Intersex and Imago: Sex, Gender, and Sexuality in Postmodern Theological Anthropology
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Marquette University e-Publications@Marquette Dissertations, Theses, and Professional Dissertations (1934 -) Projects Intersex and Imago: Sex, Gender, and Sexuality in Postmodern Theological Anthropology Megan K. DeFranza Marquette University Follow this and additional works at: https://epublications.marquette.edu/dissertations_mu Part of the Religion Commons Recommended Citation DeFranza, Megan K., "Intersex and Imago: Sex, Gender, and Sexuality in Postmodern Theological Anthropology" (2011). Dissertations (1934 -). 117. https://epublications.marquette.edu/dissertations_mu/117 INTERSEX AND IMAGO : SEX, GENDER, AND SEXUALITY IN POSTMODERN THEOLOGICAL ANTHROPOLOGY by Megan K. DeFranza, B.A., M.A.T.H., M.A.B.L A Dissertation submitted to the Faculty of the Graduate School, Marquette University, in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Milwaukee, Wisconsin May 2011 ABSTRACT INTERSEX AND IMAGO : SEX, GENDER, AND SEXUALITY IN POSTMODERN THEOLOGICAL ANTHROPOLOGY Megan K. DeFranza, B.A., M.A.T.H., M.A.B.L Marquette University, 2011 Christian theologians regularly assume a binary model of human sex differentiation based on the creation narratives found in Genesis. Recent work in theological anthropology has grounded theological concepts such as the social view of the image of God, human personhood, and human relationality on the creation of humans as male and female in heterosexual marital relation. While these anthropologies have merit—particularly in correcting older versions of the imago Dei which privileged the male—they are inadequate for addressing the phenomena of intersex. Intersex is a broad term used for persons whose bodies display some physical characteristics of both sexes—historically labeled “hermaphrodites” and more recently as persons with Disorders of Sex Development (DSD). Physicians estimate that at least one in every 4,500 children is born with an intersex condition. Despite the good intentions of parents and doctors, many intersex persons are challenging the medical treatment they have received which aims at establishing their bodies as clearly male or female. They recount harrowing stories of surgeries gone bad, sex assignments rejected, records withheld, and medical treatment experienced as sexual abuse. Many are working to end “shame, secrecy, and unwanted genital surgeries” or advocating that intersex be recognized as a third sex or as a harbinger of a sexless society. While some postmodern theologians are incorporating intersex alongside persons who identify as lesbian, gay, bisexual, transgender, and queer, more conservative Christians, such as Evangelicals and Roman Catholics, have yet to attend to the challenges intersex persons bring to their theologies and communities. In their attempts to justify heterosexual ethics some have turned a blind eye to the presence of intersexed persons or argued that intersex can and should be fixed through medical intervention. These same theologians often overemphasize the significance of sex difference for theological anthropology. I argue that traditional sexual ethics do not preclude recognizing the full humanity of intersex persons as made in the image of God. I write in order to create theological and practical space for intersex persons and a more balanced vision of the imago Dei as it relates to sex, gender, and sexuality. i ACKNOWLEDGEMENTS Megan K. DeFranza, B.A., M.A.T.H., M.A.B.L To my beloved husband, Andrew, for faithful love, patience, perseverance, help, wisdom, and laughter, without whom I would be a lesser person and none of this would be possible; to my daughters, Lórien and Eden, for love, lessons, and keeping my feet firmly planted on solid ground; to my parents, Jack and Pat Shannon, for life, love, and establishing my faith in Jesus Christ; to my brother, Mark Shannon, friend and editor extraordinaire; to Rebecca Cheney, recreational therapist; to Angela McManus for loving me and my children; to my mother-in-law, Barbara DeFranza, for moving away from husband and home to care for her grandchildren and help me to the end, and to Angelo for letting her go; to Edie and Dave Finnell, Christine and Greg Mutch, Anita Coco, Erika Miller, Jeff and Kellie Gentry, Jennifer Packard, Cheryl Deluca, Gigi Gregory, Stacey Shannon, Jacquie Cox and all my family and friends who have believed in me, counseled me, cheered me on, prayed for me, been patient with me, forgiven me, and loved me to the end… Words cannot express my gratitude and love. I would like to thank all of my teachers, mentors, and administrators, in particular: Lyle Dabney, John Franke, Frank and Carolyn Curtis James, Mark F. Johnson, Edward Keazirian, Richard Lints, Therese Lysaught, Stephen Long, Alice Mathews, Doug Matthews, Beth Maynard, Joseph Mueller, Gale Prusinski, William and Aída Besançon Spencer, Tim and Julie Tennent, Wanda Zemler-Cizewski, Hessel Bouma, the Graduate School, and all of the Marquette University administration. I would like to thank Mimi Haddad and Christians for Biblical Equality for risking their reputation to allow me to present my research at their annual conference in 2010. I am grateful to participants in the North Shore Emergent Cohort who listened to my work in progress, encouraged, and sharpened my thinking with their conversations. To Fr Michael Morse and John Pryor at All Saints Anglican Church and Center for Theology, thank you for the opportunity to share some of my research with the church. To Jane Spalding and all intersex persons whose courage and wisdom spur me on. To Stanely Grenz, for lighting my theological path, modeling a humble and irenic spirit, and showing me how to be a critically-loyal Evangelical. To John Paul II, for bringing Roman Catholics and Evangelicals closer together and for allowing me to stand on your shoulders… thank you. To the God who made even me in the image of the loving and holy Trinity, who redeemed me from my sin and continues to forgive me for my failings, who perseveres in remaking me in imago Dei , conforming me to Christ, reconciling me in his Body, and renewing me in the Spirit… To this God be the glory now and forever, Amen. ii TABLE OF CONTENTS ACKNOWLEDGMENTS . i INTRODUCTION . 1 CHAPTER 1 INTERSEX: MEDICAL AND SOCIOLOGICAL CHALLENGES TO THE BINARY SEX MODEL . 23 What is Intersex? . 23 Normal Sex Development. 23 Intersex as an Umbrella Concept . 24 Types of Intersex Conditions . 26 Androgen Insensitivity Syndrome (AIS) . 26 Congenital Adrenal Hyperplasia (CAH) . 31 True Hermaphroditism or Ovo-Testes . 37 Other Variations of Gonadal Development . 38 Swyer Syndrome . 38 Gonadal Dysgenesis . 38 Alternative Chromosome Combinations . 39 Turner Syndrome . 39 Klinefelter’s Syndrome . 41 Other Non-XX, Non-XY Chromosome combinations. 42 Other Genital Anomalies . 42 Vaginal Agenesis . 42 iii Mayer-Rokitansky-Küster-Hauser Syndrome . 42 Hypospadias . 44 Naturally Occurring Sex Change: 5-alpha reductase deficiency syndrome (5-ARDs) . 46 How Many Intersex Persons Are There? . 48 History of Intersex: From the Margins to Medicalization . 51 Classical Myths and Medical Models . 51 Classical and Medieval Law . 53 The Victorian Era and Modern Medicalization . 55 20 th Century: From Medical Management to the Disappearance of Hermaphrodites . 57 1990’s: Intersex Emerges out of the Closet . 59 What is in a Name? . 62 From Hermaphrodite to Intersex to Disorders of Sex Development . 62 Why I prefer the term Intersex to Disorders of Sex Development . 64 From Medical Management to Social Change: Questioning the Binary Sex Model . 64 Multiple Sexes. 64 The Elimination of Gender. 67 Third Sex: For Adults Only. 69 Third Sex and Alternative Sexualities. 71 Is Christianity to Blame? . 72 iv 2 EUNUCHS: BIBLICAL AND HISTORICAL FOUNDATIONS FOR INTERSEX. 76 What was a Eunuch? . 78 Biblical Context . 78 Historical Context . 81 Returning to the Biblical Context: Childlikeness, Christian Perfection, and Angels . 92 Interpretations of the Eunuch in Western and Eastern Christendom . 95 Eunuchs and Sexual Renunciation in Early Christianity . 96 Paul . 96 Tertullian . 97 Origen . 99 Sexual Renunciation in the West . 101 Ambrose . 101 Jerome . 102 Augustine . 105 Eunuchs in the Early East. 110 John Cassian . 110 Basil of Caesarea. 111 Gregory of Nazianzos . 111 John Chrysostom. 112 Summary of Eunuchs in the Early East . 113 Eunuchs in Middle and Late Byzantium. 113 Changing Attitudes toward Eunuchs . 113 v Symeon Metphrastes. 115 Photios I . 116 Theophylaktos of Ohrid . 117 Summary of Eunuchs in the Ancient World . 119 Intersex as Eunuch: Problems and Possibilities . 121 3 THEOLOGICAL ANTHROPOLOGY IN HISTORICAL PERSPECTIVE: FROM SUBSTANCE DUALISM TO RELATIONAL ONTOLOGY AND THE MULTIPLICATION OF THE SEXES . 128 The Classical Period: Substance Dualism and a Single Sex . 129 Classical Greek Ontology. 129 Plato’s Cosmologies. 130 Aristotle’s Metaphysics . 133 Aristotle and Galen: Biological Implications of Greek Cosmologies. ..