other blemishes. He appeared natural and unassuming in mien, with no apparent effort to emphasize femininity. The skull was normal, and the facial bone structure masculine. Although this facial characteristic is very prevalent among Slavic women, the youth claimed French ancestry on both sides of his family. Muscu- lature was underdeveloped for a male; hands and feet appeared large for a female. An Adam's apple was hardly discernable.

All secondary sexual characteristics, which were present, were female. The voice of alto and of good timbre, there was no beard and body hair was negligible. The breasts were small but firm and shapely. Body fat distribution softened the shoulder line and back, enlarged the hips and formed a small belly. The waist was noticeably smaller than the waist of a man that size should be. Legs and arms were shapely and buttocks curved like a woman's. To a casual study, subject appeared to be a classic ex- ample of the hermaphrodite. This was not true as only male geni- tilia were present. No vaginal orifice either present or incipient could be observed.

I have been concerned as to how best to describe the various changes which reportedly have taken place in subject's body, voice, actions and mental attitudes. I felt that the terms retarded and under- or overdeveloped would best suit the case, as I was not and am not assured in my own mind that changes, per se, did

occur.

Mlle. Girouard, however, stated positively and emphatically that, while development was indeed retarded in some cases, in others it has definitely retrogressed. She stated that musculature had retrogressed, and subcutaneous fatty deposits, now present in the subject's body, were not present when he cam eto her. She stated that the normal development of the Adam's apple had stopped, and perhaps retrogressed. She stated that the sub- ject (Jean's) voice was breaking at the time he came to her, and that this activity, as I could see, had halted.

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