In these  first chapters of Sexing the Body, Fausto-Sterling  writes of the flexibility of sexuality, the “shades of difference” (Fausto-Sterling, 2000, 3) that encompass a  person’s sex, and the sense of identity that results from an individual’s  consciousness of unique sexuality. She mentions “social movements to include diverse  sexual beings under the umbrella of normality” (15) and, by writing this text, advocates for a wider conception of gender, sex, and sexuality beyond  the current constructs reinforced by society and an acceptance of “gray  areas” rather than starkly contrasting dualisms. 
Modern  American society strives to ensure that everyone fits a specific, identifiable, singular sex. The act of  “labeling someone a man or a woman is a social decision” (3), which contributes to expected gender norms for that individual based on their identification  as either male or female. The text works to answer: Who decides an  individual’s sex and gender? The power was originally held by religious leaders,  lawyers, and judges, but now has shifted to physicians as “the chief regulators  of sexual intermediacy” and, accordingly, surgical and hormonal methods are employed to suppress intersexuality (40). There exists a fear that  intersex individuals will disrupt normal gender divisions, so intersex infant  bodies are physically manipulated so that they align with a specific gender. 
Language  also reinforces the two-sex system and perpetuates gender inequality (30) because for many centuries, gender  neutral pronouns did not exist and their current existence is in no way  universal. Fausto-Sterling investigates the varying degrees of acceptance for intersex individuals  and specifically for hermaphrodites and the influence of location, time  period, religion, legality, and other factors in the categorization of those  within this “third sex.” She also cites the hypocritical nature of efforts for  human equality amid scientific determinations that “some bodies [were] better  and more deserving of rights than others” (39). 
In the same  way that the text argues that sex dualisms are inadequate and neglect individuals across the sexuality  spectrum who may not identify as either male or female, the text also suggests  that what was previously considered solely natural (biological, sex) and what was considered solely unnatural (constructed, gender) may also be inadequate  to describe the fluidity and interconnected nature of biological and constructed  elements of sexuality. Genitalia is literally constructed by doctors who perform  surgery on intersex individuals (27) and societal influences lead to sex and  gender constructions. 
She points  out that many “feminist theorists view the body not as essence, but as bare scaffolding on which discourse and performance build a completely acculturated being” (6), suggesting the  overbearing power of social construct in developing identities. She also mentions  that what is deemed “normal takes precedence over the natural” (8). When sex is  only examined through a biological lens, as it is in the Kinsey scale,  “sexuality remain[s] an individual characteristic, not something produced within relationships in particular social settings” (9-10). This is problematic because there is no period, even during infancy, when bodies can be  separated from the social world. Each person interacts within relationships with  others, is influenced by these relations, and influences others, contributing to conceptions of what is normal in society.
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