As Nature Made Him

Rating:
Summary: NO HAPPY ENDINGS...
Review: This is a wonderfully written book and a fascinating look into the debate of nature versus nurture in the area of gender assignment. Intelligent and insightful, the author draws a compassionate portrait of a family who, faced with a decision in the wake of a tragedy, relies upon the advice of a well-respected doctor, which reliance turned out to be misplaced. The book details the aftermath of the family's fateful decision and the impact it was to have on them all.

In August 1965, Canadians Janet and Ron Reimer gave birth to identical twin boys, whom they named Brian and Bruce. When they were about eight months old, they arranged to have them circumcised due to a medical condition that caused them pain during urination. Circumcision was to remedy the problem. Little did they know that the circumcision for Bruce would be botched, resulting in the loss of his penis.

A plastic surgeon with whom the Reimers had consulted in connection with the catastrophe that had struck Bruce had spoken to a sex researcher who had recommended that they raise Bruce as a girl. Doctors at the Mayo Clinic had suggested that they ought to get a second opinion with regards to that suggestion. The parents then consulted with a doctor affiliated with John Hopkins Hospital, Dr. John Money, a renowned doctor in the area of gender transformation, who had been the driving force behind the then controversial surgical gender re-assignment procedure for which the hospital was becoming known.

In 1967, the distraught parents met with Dr. Money and shortly after, Bruce became Brenda and clinical castration followed. Thus, their child, who genetically and anatomically had been born a boy, was for all extent and purposes now deemed to be a girl. Brian was now on the other side of the gender divide of his identical twin brother, the twin formerly known as Bruce.

Moreover, Dr. Money now had a dream scientific experiment, because he had a set of twins for which the unafflicted twin could act as a control by which to measure the afflicted one. In 1972, Dr. Money disclosed his "twins case" to the medical world, giving a slanted version of the experiment that made it appear to be an unqualified success. Unfortunately, his analysis of the situation did not disclose the difficulties that Brenda was having and her seeming inability to adjust to being a girl.

Apparently, though Brenda had no idea as she was growing up that she had originally been born a boy, she never felt that she was a girl. Years of follow-up visits with Dr. Money for both twins proved to be unsettling for them, as Dr. Money employed somewhat bizarre methods and procedures. Moreover, as Brenda grew older, she would resist additional surgeries and initially resisted the hormone therapy that was introduced on the eve of puberty. Even when confronted with a totally rebellious Brenda, Dr. Money, however, remained in denial about the failure of his experiment. He would continue to tout his treatment of Brenda as an unqualified success.

It was not until March of 1980 that Brenda was finally informed by her father about what had happened to her years ago and what had been decided in light of the circumstances. It was a revelation that was to dramatically change Brenda's life. What followed was a repudiation of Dr. Money's assertions with respect to his treatment. The book details the changes that Brenda was to make in her life, changes that would find her living the life she was originally meant to lead. Brenda would now become David and live the life of a male. Unfortunately, happiness would continue to elude him.

This is a simply wonderful, intimate look at a family that survived a hideous tragedy. It also sympathetically and sensitively details the personal journey of one family through the labyrinthine differences in opinion surrounding the age old debate over nature versus nature. I would certainly assert that nature, and not nurture, controls. This is a very well thought out book on the issue, grounded in the experience of one family. Bravo!