Table of Contents Message from the President........................... 1
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Table of Contents Message from the President........................... 1
realized the importance of focusing on what is Table of Contents really important and what I am really Message from the President........................... 1 AISSG Australia attends the Australasian Pediatric Endocrine Group Intersex (DSD) Workshop.......................................................... 3 National LGBTI Health Alliance Mental Health Working Group ................................................. 4 Orchids hits the USA ....................................... 5 Goodbye Gonadectomy?: Considering Surgical Recommendation of Gonadectomy in Post-Pubertal CAIS Women ....................... 6 Tweet this, YouTube that…Talk with me on Facebook Chat!................................................ 8 Intersex conditions; a social paradox............. 9 Caster Semenya, the athlete who became a reluctant hero ................................................. 12 ʻTransgenderʼ Widow Actually Intersex, Court Decision Ignores Nuance Of Sex, Gender, And Identity..................................................... 19 Recommended Reading................................ 20 AIS by the Stars! ............................................ 22 Become a Member ........................................ 23 The next dAISy............................................... 24 passionate about, so I have some exciting plans to get back to the creative activities, which I enjoy so much. I also have a sense of potential and possibilities when I think of our support group. We have come a long way since the group started some decades ago at the Royal Children’s Hospital in Melbourne. We have established a national network that offers support to people with a range of conditions and provide information about AIS and intersex conditions through our wonderful website. Through the hard work of a number of dedicated individuals, the group has also made much progress with the legal and ethical aspects of intersex and we are at the forefront of improving the medical treatment Message from the President Hello and welcome to another edition of dAISy. I hope you find this edition enjoyable and stimulating! Many thanks go to Phoebe, our Secretary and Queensland Representative, for her efforts in putting this newsletter together. I am writing to you from my new apartment having just moved in last week. I am feeling the excitement of new beginnings and possibilities and look forward to making some changes in my life later this year. I have of children born with intersex conditions. A recent development in this arena is described in a report from Phoebe in this edition of dAISy around a recent workshop held in Melbourne by the Australian Pediatric Endocrine Group, which looked at the legal implications of surgery on children with intersex conditions. In 2011, there are still many possible ways that the group can grow and develop. Miriam, who is currently a student at Harvard dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition University, is working with us as an Intern for will assist with improving mental health a 2-month period from June to August 2011. services so that they are better able to meet Her visit is a great opportunity for us to look the needs of intersex people. More on this in afresh at our group and its potential. During my article later in the newsletter…. her stay Miriam will be assisting with AISSGA projects and developing our networks and Finally, our upcoming Annual Conference resources as well as conducting research for provides another opportunity to develop our her thesis, which will involve interviews with possibilities and potential. It will be held on group members. I hope you will take the August 6 & 7 in Brisbane so I do hope you opportunity to meet her and share your ideas will be able to join us for this exciting event. and stories with her. The AISSGA has We are very lucky to have Miriam with us. approved this project and I believe it would She will be bringing all her experience of greatly assist with the understanding of the putting on the huge AISSG USA conferences lives of people with intersex conditions and by assisting Phoebe to pull together our most also promote awareness of issues we face. fabulous support group meeting ever! A location has been secured in Newstead, 2 Miriam has set out the details of the research, which I understand is a trendy inner city including privacy and confidentiality details. If suburb of Brisbane, and the girls are working you are interested please contact her directly hard to get sponsors for all meals at the as soon as possible at 0431208954 or by conference. email at AISSGIntern@gmail.com. Miriam has also contributed some interesting articles We have some details about budget for this newsletter. Also, if you would like to accommodation for out-of-towners at special meet Miriam in person, she will be in: rates. Please contact us as soon as possible on aissgaustralia@gmail.com to secure your Melbourne from July 14 to July 25th (Contact Tony at tony.briffa@briffa.org) Another area that is showing some exciting possibilities for growth is Mental Health. I have a particular interest in this area and have recently joined the Mental Health Working Group established by the LGBTI Health Alliance. I am optimistic that this group place. Currently, we have four double rooms for $85/night and two dorm style rooms for four people maximum each at $33/night/person. Based on interest we get, we will reserve accommodation for Saturday night. If you need to stay Friday / Sunday night, please contact the hostel directly. The hostel is Bunk, Fortitude Valley http://www.bunkbrisbane.com.au/. Please dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition note: you will be sharing with other AISSG Justice of the Family Court of Australia, The people - not with random backpackers! Hon. Diana Bryant and former Chief Justice of the Family Court, the Hon. Alastair We've also got a fun experience lined up for a Saturday night banquet at a Valley hot spot. Keep this in mind when you are planning your weekend in Brisbane. Nicholson AO. A range of health professionals and other experts from all over Australia also attended. The AISSG Australia was invited to present our position and three members – Phoebe, Tony and Andie – The Conference will include time for sharing personal stories, talks and information sessions and other events that I hope will stimulate and inspire you. Bring your ideas for what you would like to see happen in the AISSGA and contribute to the direction our organization evolves in! attended this historic workshop. AISSG Australia spokesman, Tony Briffa, made our support groupʼs position clear to the assembly. Firstly, he began with what we are not: that we are not Anti Surgery (we are against unnecessary surgery and have Best3wishes to you all and I look forward to concerns about surgery approval process, but seeing you at the Conference! not surgery itself) nor are we Anti Doctors (we want to work with the medical profession for Sandra the betterment of all people affected by AIS and similar conditions, parents, siblings, and carriers). Then, Tony stated our position most definitely supports a process that recognizes the AISSG Australia attends the Australasian Pediatric Endocrine Group Intersex (DSD) Workshop On April 7, 2011 the Australasian Paediatric Endocrine Group (APEG) held a workshop in Melbourne to discuss the topic: “Decision making about surgery for infants and children with disorders of sex development. When is court authorization needed?”. Special guests in the afternoon session included the Chief human and legal rights of families affected by intersex conditions, that is made objectively and with an agreed level of independence and oversight, and that achieves the best medical, social, reproductive and sexual outcome possible. Further, we want accuracy of diagnosis, truth disclosure, recognition of the importance of peer support and recognition of peer support groups – after all, dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition we have the greatest expertise of what it's experienced by people with intersex like to live with the condition from the conditions, they may often be reluctant or individual, parent, sibling and carrier unable to seek help, particularly when they perspective – and, finally, the establishment may have to explain the nature of their of a partnership with the medical and legal condition and how it affects them to the community to develop an appropriately professionals involved. Currently there is a documented and approved process and participate in its ongoing review and continual improvement. All the members were delighted to be involved in this direct conversation with medicos and the legal fraternity, and feel our lack of trained counsellors and psychologists who understand the issues that are faced by intersex people and who can effectively provide support for them. In addition, most mental health organizations and public hospitals are also ignorant of intersex issues and have little training in how best to meet their needs. voices were genuinely ʻheardʼ. We expect that the AISSG Australia will become involved The National LGBTI Health Alliance has with 4hospital ethic committees charged with recently established a Mental Health Working the decision making process for surgeries Group to assist with changing this situation. and treatments around patients with AIS and The group aims to promote the mental health other intersex conditions around the country. of LGBTI people and to ensure that appropriate services and treatment are available to meet their specific needs. It also aims to promote greater understanding and awareness of mental health issues for LGBTI people. I have recently joined this group and am excited to be representing the intersex community and helping to make some National LGBTI Health Alliance Mental changes in this area. One role of the group Health Working Group has been as an Advisory Group to the LGBTI Many intersex people struggle with varying Mental Health and Suicide Project overseen degrees of mental illness at different times in by the Alliance. You may be aware of the their lives. Mental illness also affects intersex recent Mind-OUT survey that was recently people at above average levels when sent to our members to assist with gathering compared to the rest of the population. Due in data for the Project. The Project aims to large part to the isolation and stigma that is promote linkages between the LGBTI sector dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition and mainstream mental health organizations confidence and courage.... Orchids has with the goal of improving the mental health allowed me to reflect on the shame and of LGBTI people. trauma of my coming-of-age experience and examine why 'coming out' continues to be I think mental health is perhaps the most extremely challenging." pressing issue for intersex people, and we desperately need services that can effectively address our mental health needs. At this time we have the opportunity to change this situation and give people with intersex conditions the support they need. If any of you have suggestions for the Working Group or just want to share your thoughts on mental health issues I would really love to hear from you. You can contact me (Sandra) at aissgaustralia@gmail.com. 5 That's the wonderful Phoebe Hart - the director, producer and star of this outstanding Australian feature documentary. Phoebe has Androgen Insensitivity Syndrome (AIS), a congenital intersex condition that can either occur spontaneously at conception or be passed down the generations. People with AIS have a typical male pattern but develop atypical reproductive organs as a result of their bodies being insensitive to male hormones. As you all know, the film has shown at various film festivals around Australia with great success. Sadly, around the world there Orchids hits the USA Orchids: My Intersex Adventure, which was voted in the most popular film at the Brisbane is a dearth of media that deals personally and sensitively with the complex issues of intersex, which is why Orchids is such a gem! International Film Festival, candidly examines, with warmth and humour, the shame and secrecy surrounding intersex. Phoebe is currently raising funds to attend world-class festivals and conferences in the USA in July of 2011 and represent the film in "Orchids is arguably a 'world firstʼ.... Early on, I made a conscious decision the film should be largely autobiographical. This was important for me on a number of levels and represented a huge step in terms of self- person. At present, there are no federal or state government travel grants available. dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition IF WE CAN ALL HELP OUT, Phoebe will be literature and the current recommendations of able travel to screen Orchids at Outfest in Los gonad retention for CAIS until the completion Angeles, which is one of the world's biggest of puberty. The findings of Ahmed et al. and longest running LGBT film festivals. (2000), Cheikhelard et al. (2008), Purves et Outfest nurtures and preserves lesbian, gay, al. (2008), and Hannema et al. (2006) bisexual and transgender (and intersex!) film corroborate the initial recommendation made images and artistry. Phoebe will also attend by Morris (1953) to retain the gonads for a the AISSG-USAʼs annual conference in naturally occurring puberty. Together, they Seattle. build a body of literature that supports gonad maintenance in women with CAIS until after Anyone who is interested in donating can do puberty because of the low risks of gonad so via the Australian Business Arts malignancy during or before puberty—rates Foundation (AbaF) www.abaf.org.au and all hovering around 1-2% in many articles. As a donations will receive a tax-deductible set of literature, they enable new questions in receipt. Simply search for “Phoebe Hart” research to be explored about gonad under 6 “Profiles”. Donations are paid in full to the artist as a grant. A total of more than $7 malignancy; I will specifically focus on the million has been donated to the arts through gonads in the long-term for those with CAIS. question of maintaining hormone-producing the AbaF to date. My Story It is widely known in CAIS that risks of cancerous malignancy are much smaller than the risks of gonad malignancy in conditions like Swyerʼs Syndrome or Partial AIS as well Goodbye Gonadectomy?: Considering as other variants. Because of the lack of Surgical Recommendation of recent research focusing on post-adolescent Gonadectomy in Post-Pubertal CAIS risk of gonad malignancy, my family and I Women remain unconvinced that prophylactic In our AIS support community, many of us gonadectomy after puberty is a necessity in have dealt with gonadectomies— surgeries to the treatment of Complete AIS. This is remove our gonads. As a woman with especially since my CAIS testes produce high Complete AIS, I have read the medical levels of testosterone that convert into dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition estrogen and naturally compose and regulate With current technology like blood testing and my female body. Because of this, I have MRIs, perhaps prophylactic gonadectomies in made the decision, along with the support of CAIS during or after puberty will become a my endocrinologist, to maintain my hormone- protocol of the past. If this were to happen, producing gonads and monitor them with surgery and other related and highly stressful blood tests and yearly MRIs. events for those in our groups might be reduced and reconsidered, as well as Why? hormone therapy treatments administered to teens and young adults after gonadectomy. For those like me who would prefer to On the converse, perhaps this research will maintain their low-risk, CAIS gonads in situ, better inform prophylactic gonadectomies the literature has not yet addressed the after puberty. Either way, more refereed question of risks and benefits, despite recent research needs to be done to explore gonad advances in biomedicine. My question maintenance practices. follows: what if surgical measures are not necessarily the best treatment for some 7 people with CAIS? What if medicine explored and studied long-term gonad maintenance Collaboration and Dialogue and monitoring in adults with CAIS? Moving forward, I encourage physicians to To answer these questions, new research turn to groups like ours for potential must better address the risks of malignancy participants and to lend an ear to the unique of post-pubertal gonads in CAIS. People with research needs vocalized by our groups. CAIS have expressed clear interest in Engage those of us who desire to maintain maintaining the gonads by choosing to leave our testes post-puberty in collaborative them in situ either until late adulthood or research. indefinitely (Alvarez et al. 2005; Hannema et al. 2006; Cheikhelard et al. 2008). Just While many researchers have used our having testes inside a CAIS body is not unique genetic and hormonal makeup to test pathological; gonad cancer and malignancy hypotheses of sex differentiation, we should is. likewise be able to voice our own research interests and priorities. This project and similar ones need to be engaged and dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition discussed by physicians, participants, and As a change from the baby kitten or Lady support groups collaboratively around best GaGa videos we all watch on YouTube, what medical practice and evidence-based about exploring AIS or intersex narratives? In medicine in the treatment of our unique the information age, all you need is a camera, bodies. Collaboration in research and open a YouTube account, and 10 minutes to record dialogue around gonadectomy and gonad your story and post it to the world. And many maintenance between physicians and CAIS are doing just that. people will enable better informed decisionmaking. Physicians, affected adults, and A quick YouTube search for “intersex,” support community—I encourage each of you “androgen insensitivity syndrome,” to open dialogue across our unique “congenital adrenal hyperplasia,” among communities to create medical care better others conjures a handful of self-made videos informed by personal experiences and of those telling the stories of their bodies and biomedicine in tandem. Uniting our their lives to the world. Go explore! Some perspectives, we can rejuvenate medical funny and some serious, all will give you the practice 8 and better serve those with AIS and other differences of sex development. opportunity to connect to someone else and Tweet this, YouTube that…Talk with me perspectives. that personʼs individual experiences and on Facebook Chat! Exploring Forums for AIS and Intersex We suggest starting your search with the Connection Online video: “5 Best Things About Androgen Insensitivity Syndrome.” YouTube, Twitter, and Facebook have enabled people with intersex conditions to go Websites and Email! global with their stories and their lives—some anonymously and some out and proud. After reading this, we encourage you to go out there and get started yourself, whether it is by looking up and interacting with stories and perspectives or recording your own! The US AIS/DSD Support Group, a group that supports female-identified individuals with AIS/DSDs and their loved ones, has online communities for teens and adults with AIS and similar DSDs as well as a parent email group to unite parents and families YouTube: considering AIS/DSD treatment. To interact with AIS/DSD Support Group, feel free to dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition email our sister group in the U.S. at Intersex conditions; a social paradox aisdsd@hotmail.com. Anthea Skinner Ramp Up 24 Jun 2011 The US group is recently undergoing website renovations--To see the US group’s new website, we invite you to visit their website at www.aisdsd.org! The Androgen Insensitivity Support Group Australia Twitter! (AISSGA) is an organisation dedicated to providing information and support to people Twitter-search “intersex” and “feminist hulk” to check out tweeters of all shapes, sizes, and identities—pop back and forth between with intersex conditions and their families. Ramp Up's Anthea Skinner spoke to Bonnie Hart, Vice President of the AISSGA. the many tweeters who discuss intersex, DSDs, and their identities! 9 For tweets that make you feel strong and proud, follow the always-empowering FEMINIST HULK: "Intersex is a term that is applied to people that have external genitalia that's at odds with their karyotype," says Hart. "There's a discrepancy between our external [gender] presentation and our internal biology. It's been known by many different things “HULK CELEBRATES ALL FORMS OF BEAUTY! SIZE, AGE, RACE, SHAPE, ABILITY, GENDER, BIG GREEN MUSCLES = NOT LIMITING FACTORS.” throughout the ages, traditionally people in that circumstance were called hermaphrodites." The term covers a range of conditions in which a person's biological sex sits somewhere between male (XY http://twitter.com/#!/feministhulk/status/70519 chromosomes) and female (XX). 983918157824 "I have a condition called Androgen Insensitivity Syndrome (AIS) that means that I have XY chromosomes," she explains. "I am genetically male but because of my insensitivity to testosterone, I didn't virilise in utero and so I progressed along a female dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition path... When I was born I had undescended a freak, a weirdo... any manner of useless testes, no uterus or ovaries." ideas." Diagnosis of an intersex condition is often To combat these feelings, the AISSGA surrounded by secrecy and shame, with encourages full disclosure about intersex parents feeling unable to answer one of the conditions to parents and children alike, most basic questions about their newborns; allowing people to have the maximum say in "Is it a boy or a girl?" Hart and the members their own treatment. In the past it was of the AISSGA are attempting to remove common for doctors to encourage parents to some of this stigma by bringing the topic into choose a gender for their baby, and then the open. "I like to speak openly and freely," reinforce this gender with irreversible genital she says. "I've made it a policy in order to surgery. make my experience of being intersex as transparent as possible, simply because the While some intersex conditions such as major symptoms are stigma, secrecy and Adrenal Hyperplasia can cause medical shame. 10 I've had enough of that in my life." emergencies like heart attacks, most babies born with intersex conditions are in no This attitude of transparency has lead Hart to immediate danger. The AISSGA discourages appear in a film made by her sister Phoebe, cosmetic surgeries on children who are too who also has AIS, about their experiences. young to make informed decisions. Orchids: My Intersex Adventure has screened at film festivals around the country and will "Most intersex conditions are not a medical screen on ABC television later this year. She emergency, they're a social paradox," says says having an older sister with the same Hart. "If a child does not have a medical condition helped her to come to terms with emergency, don't treat it like one. That's the her AIS. "She certainly did a lot of the ice- major issue. When people find out their child breaking. It was much more difficult for her has as intersex condition they have a social because she's older than me. I kind of always emergency and want to do something to fix it, felt like I'd known that I was intersex, she but it's not broken, because they're beautiful, didn't. She didn't find out until puberty... or incandescent human beings. So if it's not should I say lack of puberty. People have broken, don't fix it." Genital surgeries on wonderful imaginations and if they don't know children can have a number of physical and the truth, they may start thinking I'm an alien, psychological repercussions including loss of dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition sensation, negative body image, low self- and with peer support, intersex has been worth and the possibility of a child being accepted." surgically assigned a gender that they feel is inappropriate to them as an adult. The members of the AISSGA are working hard to facilitate that acceptance process, "Making choices on behalf of children can through lobbying and a providing support for create lifelong issues that don't necessarily all intersex conditions and people. "We need to be there," explains Hart. "In my certainly have done a lot of work with regards personal circumstance I had my gonads to raising awareness, creating opportunities removed when I was about 12. So I no longer for parents of people with intersex conditions have a natural source of hormones, I'm to be able to have a peer based commentary dependant on HRT. I have to take artificial about their circumstances, finding lists of oestrogen in order to maintain proper bone preferred doctors, lobbying for legislative density. Without the operation my testes change," explains Hart. would still be producing testosterone which would 11 then be naturally converted into oestrogen. Now I have to remember to take So what should parents do when making these little blue pills every day. It increases condition? Bonnie Hart's advice is simple: the pathology of the situation that I don't "Reduce interference in a actually think was necessarily a pathology in paediatric/childhood state, maximise the the first place. It was my state of being. I was decision making and ownership that the really upset about it. I equate it with rape in individual has over their own body and the my mind... I mean, you mess with someone's course of their life path and increase pleasure zone, they're going to be angry." happiness. Reduce any one of those things decisions for their newborn with an intersex and you end up with a bunch of unnecessary Hart is quick to point out that her anger is not issues that are present throughout life." directed toward her parents, who made the decision to allow surgery on medical advice. For more information about the Androgen "My mother had a lot of guilt about the way Insensitivity Support Group Australia, visit things were. I mean my mum's totally rad, she their website. only thinks in terms of ethics... it was just the dominant paradigm. That's changing because http://www.abc.net.au/rampup/articles/2011/0 now the internet has hooked together people 6/24/3252808.htm#comments dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition "Come here, Caster," he said, encouraging Ed – well done Bonnie on this brave and her with a gentle smile. "This lady would like eloquent interview! to interview you." Semenya frowned. She reluctantly shook my hand, her slender Caster Semenya, the athlete who became fingers escaping through mine. a reluctant hero "She is from a good newspaper," said Harkonen. "She is going to do a nice interview." Semenya looked unconvinced. What is a "good newspaper" when journalists the world over had already written about her genitals, pored over her most intimate details? Semenya nodded quietly. She would speak to me after training, but, I am warned, She won the world 800m title in 2009 – and any questions about her gender or 2009 and then 12all hell broke loose. The softly-spoken she will simply get up and walk away. That South African gives a rare interview evening, as we sit down together, Harkonen Anna Kessel gives us 20 minutes, checking his watch to time our start. The Observer, Sunday 12 June 2011 We hunch forward in our armchairs, me Who is Caster Semenya? In the two years straining to hear Semenya's softly spoken since the South African won the 800m world voice. She looks different. Her features are title in Berlin, much has been written about soft, she has beautiful smooth skin, big eyes, her — Semenya the controversial athlete with high cheekbones. At the press conference an intersex condition, a curiosity. But who is earlier that day, Semenya sat next to the real Semenya? Who is the 20-year-old Norwegian runner Ingvill Makestad. There I who became a world champion and then watched the other journalists, their eyes survived everything that followed? flicking between the two athletes, but Semenya did not look out of place in the way In a hotel lobby in Oslo, where Semenya was that had been suggested when she ran in competing last week, her agent, Jukka Berlin. In her ears glittered tiny stud earrings, Harkonen, called his young athlete over. on her wrist she wore a bracelet covered in dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition diamante hearts and letters that spelled out later, at a tiny meet attended by the world's "V4C", a present from her best friend, Violete media in Lappeenranta, Finland, July 2010, Raseboya, an athlete with whom she trains in she was finally allowed to make her return. Pretoria. Sitting there in Oslo, I am faced with a moral The first time I heard of Semenya was in July dilemma. Despite a warning not to ask 2009. A small paragraph in Athletics Weekly anything she might deem insensitive, I feel, mentioned an unknown 18-year-old girl who as a reporter, compelled to push the had just won the African junior boundaries, but, as a human, bound to championships in a then world leading time of honour my promise. Perhaps Semenya 1min 56.72sec. My eyes popped out of my senses my edginess because at each new head. In the busy days building up to the subject she grows jumpy, waiting to hear World Championships I forgot about what is coming next. Semenya, but her name reappeared in Berlin, whispered along the press benches. I think of other testing interviews. A fragile 13 Within days the story unfolded. A leaked Paul Gascoigne, his hands shaking as he memo printed in an Australian newspaper: West Indies captain Chris Gayle, his mood Semenya's gender was under suspicion, she angry and uncensored; Martina Navratilova, had had tests, she was – allegedly – not recovering from chemotherapy, touchy, wholly female. The International Association abrupt, raw. Semenya's emotions are within of Athletics Federations confirmed the story touching distance: scratch the surface and and all hell broke loose. Somehow, amid the they would come pouring out. But something chaos, Semenya kept her composure and stops me: not her agent, casting a furtive eye won the 800m title in 1min 55.45sec, the 13th over proceedings, or the timer on my fastest time recorded by a woman. Dictaphone, but something in Semenya's tried to light cheap cigarettes; the former eyes seems to say: "please, don't." As the controversy raged, her rivals questioned her eligibility and Semenya was Semenya is best known for running the ushered away from the media. In the weeks 800m, but it is the 1500m – or the "one thou that followed, the governing body tried to five" as she calls it – which is her true love. decide what to do. Eventually Semenya was "Yoh," she says, a typically South African suspended from competition. Eleven months expression. "I like this race more than any dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition other. I like how you can sit back and relax, subject of whispers and rumours about her and wait for the right moment, it's not like the gender, and I wonder if Semenya feels a 800m where you just need to go. One thou kinship because of this. "We spoke over the five, you can watch the race and decide what phone," she says, tight-lipped, "but I lost to do, but 800m is always sprinting." contact with her and now I'm trying to find her again." Semenya scrunches up her face. "The thing I'm afraid of the most with the 800m is Semenya says she never had posters of her injuries. That's why I don't normally like to run heroes on the walls of the room she shared in a group, I prefer to be in front, just in case with her sister growing up in a tiny village in someone pushes me with their spikes. I don't Limpopo province. "Actually, I don't like like stuff like that." posters. I don't like things of famous people." Now she is the famous person, I say, and she So, why concentrate on the 800m? "Because laughs as she tries to make sense of her new I started running good times. One thou five, I identity. "They want to build a stadium in my like14 it, but maybe it's one for the future. Maybe next year, Olympics, I can double up." name, a lot of things — I don't even know. I Like Kelly Holmes? She whistles through her this is not possible for me. This is what I do, teeth. "Oh! I like what you say. I've met Kelly so I just have to find a way of being Holmes, she was in Cape Town. Even her comfortable with it." don't like fame, I prefer to have no profile. But too, she was happy to see me and we talked. She told me I must keep running, I'm still At home in South Africa she is a national young, she told me I have lots of hero. "Yoh! People are always asking me for opportunities to do more." pictures, signing autographs, everywhere I go. Before, it used to irritate me but I've Semenya's lifelong idol, though, is the learned to handle the situation. I cannot run Olympic and three times 800m world away, unless I lock myself in my room and champion Maria Mutola. "She's still my hero," never go out." Semenya says. "I followed her results everywhere she was running, I wanted to be I wonder how the whole process has been for like her. She was running for 21 years, now her parents, approached over and over again she's in soccer. We have many similarities." I by the media to verify the gender of their wait for her to elaborate. Mutola was often the child, but Semenya says they are happy. dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition "They know it's what I've always wanted [to Music comes first, doesn't matter what kind, be successful]. When I was young I wanted to gospel, hip hop. I like Oleseng [Shuping]. He be a professional soccer player, they knew is my favourite." One of the great gospel maybe one day I could be something, singers, Oleseng's music is unmistakably although they were not expecting anything South African. The singer died from this big. pneumonia in July last year, around the time that Semenya made her comeback, and it is "They were surprised when I told them I easy to imagine her listening to his songs: the qualified for the Commonwealth Games in sound of home, inspiring and uplifting. India, and then the world champs in Berlin. They asked me, 'how is it possible that you She has travelled the world, but Semenya do that?' I told them, 'you always told me to says her favourite food is mielie pap, a maize believe in myself, that's what I'm doing now'. staple eaten by millions of Africans. "In South They always wanted me to be happy. Now it's Africa I normally eat it everyday," she says. very important for them that I defend my title "Pap and vleis [with meat], it's what I like. I and15not let anyone take it. After that they don't care anymore." don't drink gases, like coke, just juice and water, and I don't drink alcohol. If she could have a dinner party with celebrity guests, who With their young daughter travelling the world would she invite? She grins excitedly. and being constantly scrutinised, do they "Angelina and Brad Pitt! Since I saw the worry? "Yeah, they were worried when this movie Mr and Mrs Smith, I like what they do. thing," she pauses, gesturing, her arms lost in About cooking though, I don't know, I'm not the indescribable nature of it all, "when this good at cooking." thing started. But they see me now and I'm OK, so why should they worry now? Unless I There is something joyous about watching wasn't OK, then they would tell me, 'Caster, Semenya laugh. Her coach, the fatherly no, don't do this'." Michael Seme, once said he feared she would commit suicide after everything she Semenya says she never gets nervous had been through. Seme said she had seen it before a race. In the call room, where all before. Even as a junior she had been famously the other runners shunned her followed into the toilets, intruded upon, as ahead of the 2009 final, she likes to put her competitors checked whether she really was headphones on and listen to music. "Yoh! a girl. To remain on the public stage and dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition compete among the world's best, no matter European champion, storms off down the the headlines and questions, takes corridor. In Berlin she had sneered at extraordinary strength of character. Russian reporters – "just look at her" was her response when asked if she thought Born in 1991, three years before South Semenya was a man. Other runners were Africa's first free elections, Semenya is not similarly cruel, but in Oslo there is a different quite a freedom child, but is young enough feeling. not to have experienced the horrors of apartheid. For older generations of South Semenya chats happily to Janeth Jepkosgei, Africans, the outside world's determination to the Kenyan former world champion who categorise Semenya's gender brought back finished runner-up at the world uncomfortable memories of a system that had championships in 2009, the two analysing categorised its people by race. On their race, smiling and joking. It is Semenya's return from Berlin, she was hailed heartwarming to see. While the press wait, as a hero of the ANC, a symbol of the Semenya takes her time getting changed. An struggle 16 for self-determination and freedom. IAAF official implores her to hurry. "They are waiting for you," he says, exasperated, but For Semenya the connection is abstract. Semenya is reluctant. The reporters check "You're talking about democracy," she says. their watches – Usain Bolt is running in 10 "Rights. It doesn't mean anything to me. I minutes and deadlines are looming. cannot say I have rights to do whatever I Eventually Semenya wanders over, her eyes want, everything I do I report home to my low and guarded. Suddenly she notices me, a parents. I'm still a kid, I'll always be a kid to familiar face in the crowd. She smiles. my parents. Yes, I learned history at school, I know everything about apartheid. My dad, he During our interview I ask Semenya what has bought the books about it, stuff like that. But I been the best moment of her life so far. "Ah," just move on with my life. It's completely she says, "I think when I won the world title. different for me." That was the best moment of my life. Things changed, yes, but becoming a world On Thursday, Semenya races against a champion, I was never happier before I did strong field in Oslo, finishing third in a that." season's best of 1min 58.61sec. Afterwards, Mariya Savinova, the world indoor and dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition It seems an extraordinary thing to say after all "Paul" claimed to have a disorder called she has been through. Can she not imagine a Androgen Insensitivity Syndrome that had happier time? She smiles and finally given him the silhouette of a Hollywood responds. "If I win it again I will be even ingénue. I suspected he had something happier." called Munchausen by Internet; a disorder that gave him the urge to feign illness. It wasnʼt long after the wired world plugged itself ineluctably into the internet that this phenom began. In 1998, the New York Times Reality bytes: a fake girl in Damascus ABC, The Drum Opinion Helen Razor 17 June 21, 2011 17 Just about a year ago, I received the oddest email. “Hi, can we talk,” was its subject; an invitation I rarely decline. Its author, who claimed to be a 14-year-old boy with a rare hormonal disorder, attached a picture of himself to the correspondence. At first blush, the image appeared to be of a slightly underdressed pretty, white, female 'tween in a tiara. There were, as I saw it, two possible grownup responses to this dubious plea for guidance and so I chose them both. The first was to forward the communication to the Australian Federal Police for examination. The second was to research the young manʼs condition. published a piece about "factitious disorders". Of course, folks have been faking-it for hundreds of years but not with the precision, breadth and speed first seen in the nineties. With the rise of online support groups and medical cant always just a Google away, hundreds of fakers had risen to fame before the century was done. There were few so celebrated as Kaycee Nicole Swenson, purportedly a 19-year-old woman battling with purported leukaemia purportedly in Kansas. On May 15, 2001 the hundreds of thousands of users who had followed Swensonʼs blogged record of treatment and remission grieved when her death was announced. Swenson, as it turned out, never was ill. The blonde former star of local track-and-field couldnʼt have contracted any sort of disease given that she did not, in fact, exist. The author of some 300 upbeat posts was, in fact, dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition a healthy 40-year-old Kansas housewife. white dude in drag aside, authenticity When Debbie Swenson was outed, she was matters. Especially when it comes to identity. not entirely repentant. She apologised for the pain she had caused, but told The Times "I This is not to say that one should bear the know I helped a lot of people in a lot of tyranny of an identity that doesnʼt fit. different ways." Research and lived-experience tells us, for example, that the idea of an "authentic" Actually, a lot of folks seemed to agree. On gender identity can be easily undone. But, the internet thread that unravelled the ruse, thereʼs an ocean of difference between one user wrote, "sure, it might not be real. moving as an individual away from identity does it really matter? if nothing else, the story norms and taking millions of blog readers with of Kaycee's death was a moving experience you. for some". And authenticity certainly wasnʼt the case This week, following revelations that "Amina with "Paul" who, as Iʼd suspected, was a Araf" 18 the Gay Girl in Damascus was not, in fact, living evidence of the wrath of Al Assad, frequent faker. As it turned out, heʼd we saw similar apologism. at various turns, to have been disabled, approached dozens of others online claiming, sexually confused and physically abused. In fact, the middle-aged Post-colonial scholar One of the users he contacted on a sexual with his hand up Amina sprang to his own abuse survivors site was aghast to learn that defence. He wrote from his Edinburgh home the "woman" to whom she had privately that he was trying to "illuminate" issues "for a revealed vivid and particular details of a rape western audience". Apparently, he felt the was not a compassionate survivor. Here was worldʼs colossal pool of Anglophone middle- someone with a fetish bordering on mania eastern commentators wasnʼt quite up to the feeding off the intimate details of her distress. job. Thousands of others agreed. What, after all, is a little thing like identity when Authenticity is not an inauthentic word in the there are millions of lives at stake? case of Amina; its value is not diminished by the focus on "issues for a western audience". Well, quite a bit as it happens. The ghastly It makes a pirate handbag of Syriaʼs queer paternalism and plain old creepiness of some community. dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition You can produce all the Baudrillardian blog that she was actually born intersex and culture-of-simulation arguments that you she is not transgender as has been reported: wish. Certainly, the idea of "reality" may itself be imperilled in the world at large; "identity" While I appreciate all of the support, I am may be a fluid thing; questioned even by setting the record straight: I am a neurologists. We are not yet ready to choke heterosexual woman, who happened to have on this sticky, sweet Dessert of the Real. born intersex, and yes, I did have a transsexual medical condition, yet that has Helen Razer is a Melbourne writer with an been treated and corrected. I urgently ask the occasional blogging habit at Bad Hostess. gay and transgender communities to stop inaccurately identifying me as “transgender” ʻTransgenderʼ Widow Actually Intersex, because this falsehood is continuing to make Court Decision Ignores Nuance Of Sex, my battle even more difficult. The media has Gender, And Identity picked up on this mislabeling, and it may lead to the assassination of transsexual and By 19 Zack Ford on Jun 2, 2011 at 12:18 pm intersex marriage and rights in Texas. The http://thinkprogress.org/ clueless appropriating of my situation is dishonest and hurtful. My birth defect is a LGBT blogs and medical condition, and has nothing to do with news outlets “gender and lifestyles”. (including this one yesterday Araguz is referring to a disorder of sex morning) have development (DSD), which presumably offered coverage means that at birth, she did not present as of the case of typically XX-female or XY-male and was Nikki Araguz of Texas. She is the widow of a misclassified as male. The Intersex Society of deceased firefighter whose ex-wife sued after North America estimates that about 1 in 1500 his passing, demanding that Araguz not are classified as intersex at birth, but because receive any death benefits because she was of the different ways intersexuality presents at born male. The ex-wife successfully different points in life, the number of people convinced a judge that the marriage was thus who are intersex is likely much higher. a same-sex marriage, prohibited under Texas law. However, Araguz has now shared on her dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition While the identities of intersex and transgender face a lot of similar challenges in "Boy or girl?" It's the one question people feel society, they are not the same. Intersexuality safe asking a new mother, since it can hardly refers to an ambiguity of biological sex, cause offence. But what if the answer isn't whereas people who are transgender are straightforward? Even today, in our struggling with a gender identity that does not supposedly broad-minded age, you'd feel a match their sex. It is easy to confuse the two bombshell had been dropped if the proud because individuals with either identity may parent were to reply simply: "Both." pursue surgical options — as Araguz did — to achieve identity cohesion. In Annabel, an intersex baby – one testicle, a penis, one ovary, a womb and a vagina, since The judgeʼs decision to void her marriage you ask – is born to Jacinta. It's 1968, and because of her identity reveals the way the she lives in a remote Canadian hamlet with lawʼs oversimplification of identity hurts her husband, Treadway, a trapper of few individuals. The construction of “one man, words but strong principles. It is he who one20woman” marriage that equality opponents champion makes no room for decides that the child will be brought up as a people like Nikki Araguz who have unique sex unlike him, is quite capable of encompassing and gender identities. Essentially, the judge her baby's male and female identities in her ruled that she is male only because a doctor love. She feels she has lost a daughter, and a checked that box on a form when she was friend secretly christens the baby Annabel born. No one should be able to dictate who behind the minister's back. So, with a little Nikki Araguz is except Nikki Araguz, and no help from the one should ever have to. doctors, young boy, to the eternal sorrow of Jacinta, who, Wayne unwittingly Recommended Reading starts life as a boy with, as he puts it Annabel by Kathleen Winter – review later on, a girl Carrie O'Grady, guardian.co.uk, Tuesday 12 curled up inside April 2011 him. This Orange short listed debut is poignant but Kathleen Winter, a not entirely plausible Canadian writer, has done well with her debut dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition novel: it has made the Orange prize shortlist out in the bush – makes it the perfect setting here as well as the shortlists for Canada's for a story about isolation. three biggest fiction awards. It didn't win those, but its delicate treatment of a sensitive We're never fully immersed in this bleak subject charmed readers and judges alike. landscape, though, because Annabel has a Not many authors have tackled issues of problem: a nagging sense of implausibility. In intersexuality or variations on what used to be the first few pages, Jacinta is in labour at called, in less tactful times, hermaphroditism. home. In between bouts of "mind-stopping Annabel takes a fresh approach: it eschews agony", we're told, she busies herself pouring the dark humour of Jeffrey Eugenides's coffee for her attendants and chatting about Middlesex, or, in less direct treatments, the husbands. Really? A teacher tells her class gruesomeness of Iain Banks's The Wasp about her dead daughter, how her breath was Factory, the epic sweep of Virginia Woolf's like cold petals. Seriously? That's surely Orlando, the inventive intricacy of Ursula K Le something that would happen only in literary- Guin's The Left Hand of Darkness. This is a fiction-land. quiet, 21 inward-looking treatment of a quiet, inward-looking person who is, in a way, more The most surprising lapse comes when human than most, being man and woman in Wayne hits puberty and learns his true one, yet who feels completely alone in a nature. You expect shock, fear, anger, small world. questions – Why am I like this? Why did they decide I'd be a boy? Can I choose for myself? That world looms large in the novel, for What happens when I fall in love? Wayne, Wayne grows up in Labrador, on Canada's though, seems no more than curious. He eastern coast. A demographer might call the goes home and muses on the power of region sparsely inhabited; in fact it has about names. Later, as a broken bottle is being the same population as Melton Mowbray, waved threateningly in his face, he muses on spread over an area the size of Italy. But beauty and its loss. You marvel at the Labrador can boast neither tomatoes nor pork poignancy of the sentiment, but in the end, pies; this is caribou country, and there's not you don't buy it. enough sun to grow a strawberry. Kathleen Winter gives us a vivid picture of Labrador, The author has said that Wayne is and its frontier aspect – chill winds, hard "transparent", and he does seem a strangely work, taciturn hunters who live half the year blank, alien figure: a man who fell to earth, dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition neither male nor female nor both. It's Leo (Jul 23 - Aug 22) - Leos stubbornly cling loneliness, not gender, that lies at the heart of to their pride. Just because you donʼt get Winter's novel – a confident, serious debut PMS doesnʼt mean youʼre not a bitch. that, like the Labrador sun, never quite warms you through. Virgo (Aug 23 -Sep 22) - To hide their vulnerability, Virgos focus attention on what Ed – weʼd be keen to hear what Australian they're doing rather than who they are. Quit readers think of the book. Please send your masturbating and start dating. take through to aissgaustralia@gmail.com Libra (Sep 23 - Oct 22) - Librans have to AIS by the Stars! learn how to deal with confrontation. Now is a good time to book in with your endo. Scorpio (Oct 23 - Nov 21) - Scorpios stubbornly cling to emotional attachments. 22 Time to get rid of the old dilator collection…. Sagittarius (Nov 22 - Dec 21) - Sagittarians are moving in many directions. Perfect for travelling interstate for an AISSG conference! New to dAISy, we predict your future AIS Capricorn (Dec 22 - Jan 19) - Capricorns interactions with doctors and significant always strive to reach higher goals, and others with little more than wit, a zodiac chart decide this is the moment for cock-in-orgasm. and a crystal ball. Aquarius (Jan 20 - Feb 18) - Aquarians Cancer (Jun 21 - July 22)- Cancerians get refuse to budge whenever an issue involves things done through the power of their what they believe to be a matter of principle. emotional commitment. Anger is getting Beware when locking horns with your shitloads done in your world, honey. childhood doctors! Pisces (Feb 19 - Mar 20) - A Piscean can too easily become a victim by identifying with the dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition personality and problems of other people. therapy, gender identity, surgical intervention Lose the victim mentality – embrace your own of children with intersex conditions, sexual sob story! intimacy, etc. Aries (Mar 21- Apr 19) - Aries people need to keep physically busy. Sex is a way of keeping physically busy, right? We also provide support to those with related intersex conditions like Partial and Complete Gonadal Dysgenesis, MRKH (also known as Vaginal Agenesis), 5a-Reductase Deficiency, Taurus (Apr 20 - May 20) - Taureans stubbornly cling to their own ideas and habits. So how much longer will you keep tampons in your bag just in case a girlfriend asks for one? 3b-Hydroxysteroid Dehydrogenase Deficiency, 17-Ketosteroid Reductase Deficiency and 17b-Hydroxysteroid Deficiency. (The previous name for AIS was Testicular Feminisation Syndrome). We acknowledge that people with intersex Gemini (May 21 - Jun 20) - Using their conditions (including AIS) range from female communicative skills, Geminis adapt to any 23 situation they encounter. Canʼt talk your way to male and anywhere in between. out of a bone density scan this time though…. The AISSG Australia believes in a holistic model of health as per the World Health Ed – all in good fun, folks Become a Member Organisation definition of 'health': "Health is a state of complete physical, mental and social well-being and not The Androgen Insensitivity Syndrome (AIS) Support Group Australia Inc. (A0041398U) is merely the absence of disease and infirmity". a peer support, information and advocacy group for people affected by AIS and/or related intersex conditions, and their families. There are many benefits to becoming a member of the AISSG Australia, including the dAISy newsletter, regular conferences and We support members (both in Australia and meet-ups, and up-to-date information and overseas) that have any grade of Androgen news relevant to our members. Of course, Insensitivity Syndrome, and support any there is also the wonderful benefit of issues relevant to living with AIS. These supporting and meeting others who have so issues include infertility, disclosure, hormone much in common and much to share! We are dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia January 2011 Edition also always looking for people who want to August 7 2011 is eligible to win. Weʼll be become more involved as representatives drawing the winner randomly at the AISSG and/or committee members. Conference. Thank you to M for the donation of this wonderful reward. President: Sandra Vice-President (Media) Bonnie Vice-President (Medical) Andie Secretary: Phoebe Treasurer: Tony Victoria/Tas Reps: Sam and Jocelyn SA/NT Rep: Carol NSW/ACT Rep: Sandra Queensland Rep: Phoebe Parentʼs Reps Annette and Ruth Menʼs Rep: Tony Public 24 Officer: Andie Donʼt forget to register for our annual Weʼd love to have representatives in other conference 6-7 August in sunny Brisbane states and territories. We also have Queensland as soon as possible – representatives for parents of children with aissgaustralia@gmail.com AIS and men with AIS… and the word is out that partners of people with AIS need support The next dAISy too! Next issue is January 2012. The deadline for submissions is 30 December 2011. To Now is the time to join, renew or rejoin submit articles, art, jokes, information, your membership, as the new financial poems, or whatever you would like to share begins. As an added incentive, we are please email aissgaustralia@gmail.com offering a prize of a gorgeous Swarovski crystal figurine. Anyone who joins before We hope to hear from you again soon! dAISy The Newsletter of the Androgen Insensitivity Syndrome (AIS) Support Group of Australia July 2009 Edition Membership Application (2012-2013) I wish to apply for membership of the Androgen Insensitivity Support Group Australia Inc. I enclose my annual membership fee, which ends on the 1st of August 2012. To become a member simply print out the following page and forward it to: PO Box 3239 South Brisbane Q 4101 or email your details to: aissgaustralia@gmail.com Name/Organisation:………………………………………………………………………………………… Address: ………..………………………………………………………………………………………. State: ……………… .…………….. Postcode: …………………… Country: …….………………….. Telephone Number(s): ……….……….………………………………………………………………… Email address: ………………………………………………………………………..…………………… Age: ……………(optional) If organisation name of contact person: ………………………………… Signature: ………………………………………………….. Date: ………………………………….. 25 Membership type: (Please tick one) Individual Membership: Organisational Membership: 1 year $20 1 year $40 3 years $50 3 years $100 Please indicate your membership category: Person with AIS, Gonadal Dysgenesis or similar condition (Please specify) ………………………………………………………………………………………………… Family / Partner / Friend of someone with AIS or similar condition ………………………………………………………………………………………………… Medical Professional (please state interests in AIS and similar conditions) ………………………………………………………………………………………………… Organisation (please state interests in AIS or similar conditions) ………………………………………………………………………………………………… Would you like to make a donation to the AIS Support Group Australia? (Donations of $2 or more are tax deductible) $10 $20 $50 $100 other $........ Please make all cheques payable to the AIS Support Group Australia. Direct deposit available on request. Thank you!