A personal style guide on sex vs gender

It’s common to make a distinguish between biological sex (which includes chromosomes, primary and secondary sexual characteristics, hormones, etc.), and gender (which refers to one’s identity, or to patterns of behavior). The thrust of the distinction is to separate social constructs from biological reality.

This distinction isn’t wrong, exactly, but I have some quibbles. Mainly, I think gender is the bigger and more important concept, the one that you should be referring to in most situations. There are several things that people think of as sex, but which are really components of gender.

Here I will develop my thoughts on the distinction between sex and gender. I’m calling it a “personal style guide” because it describes how I use the terms, but I am not trying to impose this usage on anyone else. I realize some people use the words differently, and there can be some good justifications for this.

Woman vs female

Some people say that “woman” refers to gender, while “female” refers to sex. I think this is incorrect, on both the descriptive and prescriptive level.

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Ostensive definitions for queer experiences

While I’m still on the subject of Wittgenstein’s private language arguments, I’d like to say more about how it relates to queer experiences.

You might notice that I’ve never stated exactly what the private language argument is. It isn’t really a formal argument, in the sense of having premises and a conclusion. Rather, the private language argument refers to a cluster of issues regarding personal experiences. For example, what does “pain” refer to, if anything? When I experience a thing, how do I identify it as pain or not pain? How do I know that it is similar to what other people are feeling when they refer to pain?

You must realize that I am not formally trained in philosophy. I’ve never read Wittgenstein first-hand and don’t know precisely what he says. But it seems to me that the private language argument is wasted on philosophers, when it’s so directly relevant to queer experiences. How does one know that one is experiencing sexual or romantic attraction? How about gender dysphoria? This isn’t philosophical abstraction to us, it’s something we live through and discuss amongst ourselves extensively. I would bet that it is also relevant to other minority experiences, such as chronic pain, depression, or aphantasia.


Usually, when we define a word, we explain it in terms of other words. But clearly we can’t do this for every word, because the definitions would eventually become circular. If you think about it, there is a way around this.  You can define a word by pointing to examples of it. For example, I can define an ant by pointing at one, or I can define an octahedron by pointing at one. This is called an ostensive definition.
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Why isn’t homosexuality (or religion) a mental disorder?

In a comment discussion last month, we touched on the question of whether religion could ever be considered a mental disorder. This is a common idea among atheists, sometimes expressed as a joke, or sometimes claimed seriously. I am not mentally ill, so I would defer to other people to explain why it is wrong to compare religion and mental illness even as a joke. Here I will ignore the jokes and consider only the serious question: Why isn’t religion a mental disorder?

According to the DSM-5,

A mental disorder is a syndrome characterized by clinically significant disturbance in an individual’ s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning. Mental disorders are usually associated with significant distress or disability in social, occupational or other important activities. An expectable or culturally approved response to a common stressor or loss, such as the death of a loved one, is not a mental disorder. Socially deviant behavior (e.g., political, religious, or sexual) and conflicts that are primarily between the individual and society are not mental disorders unless the deviance or conflict results from a dysfunction in the individual, as described above. [emphasis mine]

There you go. Religious behavior isn’t a mental disorder because the DSM-5, an authoritative document, says so. However, you could be forgiven for not taking the DSM’s word for it. Let’s dig deeper.

Look at what else has been excluded from mental disorders: socially deviant sexual behavior. This exclusion arises from a famous controversy, which led to the declassification of homosexuality as a mental disorder in the DSM in 1973. And until 1987, homosexuality remained as a mental disorder (“Sexual Orientation Disturbance” and later “Ego-dystonic Homosexuality”) as long as the patient was distressed about their orientation. The architect of these decisions was psychiatrist Robert Spitzer. I believe that Spitzer himself offers the best insight into the definition of mental disorders.

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Non-binary people who aren’t trans

As it says on the sidebar, one of my most important activist projects has been analysis of ace community demographics. More specifically, I volunteer expertise for the AVEN Community Census. As far as activism goes, it isn’t as glamorous as blogging, but IMHO the glamour of survey analysis is way underrated.

Anyway, let’s talk about the results on gender from 2014:

gender history

This figure was originally published here, but I made a slight revision. The width of each line is proportional to the percentage of the ace community. The color of each line indicates how many people in that subgroup identify as trans or unsure. “Other” refers to people who indicated that they were neither men nor women, but throughout this post I will refer to this group as non-binary.*

Within this figure is a cross-section trans politics. The biggest surprise to me was how few non-binary people identify as trans. But I should first offer brief comments about other features of the data.
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I’m glad it has come to bathrooms

This may be a contentious statement given that I am: a) not trans, and b) not living in North Carolina, Mississippi, or Alabama. But I am glad that bathroom bills have brought discrimination and harassment against trans people to national attention.

The fact of the matter is that denying trans people access to public restrooms did not start with bathroom bills. It was already an ongoing problem.

In the last few years, when US marriage equality was imminent, LGBT activists were worried about what would come next. For so long, marriage equality has been the LGBT issue in the US, as perceived by allies and outsiders. Activists themselves knew there were plenty of other issues like employment discrimination, trans healthcare, and de facto health and economic disparities. But if the general public starts to believe queer issues have already been solved, just like they believe for racism and sexism, then activists would run out of steam and funding.
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