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This study shows that the transsexual discourse has both led, and reacted to, existing understandings of engenderment.

Transsexuals cause unease to the "normally" gendered, not so much because of the intrinsic pathology of their "condition", but because of the structural and linguistic limitations of the existing model of engenderment. Having identified some of the limitations of these "understandings", I re-mapped the gendered landscape with an aim of accommodating the transsexual narrative without resorting to pathologisation. This thesis situates the transsexual narrative within other Western discourses on gender, by recognising a common goal of genderal legitimacy within a multi-layered gender landscape.

The concepts of "normal", "natural", or "ordinary", gender are based on a set of largely unarticulated *****umptions about the structure of gender, and how it is legitimated and maintained within a social context. My revised model of gender contains four distinct and quasi-independent states; an organically-based conviction of being gendered, an internal understanding of one_s legitimate place on the gender binary, a socially-validated state of engenderment, and a set of socially-sanctioned roles to affirm that legitimacy.

While all four states are concordant in non-transsexuals, an inconsistency of these layers forms the substance of the transsexual condition. Polycystic ovarian disease (PCOD) is *****ociated with elevated serum LH and (sub)normal FSH levels, while serum androgen levels are often elevated.

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