in the U. S. A. due to the fact that most pseudo-hermaphrodites do not come always within the range of the aforesaid types. I do not come completely within range of my own classification type, but due to the fact that I come nearest to Type 'C', after considerable examinations, I was finally placed as nearest to female Type 'C' (Rare).*

Doctor's and Psychoanalyst's Report Concerning Vivian

Her female sex organs were found to be the size of a normal eleven year old girl. The menstrual flow occurring normally every 28 days, with dysmenorrhea, the usual headache, pelvis discomforts, bearing down sensations, slight nausea, etc.

"Her shoulders are masculine, wide, with a tendency to be more or less square. Her hips are inclined to be slender with an inclination to widen somewhat. Her extremities being slender and long, giving the false impression of an eunuchoid (a male with absence of the internal secretion of the testicles, the glands themselves being present). Her nerves appeared to be quite shattered, neurasthenia being her chief complaint.

"The thymus gland is situated in the neck and upper part of the thorax. It attains full size at the end of the second year, when it ceases to grow, then it diminishes in size until at puberty it has almost disappeared. In Vivian's case it has not diminished much in size, hence her dominant gland is the thymus.. Therefore she is slight of build and childlike in manner. In some ways she has not grown mentally above an average eleven year old girl. She is weak physically, having delicate cardiovascular system, slight musculature. She is susceptible to colds and anesthetics, being liable to sudden death under the latter. She becomes helplessly confused at times concerning her bodily condition, yearning to be a normal girl. Realizing her own confused mind, she promised her mother faithfully to never drive a car, or take part in politics when she came of voting age. Sex is a problem she seems unable to solve. She accepts and fully understands that under certain conditions after nine months she can give birth to babies, but became quite shocked, confused and trembling when we tried to explain the sex foreplay and actual sexual intercourse to her. She seems to hold a certain distaste for sex where she is concerned. Her interest seems more in church, in fact she is quite spiritual-minded.

"She is naive, and her childlike simplicity, her yearning for all things good and pure makes her lovable, and is winning her many friends despite her physical and slight mental handicaps."

A-Internal:

*Pseudo-Hermaphrodismus Femininus

External genitals are normally feminine in development. Besides the ovaries and more or less perfectly developed genital ducts, Wolffian ducts may also be more or less developed (rarest form pseudo-hermaphroditism).

B-External: The clitoris resembles a penis; the more or less deformed labia pudendi appear like the empty scrotum, and in one or both halves of this seeming scrotum rounded bodies are sometimes palpable, and it is therefore easy to make a mistake in determining the sex.

C-Complete: External genitals more like the masculine. Besides the ovaries, both Mullerian fibres and Wolffian ducts are more or less developed (rare form).