Gemelli e identità di genere

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Il Boston Globe pubblica la storia di Jonas e Wyatt Maines, gemelli omozigoti e dei differenti sviluppi della loro identità di genere.

Led by the child who simply knew

Jonas and Wyatt Maines were born identical twins, but from the start each had a distinct personality.

Jonas was all boy. He loved Spiderman, action figures, pirates, and swords.

Wyatt favored pink tutus and beads. At 4, he insisted on a Barbie birthday cake and had a thing for mermaids. On Halloween, Jonas was Buzz Lightyear. Wyatt wanted to be a princess; his mother compromised on a prince costume.

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One girl, one boy

• The Back Story: Reporting about a transgender child

Once, when Wyatt appeared in a sequin shirt and his mother’s heels, his father said: “You don’t want to wear that.’’

“Yes, I do,’’ Wyatt replied.

“Dad, you might as well face it,’’ Wayne recalls Jonas saying. “You have a son and a daughter.’’

That early declaration marked, as much as any one moment could, the beginning of a journey that few have taken, one the Maineses themselves couldn’t have imagined until it was theirs. The process of remaking a family of identical twin boys into a family with one boy and one girl has been heartbreaking and harrowing and, in the end, inspiring — a lesson in the courage of a child, a child who led them, and in the transformational power of love.

Wayne and Kelly Maines have struggled to know whether they are doing the right things for their children, especially for Wyatt, who now goes by the name Nicole. Was he merely expressing a softer side of his personality, or was he really what he kept saying: a girl in a boy’s body? Was he exhibiting early signs that he might be gay? Was it even possible, at such a young age, to determine what exactly was going on?

Until recently, there was little help for children in such situations. But now a groundbreaking clinic at Children’s Hospital in Boston — one of the few of its kind in the world — helps families deal with the issues, both emotional and medical, that arise from having a transgender child — one who doesn’t identify with the gender he or she was born into.

The Children’s Hospital Gender Management Services Clinic can, using hormone therapies, halt puberty in transgender children, blocking the development of secondary sexual characteristics — a beard, say, or breasts — that can make the eventual transition to the other gender more difficult, painful, and costly.

Founded in 2007 by endocrinologist Norman Spack and urologist David Diamond, the clinic — known as GeMS and modeled on a Dutch program — is the first pediatric academic program in the Western Hemisphere that evaluates and treats pubescent transgenders. A handful of other pediatric centers in the United States are developing similar programs, some started by former staffers at GeMS. Read the rest of this entry »