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David Reimer; The Biological Component of Sex and Gender

Shashwat Goyal

Extra Blog Post


David Reimer (born Bruce Reimer) was born male but was raised as a girl after sex reassignment following an unconventional electrocauterization circumcision that damaged his penis beyond surgical repair. His parents consulted Dr. John Money, a sexologist known for his theory that gender is learned and not innate. Money suggested a sex reassignment, and Bruce underwent a surgery that removed his testicles and constructed an artificial vulva when he was 22 months old. He was subsequently raised as Brenda by his parents until he was 15, when he reassigned himself as male. Dr. Money used Bruce’s case to reinforce his theory of gender through studying him (her) during annual visits (David Reimer, Wikipedia; John Money, Wikipedia). This post will talk about the biological component of gender as well as the problems with the study that Dr. Money conducted to support his flawed theory.
Part of what made Bruce’s case so important to Money was the fact that Bruce had a twin brother. This enabled Money to study Bruce’s reassignment in contrast to his twin brother, who acted as a control. Until Bruce was 13, he annually visited Money with his brother. According to him, the sessions often involved the enactment of sexual positions as part of ‘sexual rehearsal play’ that Money felt was essential to the development of a “healthy adult gender identity” (David Reimer, Wikipedia). Money represented Bruce’s case as a successful reassignment while Bruce’s parents also misrepresented the success of the assignment. Brenda/Bruce, meanwhile, was being bullied in school for his tomboyish personality. At 13, he threatened suicide to his parents if they took him back to Money, following which the visits stopped. At 15, he was told the truth of his condition and decided to reassign himself back to a boy, naming himself David. He had a mastectomy, an artificial penis constructed and testosterone injections before marrying a single mother at the age of 25. In 1997, he went public with his story with a rival of Money, Dr. Milton Diamond. His story caused a re-evaluation of Money’s theories, which until now had been widely accepted due to Money’s misrepresentation of Bruce’s case (David Reimer, Wikipedia; John Money, Wikipedia).  
Bruce reported that regardless of being raised as a girl, wearing dresses and being called Brenda, he never really felt that he was a girl. Bruce’s gender dysphoria points to at least a partly non-social basis of gender. Foetal development plays a major role here, as the development of self-identity and the brain’s view of itself is prenatal as well as postnatal. Hence, Bruce’s postnatal reassignment failed to completely switch his gender identity. When researchers first discovered the gene on the Y chromosome (SRY) that led to males, the female mice that were inserted with SRY developed not only male genitalia, but also male behaviours like mounting females, etc (Siddhartha Mukherjee, 2016). This also suggests that at least some behaviour considered male and female is driven by genes. The extent of this is not entirely clear in humans, but it holds to reason that sexual drive, among other behaviours fundamental to biology, would be partly decided by the chromosomes of an individual. This was seen in the case of a woman named ‘C’. She had been born with ambiguous genitals, and her mother had raised her as a female though she was chromosomally male. C said that while she identified as female, and had for 48 years until she was told about her reassignment, she felt a she “[had] the brain of a man” (Siddhartha Mukherjee, 2016). She was tomboyish and wore a mix of (socially considered) masculine and feminine clothes. She initially married heterosexually but eventually started dating women. While she handles her duality well for the most part (she had some bouts of depression as well as guilt over her homosexuality), and provides an example of someone whose gender is largely constructed socially, but her sexual and erotic drive remains ‘male’, her chromosomal sex (Siddhartha Mukherjee, 2016).
Money’s unethical and unconsented study affected not only Bruce, but his brother (he developed schizophrenia and died of an anti-depressant overdose), and many other children who were reassigned based on Money’s falsified results. Bruce’s family did have a history of mental illnesses, as his mother had suffered from depression as well as the fact that his twin developed schizophrenia, which is known to have a genetic component. However, Bruce’s suicide at 38 is largely considered a result of his identity and subsequent marital problems. This case warns us not only of the dangers of unethical research, but also that we can’t treat the nature/nurture debate deterministically, at least as far as sex and gender are considered. Nature and nurture both play important and intertwined roles and overemphasis on any one would certainly result in more Bruce/Brenda/David Reimers.








References
1)     Mukherjee, S. (2016, December 29). Why Sex Is Mostly Binary but Gender Is a Spectrum. In Nautilus. Retrieved 16:24, March 5, 2019, from http://nautil.us/issue/43/heroes/why-sex-is-binary-but-gender-is-a-spectrum
2)     Wikipedia contributors. (2019, February 26). David Reimer. In Wikipedia, The Free Encyclopedia. Retrieved 16:23, March 5, 2019, from https://en.wikipedia.org/w/index.php?title=David_Reimer&oldid=885114716
3)     Wikipedia contributors. (2019, March 5). John Money. In Wikipedia, The Free Encyclopedia. Retrieved 16:23, March 5, 2019, from https://en.wikipedia.org/w/index.php?title=John_Money&oldid=886277644

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