Learning outcomes
- Define and differentiate between sex and gender
- Discuss what is meant by gender identity; differentiate between cisgender, transgender, binary, and non-binary gender identities
- Explain the influence of socialization on gender roles in the United States
- Explain and give examples of sexism
The terms “sex” and “gender” refer to two different identifiers. Sex denotes biological characteristics differentiating males and females, while gender denotes social and cultural characteristics of masculine and feminine behavior. As you’ll read in this section, sex and gender are not always synchronous.
You’ll also read more about gender, and the ways that children become aware of gender roles in their earliest years. Children come to understand and perform these gender roles through socialization, which occurs through the following four major agents of socialization: family, education, peer groups, and mass media. These roles are reflected in our culture and result in the differentiation of males and females.
Consider the following segment from Ellen to examine how gender stereotyping is utilized in advertising
Sex and Gender
Sociologists and most other social scientists view sex and gender as conceptually distinct. Sex refers to physical or physiological differences between males and females, including both primary sex characteristics (organs, chromosomes, and hormones) and secondary characteristics such as height and muscularity. Gender is a person’s deeply held internal perception of their behavior and attitudes as related to social expectations and accompanying physiological aspects of sex. A person’s sex, as determined by his or her biology, does not always correspond with his or her gender. Therefore, the terms sex and gender are not interchangeable.
Sex
A baby boy who is born with male genitalia will be identified as male. Since the term sex refers to biological or physical distinctions, characteristics of sex do not vary significantly between different human societies. Males have a penis, testes, and XY chromosomes. During puberty, most males will experience changes in testicle, scrotum, and penis size and color, as well as voice dropping, and underarm, leg, and facial hair growth. Generally, persons of the female sex have a vagina, ovaries, and XX chromosomes. During puberty, most females will menstruate, develop breasts that can lactate, and grow vaginal, underarm, and leg hair. Both sexes might experience increased sweating, acne, and mood changes, among other biological changes, during puberty.
Males typically have XY sex chromosomes, and females XX. These chromosomes trigger the development of the sex steroids, of which testosterone is found in higher levels in males and estradiol in higher levels in females. As you read in the opening example about Caster Semenya, some females have naturally occurring high levels of testosterone, which becomes an issue for elite athletes when milliseconds matter because increased testosterone levels can be attributed to performance boosts of 10 to 13 percent.[1]
Intersex refers to a combination of primary sex characteristics, an umbrella term that can describe any individual who doesn’t fit binary sexual distinctions. It can also be referred to as Differences of Sexual Development (DSD). Intersex or DSD individuals were once called hermaphrodites, a term that is no longer used. According to the Human Rights Watch, approximately 1.7 percent of babies are born with chromosomes, gonads, internal or external sex organs that are atypical. Some of these are apparent at birth and others do not show themselves until puberty, and irreversible surgeries can cause infertility, pain, loss of sensation, and, more importantly, can take away an individual’s choice when they are performed on children.[2]
Link to Learning
Read and watch this NBC story about Ori, an intersex child, and how they (the neutral pronoun for Ori) feel about cosmetic surgery.
Gender
Gender is deeply cultural. Like race, it is a social construction with real consequences, particularly for those who do not conform to gender binaries. In order to describe gender as a concept, we need to expand the language we use to describe gender beyond “masculine” or “feminine.” Gender identity, or the way that one thinks about gender and self-identifies, can be woman, man, or genderqueer. Cisgender is an umbrella terms used to describe people whose sense of personal identity and gender corresponds with their birth sex, while transgender is a term used to describe people whose sense of personal identity does not correspond with their birth sex. Gender expression, or how one demonstrates gender (based on traditional gender role norms related to clothing, behavior, and interactions) can be feminine, masculine, androgynous, or somewhere along a spectrum.
Gender Identity
Individuals who identify with the role that is the different from their biological sex are called transgender. Transgender is not synonymous with sexuality, a distinction that will be made in this module. Approximately 1.4 million U.S. adults or .6 percent of the population are transgender according to a 2016 report.[3]
Transgender individuals who attempt to alter their bodies through medical interventions such as surgery and hormonal therapy—so that their physical being is better aligned with gender identity—are often called transsexual (transexual man or transexual woman), although some find this term outdated and prefer the term transgender. They may also be known as male-to-female (MTF) or female-to-male (FTM). Not all transgender individuals choose to alter their bodies; many will maintain their original anatomy but may present themselves to society as another gender. This is typically done by adopting the dress, hairstyle, mannerisms, or other characteristic typically assigned to another gender. It is important to note that people who cross-dress, or wear clothing that is traditionally assigned to a gender different are not the same as those identifying as trans. Cross-dressing is typically a form of self-expression, entertainment, or personal style, and it is not necessarily an expression against one’s assigned gender (APA, 2008).
Some people choose not to adhere to conventional expressions of masculinity or femininity and are considered gender non-conforming. Non-binary and genderqueer are other terms used by individuals who feel that their gender identity and/or gender expression fall outside the categories of man and woman.[4]
After years of controversy over the treatment of sex and gender in the American Psychiatric Association Diagnostic and Statistical Manual for Mental Disorders (Drescher, 2010), the most recent edition, DSM-5, responds to allegations that the term “gender identity disorder” is stigmatizing by replacing it with “gender dysphoria.” Gender identity disorder as a diagnostic category stigmatized the patient by implying there was something “disordered” about them. Gender dysphoria, on the other hand, removes some of that stigma by taking the word “disorder” out while maintaining a category that will protect patient access to care, including hormone therapy and gender reassignment surgery. In the DSM-5, Gender dysphoria is a condition of people whose gender at birth is contrary to the one they identify with. For a person to be diagnosed with gender dysphoria, there must be a marked difference between the individual’s expressed/experienced gender and the gender others would assign him or her, and it must continue for at least six months. In children, the desire to be of the other gender must be present and verbalized. This diagnosis is now a separate category from sexual dysfunction and paraphilia, another important part of removing stigma from the diagnosis (APA, 2013).
Changing the clinical description may contribute to a larger acceptance of transgender people in society. A 2017 poll showed that 54 percent of Americans believe gender is determined by sex at birth and 32 percent say society as “gone too far” in accepting transgender people; views are sharply divided along political and religious lines.[5]
Studies show that people who identify as transgender are twice as likely to experience assault or discrimination as non-transgender individuals, and they are also one and a half times more likely to experience intimidation (Giovanniello, 2013; National Coalition of Anti-Violence Programs, 2010). Trans women of color are most likely be to victims of abuse. A practice called “deadnaming” by the American Civil Liberties Union, whereby trans people who are murdered are referred to by their birth name and gender, is a discriminatory tool that effectively erases a person’s trans identity, and also prevents investigations into their deaths and knowledge of their deaths.[6] Organizations such as the National Coalition of Anti-Violence Programs and Global Action for Trans Equality work to prevent, respond to, and end all types of violence against transgender, transsexual, and homosexual individuals. Read about organizations educating the public about gender identity and empowering transgender and transsexual individuals. These organizations hope that educating the public will help lead to the end of this violence.
Gender Expression
U.S. society allows for some level of flexibility when it comes to acting out gender roles or gender expression. To a certain extent, men can assume some feminine roles and women can assume some masculine roles without interfering with their gender identity. Males who work as teachers, nurses, and social workers, traditionally female-dominated occupations, often adopt norms that are traditionally feminine. Many women in the U.S. workforce who are in male-dominated occupations must take on more traditionally masculine forms of dress (i.e., fire department or police department or military) and often adopt a set of behaviors that fit that job requirements that are traditionally masculine. In most cases, the gender identity remains cisgender although the gender expression might be more fluid.
The dichotomous view of gender (the notion that someone is either male or female) is specific to certain cultures and is not universal. In some cultures gender is viewed as being fluid. In the past, some anthropologists used the term berdache to refer to individuals who occasionally or permanently dressed and lived as a different gender. The practice has been noted among certain Native American tribes (Jacobs, Thomas, and Lang, 1997). The more current term used by indigenous people in the United States is “Two-Spirit” (Estrada, 2011). Also, in this regard, some of these indigenous groups believe that there are at least four genders. In some tribes, Two-Spirits hold positions of higher social status because of they were believed to possess supernatural powers. In general, Native American groups viewed sex and gender as a spectrum as opposed to the binary view held by European colonists.
Samoan culture accepts what Samoans refer to as a “third gender.” Fa’afafine, which translates as “the way of the woman,” is a term used to describe individuals who are born biologically male but embody both masculine and feminine traits. Fa’afafines are considered an important part of Samoan culture. Individuals from other cultures may mislabel them as homosexuals because fa’afafines have a varied sexual life that may include men and women (Poasa, 1992). As we will see in this module, the tendency to label one’s sexuality because of sex and gender can lead to many misconceptions and inaccurate labels.
Sex, Gender, and the Legal System
The terms sex and gender have not always been differentiated in the English language. It was not until the 1950s that U.S. and British psychologists and other professionals working with intersex and transsexual patients formally began distinguishing between sex and gender. Since then, psychological and physiological professionals have increasingly used the term gender (Moi, 2005). By the end of the twenty-first century, expanding the proper usage of the term gender to everyday language became more challenging—particularly where legal language is concerned. In an effort to clarify usage of the terms sex and gender, U.S. Supreme Court Justice Antonio Scalia wrote in a 1994 briefing, “The word gender has acquired the new and useful connotation of cultural or attitudinal characteristics (as opposed to physical characteristics) distinctive to the sexes. That is to say, gender is to sex as feminine is to female and masculine is to male” (J.E.B. v. Alabama, 144 S. Ct. 1436 [1994]).
Supreme Court Justice Ruth Bader Ginsburg had a different take, however. Viewing the words as synonymous, she freely swapped them in her briefings so as to avoid having the word “sex” pop up too often. It is thought that her secretary supported this practice by suggestions to Ginsberg that “those nine men” (the other Supreme Court justices), “hear that word and their first association is not the way you want them to be thinking” (Case, 1995). This anecdote reveals that both sex and gender are actually socially defined variables whose definitions change over time.
In 2018, thirteen state attorneys general and governors of three other states filed amicus briefs asked the Supreme Court to overturn a federal appeals court’s ruling protecting transgender people from employment discrimination by Title VII of the 1964 Civil Rights Act, which prohibits sex discrimination in employment. This would also go against three dozen federal appeals court decisions protecting the rights of transgender people in the workplace.[7]
The hit series Orange is the New Black (2013-present) has brought issues of trans people in the U.S. prison system into everyday life. Award-winning actor Laverne Cox, a trans advocate and the first openly transgender person to be nominated for an Emmy Award for acting, through the character of Sophia Burset, has brought issues of trans women into millions of households. Recently, the U.S. Department of Justice revised its guidelines for federal prisons eliminating “will recommend housing by gender identity when appropriate” with “will use biological sex as the initial determination” for facility assignment for transgender inmates” [8]
Watch the first half of this video to review the differences between sex and gender.
Think It Over
- Why do you think many doctors and parents have opted for cosmetic surgery for intersex children? What are the ethical implications of irreversible surgery?
- What do you think are some of the concerns for non-binary individuals in the workplace, in the military, in schools, in prisons?
- In what ways does gender identity and gender expression become politicized?
Gender and Socialization
Gender Roles
As we grow, we learn how to behave from those around us. In this socialization process, children are introduced to certain roles that are typically linked to their biological sex. The term gender role refers to society’s concept of how people are expected to look and behave based on socially created norms for masculinity and femininity. In U.S. culture, masculine roles are usually associated with strength, aggression, and dominance, while feminine roles are usually associated with passivity, nurturing, and subordination.
Gender role socialization begins at birth and continues throughout the life course. Our society is quick to outfit male infants in blue and girls in pink, even applying these color-coded gender labels while a baby is in the womb. This color differentiation is quite new—prior to the 1940s, boys wore pink and girls wore blue. In the 19th century and early 20th century, boys and girls wore dresses (mostly white) until the age of 6 or 7, which was also time for the first haircut.[9]
Thus, gender, like race is a social construction with very real consequences. The drive to adhere to masculine and feminine gender roles continues later in life. Men tend to outnumber women in professions such as law enforcement, the military, and politics. Women tend to outnumber men in care-related occupations such as childcare, healthcare (even though the term “doctor” still conjures the image of a man), and social work. These occupational roles are examples of typical U.S. male and female behavior, derived from our culture’s traditions. Adherence to them demonstrates fulfillment of social expectations but not necessarily personal preference (Diamond, 2002).
Gender and Socialization
The phrase “boys will be boys” is often used to justify behavior such as pushing, shoving, or other forms of aggression from young boys. The phrase implies that such behavior is unchangeable and something that is part of a boy’s nature. Aggressive behavior, when it does not inflict significant harm, is often accepted from boys and men because it is congruent with the cultural script for masculinity. The “script” written by society is in some ways similar to a script written by a playwright. Just as a playwright expects actors to adhere to a prescribed script, society expects women and men to behave according to the expectations of their respective gender roles.
Socialization
Children learn at a young age that there are distinct expectations for boys and girls. Cross-cultural studies reveal that children are aware of gender roles by age two or three. At four or five, most children are firmly entrenched in culturally appropriate gender roles (Kane, 1996). Children acquire these roles through socialization, a process in which people learn to behave in a particular way as dictated by societal values, beliefs, and attitudes.
For example, society often views riding a motorcycle as a masculine activity and, therefore, considers it to be part of the male gender role. Attitudes such as this are typically based on stereotypes, which are oversimplified notions about members of a group. Gender stereotyping involves overgeneralizing about the attitudes, traits, or behavior patterns of women or men. For example, women may be thought of as too timid or weak to ride a motorcycle.
Mimicking the actions of significant others is the first step in the development of a separate sense of self (Mead, 1934). Recall that according to Mead’s theory of development, children up to the age of two are in the preparatory stage, in which they copy actions of those around them, then the play stage (between 2-6) when they play pretend and have a difficult time following established rules, and then the game stage (ages seven and up), when they can play by a set of rules and understand different roles.
Like adults, children become agents who actively facilitate and apply normative gender expectations to those around them. When children do not conform to the appropriate gender role, they may face negative sanctions such as being criticized or marginalized by their peers. Though many of these sanctions are informal, they can be quite severe. For example, a girl who wishes to take karate class instead of dance lessons may be called a “tomboy,” and face difficulty gaining acceptance from both male and female peer groups (Ready, 2001). Boys, especially, are subject to intense ridicule for gender nonconformity (Coltrane and Adams, 2004; Kimmel, 2000).
One way children learn gender roles is through play. Parents typically supply boys with trucks, toy guns, and superhero paraphernalia, which are active toys that promote motor skills, aggression, and solitary play. Daughters are often given dolls and dress-up apparel that foster nurturing, social proximity, and role play. Studies have shown that children will most likely choose to play with “gender appropriate” toys (or same-gender toys) even when cross-gender toys are available, because parents give children positive feedback (in the form of praise, involvement, and physical closeness) for gender normative behavior (Caldera, Huston, and O’Brien, 1998). Charles Cooley’s concept of the looking-glass self applies to gender socialization because it is through this interactive, interpretive process with the social world that individuals develop a sense of gender identity.
Gender socialization occurs through four major agents of socialization: family, schools, peer groups, and mass media. Each agent reinforces gender roles by creating and maintaining normative expectations for gender-specific behavior. Exposure also occurs through secondary agents such as religion and the workplace. Repeated exposure to these agents over time leads men and women into a false sense that they are acting naturally rather than following a socially constructed role.
Family is the first agent of socialization. There is considerable evidence that parents socialize sons and daughters differently. Generally speaking, girls are given more latitude to step outside of their prescribed gender role (Coltrane and Adams, 2004; Kimmel, 2000; Raffaelli and Ontai, 2004). However, differential socialization typically results in greater privileges afforded to sons. For instance, boys are allowed more autonomy and independence at an earlier age than daughters. They may be given fewer restrictions on appropriate clothing, dating habits, or curfew. Sons are also often free from performing domestic duties such as cleaning or cooking and other household tasks that are considered feminine. Daughters are limited by their expectation to be passive and nurturing, generally obedient, and to assume domestic responsibilities.
Even when parents set gender equality as a goal, there may be underlying indications of inequality. For example, boys may be asked to take out the garbage or perform other tasks that require strength or toughness, while girls may be asked to fold laundry or perform duties that require neatness and care. It has been found that fathers are firmer in their expectations for gender conformity than are mothers, and their expectations are stronger for sons than they are for daughters (Kimmel, 2000). This is true in many types of activities, including preference for toys, play styles, discipline, chores, and personal achievements. As a result, boys tend to be particularly attuned to their father’s disapproval when engaging in an activity that might be considered feminine, like dancing or singing (Coltraine and Adams, 2008). Parental socialization and normative expectations also vary along lines of social class, race, and ethnicity. African American families, for instance, are more likely than Caucasians to model an egalitarian role structure for their children (Staples and Johnson, 2004).
The reinforcement of gender roles and stereotypes continues once a child reaches school age. Until very recently, schools were rather explicit in their efforts to stratify boys and girls. The first step toward stratification was segregation. Girls were encouraged to take home economics or humanities courses and boys to take math and science. Studies suggest that gender socialization still occurs in schools today, perhaps in less obvious forms (Lips, 2004). Teachers may not even realize they are acting in ways that reproduce gender differentiated behavior patterns. Yet any time they ask students to arrange their seats or line up according to gender, teachers may be asserting that boys and girls should be treated differently (Thorne, 1993).
Schools subtly convey messages to girls indicating that they are less intelligent or less important than boys. For example, in a study of teacher responses to male and female students, data indicated that teachers praised male students far more than female students. Teachers interrupted girls more often and gave boys more opportunities to expand on their ideas (Sadker and Sadker, 1994). Further, in social as well as academic situations, teachers have traditionally treated boys and girls in opposite ways, reinforcing a sense of competition rather than collaboration (Thorne, 1993). Boys are also permitted a greater degree of freedom to break rules or commit minor acts of deviance, whereas girls are expected to follow rules carefully and adopt an obedient role (Ready, 2001).
Mass media serves as another significant agent of gender socialization. In television and movies, women tend to have less significant roles and are often portrayed as wives or mothers. When women are given a lead role, it often falls into one of two extremes: a wholesome, saint-like figure or a malevolent, hypersexual figure (Etaugh and Bridges, 2003). Gender inequalities are also pervasive in children’s movies (Smith, 2008). Research indicates that in the ten top-grossing G-rated movies released between 1991 and 2013, nine out of ten characters were male (Smith, 2008).
Television commercials and other forms of advertising also reinforce inequality and gender-based stereotypes. Women are almost exclusively present in ads promoting cooking, cleaning, or childcare-related products (Davis, 1993). Think about the last time you saw a man star in a dishwasher or laundry detergent commercial. In general, women are underrepresented in roles that involve leadership, intelligence, or a balanced psyche. Of particular concern is the depiction of women in ways that are dehumanizing, especially in music videos. Even in mainstream advertising, however, themes intermingling violence and sexuality are quite common (Kilbourne, 2000).
Watch the following video to think more about the social construct of gender.
Further Research
Watch this CrashCourse video to learn more about gender stratification.
Sexism
Gender stereotypes form the basis of sexism. Sexism refers to prejudiced beliefs that value one sex over another. Like racism, sexism has been a part of U.S. culture for centuries. Here is a brief timeline of “firsts” in the United States:
- Before 1809—Women could not execute a will
- Before 1840—Women were not allowed to own or control property
- Before 1920—Women were not permitted to vote
- Before 1963—Employers could legally pay a woman less than a man for the same work
- Before 1973—Women did not have the right to a safe and legal abortion
- Before 1981—No woman had served on the U.S. Supreme Court
- Before 2009—No African American woman had been CEO of a U.S. Fortune 500 corporation
- Before 2016—No Latina had served as a U.S. Senator
- Before 2017—No openly transgender person had been elected in a state legislature
While it is illegal in the United States when practiced as overt discrimination, unequal treatment of women continues to pervade social life. It should be noted that discrimination based on sex occurs at both the micro- and macro-levels. Many sociologists focus on discrimination that is built into the social structure; this type of discrimination is known as institutional discrimination (Pincus, 2008).
Like racism, sexism has very real consequences. Stereotypes about females, such as being “too soft” to make financial decisions about things like wills or property, have morphed into a lack of female leadership in Fortune 500 Companies (only 24 were headed up by women in 2018!). We also see gender discrepancies in politics and in legal matters, as the laws regarding women’s reproductive health are made by a largely male legislative body at both the state and federal levels.
One of the most tangible effects of sexism is the gender wage gap. Despite making up half (49.8 percent) of payroll employment, men disproportionately outnumber women in authoritative, powerful, and, therefore, high-earning jobs (U.S. Census Bureau, 2010). Even when a woman’s employment status is equal to a man’s, she will generally make only 77 cents for every dollar made by her male counterpart (U.S. Census Bureau, 2010). Women in the paid labor force also still do the majority of the unpaid work at home. On an average day, 84 percent of women (compared to 67 percent of men) undertake household management activities (U.S. Census Bureau, 2011). This double duty keeps working women in a subordinate role within the family structure (Hochschild and Machung, 1989).
Global Sexism
Gender stratification through the division of labor is not exclusive to the United States. According to George Murdock’s classic work, Outline of World Cultures (1954), all societies classify work by gender. When a pattern appears in all societies, it is called a cultural universal. While the phenomenon of assigning work by gender is universal, its specifics are not. The same task is not assigned to either men or women worldwide. But the way each task’s associated gender is valued is notable. In Murdock’s examination of the division of labor among 324 societies around the world, he found that in nearly all cases the jobs assigned to men were given greater prestige (Murdock and White, 1968). Even if the job types were very similar and the differences slight, men’s work was still considered more vital.
In parts of the world where women are strongly undervalued, young girls may not be given the same access to nutrition, healthcare, and education as boys. Further, they will grow up believing they deserve to be treated differently from boys (Thorne, 1993; UNICEF, 2011).
Watch this video for a brief overview of gender inequality and why it should be eradicated all over the world:
Think It Over
- In what way do parents treat sons and daughters differently? How do sons and daughters typically respond to this treatment?
- How is children’s play influenced by gender roles? Think back to your childhood. How “gendered” were the toys and activities available to you? Do you remember gender expectations being conveyed through the approval or disapproval of your playtime choice?
- What can be done to lessen the sexism in the workplace? How does it harm society?
Glossary
- cisgender:
- an umbrella term used to describe people whose sense of personal identity and gender corresponds with their birth sex
- gender:
- a term that refers to social or cultural distinctions of behaviors that are considered male or female
- gender dysphoria:
- a condition listed in the DSM-5 in which people whose gender at birth is contrary to the one they identify with. This condition replaces “gender identity disorder”
- gender expression:
- how one demonstrates gender (based on traditional gender role norms related to clothing, behavior, and interactions) can be feminine, masculine, androgynous, or somewhere along a spectrum
- gender identity:
- the way that one thinks about gender and self-identifies, can be woman, man, or genderqueer
- gender role:
- society’s concept of how genders should behave
- intersex:
- refers to a combination of primary sex characteristics
- sex:
- a term that denotes the presence of physical or physiological differences between males and females
- sexism:
- the prejudiced belief that one sex should be valued over another
- transgender:
- a term used to describe people whose sense of personal identity does not correspond with their birth sex
- transsexuals:
- transgender individuals who attempt to alter their bodies through medical interventions such as surgery and hormonal therapy
Candela Citations
- Introduction to Gender. Provided by: Lumen Learning. License: CC BY: Attribution
- Revision, Modification, and Original Content. Authored by: Cathy Matresse and Lumen Learning. Provided by: Lumen Learning. License: CC BY: Attribution
- gender and sexuality identity spectrum chart. Authored by: Beth Granter. Provided by: Flickr. Located at: https://www.flickr.com/photos/trucknroll/5387638645. License: CC BY-NC-SA: Attribution-NonCommercial-ShareAlike
- Revisions and original content. Authored by: Sarah Hoiland and Lumen Learning. Provided by: Lumen Learning. License: CC BY: Attribution
- Gender, Sex, and Sexuality. Authored by: OpenStax CNX. Located at: https://cnx.org/contents/AgQDEnLI@10.1:T_-LTWXd@3/Introduction-to-Gender-Sex-and-Sexuality. License: CC BY: Attribution. License Terms: Download for free at http://cnx.org/contents/02040312-72c8-441e-a685-20e9333f3e1d@3.49
- Gender Reveal Cake. Authored by: Jim. Provided by: Flickr. Located at: https://www.flickr.com/photos/22606730@N02/28005690402/. License: CC BY: Attribution
- Updated information on same sex marriage. Provided by: Wikipedia. Located at: https://en.wikipedia.org/wiki/Same-sex_marriage_in_the_United_States. License: CC BY-SA: Attribution-ShareAlike
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- Flores, A., J. Herman, G. Gates, and T. N.T. Brown. "How many adults identify as transgender." The Williams Institute. http://williamsinstitute.law.ucla.edu/wp-content/uploads/How-Many-Adults-Identify-as-Transgender-in-the-United-States.pdf. ↵
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