Nature or Nurture: the Case of the Boy Who Became a Girl

The documentary Dr. Money and the Boy with No Penis depicts the tragic experience of a young boy and the psychologist who attempts to “treat” him after an unfortunate accident. In a time of little knowledge of sexual variation Dr. John Money proposed the theory that a boy could be raised as a girl, but after years of failed attempts this theory would be shattered. This story began when twins Bruce and Bryan went in to the hospital to have a routine circumcision operation at 7 months of age. On the 27th of April 1966 Bruce was the first of the two twins to be operated on, but the procedure would not go as planned. The boy’s parents were soon informed that their son’s penis had been fully burned off in a nontraditional attempt to burn the foreskin away from the penis. In a position of great confusion the Reimers became hopeful in light of such tragedy as they later became aware of the work of Dr. John Money, a man who was becoming a pioneer in the field of sex change surgery. In meeting with this man the Reimers were informed that their baby boy could live a normal life as a girl.

Imperato-McGinley et al (1974) studied members of the Batista family who, due to a mutant gene, were born with the external features of a young girl, but physically changed into men at puberty. The large increase in testosterone at puberty activated a process that should have occurred during prenatal development and so they developed male gentile and became men also showing masculine behaviour and going on to marry women.

Dr. Allen suggests that hormones make our brains different. Psychologists know the first one causes male sex characteristics, but the second one is still a mystery. An example is CAH girls, short for Congenital Aderinal

A different possibility is that prenatal hormone levels influence the developing fetus (Levay, 2011). According to the prenatal hormonal theory of homosexuality, some male fetuses are exposed to too little testosterone. Similarly, some female fetuses are exposed to too much testosterone. These differences, in turn, can impact sexual orientation (Mustanski, Chivers, & Bailey, 2002). Regardless, homosexuality is not caused by hormone imbalances in adulthood; the hormone levels of most gay men and lesbians are within the normal range (Banks & Gartrell, 1995).

A pattern emerges where the scholarly literature exploring this topic is largely focused on males. Reason being is that it appears that males are the sex who are predominantly homosexual in their orientation (LeVay & Baldwin, 2012). However, the sensitivity within the discourse of sexual orientation arises when it is debated upon whether one 's sexual preference is innate at birth, hence a force of nature or biology, or if it is a result of culture, nurture or environmental factors (Emmanuele et al., 2010). Furthermore, an experimental design will be proposed to further examine this topic. Comparing the three chosen studies, it is evident that a biological and endocrinological perspective does account for sexual orientation (Kraemer et al., 2006; Manning et al., 2007; Miller et al., 2008). Of the studies that currently exist on this topic, data shows that prenatal testosterone levels are indicative of sexual orientation (Kraemer et al., 2006; Manning et al., 2007; Miller et al., 2008). This paper addresses a topic that is relevant in today 's society; a topic that has, for the most part, been written off as having any scientific roots (Emmanuele et al., 2010). This paper counters that belief and in reading this essay, it will be evident that biology and endocrinology have a much stronger influence on sexual orientation than previously thought.

Bradley et al., also mention a similar case in which a 2-month year old male was injured during an electrocautery circumcision and his entire penile shaft was burned and the penis eventually sloughed off. At 7-months the rest of the penis and testes were removed and the parents made the decision to reassign their son to a female and to raise him as a girl. The patient was interviewed at two separate times. The first time was at age 16 and the patient stated that she had been living a female life and had no uncertainty about being a woman. The patient mentioned that during her childhood she viewed herself as a “tomboy” but she still maintained her circle of friends to mainly girls. She wanted to have sexual intercourse with males so she arranged a vaginoplasty. She was interviewed once more at age 26 and reported that she had been attracted to women in fantasy, and enjoyed experiences with both women and men. She now

Blum consulted University of California at Berkeley behavioral endocrinologist Marc Breedlove about how hormones contribute to gender differences. Breedlove’s studies support the idea that there are biological differences between males and females that distinguish each gender’s behavior. This suggests that it’s worthwhile to look at human evolution to understand why these biological differences exist – what is the purpose of masculinity and why do masculine traits such as aggression develop predominantly in males?

There are multiple theories people hold on how they believe homosexuality started or is generally caused. However, after multiple studies and ongoing research the likelihood that it is nature, rather than nurture, based is going strong. Although, as of now, there has been no exact consensus among researchers, after examining possible genetic, hormonal, developmental, social, and/or cultural influences, to prove that homosexuality is completely one or the other, but it is usually found that people cannot choose their sexual orientation, but rather only

2. In light of this newer research on gender identity, what advice would you give parents who are considering gender re-assignment of a male infant who lacks a penis, but has functional testicles?

It has long been debated where our sexual orientation comes from, particularly whether its biological or social forces driving these behaviors. In regards to homosexuality and bisexuals, some have argued that it may be a choice that these individuals are making.(Levay 2012: 41)Some have even said it is a mental disorder that one can recover from, but there is plenty of data that says otherwise.(Levay 2012: 41)(Levay 2012: 65) I believe diverse sexual orientations develop in humans due to sex hormones during fetal life, gene influences, and other effects such as birth order influences. I’ve come to this conclusion based on the narrative provided via Dr. Simon LeVay’s book Gay Straight, and the Reason Why, and the research that has been compiled showing strong influences from a multitude or reasons. I will also be looking at a research paper by Francesca Iemmola and Andrea Camperio Ciani, who looked into genetic factors influencing sexual orientation in men. It is clear there are gender differences between men and women, and this is probably one of the strongest indicators that hormones can affect the outcome of variations in gender traits.

If a person displays masculine, feminine or androgynous behavior, then what determines this? The two main arguments are either gender is innate or it has been learnt. These two different perspectives represent a famous debate that occurs throughout psychology: the nature-nurture debate.

An eclectic use of both of these theories would enhance our understanding of gender development because it is important to understand that biology and socialization play a part in gender development. Hormones, sexual organs, culture, and society intertwine and make a child aware of his or her gender. A cognitive understanding does not suffice. For example, for parents who believe that culture, school, peers, and media influence their son or daughter to be transgender are incorrect. Both of these theories demonstrate that biologically their child was born with the awareness that they belong to a different sex; it is embedded in their chromosomes. Meanwhile, society simply enabled them to observe the gender roles and determine which gender they felt most comfortable in.

The biggest question asked is how it comes around, however there is not a solid reasoning or proof of one main causal factor. According to Lippa, exposure to testosterone during the second trimester of pregnancy, when the development of both male internal and external genitals and a male-typical nervous system forms, may influence gender identity. (98) Brown counters this argument by saying the formation of a secure unconflicted gender identity and gender role is influenced by social factors, such as the character of parent’s emotional bond or the relationship each parent has with the child; he asserts that the biological factors (genetic complement or prenatal hormones) do largely determine gender identity however they do not act alone, more or less just setting the stage to go one way or the other.

The nature and nature of homosexuality is heavily debated. Some people believe that homosexuality is biologically determined and others believe it’s base on ones environment. This topic can be argue to be base on both nature and nurture. Studies conducted in the past decades support both the biological and environmental aspect of homosexuality.

For example, females usually inherit an X chromosome form both parents. Social skills which are a typical female characteristics can be found in he x chromosome. From these findings it can be said that women are more comfortable in social settings. I can think of my husband in social settings where he does not know anyone he is less likely than me to introduce himself. I have no problem introducing myself and striking up a conversation with a stranger. Hormones also have an effect on gender determination. Men and women go through maturity as a result of hormones. Estrogen in women and Testosterone influence skills and tendencies associated with gender. Sex effects how the brain develops. According to our textbook, the force of biology is evident in cases where doctors try to change a child’s biological sex” (47). Doctors mistakenly amputated David’s penis to correct phimosis, a condition in which the foreskin of the penis interferes with urination. The child’s name was changed to Brenda and she did not take to being a girl. Later in life Brenda changed her name back into David and began living a life as a male eventually getting married and raising stepchildren. I believe that biological theory is accurate match for one’s gender.