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Sex vs gender vs sexuality
Sex:
• A biological category system based on body variations
(e.g., genitalia, chromosomes). Associated concepts:
male; female; intersex
Gender:
• A social category system based on cultural ideas about
masculinity and femininity. Associated concepts:
gender identity; gender expression; gender binary;
cisgender; transgender
Sexuality:
A social category system based on erotic desires,
behavior, and identity. Associated concepts:
heterosexuality, homosexuality, bisexuality, asexuality;
LGBTQIA+
Core cultural beliefs about core cultural beliefs
• There are two genders and only two.
• People should use appropriate symbols (clothes,
hair, makeup, demeanor) to convey to others
which gender they are…
• We need to know people’s genders to determine
how to understand others and respond
appropriately.
• Gender stems from biological sex, which is also
dichotomous (male & female).
• And people’s sexual orientation stems from their
sex. Sex → Gender → Sexuality
Reality about sex, gender, and sexuality
Reality is that sex, gender, and sexuality exist more on a spectrum than in dichotomies.
Given the reality of people’s bodies, feelings,
expressions, identities, and behavior in contrast
to the ways that society classifies people into
dichotomies, it is most useful to see those
common categories as
socially constructed.
What does “socially constructed” mean?
Social construct
An idea that people in a society create
and accept. It has no meaning on its own,
only the meaning we give it.
Three things a social construct is NOT
Not fake
Constructs have real consequences
for people's lives, safety, and
opportunities.
Not fixed
Meanings shift across time and
place.
Not individual
You cannot opt out alone. Others
hold you to the shared definitions.
Defining “Gender”
• Gender is a social and cultural classification system.
• Gender includes social identities, roles, attitudes,
appearances, demeanors, and other behaviors that are
conceptualized as “masculine” or “feminine.”
• Cultural expectations are that biological males are to
embody masculine traits, and biological females are to be
“feminine.”
Socialization includes socialization into ideas about
gender (“gender socialization”).
By the age of 3 or 4, children identify as being a
particular gender (“gender identity”)
Norms of gender shape interaction and socialization
in families, schools, media, religion, and more.
Gender Ideology
Femininity
COLORS/TEXTURES (Pink, pastel, sparkly, glittery, shiny)
DEMEANOR (smiling, looking down or away, off-balance posture, “little girl”
gestures, effort to be small/take up little space)
Masculinity
COLORS/TEXTURES (Blue, primary
colors, matte, untextured or rough)
DEMEANOR (neutral face, directly
looking at camera, sturdy pose,
effort to take up space, minimal
gesturing)
Cahill: Socialization as Recruitment
Cahill’s main point:
Societies run smoothly only when members
follow shared rules without being forced to.
Through socialization, kids are recruited into
society and social norms to the point that they
monitor and police themselves (and others).
Learning gender recruits them into doing
gender themselves, as self-regulating
participants.
Why gender? Cahill uses gender development
as his case because sex identification is relevant
to almost every interaction we have
Five stages of recruitment according to Cahill
Acquiescent (Infancy): Others assign meaning to the baby
Unwitting (Around age 1): Baby acts out those meanings without knowing
Exploratory (Preschool): Kids try on identities through play
Apprentice (Preadolescence): Kids practice gender in same-sex peer groups
Bona fide (Adolescence): Teens prove they can reproduce the system
Five stages of recruitment -Cahill
Stages 1 and 2: Unwitting
Meaning Comes Before Behavior
Within 24 hours of birth
Parents described daughters as soft and sons as strong
and hardy, even though the babies' weight, length, and
health scores were nearly identical (Rubin et al., 1974).
The "Baby X" studies
Adults responded to whatever sex label researchers gave
the baby, not its actual anatomy. With no label, most
guessed the sex wrong.
By 13 months
Girls stayed closer to mothers; boys pushed past barriers.
Change the setup and the differences disappeared. The
environment, not an inner nature, drove them.
"Behavioral sex differences, like beauty, might exist primarily in the eyes of the beholder."
Birns (1976), quoted in Cahill
The loop: Adults treat babies differently, babies respond, and adults read the response
as proof of a natural difference.
Five Stages of Recruitment -Cahill
Stage 3: Exploratory
Exploring, and Getting Corrected
Through dress-up and pretend play,
preschoolers learn that clothes and props
announce who you are, and that your
behavior has to match.
They also learn they can't claim just any
identity. Adults offer two choices: "big boy"
or "big girl" (approved) versus "baby"
(discrediting). Kids pick the sex identity to be
seen as a real person.
By age 4 or 5, they police themselves, even
when adults tell them they don't have to.
Stages 4 and 5: Apprentice and Bona fide
Practice, Then Proof
Apprentice:
preadolescence
• Kids escape adult control in same-sex friendship groups
• Boys' groups lean competitive and rule-based; girls' lean cooperative and intimate (Lever)
• Constant rehearsal makes gender habitual, until it feels "only natural"
Bona fide: adolescence
• Puberty triggers a test: Can you be
trusted as a full member?
• Teens show "heterosocial skill":
performing your own gender while
helping the other sex perform
theirs
• Early dating works largely as a
public demonstration of that skill
Socialization Is Social Control
Enforcement starts early
Peers police gender rules by age 3. Becker's rule enforcers don't have to be adults. ☺
Control moves inside
Once kids self-regulate, no one has to force them.
Berger's circles of control now run through the self.
"Natural" hides the work
Years of rehearsal make gender feel automatic, which makes violations look unnatural, not just unusual.
The system reproduces itself
Today's self-regulating adults automatically recruit the next generation of infants.
Defining “Sex”
• Sex is a biological classification system.
• People are classified based on physical
differences in their bodies
Sexual anatomy (internal organs and
structures, external genitalia)
Chromosomes (e.g., XX)
Hormone levels
Secondary sex characteristics
• Most typically, people are classified before or
at birth based on genitalia.
Variation in Sex
“Intersex” – an umbrella term that refers to natural,
nonbinary variations in human sex characteristic; up to
2% of people are born with intersex traits
• There are at least 30 different intersex variations
• Some variations are a result of chromosomal
variations; others have to do with how the body
responds to sex hormones
• Most commonly, the variations are not immediately
visible in a newborn.
Intersex conditions can be considered examples of
bodily “deviance” because they violate cultural
expectations of what is a “normal” body.
Intersex Variations: Some Examples
Chromosomal Variations
• XX – female
• XY – male
• XXY – Klinefelter’s syndrome (appear male
and often do not develop male pattern body
hair and testes)
• X – Turner syndrome – appear female, often
shorter than average, may be infertile
• Ovotestes – a person has both ovarian tissue
and testicular tissue due to chromosomal
variations; people can have different sex
organs and can have atypical puberty
Intersex Variations: Some Examples
Hormone-related Variations
• Congenital Adrenal Hyperplasia (CAH) – a
relatively common variant that causes differences
in hormone production, including cortisol,
androgens, etc.; can cause early appearance of
secondary sex characteristics; important to
monitor, especially cortisol; most common
endocrine condition impacting women (can be
misdiagnosed as PCOS); often have atypical
genitalia
• 5-Alpha Reductase Deficiency (5-ARD) – causes
changes in testosterone metabolism that can
produce variations in genitalia; may be noticed at
birth but often shows up at puberty.
How does society respond to intersex variations?
• In virtually all states, babies are classified at birth as either male or female.
• Historically, medical intervention to “normalize” the bodies of intersex people has been the
expected course of action. Medical advice was to not tell the child.
Surgery on infant’s/toddler’s genitalia – began in the 1930s
Hormone treatment
• In some cases, physical issues arise that need to be addressed (for ex., a uterus without an
opening that causes painful menstruation).
• In many cases, nothing is wrong and intervention is not medically indicated. Historically,
parents have been encouraged to have surgery for their child to make their genitalia appear
typical (e.g., clitoral reduction). Many have argued that this is for the comfort of parents,
doctors, daycare workers, etc. and not for the well-being of the child.
Many intersex people in adulthood have objected to the medical intervention they
experienced as children and advocate for the importance of patient consent.
Today’s Reading: Kessler (1990), “The Medical Construction of
Gender: The Case Management of Intersexed Infants”
• What does she title the article “the medical
construction of gender”?
• “… members of medical teams have standard
practices for managing intersexuality that rely
ultimately on cultural understandings of gender”
(and I would add sexuality to that).
• The theory of gender that guides management of
intersexed infants is that gender is malleable – that
you have to assign it early based on, essentially, the
prospects for creating “normal” genitalia surgically
then socialize the child into one of two genders
accordingly.
Physicians Guiding Parents:
Four Aspects of the “Normalizing” Process according to Kessler (1990)
1. Discussion of fetal development and the fact that all fetuses have the potential to be male
or female.
2. State the normalcy of the infant other than sex.
3. Imply that the sex is ambiguous but there’s a “true gender” to be uncovered.
4. Emphasize that culture is more important than biology when it comes to gender. You just
have to have “the right social conditions to produce the ‘real’ gender” (17).
• Note that they do not emphasize the role of socialization in births where the sex is
obvious; in those cases, gender is assumed to be natural.
I am arguing that the _________________________ throughout
treatment permits physicians to handle very problematic cases of gender in the
most unproblematic of ways.
I am arguing that the peculiar balance of discovery and determination throughout
treatment permits physicians to handle very problematic cases of gender in the
most unproblematic of ways.
This balance relies fundamentally on a particular conception of the "natural.”
Although the deformity of intersexed genitals would be immutable were it not for
medical interference, physicians do not consider it natural. Instead they think of,
and speak of, the surgical/hormonal alteration of such deformities as natural
because such intervention returns the body to what it "ought to have been" if
events had taken their typical course. The nonnormative is converted into the
normative, and the normative state is considered natural. The genital ambiguity is
remedied to conform to a "natural," that is, culturally indisputable, gender
dichotomy.
… The belief that gender consists of two exclusive types is maintained and
perpetuated by the medical community in the face of incontrovertible physical
evidence that this is not mandated by biology. (Kessler 1990: 24-25)
• Kessler (1990): “The Medical Construction of
Gender: The Case Management of Intersexed
Infants”
• In the U.S., our policies have historically been to
classify intersexed children as either M or F and
socialize them accordingly into gender norms. The
goal has been to erase/hide as many bodily
differences as possible so that people can pass,
or at least cover, as they age. “The genital
ambiguity is remedied to conform to a ‘natural,’
that is, culturally indisputable, gender dichotomy”
(24-25).
• Many intersex people have objected to surgical
and medical interventions they experienced prior
to understanding their situation. Their argument is
that the sex dichotomy is artificial, as it does not
reflect nature, and they should not be compelled
to uphold the gender dichotomy by
passing/covering.
Bodily Deviance and Intersex Variations
• Astle, et al. (2024), “Growing Up Intersex: A Thematic Analysis of Intersex Emerging Adults’ Key
Socialization Experiences in Childhood and Adolescence”
• Framework: Draw on a “critical intersex perspective” (p. 995)
• Research Methods: Interviews with 28 adults with intersex variation about their lived experiences with
socialization and stigma. Discovered six themes in their interviews:
1. We Don’t Talk About This
2. We’re All In The Dark
3. We Could Use Some Help
4. I Should Be Less Me
5. My Body Isn’t Mine
6. I Feel Supported and Empowered
• “Our study uniquely brings to light (a) the intersectionality of intersex experiences, including the overlap
between transgender and intersex experiences, (b) the relationship between eating disorders and intersex, and
(c) positive socialization experiences outside of intersex support groups alone.”
• Gender nonconformity (GNC)
Expressing
gender in ways that differ from what's
stereotypically tied to your sex assigned at birth.
It’s visible. people can see that you are not conforming to sex roles
• Generally accepted that nonconforming
behaviors are common in childhood and can
be transient OR connected to “gender
dysphoria” (DSM-5: psychological distress
resulting from incongruence between sex
assigned at birth and gender identity).
“Gender Dysphoria” (DSM-5)
• Gender dysphoria is most common around age 11 (as high as 20%) but then declines and plateaus
by late teens. Depending on how you measure it, .5-2% of older teens and adults.
• “A strong desire to be of the other gender or an insistence that one is the other gender (or some
alternative gender different from one’s assigned gender)
• In boys (assigned gender), a strong preference for cross-dressing or simulating female attire; or
in girls (assigned gender), a strong preference for wearing only typical masculine clothing and a
strong resistance to the wearing of typical feminine clothing
• A strong preference for cross-gender roles in make-believe play or fantasy play
• A strong preference for the toys, games or activities stereotypically used or engaged in by the
other gender
• A strong preference for playmates of the other gender
• In boys (assigned gender), a strong rejection of typically masculine toys, games, and activities
and a strong avoidance of rough-and-tumble play; or in girls (assigned gender), a strong
rejection of typically feminine toys, games, and activities
• A strong dislike of one’s sexual anatomy
• A strong desire for the physical sex characteristics that match one’s experienced gender”
Schroeder & Fulcher (2025) “The Last Pink Straw…”
key question
Key question in the article: What do kids and parents think a gender
nonconforming boy should change?
• Note: They focus on boys because, as we have discussed, boys
typically report more pressure to conform to gender expectations
today than girls do. Also:
• Adults express more worry about feminine boys than masculine
girls.
• Parents of GNC sons have been found to try harder to change them.
Schroeder & Fulcher (2025): How their Study Worked
Meet “Tommy” Finding 1
67 children, ages 6 to 11 and 67 parents (82% mothers)
51 attributes to remove or add
1. See Tommy
A paper doll boy shown with feminine appearance, activities,
and traits, matched to the participant's race.
2. Hear his story
Tommy is happy with himself and his family loves him as he
is. Lately he wants more friends who are boys.
3. Give him advice
Remove any feminine item, or add masculine and neutral
ones. Kids moved magnets in person; parents dragged
images online.
Three Ways to Express Gender:
Appearance - you could add baseball cap, car shirt, athletic shorts, blue jeans, beanie, etc.
Activities - you could add Football, LEGOs, video games, superheroes, soccer, piano, bikes
Traits- Could add Rough, competitive, active, good at math, helpful, respectful
Prediction: the more visible the nonconformity, the more people would want it changed. Appearance first,
traits last
-Why?: Both groups changed appearance most and traits least.
Why might that be?
• Salience: looks are noticed first.
• Malleability: a haircut is easier than a new personality.
• Method: traits were text, not pictures.
Schroeder & Fulcher (2025): How their Study Worked
Meet “Tommy” Finding 2 - subtracting and adding
They found that kids were more focused on changing Tommy’s appearance, while the parents were more focused on his traits.
Kids were taking away visible things that show a difference and parents add more boy options and kept some of who he is
Schroeder & Fulcher (2025): How their Study Worked
Meet “Tommy” Finding 3 - pressure gets passed along
They found that parents who felt the most pressure to conform in society suggested the most changes to Tommy. A strong effect
They didnt find a correlation between children’s felt pressure to conform and changing Tommy. Boys felt more pressure than girls
This suggests that parents who carry their own gender pressure pass it to children even the ones who aren’t theirs.
Schroeder & Fulcher (2025): How their Study Worked
Meet “Tommy” Finding 4 - Kids didn’t copy their parents
No parent-child match
• A parent's changes to Tommy didn't predict
their child's changes.
• A parent's felt pressure didn't predict their
child's felt pressure.
• The authors suggest a "generational
zeitgeist": peers and the wider culture may
shape these attitudes more than family
does.
Cahill saw this in 1986
A preschool boy with a long ponytail told
his mom his teacher had banned
ponytails at school. No one had. He
made up the rule himself so he would be
read clearly as a boy. By age 4 or 5, kids
conform even when the adults around
them don't push it.
Online sample of the US transgender population and peer groups
1,093 trans adults surveyed online
48 states, plus DC, and Puerto Rico
2003 year data was collected
79% were white
-a one hour online survey recruited through trans community websites and forums. 629 trans women and 464 trans men. Distress measured
felt stigma and enacted stigma
-family support, peer support, and identity/pride are important to protecting transgender individuals from the psychological effects of discrimination.
suggests that support from other transgender individuals can buffer the negative psychological effects of discrimination.
A community of peers allows for a social
environment in which variant identity is not
stigmatized and in which self-evaluation can
occur in comparison with like others, rather
than with members of the majority culture.
Bocking et al. e 2013 Stigma, Mental Health, & Resilience in Trans Pop
which findings surprised researchers about differences between trans womena and men
they found that men transitioning to women resulted in more stigma