................" Bill put the tape back on his mouth and sat down and once again, waited for his yelling to stop. Bill: "Well Unique, this is getting old. You have several parts left to remove. Which one shall i remove next?" Bill just looked Tony over form top to bottom as Tony began to scream again. This time his screaming was in fear. He was sweating more and more. Bill walked up and sliced and nice clean shallow cut down the side of his face and sat down again and just stared at him. He screamed for a while but finally just hung there and watched Bill. The ropes that held him were so tight that he had lost all feeling in his hands and feet a while ago. Bill didn't seem to care at all about his comfort. He was now truly afraid. Bill had cut both of his testicles off and was going to continue and he knew it. Sally simply watched. She was so angry at Tony. He had betrayed her completely and when she found out about what he had done to others she. No, itis a fascinating twist. In the example I have been discussing, theissue is, how much does external body appearance have to do with thechild's sense of gender identity? And in these cases, the answerclearly is, none. The child is not shaping his identity to match hisbody. He wishes to shape his body to match his sense of identity.But I have recently been treating a patient who has had quite theopposite experience. You see, this was a boy, who, up until reachingpuberty, had been, well, let's say, completely in the norm in terms ofhis physical appearance and his sense of gender identity. But when hereached puberty, he began to suffer from an acute case of gynecomastia. Although that condition is not uncommon for boys entering puberty, mypatient was unusual in two regards. First, he is slim and slight, soany development would be quite a bit more noticeable than for a boy whowas overweight. Second, his breast development was significant, perhapsin the top ten percent of.
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