How to Define Identity
Researchers say gender identity comes from the brain, not from the body. Some say it more clearly: it's between your ears, not between your legs. But the forces acting on the brain to form that identity are not understood, and physical or chemical differences in the brain that could relate to gender are not well defined.
No one knows for sure why body and mind sometimes do not play. But transgender is not a matter of choice, Dr. Safer. It is not a fad or mood. For transgender people, it's usually overwhelming sense that their gender is not what their birth certificate stands for. And sex is not about who they're attracted to ̵
Despair over the mental and physical disparity can become particularly intense during adolescence, and the risk of suicide for young people in this situation increases. Mainstream medicine has begun to recognize the seriousness of a problem: Last month, the American Academy of Pediatrics published its very first policy statement on caring for transgender children and adolescents who are "gender-specific" or non-binary. That is, they are neither clearly male nor female.
The pediatric response urged a "gender-affirmative approach" that respects and supports children, even young ones, in "their self-proclaimed identity". The society also noted transgender adolescents "suffering from high depression, anxiety, eating disorders, substance abuse, self-harm and suicide."
Last year, the Endocrine Society was the expert group on glandular and organ functions that produce hormones. Adopt guidelines for the treatment of transgender people. They said gender identity was biologically based and urged state and private insurers to cover the related transgender medical needs.
It is not as simple as X and Y
Apart from transgender problems, other conditions make it clear that defining male and female is not that easy. For example, there are people with XY chromosomes – who make them genetically male – who look and act like women, act like women, because their bodies can not respond to male hormones.
In other cases, some women have a disease that exposed them to identifying testosterone levels before birth as male – but many more with the same condition.