Introduction: Trapped in the Binary

  • Nikoletta Pikramenou


From the very beginning of our lives, human beings are called to fit in the sex binary of male and female. Contemporary society is based upon a heteronormative gender order deriving from the idea that there are two opposite sexes. Then, social rules about “normal” gender and sexuality require the definition of what is “female”, “male”, “masculine” and “feminine” so that the “opposite sexes” are attracted to each other and eventually reproduce. Consequently, “sex” results being polarised as “female” and “male”, gender as “women” and “men” and “sexuality” as “homosexuality” and “heterosexuality”, restricting diversity only within this rigid and dualistic system. This sex/gender binary categorisation has been a source of negative effects for both those who identify, and those who do not, with the binary.


  1. Bourdieu P (1998) Masculine domination. Stanford University PressGoogle Scholar
  2. Butler J (1990) Gender trouble, feminism and the subversion of identity. RoutledgeGoogle Scholar
  3. Butler J (2004) Undoing gender. Routledge, New YorkCrossRefGoogle Scholar
  4. Carpenter M (2015) Intersex: intersectionality, epistemic and structural violence. Scholar
  5. Colapinto J (2000) As nature made him. Harper CollinsGoogle Scholar
  6. Davis G (2011) DSD is a perfectly fine term: reasserting medical authority through a shift in intersex terminology. In: PJ MG, Hutson DJ (eds) Sociology of diagnosis (advances in medical sociology), vol 12. Emerald Group Publishing Limited, pp 155–182Google Scholar
  7. De Beauvoir S (1949) Le Deuxième Sexe, Première partie: formation. Gallimard, Paris. (in French)Google Scholar
  8. Fausto-Sterling A (2000a) Sexing the body. Basic BooksGoogle Scholar
  9. Foucault M (1977) Discipline and punish. Pantheon BooksGoogle Scholar
  10. Foucault M (1980) Herculine Barbin: being the recently discovered memoirs of a nineteenth century French hermaphrodite (trans: McDougall R). Pantheon Books, New YorkGoogle Scholar
  11. Foucault M (2012a) The history of sexuality: an introduction, vol 1, initially published in 1990. Knopf Doubleday Publishing GroupGoogle Scholar
  12. Foucault M (2012b) The history of sexuality: the use of pleasure, initially published in 1984, vol 2. Knopf Doubleday Publishing GroupGoogle Scholar
  13. Garland J (2016) On science, law, and medicine: the case of gender- “normalizing” interventions on children who are diagnosed as different in sex development. Uppsala UniversityGoogle Scholar
  14. Hall K, Bucholtz M (eds) (1995) Gender articulated: language and the socially constructed self. Routledge, LondonGoogle Scholar
  15. Holmes M (2007) What is gender? Sociological approaches. SAGE PublicationsGoogle Scholar
  16. Huffer L (2009) Rethinking the foundations of queer theory. Columbia University PressGoogle Scholar
  17. Johnson LJ, Repta R (2012) Sex and gender. Beyond the binaries. Ιn: Oliffe JL, Greaves L (eds) Designing and conducting gender, sex, and health research. Sage, pp 17–39Google Scholar
  18. Jones M (2018) Intersex genital mutilation- a western version of fgm. In: Freeman M (ed) Children’s rights: new issues, new themes, new perspectives, BrillGoogle Scholar
  19. Karkazis K (2008) Fixing sex: intersex, medical authority, and lived experience. Duke University PressGoogle Scholar
  20. Kessler JS (1998) Lessons from the intersexed. Rutgers University PressGoogle Scholar
  21. Ní Mhuirthile T (2015) Building bodies: a legal history of intersex in ireland in sexual politics in modern Ireland. Irish Academic PressGoogle Scholar
  22. Prerna R (2013) Foucault’s ethics: living as a middle sex or intersex subject. A project for American UniversityGoogle Scholar
  23. Scherpe MJ, Dutta A, Helms T (eds) (2018) The legal status of intersex persons. IntersentiaGoogle Scholar
  24. Siculus D (1935) Library of history, Book IV, Loeb Classical Library Volumes 303 and 340, C.H. Oldfather. Harvard University Press, CambridgeGoogle Scholar
  25. Speer AS (2004) Gender talk: feminism, discourse and conversation analysis. RoutledgeGoogle Scholar
  26. Becker M (1999) Patriarchy and inequality: towards a substantive feminism. Univ Chicago Legal Forum 1999(1):21–88Google Scholar
  27. Blackless M, Charuvastra AD, Fausto-Sterling A, Lauzanne K, Lee E (2000) How sexually dimorphic are we? Review and synthesis. Am J Human Biol 12:151–166CrossRefGoogle Scholar
  28. Blackstone MA (2003) Gender roles and society In: Julia RM, Richard ML, Lawrence BS (eds) Human ecology: an encyclopedia of children, families, communities, and environments. Santa Barbara, pp 335–338Google Scholar
  29. Butler J (1988) Performative acts and gender constitution: an essay in phenomenology and feminist theory. Theatre J 40(4):519–531CrossRefGoogle Scholar
  30. Cornwall S (2009) Theologies of resistance: intersex/DSD, disability and queering the real world. In: Holmes M (ed) Critical intersex. Ashgate, FarnhamGoogle Scholar
  31. Cornwall S (2013) Asking about what is better: intersex, disability, and inaugurated eschatology. J Religion Disability Health 17(4):369–392CrossRefGoogle Scholar
  32. Cornwall S (2014) Sex otherwise: intersex, christology, and the maleness of jesus. J Feminist Stud Religion 30(2):23–39CrossRefGoogle Scholar
  33. Cornwall S (2015) Intersex and the rhetorics of disability and disorder: multiple and provisional significance in sexed, gender, and disabled bodies. J Disability Religion 19(2):106–118CrossRefGoogle Scholar
  34. Creighton S (2001) Surgery for intersex. J Royal Soc Med 94(5):218–220CrossRefGoogle Scholar
  35. Dorumat-Dreger A (1998) Ambiguous sex or ambivalent medicine? Hast Center Rep 28(3):24–35CrossRefGoogle Scholar
  36. Fausto-Sterling A (2000b) The five sexes, revisited. Sciences 40(4). Accessed 10 Dec 2018
  37. Greenberg J, Herald M, Strasser M (2010) Beyond the Binary: what can feminists learn from intersex transgender jurisprudence. Michigan J Gender Law 17(1):13–37Google Scholar
  38. Haig D (2004) The inexorable rise of gender and the decline of sex: social change in academic titles, 1945–2001. Arch Sex Behav 33(2):87–96CrossRefGoogle Scholar
  39. Henkin L (1989) The universality of the concept of human rights. The annals of the American Academy of political and social science. Sage Publications, Inc. in association with the American Academy of political and social science. Human Rights Around World 506(1):10–16Google Scholar
  40. Hester JD (2004a) Intersex (es) and informed consent: how physicians’ rhetoric constraints choice. Theoretical Medicine, Kluwer Academic Publishers 25:21–49Google Scholar
  41. Hester JD (2004b) Intersexes and the end of gender: corporeal ethics and postgender bodies. J Gender Stud 13(3):215–225CrossRefGoogle Scholar
  42. Holmes M (2011) The intersex enchiridion: naming and knowledge in the clinic. Somatechnics 1(2):87–114CrossRefGoogle Scholar
  43. Kerry S (2009) Are you a boy or a girl? Foucault and the intersex. ResearchGate. Accessed 1 Sept 2018
  44. Kim SK, Kim J (2012) Disorders of sex development. Korean J Urol 53:1–8CrossRefGoogle Scholar
  45. Lundberg T, Hegarty P, Roen K (2018) Making sense of ‘Intersex’ and ‘DSD’: how laypeople understand and use terminology. Psychol Sex 9(2). Scholar
  46. Money J (1955) Hermaphroditism, gender and precocity in hyperadrenocorticism: psychologic findings. Bull Johns Hopkins Hosp 96(6):253–264Google Scholar
  47. Morland I (2009) What can queer theory do for intersex?. J Lesbian Gay Stud, Duke University Press, 15(2):285–312CrossRefGoogle Scholar
  48. Morton-Brown M (1999) Queer linguistics vs. compulsory heterosexuality. Text Perform Q 19(3):248–256CrossRefGoogle Scholar
  49. Nisker J (2013) Informed choice and PGD to prevent “intersex conditions”. Am J Bioeth 13(10):47–49CrossRefGoogle Scholar
  50. Reis E (2007) Divergence or disorder: the politics of naming intersex. Perspect Biol Med 50(4):535–543CrossRefGoogle Scholar
  51. Sax L (2002) How common is intersex? A response to Anne Fausto-Sterling. J Sex Res 39(3):174–178CrossRefGoogle Scholar
  52. Smith C (2000) The Sovereign State v Foucault: law and disciplinary power. Sociol Rev Found 48(2):283–306CrossRefGoogle Scholar
  53. UNFPA (2005) Human Rights Principles. Accessed 25 Mar 2019
  54. Weber S (2011) Language and gender research from a queer linguistic perspective: a critical evaluation by Michaela Koch (2008), Reviewed by Shannon Weber. Gender Lang 5(1):153–157CrossRefGoogle Scholar
  55. Zavaletta Schoch A (2005) Undoing gender (review). The Comparatist 29:152–153CrossRefGoogle Scholar
  56. European Commission (2012) “Trans and Intersex people, Discrimination on the grounds of sex, gender identity and gender expression”,
  57. Ghattas CD (December 2015) “Standing up for the Human Rights of Intersex People-How Can you Help?”, ILGA Europe, Oii Europe,
  58. Living Free & Equal (2016) “What States Are Doing to Tackle Violence and Discrimination Against Lesbian, Gay, Bisexual, Transgender and Intersex People”, United Nations,
  59. OII Europe, Malta Declaration (1 December 2013) available on
  60. Zillén K, Garland J, Slokenberga S (11 January 2017) “The Rights of Children in Biomedicine: Challenges posed by scientific advances and uncertainties”, Commissioned by the Committee on Bioethics for the Council of EuropeGoogle Scholar
  61. Piantato G (2016) “How has queer theory influenced the ways we think about gender?”, Working Paper of Public Health nr. 12/2016, Azienda Ospedaliera Nazionale “SS. Antonio e Biagio e Cesare Arrigo”Google Scholar
  62. ICD-11 for Mortality and Morbidity Statistics (2018) World Health Organization
  63. Lindsey LL (2014) Chapter 1, The sociology of gender theoretical perspectives and feminist frameworks. In: Gender roles: a sociological perspective. Routledge, LondonGoogle Scholar
  64. Koyama E, Lisa Weasel (2001) Teaching intersex issues: a guide for teachers in women’s, gender & queer studies. Intersex Society of North America, June 3
  65. Foucault M (1990) Objective. In: The history of sexuality. Vintage, New YorkGoogle Scholar
  66. The Netherlands Institute for Social Research (2014) Living with intersex/DSD. Netherlands Institute for Social ResearchGoogle Scholar

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Authors and Affiliations

  • Nikoletta Pikramenou
    • 1
  1. 1.AthensGreece

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