Alex has stopped taking her medication. The other Alex–male Alex– lives in her mind, constantly jibing as fourteen-year-old Alex transitions.

9781922079237I’m reading a review posted at Lambda Literary about a young adult book called ALEX AS WELL already published in Australia and due out in the UK in May. Alarm bells are ringing. This is compounded by a PR release from the UK publisher in which the blurb states “ALEX AS WELL follows the story of Alex, whom doctors described as ‘sexually ambiguous’ when he was born” and then goes on to say that the author, Alyssa Brugman, “is not transgender, she doesn’t personally know anyone who is, so there’s no ‘expertise’ on her side, but she wanted to write a story about a teenager trying to find their identity and Alex As Well just ‘flowed’ out of her.”

The purpose of this blog is mainly to canvas opinion. I am transgender. I am not diagnosed intersex. I am also aware that intersex covers a wide variety. Below are my concerns but I would really like to hear from others … intersex, transgender and indeed cisgender.

The first concern I have … leaving aside the way the PR has conflated intersex and trans … is about the way Brugman has conceived Alex’s gender identity. Reading the first chapter I was immediately struck by how she has imagined Alex almost like Jekyll and Hyde so, while female Alex is buying makeup and being complimented on her bone structure, she is simultaneously bickering with male Alex inside her head, who is making dismissive jokes about boners:

The Clinique girl lays out the different products she has used on my face …
“You have really great bones,” she tells me, handing me my receipt.
One great bone, says Alex. I snort because it’s not a great bone, is it Alex? No, it’s just a teeny, weeny, noodle, you loser.

This device continues through the book. She writes of male Alex as a separate person who accompanies her wherever she goes:

Alex and I are waiting in the office …

My own view is that this may go to the heart of the profound dissonance in the way trans and cis people conceive gender transition. It’s perhaps the case that cis people with no familiarity about trans can only conceive trans in Jekyll and Hyde terms which would explain the endless fascination with transition, before and after photos and names … and indeed with the whole essentialist argument that you are always the gender you are assigned at birth and can only ever either present the ‘opposite’ gender by consciously acting or experience it as some form of dissociative identity disorder. I also suspect that it is this perception which drives the common cis assumptions that trans children will change their minds about their gender identity and those who transition with hormonal or surgical intervention are likely to regret as the result of some internal struggle between two conflicting genders.

Of course we all create alter egos to some extent in different circumstances. One of the major revelations during my own transition was the degree to which I discovered my identity belonged in the minds of other people. We present different faces to different people in our lives. But I think we’re pretty conscious of doing this and at heart we know who we really are.  Before transition I most certainly had a voice inside my head but not in the sense of having a split personality between male and female. It was a voice channeling warnings about the dangers of expressing my gender identity in the way that felt comfortable to me while not presenting in a way which cis society would find legible and socially acceptable.

I would welcome the views of intersex, trans and gender non-conforming (GNC) people on how their gender identity manifests. I’d also welcome the views of cis people on how they imagine a trans gender identity must be and whether familiarity with a trans* person has changed their perception.

My other concerns are specifically to do with how Alex’s intersex diagnosis and treatment are described.  Alex’s mother says Alex was “Sexually ambiguous” at birth.

The baby had a penis, but not a normal sized penis … They said the baby also had no testes, but ovaries, and we could have them removed later …

She goes on to say:

He had injections to replace his hormones … Then when he was four they changed from the injections to oral hormone medication to make sure he kept growing as a boy.

I profess no specialist knowledge about endocrine therapy in such cases but I have never heard of a child of four being prescribed what I assume are imagined as sex hormones. I don’t think it’s ethical even in a work of fiction to promote misinformation … if that is what it is … in an area already surrounded by so much ignorance.

I’d really welcome thoughts on this from anybody with bona fide information.

Finally authors of first person fiction of course invariably write from the POV of somebody quite unlike themselves. There’s also a very long history of writer’s co-opting trans and intersex as a metaphor for other things from Greek mythology through to Orlando by Virginia Woolf. Jeffrey Eugenides made a conscious decision not to meet with any intersex people before writing Middlesex, saying he:

… decided not to work in that reportorial mode. Instead of trying to create a separate person, I tried to pretend that I had this [physical feature] and that I had lived through this as much as I could.

However awareness has moved on and I cannot for instance imagine any white author today deciding to write about the experiences of a black teenager in our society without either having a lot of familiarity with the life of at least one black teenager or making sure they acquired this by research and then consulting constantly during the writing. This should surely apply to all marginalised groups although it never surprises me when people co-opt the experience of others without thinking to check their own privilege. There is much discussion in the trans community at the moment over Jared Leto’s role in the Dallas Buyer’s Club.  The character Leto plays was introduced into the plot as a dramatic device and neither he nor the makers of the film seem to have seen any reason to concern themselves in advance with how the characterisation would be viewed by the trans community. It’s this lack of awareness which of course we are doing our best to combat in a project I helped to create called All About Trans.

Alyssa Brugman is an established young adult author and, from what I’ve read so far the book is well written. The central transition device has been well received so far by cis reviewers describing it as “an amazing story, I was really impressed with how realistic and compelling this story was.” I do not imagine the author’s intentions in writing this book were anything other than good but even the best intentions can cause problems if there is not awareness.

 I’d welcome views on how to react to a novel such as this which may be dramatically satisfying but appears to have co-opted an intersex experience and in my view at any rate is far from realistic in its conception of the identity of a transitioning individual.

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