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From Sex to Gender
M. L. Tan
Learning Objectives:
To be able to differentiate sex from gender
To be able to define and discuss different aspects of gender
To be able to give examples of the social construction of gender
To be able to identify public health aspects of gender, particularly around family planning
SexFrom Latin secare, to divide.
Used to refer to:
Sexual intercourse Male/female
What is a biological
male?
What is a biological
female?
Is biological sex
just male &
female?
Variations in sex chromosome combinations XX XY XO - Turners syndrome XXY - Klinefelters syndrome Society labels many of these other
chromosomal combinations as intersex categories.
Case 1: David Reimer
Sources: John Colapinto. 2000. As Nature Made
Him. New York: HarperCollins. Jesse Walker. The death of David Reimer:
A tale of sex, science and abuse. Reason. (www.reason.com/news/show/33586.html)
Intersex Society of North America (www.isna.org)
Case 2: Loren Cameron
Source: Loren Cameron. 1996. Body Alchemy. San Francisco: Cleis Books.
Gender: origins of the word
Gender originally used to refer to linguistic rules (eg “el” and “la” in Spanish). Redefined in the 1970s to refer to socially-constructed and socially-defined categories, roles, statuses.
Gender
Socially defined categories, roles and statuses for, as well as relations between and among people.
Tagalog gender categories
Lalake (male) Babae (female) Bakla, syoki (an effeminate male) Gay (homosexual) Tibo (a masculine female) Silahis (a bisexual) Bisexual, macho gay (a gay man who
is not effeminate)
“New” gender categories
Bisexual as “discreet male” Paminta (two variations) Baklita Matona
Transgenders
Many societies have transgender categories, e.g., kathoey (Thai, Lao), waria (Indonesia), bakla (Philippines). These categories are often erroneously translated as “gay” or “homosexual”.
Gender is NOT sexual orientation alone.
Anatomy (both biological and social) Body movements Clothing Personality Occupations Lifestyle (eg metrosexual) “Sexual attraction”
Gender and society
We learn about gender categories, roles, statuses through social institutions: family, community, religion, etc. These are powerful in shaping our mind-sets and how we feel about our bodies.
Gender & socialization
We teach gender roles through many ways, such as admonitions to children: Act like a man. Speak softly. Be more lady-like. Why are you crying? Are you a bakla?
Gender and the State
Laws, policies, all reinforce existing gender norms, e.g.: Anti-abortion provision mainly penalizes
“concealing of her dishonor” A man can kill his daughter’s (“seducer”)
and merely be punished with destierro A rapist can be absolved if he agrees to
marry the woman he raped
Gender relations & society
Gender relations interact with other social divisions, e.g., divisions by class, caste, religion, ethnicity, age. Thus, an upper-class Filipina urban woman would be more powerful than the male mayor of a small Filipino town. She would also become more powerful with age.
Gender ideology
Society tells us what each gender SHOULD be and SHOULD NOT be.
Gender ideology is reinforced by society and culture, eg through religion (who can become priests or monks, who cannot), and politics (Ah, enough of women presidents!), etc.
Importance of language
Words are important, including medical terms: how do we call STIs in the Philippines? What are the implications of terms like “real women” (vs “false women”?).
What advice is given to patients, eg “You should never say no to your husband or he might look for another woman.”
“Naturalization”, “essentialism”, “sexism”
Gender ideologies often end up “naturalizing” gender (Oh, all men are unfaithful) or “essentializing” gender (Oh, that’s because she’s a woman.)
Sexism presumes that one sex is, by nature, superior to the other.
Gender, society & history
Gender norms change. In agricultural societies, women are mainly seen as “baby-makers”, producing sons to work in the field. In industrial societies, women are allowed to become more independent and assertive. Men begin to become “househusbands” as well.
Gender is embodied
We “carry” gender in our bodies through a variety of learned behaviors, from the colors of clothes we choose, to the way we move, to the positions we take in sex (to penetrate or be penetrated).
Catholicism and the body
In recent years some Catholics have focused on gender roles and the body, emphasizing women’s role in procreation.
Theologyofthebody.net
There is no shame in being a woman. Only women can receive new life into the empty space within. Only women can make a gift of self so that others can receive the gift of their very lives. A woman's body "speaks" the language of receptivity and relationship.
Differentiating sex and gender allows us to reflect on:
Nature (biology) and nurture (society)
Are there attributes that are essentially male/female? Or are these socially constructed?
Gender trouble (Judith Butler)
Gender “floats” – we are constantly redefining gender, in ourselves and in others. We “perform” gender, constantly changing it depending on the setting and who we are with.
นองตุ�ม 1
Gender and public health
How does all this translate into vulnerabilities, morbidities, mortalities. . .and empowerment?
Some public health problems affected by gender roles & statuses
Maternal morbidity & mortality Gender-based violence, including
intimate partner violence (incl. same-sex relationships)
Child abuse (combination of age & gender)
Public policy & gender
In Brazil, a 9-year old girl raped by her stepfather, who is also suspected of raping the girl’s 14-year old disabled sister. The mother of the raped girl authorized an abortion for her daughter.
Archbishop Jose Cardoso excommunicated the mother and the doctors. He did not excommunicate the stepfather because abortion was “more heinous” than the stepfather’s raping. Reflect on the priorities here: gendered “duty” of the young girl to bear the child.
Some gender differences in mortality rates
Accidents, violence, suicides occur more frequently among males
Some cancers are sex-specific (eg cervical, endometrial, prostate cancer) but others may also have a gender component (eg lung cancer increasing in women as more women take up smoking)
Sexually transmitted infections as a case in gender relations
Women more vulnerable because of anatomy (receiving end, higher possibility of undetected “silent” infections), as well as gender relations (forced sex, difficulties getting information, treatment), yet these infections are called “sakit ng babae” and blamed on women.
Gender and HIV/AIDS prevalence in Philippines
HIV/AIDS in the Philippines: highest incidence among females is in the younger age groups, 15-24. Among males, it is highest among those in their 30s, suggesting an interaction between gender and economic status (women sex workers and male clients).
Family planning and gender
Differences in desired family size: husband and wife
Decision-making