It helps to understand gender identity and how it forms. What's the difference between gender and sex? Being a boy or a girl, for most children, is something that feels very natural. At birth, babies are assigned male or female based on physical characteristics.
But although Ruby — in a Hello Kitty T-shirt, clutching a doll — looks like any seven-year-old girl, two years ago the same scene would have shown Rudy, a five-year-old boy. But they are adults. For Kathryn, it was obvious early on that Rudy was not like his elder brother.
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