A person's inner sense of being male or female, usually developed during early childhood as
a result ofparental rearing practices and societal influences and strengt- hened during puberty by hormonal changes.
There are, however,circumstances in which an individual experiences little or no connection
between sex and gender; intranssexualism, for example, biological sexual characteristics are distin
ct and unambiguous, but the affected person believes that he or she is-or ought to be
of the opposite sex (see transsexualism).
Individual's selfconception as being male or female, as distinguished from actual biological
sex. Formost persons, genderidentity and biological characteristics are the same.
Gender identity is
not fixed at birth; both physiologic and social factors contribute to the earlyestablishment of a core i
dentity, which is modified and expanded by social factors as the child matures.
Thus, gender role is often an outward expression of gender identity, but not necessarily so.
In most individuals, gender identity and gender role are congruous. Assessing the acquisition of this
congruity, or recognizing incongruity (resulting in gender-variant behavior), is important in the
developing child. It is important also to note that cultural differences abound in the expression of
one's gender role, and, in certain societies, such nuances in accepted gender norms can also play
some part in the definition of gender identity.
A person's sex is a primary state of anatomic or physiologic parameters. A person's gender
is a conclusion reached in a broad sense when individual gender identity and gender role are
expressed: Sexual identity is in the perineum; gender identity is in the cerebrum..
Note that just as gender and sex are not interchangeable terms, neither are gender
development and sexual development interchangeable. Physiologic sexual development progresses
through distinct stages from the neonatal period through infancy, childhood, puberty and
adolescence, and adulthood. Such physiologic change is distinguishable from gender-related
behaviors during each of these stages. The sexual identity that emerges beyond childhood is very
clearly a separate entity from gender identity. Aspects of physical sexual growth, eroticism, and
eventual sexuality, although closely related to gender, should not necessarily be used to draw
gender inequality
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