@is N$iEs.d h.fc (h.n fdnh binhdrv ed @lv 3% aiq lhcir sbdtt<br />
birrhdry, dd lntt glv" oa dcn !t lh. smc t8. beCln doll plaring'<br />
Taytd dd Mcrichl.n {1962) sid tut in no$ of dEar cet thc onsr bcga<br />
befoc lhe ag. of 12 yes. To b.gin with, di. subj.cb show ! slrc'g tcnddcv lo<br />
ldopr th. .flitud6 ..d ch@kdslic ol thc oppsiL s dd ro h'lEw in |nc odnd<br />
@nsid.ftd appopriate. fot lh. oth.r scx Thc coss'drcsing usudlv slfts laLr<br />
Gdd Covdi (2000) lMnd thc te. of fiYc lo.isl ,cs(Rodrd<br />
Bdl' |964')<br />
only dft cNes of laid d.bul, dlri.g adolcaence or lalcr conc to limelight<br />
W. tovc found thc smption thd M.lc'tcF.@te godcr dvsphorics liling<br />
in unfsvodblc fmily anviDnm@t will b. noc poG to lr'Nxudis rhu rhoe<br />
rivins iD favo6blc rdhily .ivironncn! €srlbtishcd bv |hc atudt UrPothede6)'<br />
t74
Rdl13 cxhibn G.bl6 4'47) h@h did@@ b'rqen the fanilv dmogtphics or<br />
Md€-ro'Fcnd€ gcnd.r dvsphqiB dd tod'l Mld Mqioftv nfrh' MaL_io-Fd'lc<br />
sc.d€r dysphoncs b.ld8r to low sio"@Mic s't$ ed u"/u'r€d foili'r<br />
In frct pov.rlv t nol lhc major due for godf dvsDnori' in Pokbtt' bur il<br />
dc pLy t*o impont bl.s fiE:l|y, onrcins 4'tt'i dtsphori! bv pmlidi'g thd<br />
ooE optorlunili.s lo erpEs th.n fenitrine gdd'r ond @ndlv bv 'stablhhins<br />
.lrenic .@silid s a tlen fd C!.!da dvsplsd to 'xpF$ thcn ldinirc<br />
getulcr in order ro n..t th@ nccd.. c.tt in fajlins! on<br />
'h'<br />
p'rt of Pmnls lik' lh'ir<br />
lrct of cducation, unsplovndt dd rhc lsc difiG@ h't*6 thm' (faihcr ed<br />
th. holh.O econd hdiascs ofpaEnl3.nd moE so th'k f ilum b undqBtdd lh'<br />
in@nsiscnt sbl€ of th.ir ohild, dd }!l omPllinr him to b'hrvc mdly' !'d in $<br />
doing, lryiig 10 fix hb pmbl.m This anituiL .ggdvltct lhc child's g'nd" dvslhotu'<br />
Thd G c.n i sid, culrul &d EligioE fictoE Esponsiblc ld u<br />
individual's exprcsed atut contolled bchavior' Thcse felo6 as th' lidi$ which<br />
ury fio cl6 !o cls hn Usllv vithin $'bicn @h sp@t 'f itdividutl b'nsid i5<br />
judgcd. tt shoutd b. nol.d lhol socictv onlv ob&n6 th' ciprcsed b'hlvior tnd<br />
nosly f.ils in ob*Ring lhc @ntoll.d hd.vioi<br />
Rdulr9 indicarc th.t 8.nder dvsphorics btlonging to lor8e dd P@r fmilks<br />
usrally scr noE oppodunilig fd dpltsion lhn thoe b'ldging lo a high siG<br />
.woni. .las (IrpoIE lnT) The llen being th't in tnc fomer 6sc $eF is les<br />
pa@nl @o|r.l. lndividtrlt sn ftio. is nor 8i6lo<br />
drry child. wh'@ in dE ltlcr<br />
q$, piEnls .G .duclt d. .mploltd .nd thev havc fcw'r childftn; ih'refoE lhev arc<br />
abl. !o colrcl th€ir cnitd's b.lbvtoi The @ndilids pEvd ln* childEn hnving<br />
gend.r dishfon l6m opcnlv .xprcssing their femini'e lcodcncies vcrv n€l'<br />
175
childon ruy .xp€ride thi! i@ne@tuc b'twen e!'ldd idcnlitv tnd thc thibl'<br />
$xul app.ar6@. Bu| onlt in o ninoritv of lht* childrcn' sill rhis inco'srucnc'<br />
Fuist into lduldood dd ndilsl s lllnqElbm dplain'n bt Di ceglie (2000)<br />
Thc 6utls amn thtt major8 of ih' FsDdd'nts (9%) dEm dd s<br />
$6elvcs in lheir exut fanlasi6 6 femtlc! and their pd!ln'* as n'les TabllJ<br />
Tnay fcl dhmcd ov.r lll.n intbilitv lo @nfo! lhtir &livilits which rh' eci'tv<br />
@nsid.rs 6 su.llv p.fl.6.' 4ei lhdgh $@ (@ss'dBins dd cN'8'ioq<br />
r.nl.ti.s) prcvide nuoh'ncded &npodry Fli€t Th's nndinc aE in !in' wi|h<br />
..dyst of Jonmn. S-L ed Hm! D (1999) whict lxphins that closlv Miot'd<br />
*ith shmc, is guilt oq bcing dbhdd bv hidins th'ir sd n"ds ud d'sic fon<br />
family. fii.nds and si.tv. For MPt', P'oPl' conmolv manv ud hrvc 'hildEn<br />
{ithou leuins tb. spouF of thci gdd'L Tvpioallv I is k'c set be6ue $'v nave<br />
th. ninlr@ @victa@ thd tunlg' ltd F tding siu in il*lf ae thcn 8'ndr<br />
dyrphotia Atl of thb ltl.n l.ads $ d€it fd of hcing dirot@d Thev tl$ h!€ o<br />
jusiif.d f4 ofbeing ctlle{t siclq uno ng' atul $lfish and llso ofheins ostncizcd bv<br />
rh. p@tl. th.Y lov. thc n6!<br />
The httoth4G thar Cpndd dvsphorics *ill htv' lcs idotifiction vi$ thcir<br />
falhcr $an nomal n.l!s is inEnelv slpponed bv th' stldv fgv?o't6'sd) a<br />
rhM in TobL4S lt should h. nolcd lhd bom with a hiSh poponion of fditine<br />
Scndd dd id.nrifving lhdslG s coneii'd lcm'b: rh'v !el( ldtqutr'<br />
idcntilication wnh fdhe6 and *anl to ldopt $e fcFll' rclc' Oplosit'lv' 'omar<br />
mal€s bom wnh maeulibe gfldcr dPcs rh'ir ssulinitv bv imitaiing bl's or their<br />
f!th.6 d'd srrc4lv dsir ro h. iddlif'cd with d*n'<br />
t?6
'nr rc$lts ol dt srudv rE in lim with tn' sldv of Kdhv (2001)who<br />
bclicv€d, lhol d kcv el€mcnt in sexual vdriltion ws ! fislcd wish for morhnhild<br />
ui9, which Eslllcd in b'htlior d6isn'd io fo6l.ll luch ! oowrful tlf*r e si.&<br />
thnd.ni.g to d.srrot 6e individul' hG h6n oscd tinitlrlv AttlDugn dnost rll<br />
Ed! snii.s h.v..htu'ngcd the pidre for homdcxu'ls Ki& Sh'ilo M-D (2005)<br />
$id, tosuchchaUoe! hG b'd ntd' fdLdBv'sisod F sultis<br />
PElss, S.hnid! Spring'r and WiUe (1998) !u!g'qr rhrl M'lcto'F nilc<br />
l'rlglhiln night 6lt ftom ! ftitw of ! Fmn 6 *P!d hin lom $e molh'r<br />
if,.dly boyhood rnncad of lcttifving wlth lh' fdth'r' th' bov id'nlifi6 wilh lh'<br />
nothd: $n srudv hignlv suPpotts d* findings oflh' Fcql dudv'<br />
A considcEbl. dount of |seh 'vid46 sugg'sf $ar tn' fither 6 o'<br />
t rcnt wh@ rol. bennvios w'E do$ lil@l, lo gcne{t' sor app@Dtilt' h'havioa ln<br />
lhc childEn in a fdilv unir (Idg Md 199) Sinilslv ttndci (199) d4l8'd<br />
thar thc ohoac&ristios thlt hev' b€'n dpon'd io fcr'r the 6tablishma't of nmrl<br />
scndr i{rhritt in childEn includ' dE ft$oJs nuitudE od dani@ Lit'druE<br />
on the .lf@c of par€d.l d.pdvadd in
Mcl&hle, (2001) fudhet explaiN th.l childEn or bolh s.es may iniri.lly enSoec in<br />
f.minirc .nd nd4d b6svior pq[ms, blt bv $e tg' of fqit dd fivc ,ats' bors<br />
$on ro show lradnionol 6ale 016<br />
F.rd (t9S9) found swBl dmndtlitiB mdg th' clild r@ing<br />
.xrcri4ces of $!.ssx!als Tn.t Pacnts htve dis'Ppev'd ih'ir childds' s'xutl<br />
id.nlnie wh.! lhc childE, *w b.t*6n th' '!ps of si{ 10 t'n v@ Th*<br />
finsexuts *.rc oft.n ndicul.d. Fdhc6 {@ idotifi'd 3 tlE Fiturv<br />
{ti$iplinods in $€ homcs of ih* tris@ls, *Peiallv whcn ilte child hld<br />
@mnift.d "fodidd.n" acl3 lik dBsing in cloln6 tpprcFa& lor thc opposG r'<br />
Nin.1y-two F@nr Emeob.r b.ing cl@r to lhcir dott"s lh'n rd th" farh'n<br />
The st€Ftyp.d n.$rirc<br />
suggcsls tut thci fatfieN plovql<br />
id.ntity, M.)tFB.hlburs (2002):<br />
vi.{ thsr lh. Pdicipdts hid of thtn ftdE6<br />
. criri.ll ole in rh. dcv.lopmcnt ol their Scndcr<br />
$88!is lt|{ MdelcF@.l. Itdsulain dicft<br />
csult fon a fdilue ol a P.Mn lo se!6rlc himslf lom the nolhq in rdll bovhood'<br />
Anotncr to$lation<br />
Fc.iv. l6s Fcnt l tru$ dd 8uida!.Q<br />
oftne sbdt tl[t Mtr'_rcFcnsle 8lnder dwhdics will<br />
$.n nomal md6 h's be' mai'n'i"d bv lhc<br />
dll! c shown in T&L 49. (flrltlhawg) Ma!ilitv ol tl\' Fnicipuls hiv'<br />
un du€ted plEnts and drc liling in l[gp fdili's Nilh a big lirp<br />
in agps ofth'n<br />
p.6ts 05 lo 20 ttc). M{ditv (str4) of MalG-r'}F @lc sqid'r dvsphorics e<br />
childro ofthc sond wiv6. tn $cn Poor fmili's pldn Budlv flil o und'Rbrd<br />
fic @noicB ih.t their cnildM h.v. *iliin thd*lv's Th€ noth'6 do undc6tlnd<br />
fieir p@bl.n !.d dcy lty lo prl.ct lh.d fild si'l hunilitrim hur di' f'df,6<br />
cxpcd ftem io behave lilc nomat boys Tnis c@1cs misldsl b'tween fte fathq dd<br />
t78
$. child, and@in8 lh.n lo 0c tlFir hon6 &d join ttro @nmiti6 slEG lhrv<br />
rE noF lhrn wLon d, Mcpt d dd un&6tood-<br />
The tinding e siriLr io Bl!f,htd ud st'iF (190 eno Fntiblv<br />
.nlidrl.ns l$di in th. f!@ of lh.F vi€ws lnd the g.n'dl f*lings ol guih lnd sooitl<br />
diepcrcv.l, nod ltue8qd.t p@PL t..9 dv.xpBid of lhcir felines privai''<br />
with.t lhe nos! a fw clo€ fri.nds Md fmilv n'nb'6 hlving dv idca or $en<br />
Pcople who e cds -i6sins infEquentlv as th@ who {hh lo kep ft'n<br />
adivniG gs( TIE d*lop.n ltnGphcE of dc-t $.@v baed on shtn' dd<br />
dsk of idioul. .nd tlEir $cF1 d*id to t f€oal. ls pDtdtcd al ltl clt !r such'<br />
Th* culr6 e s.sn r p.nll.l to lh.t Eporr.d bv Rd5$u, .,d h'qu6 (2005)<br />
tnal thc rGt of bclng found out ldds !o thc psvcholoeic.l ed phtliologiol p@sd<br />
Th. ibny heF is lhtt g.nder dFphoic lFptons sPPcar to gel w@ in<br />
di@t Foponio. ro lncir etfafoE d ca|'b[dmoi in tnc mil' m'!d Th' fttds<br />
d i.divdual gcts fon bclicting nc cln.v€r liv! 6 a feml., the noE &ul€ tnd<br />
uF.ning hk dysphdit be.G h lhc hoF oftidding $delG of6'n dvsphdi'<br />
tncy tend !o spend hovily in typic.l m.l. eiiviti.t Bcing la€clv h'tebqul' thev<br />
ndry nd hst child,a, nou ldtdc.d cdo€ddl d.g6 ud @ iirclv'd tt hilll<br />
l*!s of corpoEr. dd @dcDic culluF Tn4.E the invieibtc or pmt'clcd gods<br />
fte n.jor study of B.ll, W€iib.ry, and Hmne6mith (1982) Epoaed d'al<br />
otu of rrE mojor unertlin blek row.n sr{@fl.@ fd M, h@xuak 6<br />
rhcir rcluobncc !o share thck poblcme *hh lheh p6renrs. our findinss suggpsl fi't<br />
t19
distdrbcd .molioml Ftarions wnh 6e pdtt dav bc onc €nsibutorv c"@ in lh'<br />
devclopn.nl or rnnsulis. Th* nndinss t€nd to suppon lhc p@nl allhoB<br />
asuiprid dEt th. Pcnltt .niiltioi, f.wbl' q u'fl@blc dG tfi@t lh' $lf'<br />
@.eptofchild tf fte child fbn the pqFn€ sss an unfavonble 'slitulion' his<br />
*lfonc.?t wilt h. diston.d ud hc .dopB tesBivc bebavior' which lanls b<br />
i .@l @nniot (Talmini 1982 ).<br />
Thc d.ta @fim lhc pEdicdon $'r MtL'roF nal' spndlt dv*tqi$ *ill<br />
fa@ doF pdtat Ejectio. dan nom.l m'los s indlc't'd i' Tablc5o (Evpothtsit<br />
,Or. In Plkish, 6p@iallv In N w.F.P. di.l' culunl dd EliSlos md"G v€rv<br />
risid. PaEhts, du. to sial pfr$@s cxpd maL bch'vior fm th'k child bon *ilh<br />
a M.lclo-Fdllc g. h.. Tl* ptMl3 Ffe to !..o@6dd' lhe cnild ud his<br />
ralur.! which caus6 then shame i. tlt sci'tv This anitudc obviouslv crcd's a<br />
anict wilii. his *lf. m*if,s hiD r.ballid ud ltlbton thus o$uclng his<br />
femjnin. tendcncy, Th. Ejcdion fon htu te s ud lbe rcvubion of thc sictv<br />
urs!3 nim lo run md nnd. pt@ of$ltc., @nad6hiD and $lidliglhus h' joi6<br />
TIE tslt.c in lin. silh 6.r of FauiGst"ling (195) who sludi'd thal<br />
thoe tcemge* @mitg fon ho66 *hce tfi@ wds a@Pld@, mulltl @nfiddcc<br />
ard @mpdribility b€rwn Fa.Ls dd childE *cE b'1td adjust'd' moE<br />
ind.F tenl a t thcy thousht nm poslritct tbout di'msttd On thc Orfif h'nd'<br />
1€D8!6 @ins fM hon s whcE ll4 s6 diogrement bctwq pents and<br />
childrcn {6 Ls adjusrcd. Tte @lts @ scwlllr simil& ro tntl cpotLd bv<br />
Fryls (1989) who eys 06t pdns of mnsuls dieppFv'd oftiek childEn's<br />
lE0
eMl i&ntni6 sh.n th. childM v@ b'ts'n the<br />
'gcs<br />
rEnssexurk NeF oiLn ridioulcd<br />
of six io t'n rtd !'d se<br />
Lik4i* Ali, (2003) $S8!i.d th't of Mv f&ro6 6d inn@e $' slf-<br />
.onc.pq $os thal hrvc lhe gF.t sl edscts aE ths ltlitudes of oth'ti 'spditllv ol<br />
p.Bls shich 6 6ilv innw@ ih. elfsnc'/ ol lhe grcwins child lfthcchild<br />
is lo!.d by his Pents he si.ns to ihint qcll ofhins'lf and if hc is rcidEn' hc foms<br />
r trcsAirc inase or hineif.<br />
Sut ort of th. rcs4h hs be€n dt nded io the pmi* fict rhe elf
sin, In Pltisdtr esplcidlv in NWFP manv D'oplc beli'v' b'lns lt'ro is M'<br />
maEhing i1wirh hderualitv, vnich is iind! ! sin dd di$hcdis* o' God s<br />
hw, This nolio. has d.vcloPcd duc lo isio€n@ ol lsld dd its vievs on cpnd'r<br />
G.nd.r d,sphdi6 on thc othd hdd @trid'r 6enelv's very spccial becaue<br />
dunng.!!ly M6tim p€riod lhc Mukhdn'then G'nda dvsphd's) *w lhoF who<br />
@ld 8o bctond rh. blcs.d bounddi€s ofrhe two gcndlr Ealms' Th'v could walk in<br />
brlwen, cnrctins $c domain of 3crcd wonanho'd likr a clo$ Elatirc d t feltow<br />
wmu @uld do Th.t harc . pe@ption $!t thcv orc sup"iof 10 g€nctio f'mal'<br />
psrituLs wno sll rh.ir bodie ond chlng! pon"s 'wrv niSht {te6lh'v ttulv<br />
loE wh.t ln€y do dd pcfcr living witn rh' mc ial. wiihoul none|!ry<br />
.o.rld.6rlo.s sod. of m.n (.tinb.l arlo6) Flrc th'k acndr<br />
*nh lh{ ofood<br />
(belicv.d rcl hlve no Sddd) lts cl.iiinS suptrh&v ofeothq kind Some D'oDl'<br />
in Palfth. havc t nong h.llcf in dle clBing powr oft'6 ln pcotonial l'dia<br />
@viction in th. ,' 6 powcB to bl6s or cue *s vid'sPE d sd n gcneotcd<br />
The p|!st r.grct to sa 'rlcnt @nfins lhe !Ndi6 like llo* of Hury<br />
Beijmin (1964) aid Abdnt (1982) lhd disr'rtd SFrt similarq ii tlrc slf-<br />
@@pq of tu.qu's. Th.n Rdlt3 show
$cmselv€s.s msculinc, t€minin or lndosnous Thev pl'v ' sigtifiq olc in<br />
how ro ptt'6 sqd.r Elcdr infonntrid into ih' qdld a!@r rh'n$16'<br />
Bur rfiis study de dmnicts ena .sp'c$ of the abov' slldica a is evidenl<br />
frcm lhc tun pdn ofour htTothcsis lhd th' *!ldepl ofgdd6 dtqhdics it lw<br />
duc 10 thc fact thd in our .uhurc tftc slf @n@pt of Malcro-Femlle 3end6<br />
dysphori6 i3 sF.tty .fftt d bv fi. stung s@itl lnd Eluious pEsN! that 9v'<br />
rh@ ! ltigt ene of inf€nonq lts lNding t$cir *lf @n@pt ad in th' long ruI.<br />
th. {tieusrion that tn e g.nd.r d}sphqica haE l.'r tnd conrlsion orrid6 rh"<br />
pGiriw st,F lbo rhd*lv6 rhus @nnminS our ht?olh'sis<br />
Th. 6ulls plsnt d in the ctrlid analves ar' onsislcnl wnn $*<br />
hypo$s lnnt M.lclcFdak e.n&r dvsPnds *ill bc si8nifi6dv ElcLd wid'<br />
tnc sr@$F fcninino dd msulinc trsils G daduc'd fom th' $oE obloin'd o'<br />
UACL $da (Hypodcsl2 sd 13) Scict/ bcli.c that hlmet lan ftm $i'l<br />
ibtc@lions lo bch.vc in w.ys lppmprittc !o $ei. *x, According lo lhb th@rv' nd<br />
!rc lg!rcsivc, domind! tid objdriw d a. datoov' lhc, El@ 'Pown<br />
@npcimcy, efiici4cy, fld &hi.wmcil! Wom.n ,E t6ivc,<br />
ed subj.ctiE. (Bmslcin, l99E)<br />
inluitive' slbnisivc'<br />
G6tu dy3phdid ntkinc rctb.l .d non-vcrbal Gsi'g mv $oa hiSn on<br />
f.di.in. lFns .nd low on th. s@ulinity-Lmiiinitv of thc rEffquals Tn*<br />
dlts .l$ indiqt tl'd rh. m.l. t nsutrs e no€ fchininc thu tle otdi ry<br />
lcmats, but lhe @ftsponding is nol tru. fot tn f.malc td'sxualt<br />
Gd{pins lh. uAcL slc it rh. p@nt sludv, inlo t*o sNps sp@itin8<br />
meulinc and femininc tl il$ yet tSoini Fi6led lhb assunption that Molc_lo_Femlle<br />
gdd.r dFphorics wil! pc@iw of dicm$16 ro bc noF "mi'in' tnd will soa<br />
183
high on subscald nasurins fcminine hiB {sucoulc'cc' Nun!6nct Abtsn'nl dd<br />
Alfiliarion) s cdpoFd to nom.l nalcs a@pt i'Llligtn@ Th' 6ults ofrhc srudv<br />
aro in lino with ihe previous studios A Molt-lo'Fcnd' lansqul mllv ha '<br />
f.md. slf !d o fddc.'t)dl' hls ! Mlc dq<br />
Thc s difccnc. Ms sisnif'canl ior dl rne hdicsi $' hn$rud men rcrc<br />
sigri66 ly nN ota f.ninin lhu th' ltdsxulr qom'n Sihihlv Kdlin<br />
(2002) ob3.ned lhlt rhc dal. lras"xude w@ norc f'mi'ine fttn thc rvcdac<br />
f.oal6 in th. sv lhcv gFstuc, lh. wv rh'v mov" lh' wtv lh'v 3Fr od in wntt<br />
thcy eyi ihcy sn to bc sltivinS for 0E lcry uliindc in fenininitv' ed lh0t is why<br />
th.y so oncn s.€n so !fl4r!d M.dclin', (2000) clkidll' th't indiliduds * !<br />
gqd.r drsphori! h!v. b*d fiuElred in th'n dd tdol€snt vau in lhcii<br />
'hildhood<br />
d.si6 for $e opposit $x'ol. sotivitv'<br />
Simildy lnc $pposnion rhlt tlF 'xptsios of fdinitriry in Mdcto_Fflr'<br />
gdd.. dysphori6 apon fM cosdtsing will difiq fon culluE to cult!rc h$<br />
rl$ bcn .$abtilhcd bv tlE d.la (,rrd'ait-r') ftc itur uet of bchavi'g t<br />
t malc b .xpFsll lhoush Nsdrcsin8 and danoiig Hindlism *hcrc d!'cing and<br />
singing is M i.tcgd pan of Gligiot! hs o sisnilidnt itflude ov'r Muslin ti6<br />
in @unti6 liL. Indi!, Bonshdeh and Malovsi! Nandt, (1990)<br />
O.nd.r t ! nullif@ttd dd . 6Bp!'x phenmcnon via'd ditt@nuv it<br />
dificdt sicri6. In 1v.rd si.tv, r' diti@l vis of Scndd ofo@ I rd'lc or<br />
6 @lc !ole, o.$ing ma.v lo tDEss uniquen's as@iotcd virh $c oDposite Scndci<br />
Son. siclics ho*qd, .llow individuls to disvq !81 dp6 opposite lpldd<br />
idolity Dd bqhavioB. For ed@nc in Wcal'n sooictv' dprontory aenocr In<br />
onolfid sicty on b. b.n frci{|. Orc @ lcd moE lbout g'nder in ficir cictv bv<br />
tE4
cidining pl.6 in which itsgcflld ecpt@e b highd'<br />
eMhple, htve a sp.ci.l ol. fd MaL{eF4'rc ltulgc@r<br />
[sted di,I@nrty, lhd lfue.ndd tralcd in thl wcrt<br />
Th. Ge@hd ltc€ hishlishrs s imporia nndibg oonlv i8'loFn bv w'c'n<br />
ehola6, |n!| MBIiE &jE of P*isr @ mt liklwi$ innuocal bv Hlndlisn'<br />
alhd thcy sio& d.n@ sd crcsn€ss noF s of 6ei' ddiE to cxoc$ 6'ir<br />
f.minim scnd.r D.nci.s in our oltrF is a tr'ir 'ftibuLd lo f'malts onlv o ftct<br />
isnoEd by Weslcn Esdhft b€ds' {ith lh'n dscing is a kif,d of !n p'rfmtd<br />
by ei6.r s dd hG no dription !o lhc lincs of fcmininitv-<br />
ln this stldv fte pstlicipdnts {ilhcd no1 onlv to r'tdin wh'l'v'r 'mar''<br />
qutili* of E$@lull6 ed d.Fndbilnv $" had' bol d$ b acquiE doE ol<br />
$c$quslitica funhsrmbrc' whilc lhcv volucd mtnv 'female' cudiries likc caE and<br />
hamony, $cy al$ 6piEd !o t@ M' of th* qulitiB \ydlen Esdh inlo elr-<br />
conccfl indiqtcs lba! whil€ ftdsgcnder pcMN lvPi'altv displ'v fanv<br />
cnr...lcinics st mtt?iollv 'lsiot d Pith thc'r chog ecndct (Fl'miry ?r !l '<br />
l98li Skrap.c dd MeKcEic,l98ti Kuip€r and coh'n-K'tt'nis l988icolotlal'<br />
197) lrd rhcy Eitrn oth.r lr.its a3*iar'd *nn $'ir biolo8iol g€ndo (Sldp'c dd<br />
M.cKcnzi., l98li Flding.tal, 1984i col'clal' 199?)<br />
Sinils findinsF Mins fr@ . Edr (ud, will 204 Thai M!l'_rGFdr'<br />
tn sS.nder, publbh.d in Ir.lnttutlotd Jourtu! oJ TrNS'ndstrd Wintq and<br />
Ud@$tg (2002) c@incd Frdcipors' ldul dd iddl e'f.@@pls $ wn a<br />
alpiEtions fd.hmge in llms of thcii g'nd'Ftaft sleFotvpcs (beli'fs $out r'ils<br />
6@i!$tl wih m6 dd wood). Th. dnloF @lu&d thlt d'spi& thtir ranion<br />
rour& a fenalc gddd olc, ponlcip&rs owdll aloid'd a slavbh Pusuit of<br />
185
st Eoryped lfcnal.nessr.Insteld,lik ndnv oflh.ir @ul'rpst5 (n!lc t'd foml')<br />
in rh. wid.r (nm-t6B8endr) comuig, dEv @srwlcd id"L $d DlFudl<br />
g6srh g@ts for elf$al w@ govemed by oth.r coftiddtions<br />
The Rcsdrcn paper docr nol $stiin lh hvpothdis rhar rcligi@s b€licfs or<br />
M.l6l6F.fulc sedd dFgli@6 will b. sisnif@tlv l's ds rhm nmd md6'<br />
{H}Tolh*s -l 5) ptror Es!@h hs nol dctemincd thc esct rclationship of cligion<br />
with .omal od sp.dd dysphoric popul ion. Reltt sfis no dific@ in rhcir<br />
Eligious b.li.fs d thM i. T.blaS6 Pd9lc in lhcir oM und'6lindi'g ca<br />
inteQFt lslam difeEnrly. Muslin t@soxutls i. Ptkisbn fming majoilv amonesl<br />
th. rdn$ul cdolniry snc sioils ch.@laistie vilh E lends in oIh'r<br />
p6tu or dE wond. Th.sc findlngs @ i. line with Jafcry. (1999 ) Ho*evd' du' io<br />
thcit Eligious b.li.ft which e no l6s thM tll. nom.l md6 dd vhich 'fel rfien<br />
.nitudc bwrds p@d6 rh lh.y di&r 6 lg.jn 1 th.ir eli8ioB @NictioG,<br />
they have *ccprcd $c fact lhal thcy .rc rot allow.d to h.v. th. ex chDg' op'6tion<br />
$iich is r n@d pidie wnh gmd6 dyspltoiG in olnd p.!rs of thc stld'<br />
Oddcr dysphonG will @itc lcs Flisious tachinss thDugh lh€n fahilits<br />
L.n inf.Fnce n.inl.in d by th. s$dy (Hvtothc.iel6). R6uhs indiot lhtl op'n<br />
fm h.ving ! r@8 b.licf in cod md $c D.v of ludgn. lncc is ! signif'dtn<br />
dilrcE @ b.ts*n dE qlenis ofrhcn eligious le&hings thst lh.v have rceiwd<br />
f@m $en f.nili6 tun rlDt of noml nal6 d shom in TablesT<br />
Shr,F e0O4) dccLEi ltat thc ti8nifi@@ od imt6.t of Eligid lpon<br />
humon bet.ss 6uld nol b. iSnord. This sp.cl hB .. impacl boih individuuv<br />
(D.tudl ti*. ed dislik6), md coltdtivcly (nffis. v.trcs, radiliom ad trtliburd)<br />
FEilich, Rlt bek dd Suvisni.s&y (!991) tioicd lhd M!lc'[o'F@.lc g.nder<br />
186
dysphori.s woE pcdons $llcring fM idcnliry onfusion This c6nfosion on lhe onc<br />
hud inn@ 6.ir idcntirv v.lu.n Dl6 dd rcm ud @ lh' od'r' cff*t tncn<br />
Elisious bcliers and pncli4s Likewhc Scotl Kcrlin, 'nd Dtn' Bevq' (2002)<br />
Nsseslcd rhd in lNlpins .twn'r:s6 und @nsBcndct ncsdire tfic smctim6_<br />
bueh ed lhrough lilci on€ ncc& to be awae orlhc influene of rlision<br />
l\nicipmlt tiving in lorcrsio4coamic m'sc sill rcccive norc Eligious<br />
r.lching with si€Iifitutl, .PFErt EliSio$ b.li.fs thd th@ belonging to a high<br />
smiG ccononic cls3, Though addesing rclagroB iss is rcl . cd@ fq €Fdd<br />
dys?hdi6, yd thc Fsd<br />
of Eligion 10 intode in lhcir liv6 is wotlh coNidcration'<br />
Kinn Akm (2006) oisd.d lhar nsv c@JdsE lnd T6ss€nd't {'o b€licrc<br />
Eligi@ lo hlve inplct€d mey.!pect5 ofdeir livin$ dcvctotncfl oflnclt idolitv'<br />
rclationlhip wnh th.n fthily of origin, lheir @ming olt pd6, tlEir @id<br />
bchdior, d.ir o*n sparitu'ity .td dEit $lf.@*pt dd idcnlit, God" identig.<br />
$lfdccpt dd Fligiou b.licG @ th. n.jn fad6 lnol .mbl. & indilidul lo<br />
und61&d his $i.l b.ing dd of his E&ing ptn of lhc s@undings<br />
hllm will b. positiv€ly relatcd in co.tiolling the dBi6 ofepndq dvslhorict<br />
fu ex chogE is. pndi.rion hisily @lhbqaLd bv lhe dtti a EElcd itr Ttbl6<br />
5&64 (Ht?o$esb.l ?) Jr,er, ahnouCl hivins d 3teng vemlng<br />
foi sx change' thcv<br />
still do nor opt lor it duc lo hiCI Elisidiry. lslm sdcllv pDhibirt q chd8.<br />
sure€ry, Tnce qho u.delw.nl lhis sulpry nad b fec lotdl sis! rejdtion. G,, r{_<br />
'zi4<br />
(W6ning b.rhi.s ud wmDgiis up ltc d.!d bodv i. a phin clo$ bcf6<br />
bti^l) 8d NM@"eJi@ of rh. csi6t d Muslim ttl? is d4tincd lnd $ is fiis<br />
buial in MBlim 8nv€y.d!<br />
w€rc peenred by T.h, Yitr Koon in (1993)<br />
b€si&3 orh.r crtt.d dnDl5 .Ra d.db 3iDil& fndi4t<br />
t87
InLdtinglv n is fou l thst s' of lhc 'lddlv M6tid Il'E (cwn 6(nr"'<br />
{tE ding rhc sinilai flte nHlioned abov' haw dcnou@d costnftsine and th'v<br />
had . d6iE to {ti. !.d budcd s Mustins Yd ar th' sc rinc tlEv stlll fel lik'<br />
won.n.d dcy volld & happv ifihev undcfrent th' ex chtngc op'drion blt aE<br />
uwilling b do $ bc5@ ol lhc t"rlicnt llEv htv nct lnq tn'v dic<br />
'me<br />
beli.v. ol havina locl erls lhat shall b' wandqin8 in perp'$al aaonv b'!'u$ lhev<br />
&!!.1 filv. inrdf.tld vith d!. disin.l ctalid of Albh thls ntvins @nnitted a<br />
Ho*va, . d€F et'dv of Isluic F$€i* 'bour<br />
$' P@li@ cdsde us<br />
tl ll0lr dN l ighlv, crc0lcd c0ch olN in on' gcnd'r' in on' shap'' qhile hc ol<br />
slr lik6 doth.r gdxLr, but s t Muslim trd b'licwr he o shc ha to 'cc?l lhc<br />
deslinyofAllrh ln lhe tighl of lhe abovc'n'nl'oned bsic f@t* t would @cludo bv<br />
syin8 rh.t it is nor alto{.d in rsld !o cheg' th' gcnLr "d doina $ will bc<br />
chdging of Alllh's cFation The onlv cxceptio lo this ruting is Ehred to ' p'en<br />
qto h6 bolh scntlcE poicnd.l in b.dv $ . m'nical t@l|ndl on be eueht to liiry<br />
onc gendei In lhis qse it wlll b. ! curc md nol chanse in rh' €stion ofAlhn o''<br />
'<br />
Ou cmlid '/tuqdr,/' 0ud$s) hov€ previouslv discrss'd this issu' and thc<br />
sm. rulins hs b€n grtn. lf, sMding n@ lis,rl on the pohibnion of s chagc<br />
G.v. $e ncdic.l n c6siti.t n€nlion'd tbot)' t ponindl s'udi lslahi' r'ctuFr<br />
dd .lthor ri!16: 'lt is not pdni$ibL fd t pGMn io harc Scndet oP'nti@; nom<br />
Malclo-Fcmalc or vi@ vcN.<br />
@ of r4dd dysPhdi! Eponcd thn o'n&r id'nlilv;<br />
S4@l tMi.. in 0E<br />
self{once/ ..d Eligio!3<br />
beliefs wcr tlftc main facto6, which 'nibl'd !n<br />
IE8
individu.l und.6lsdins his elf dd lo ht ! si'l bei's mlkins pfi or thc<br />
sunou.dings- Acordins to shlhida (2004) Ftigio' *t3 d' 6flhc l"5t 'rplor'd d<br />
@neprutlly dc*lopcd lacto6 and adddins of rcligious issucs w not a cofttm<br />
thar is uniq!. lo gend.r dFPhori6' Ahsn Bun (2002) tudn" dlighres dd dpllits<br />
hMv.ri dE tosr of Fligion s n ift'dL with nsv o$ar spol' of u<br />
ihdividual's lif. is worrh consid'dtio'<br />
For ndv ccnBtlu tnd t!t58cnds' Eligid htrt u ifrFct @ oc<br />
developn.nt of lhcir id.htitv' lhcir Glotionship with 1h" Idilv of qigin' $'ir<br />
c6ine dt p@.q lh.n snl bcndid' th'n M 3pirinqlitv ed lheir slf@D@pr<br />
and idtrlity in .v.tvd.v lifc The Eslls e in lihe wilh fiar of All'n' (1989) Kirk'<br />
sn.ila ( | 9s4) who studied rh.l dE p'l]6 ordek sodr sitli'tid h4 bc'n<br />
didtcd to lbe suppEsion ofrhcir @l slf-nolivct rcoliationr tn'it atoll n@ds<br />
hlvc bcn hid{hn lM sill tifc dd l||tl b wnv non ofih' lrtnsuk scE<br />
looking lor *x_F ssisnncnl surserv as<br />
hd6i@ $cn lN. elt<br />
' d'okive hcbr' wnich @' help lh'o<br />
Nlih.l (2OOt) ob*dcd thar for most aging palienta lhc rqu'st ior sex<br />
dsignmenr 3urgcry offcn de,Ld s t'nNs !n'o ro b' du'd ioi ! lif' of<br />
iebtion dd diefi.djo, Simila.l, MichEl RGs' Willid W'lt'B 0986) found<br />
thlt omclim6 rhc &3iE fo *x dsignftnt ie ! crv fd ncb' d dp6id or<br />
psy.hologi€l pain sldhin! fmm a long hisiory of onxious attlchnenls' lcndliz'd<br />
!nii.ty, sid phobia' i' iMvdvstuicli@' dc?tsid' l@li*s $d &sDri'<br />
An€r $is dehilcd cs@t sa 'F dst6in'd to dcdu@ 6nd @mpr'h'nd lh'<br />
crux of dE natLr lnd on olf€r a $orcn'nt for lh' plrPoe: Th' $i.tv h6 &fitr'd<br />
nodl, .thiel ed Eligiout drndords for a sill living Anvonc not oonloming io<br />
r89
1h* nms fs oy lt!$s g4line d od*Bi$ is d @lss! nDuSh h' omot bc<br />
&minoted p.man ntlt Tho sender dfphorics ncct lh' eme f'L b'i'g not in<br />
@nlbmi9. Howr th. 8.ndq dvs0l'6ic is b'n eith ! gad'r nor or his osn<br />
ohoie od hc sdopts hi! m!nN6 a l b'hvio' a€qdins ro lh' tbporios of<br />
fcnininny h. hs acquiFd. The sictv. nol und'Bttnding this phcnooenor our<br />
liShrty €jdl! him fo. bch.viig ag.ins ils ltid our slu6 Ncwnh'16 all s@h<br />
gcnd.r dysphori.s havc lhch own dilcmnd Their di*omlot trc nol of thcn oM<br />
nliing but . Esult or thc eial pGsurcs uDon $cm duc t6 the ecial ud scxutl<br />
idcntity th lh.y mdiacst in odd ro !e.n!in rhcir pcmml iddlitv Gouch 'h'n<br />
cxpEs.d snd @ntbll€d bch.vio6,<br />
Th. p.'wal iddlilv of g.idd dF hdi6 is vilhin th€ir oM Ah@ a'd lnc<br />
soci.ty hd no h.dihg upon il Thougn thev mv htv' Mt exudl sttisfaction<br />
ddjrcd liDo thcir $ol sts ttd t hlviors' t€!<br />
lhcit disofons in Elation 10 thc<br />
sme aE .nb€dd.d in |nG q sqiltlt th.l @ in@ngrucnt b s th'n inton slndct<br />
clsr61ion is . fudle attcmpl to stlisE $cir dEDa ulgc but $ fet thll inev simplv<br />
@not h!rc t @ipLt resitio wlD@pon rh'v 3r!d hclpning cnil(hn ir '<br />
pomdenr dlscomfor! lhbh tlrcv h.vc L liv. fopcr'<br />
Ii bd.f w haw nudi.d lnlt lh. ec.dd dismfortt e a dlt or !<br />
ph.mn.n. *h*i. thc sial PFseB e inp@d opd him lo 6ti't his<br />
dpr6.d b.hlvior in Ehrion to his sid dd $xual id?ntitv Sinilslv his pc$onal<br />
iddiig is rcs6ined by hb g.nit k hding hdn inpos'd upon hin bt mtu6 a<br />
sglinn hn inbom $s $.reby limitinS his @nplelc tr4nsni6n to womdhood which<br />
k!lslt yond his @ntol Ttc@h ollne @frbi'Gd linilltions@ bc rd'd<br />
as " I n p os e.l G e t.t. r M d n ile st 6tton ".<br />
190
Thk sludy tim ro bnng .r@nd sd ltde6l.Iding 'f ih'ir dis@fons 50<br />
ds to.E te fl.xibitnv in it3 ngid $.n&ds' in od€r ro emnodtL 'nd .@pt tnc<br />
gcnd.r dFplorics 6 ! 'an<br />
of ou s@i.iv. Ii *ill b' onlv pssibl' whcn s'etv<br />
cririqlly F ultye tIEk cddirid 6 rh. s€ s|lndttds d shich $'v wE<br />
rcj4ted. Prdpur rwldncss ond i.tormation lbout gc'dcr dvsphorios will holP in<br />
op.f,ing ihc chdrcls fd otd lo ltalcr lh. si.tv bd!u$ dEv do nol hlvc ev<br />
otnd pl$el to liv€ on. w. hsvc ro 4loowl.dse lh'k dhtenc' Tnc ren g"d'r<br />
dysphona' alhr tl$ 'ransulkm' i! chost. sit@ th' loler is nisl4dine bv wtv<br />
ol givinB d& fcling ri th. nano h.G i3 'exu'litv', shi'h i' i not Sm'<br />
individuals p@fer to d.sctib. Em*lv.s s tn!t8'ndd' $ a @mpFbe'srvc<br />
cxphnatjo of mny gFd.r/ex vdidbN *6 ! b@d mg' Altholg|| thc i'm<br />
'lrmsxuol' is sritl used .! . noun, ll i3 F.f.Bblc io ue it s !n adFclivc -<br />
lllnlgul p@ple - or, h.tLf still is lhc us of $c n@ up"ion c dpEsioi3'<br />
md.rGfcmal. gcndr dysphdc, s ued in this Eseh Th' uslgc of all lh*<br />
|.ms is@ntinuousty vtryins, €sD@iallv s our unde6t ndingandF rceptionsoflh'<br />
Obsd.d ch.n.lerktica oa Mrlc ro'r.btlc Ccndq DFphorrct<br />
And h.ving onnly { dl rhc Elalcd hvFlhcs ond @mosFd our rcsults vilh thc<br />
slodi.s of difi€rcnt eholas s !bo$ lhc ilgrch9 has fodnd out tntt lhe peenl<br />
s[dy: is id€nliql vilh rh. twtE d.riv.d bv th. Ef'Mes q$cd dd @n'in<br />
rabulaled chodcleridcs havc b... ob$nen Nhicn aG .s fouowsl<br />
Obs.nslclaroctoisLsolMot<br />
- rF F.nale Cenl.r Drs?hotiu<br />
l9t
Ccndo dysptoth is a Genctic mole bom<br />
sith d "Fcnale Ccndef .<br />
There is o cleor difcdnc. beiwen<br />
homoscru and sender dysPhoric<br />
Truc gdd.. dyspfion! ha ib .9P.r@@<br />
r6und iho ase of3 ye.6.<br />
!n Pakish CuhuE &d R.ligion plays an<br />
inpo.rantrolc in cnhdcingoiconrolli.g<br />
rhe inlcnsiiy of gender dysphori.<br />
Surpdsingly, 8.ndd dtsPhodcs sm lo<br />
havebeensivensiRsbYthesc<br />
mislalc dEt c€r.d thcn in thc wmb<br />
on av.rase g.nder dysphorics arc more<br />
i elligent rhan rhc avedge P€en<br />
A A.nder dYsphotic maY exPcricn@ d<br />
hirh lcvel olodierv if utablc ro .Nd;$<br />
for on cxtended Pciod of line-<br />
Ddc to la.kolpublic unde66ndin3 dd<br />
Eliqiousand cultual Prcssu{s mosr<br />
ge.;cr dysphorics livc in f@r of<br />
di*olery and linitlhcncb$ _dEsing<br />
to ihc privacy of theirhoncs<br />
Educalion ond hiSIlY siFconomic<br />
sr.tus h!v. sisnifi€ Place i.<br />
oonrrctling thc d€velopnent ofgmdd<br />
dysDho!ia,<br />
Inadequale id. ifioationritn fa$ed<br />
enhdnces the proponion ofgendcr<br />
drsDhoria.<br />
Lrck of inlomilion and .wdnes about<br />
mdft disDlDdcawilllwllii, _ -<br />
;.n.Eli'ion<br />
or a sin8k lem Hijm ror<br />
dll a.Ec9t6,<br />
llijdhavc strcng dd mcontrollrble<br />
l. .nu@t d &d @nonidllY sraSle<br />
tumilics thcy aound bertcroDnonu.ilies<br />
-<br />
;ak Hinls@akofosdwho@iot I<br />
irue sendd dvsphoiics<br />
I<br />
y:"1lil :0,',f l,*:''j*' "''.- I<br />
G€ndd dysplDri. hd ils loudaion llid<br />
b.aoF binh.<br />
Penkhild relolionship lnd rclting<br />
envim.mcnG hlve signifiqntpl&c 'n<br />
enhscing o.conmlling theddelopmed<br />
C€nde d'5ptori.s aE olso @mmonly<br />
6oF c@dve thdn an avorage p.sod,<br />
-<br />
disrincrior iosl likclv susd by lheir<br />
uiquc bdin.<br />
The elf-con@pt oi Male-lo_Female<br />
eend.. dyspnorics is 6lhcr @nlusing<br />
Some hdvc ! .ccd to drcss tu comiolt or<br />
d a MY of Glerion, fot oth.6 it s d<br />
.vnF
193
MAII IS BORN FREE:<br />
AND EVERYWHERE TIE IS IT..i CHAINS<br />
.tern Jrquc! Rouslcru