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Previous Volume 342:1457-1458 May 11, 2000 Number 19 Next

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By John Colapinto. 270 pp. New York, HarperCollins, 2000. $26. ISBN 0-06-019211-9.

A variety of conditions may cause an infant to have ambiguous genitalia. The treatment of choice is a topic of hot debate among professionals and, more recently, among support groups of adults born with such intersexual conditions. One issue concerns the factors that determine a "good outcome" and thereby the policy of sex assignment. Sexual identity, the experience of oneself as male or female, is a core component of this outcome. Unfortunately, the empirical knowledge needed to make decisions about sex assignment is scanty.

Such knowledge was virtually nonexistent in 1967, after a male twin had lost his penis in . . . [Full Text of this Article]

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