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Alice Domurat Dreger () is an American historian, bioethicist, author, and former professor of clinical medical humanities and bioethics at the
Feinberg School of Medicine Northwestern University Feinberg School of Medicine is the medical school of Northwestern University and is located in the Streeterville neighborhood of Chicago, Illinois. Founded in 1859, Feinberg offers a full-time Doctor of Medicine degree p ...
,
Northwestern University Northwestern University is a private research university in Evanston, Illinois. Founded in 1851, Northwestern is the oldest chartered university in Illinois and is ranked among the most prestigious academic institutions in the world. Charte ...
in Chicago, Illinois. Dreger engages in academic work and activism in support of individuals born with atypical sex characteristics (
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical b ...
or
disorders of sex development Disorders of sex development (DSDs), also known as differences in sex development, diverse sex development and variations in sex characteristics (VSC), are congenital conditions affecting the reproductive system, in which development of chromoso ...
) and individuals born as
conjoined twins Conjoined twins – sometimes popularly referred to as Siamese twins – are twins joined ''Uterus, in utero''. A very rare phenomenon, the occurrence is estimated to range from 1 in 49,000 births to 1 in 189,000 births, with a somewhat higher in ...
. She challenges the perception that those with physical differences are somehow "broken" and need to be "fixed". She has opposed the use of "corrective" surgery on babies whose genitalia are considered "ambiguous". She has criticized the failure to follow such patients in later life, and reported longer-term medical and psychological difficulties experienced by some of the people whose sex is arbitrarily assigned. She supported J. Michael Bailey in the face of controversy over his book ''
The Man Who Would Be Queen ''The Man Who Would Be Queen: The Science of Gender-Bending and Transsexualism'' is a 2003 book by the American psychologist J. Michael Bailey, published by Joseph Henry Press.Bailey, J. Michael (2003). ''The Man Who Would Be Queen: The Science o ...
''. Dreger has been criticized by transgender activist
Lynn Conway Lynn Ann Conway (born January 2, 1938) is an American computer scientist, electrical engineer and transgender activist. She worked at IBM in the 1960s and invented generalized dynamic instruction handling, a key advance used in out-of-order ...
for her support of psychologist
Ray Blanchard Ray Milton Blanchard ( ; born October 9, 1945) is an American-Canadian sexologist, best known for his research studies on transsexualism, pedophilia and sexual orientation. He found that men with more older brothers are more likely to be gay th ...
's
taxonomy Taxonomy is the practice and science of categorization or classification. A taxonomy (or taxonomical classification) is a scheme of classification, especially a hierarchical classification, in which things are organized into groups or types. ...
of
trans women A trans woman or a transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity, may experience gender dysphoria, and may transition; this process commonly includes hormone replacement therapy and s ...
. In an article in 2008 and in her 2015 book ''
Galileo's Middle Finger ''Galileo's Middle Finger'' is a 2015 book about the ethics of medical research by Alice Dreger, an American bioethicist and author. Dreger explores the relationship between science and social justice by discussing a number of scientific controv ...
'', Dreger argued that the controversy had gone far beyond addressing the scientific theories presented in Bailey's book to become an attack upon the author. Dreger has been a featured speaker at
TED Talks TED Conferences, LLC (Technology, Entertainment, Design) is an American-Canadian non-profit media organization that posts international talks online for free distribution under the slogan "ideas worth spreading". TED was founded by Richard Sau ...
. She has also worked as a
journalist A journalist is an individual that collects/gathers information in form of text, audio, or pictures, processes them into a news-worthy form, and disseminates it to the public. The act or process mainly done by the journalist is called journalis ...
, founding East Lansing Info, a website that covers local affairs in
East Lansing, Michigan East Lansing is a city in the U.S. state of Michigan. Most of the city lies within Ingham County with a smaller portion extending north into Clinton County. At the 2020 Census the population was 47,741. Located directly east of the state capital ...
.


Education

Dreger received her Ph.D. in History and Philosophy of Science from
Indiana University Bloomington Indiana University Bloomington (IU Bloomington, Indiana University, IU, or simply Indiana) is a public research university in Bloomington, Indiana. It is the flagship campus of Indiana University and, with over 40,000 students, its largest c ...
in 1995.


Early career

Dreger has taught at both
Michigan State University Michigan State University (Michigan State, MSU) is a public land-grant research university in East Lansing, Michigan. It was founded in 1855 as the Agricultural College of the State of Michigan, the first of its kind in the United States. It ...
, where she received a Teacher-Scholar Award in 2000, and at
Northwestern University Northwestern University is a private research university in Evanston, Illinois. Founded in 1851, Northwestern is the oldest chartered university in Illinois and is ranked among the most prestigious academic institutions in the world. Charte ...
(2005–2015). During her doctoral work, Dreger became interested in "how and why it is that scientists and medical doctors work to mediate the relationships between our bodies and our selves" and "why it is we often look to scientists and medical doctors to read or even alter our bodies." In 1995 she published a paper in ''Victorian Studies'' examining 19th-century British medical attitudes towards intersex people. In 1998 she published ''Hermaphrodites and the Medical Invention of Sex'' and in 1999, ''Intersex in the age of ethics''. Increasingly, she became engaged in intersex activism as well as scholarship, advocating that doctors accept a wide variety of genital structure rather than "correcting" babies' genitalia to conform to artificially gendered standards. More recently, she has criticized the prenatal use of
dexamethasone Dexamethasone is a glucocorticoid medication used to treat rheumatic problems, a number of skin diseases, severe allergies, asthma, chronic obstructive lung disease, croup, brain swelling, eye pain following eye surgery, superior vena ...
to normalize female genitalia in cases of
congenital adrenal hyperplasia Congenital adrenal hyperplasia (CAH) is a group of autosomal recessive disorders characterized by impaired cortisol synthesis. It results from the deficiency of one of the five enzymes required for the synthesis of cortisol in the adrenal cortex ...
, and tried to charge that its safety has not been sufficiently tested by pediatrician
Maria New Maria Iandolo New is a professor of Pediatrics, Genomics and Genetics at Icahn School of Medicine at Mount Sinai in New York City. She is an expert in congenital adrenal hyperplasia (CAH), a genetic condition affecting the adrenal gland that can af ...
. However, the FDA found nothing worth pursuing on this topic. In 2004, Dreger published ''One of us: conjoined twins and the future of normal'', an examination of Conjoined twinning and of surgical practice. Described as "a book filled with warmth, humour and unexpected insights", it raises similar issues to her earlier work on intersex people: questioning the ways in which the surgical profession defines "acceptable limits of the normal" and enforces conformity to such norms. She criticizes the lack of long-range follow-up studies of separated children. Dreger also introduces more than twenty sets of conjoined twins, most of whom have adapted happily to the challenges of their situations. One reviewer states that Dreger's intent is to show us the humanity of people whose anatomies differ from ours. In ''
The Man Who Would Be Queen ''The Man Who Would Be Queen: The Science of Gender-Bending and Transsexualism'' is a 2003 book by the American psychologist J. Michael Bailey, published by Joseph Henry Press.Bailey, J. Michael (2003). ''The Man Who Would Be Queen: The Science o ...
'' (2003), J. Michael Bailey promoted a hotly disputed theory of transsexualism by
Ray Blanchard Ray Milton Blanchard ( ; born October 9, 1945) is an American-Canadian sexologist, best known for his research studies on transsexualism, pedophilia and sexual orientation. He found that men with more older brothers are more likely to be gay th ...
that characterized male-to-female transsexuals into two groups in a way that was seen by many as deeply offensive. In 2008, Dreger published an article in ''Archives of Sexual Behavior'', describing in detail the opposition to Bailey and his work. A major concern for her was the ways in which attacks targeted him as a person and a scholar, rather than addressing his ideas. Dreger asserted that a theory, even if found threatening or offensive, should be judged by its supporting evidence. She also argued against reduction of the controversy to a simple dualism, seeing the ideas and actions of all those involved as "significantly more complicated". As result of the paper, Dreger herself was perceived as attacking trans people, and drawn into an ongoing controversy. In 2009, Dreger received a
Guggenheim fellowship Guggenheim Fellowships are grants that have been awarded annually since by the John Simon Guggenheim Memorial Foundation to those "who have demonstrated exceptional capacity for productive scholarship or exceptional creative ability in the art ...
to study conflicts between activists and scientists. She has examined a number of conflicts including the controversial career of
Napoleon Chagnon Napoleon Alphonseau Chagnon (27 August 1938 – 21 September 2019) was an American cultural anthropologist, professor of sociocultural anthropology at the University of Missouri in Columbia and member of the National Academy of Sciences. Chagn ...
. Dreger accepts that scientists, being human, have biases and ideologies. But, she argues, they must "put the truth first and the quest for social justice second" and try to "adhere to an intellectual agenda that sn'tfirst and only political".


''Galileo's Middle Finger''

In 2015, Dreger published ''
Galileo's Middle Finger ''Galileo's Middle Finger'' is a 2015 book about the ethics of medical research by Alice Dreger, an American bioethicist and author. Dreger explores the relationship between science and social justice by discussing a number of scientific controv ...
'', which covered her observations and experiences with controversies in academic medicine, especially those surrounding human sexuality. They include her work with intersex people, the career of
Napoleon Chagnon Napoleon Alphonseau Chagnon (27 August 1938 – 21 September 2019) was an American cultural anthropologist, professor of sociocultural anthropology at the University of Missouri in Columbia and member of the National Academy of Sciences. Chagn ...
, Dreger's criticisms of
Maria New Maria Iandolo New is a professor of Pediatrics, Genomics and Genetics at Icahn School of Medicine at Mount Sinai in New York City. She is an expert in congenital adrenal hyperplasia (CAH), a genetic condition affecting the adrenal gland that can af ...
, and her defense of J. Michael Bailey and its consequences. ''
The New York Times ''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid ...
'' described Dreger's "smart, delightful book" as "many things: a rant, a manifesto, a treasury of evocative new terms (sissyphobia, autogynephilia, phall-o-meter) and an account of the author's transformation" from activist to anti-activist and back again. The book also received positive reviews from the ''
Chicago Tribune The ''Chicago Tribune'' is a daily newspaper based in Chicago, Illinois, United States, owned by Tribune Publishing. Founded in 1847, and formerly self-styled as the "World's Greatest Newspaper" (a slogan for which WGN radio and television ar ...
'', ''
Chronicle of Higher Education ''The Chronicle of Higher Education'' is a newspaper and website that presents news, information, and jobs for college and university faculty and student affairs professionals (staff members and administrators). A subscription is required to r ...
'', ''
Salon Salon may refer to: Common meanings * Beauty salon, a venue for cosmetic treatments * French term for a drawing room, an architectural space in a home * Salon (gathering), a meeting for learning or enjoyment Arts and entertainment * Salon ( ...
,'' and activist and author
Dan Savage Daniel Keenan Savage (born October 7, 1964) is an American author, media pundit, journalist, and LGBT community activist. He writes ''Savage Love'', an internationally syndicated relationship and sex advice column. In 2010, Savage and his husba ...
. However, ''Galileo's Middle Finger'' also reignited controversy over her defense of Bailey and her discussion of transgender issues. Her book was removed from consideration for a
Lambda Literary Award Lambda Literary Awards, also known as the "Lammys", are awarded yearly by Lambda Literary to recognize the crucial role LGBTQ writers play in shaping the world. The Lammys celebrate the very best in LGBTQ literature.The awards were instituted i ...
after complaints. One critic accused Dreger of
transphobia Transphobia is a collection of ideas and phenomena that encompass a range of negative attitudes, feelings, or actions towards transgender people or transness in general. Transphobia can include fear, aversion, hatred, violence or anger to ...
, saying that her book promoted the idea that trans women are "just self-hating homosexual men who believe they could have guilt-free sex if they were female and heterosexual men with an out-of-control fetish ( autogynephilia)". Dreger protested the removal in an open letter to
Lambda Literary Foundation The Lambda Literary Foundation (also known as Lambda Literary) is an American LGBTQ literary organization whose mission is to nurture and advocate for LGBTQ writers, elevating the impact of their words to create community, preserve their legaci ...
. Dreger herself has since reiterated her articulation of ideas in ''Galileo's Middle Finger'' that relate to trans women, stating that she considers both gender and sexuality to be relevant and valid concerns for people, and therefore finds value in Blanchard's dual categorization if not his terminology.


Later career

Dreger resigned from Northwestern University in August, 2015, citing censorship issues. The school had ordered her and other editors of ''Atrium'', a bioethics journal, to take down an article about consensual oral sex between a nurse and patient. Although the article was eventually reposted, the university established its own editorial committee to approve future issues of the journal. Dreger is the founder of East Lansing Info, a non-profit local journalism web outlet covering the city of
East Lansing, Michigan East Lansing is a city in the U.S. state of Michigan. Most of the city lies within Ingham County with a smaller portion extending north into Clinton County. At the 2020 Census the population was 47,741. Located directly east of the state capital ...
. She currently works as publisher, president, and reporter for East Lansing Info.


Selected bibliography


Books

* * * *


Journal articles

* * * * * * * * *


References


External links


Official websiteInterview with Dr. Alice Dreger"What Makes People Gay?" Alice Dreger ''Big Think''
(YouTube video) {{DEFAULTSORT:Dreger, Alice Living people Bioethicists Northwestern University faculty Indiana University Bloomington alumni Intersex rights activists American medical historians Year of birth missing (living people) Place of birth missing (living people) Intersex and medicine Intersex rights in the United States American women historians 21st-century American women