This is a preview of the Shortform book summary of Never a Girl, Always a Boy by Jo Ivester.
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Investigating how a person's sense of their own gender develops and manifests over their lifetime.

This part explores the evolution of a person's self-recognition in terms of gender from their early years into adulthood. The author highlights the deep-seated nature of gender identity, which may not align with the sex assigned at birth. The author emphasizes that gender identity is not fixed and can develop over time.

Jeremy's journey to understand his gender identity began in his early childhood and persisted into his adulthood.

This section delves into how Jeremy began to understand and contemplate his gender identity from his younger days and how this journey persisted into his adult life. Ivester depicts Jeremy's continuous discomfort with traditional female roles and his deliberate efforts to express his identity in a manner that is more aligned with masculinity.

Preferences for masculine activities, toys, and clothing emerged early in childhood.

From an early age, Jeremy invariably showed a preference for hobbies, toys, and clothing typically associated with boys. From a young age, he was naturally drawn to active sports such as baseball and consistently showed enthusiasm for energetic games, while simultaneously exhibiting a strong dislike for traditionally feminine attire. Jeremy experienced discomfort during family photo sessions with a "party attire" theme, particularly when the expectation was to don tights and use makeup. He longed to dress in trousers and a coat, akin to his siblings. At the age of five, Jeremy expressed a desire to have his hair trimmed in a barbershop that was popular among boys. He understood the term "tomboy" to define a distinct classification of male, rather than a girl who prefers activities typically associated with boys. His consistent and early tendency towards masculine forms of expression foreshadowed his later realization of his transgender identity.

The narrative delves into Jeremy's formative years, portraying him as a vivacious and cheerful child who seamlessly integrated with his male peers. The author recounts stories of Jeremy engaging in pursuits often linked to boys, like seizing footballs and reveling in skateboarding alongside his friends. As Jeremy grew older, it became increasingly clear that his gender identity did not align with the sex he was assigned at birth.

The onset of puberty brought about a sense of unease and bewilderment.

Entering puberty, Jeremy encountered considerable difficulties because of the tomboyish characteristics that had been apparent since childhood. The emergence of physical changes such as breast growth and the beginning of menstrual cycles intensified his unease and heightened his awareness of being distinct from his peers. The onset of puberty intensified his unease, transforming what was once a mere tendency toward masculinity into a medically acknowledged state of gender dysphoria. Jeremy resolved to prevent the onset of puberty to circumvent the development of feminine physical characteristics. The narrative describes Jeremy's unease with the development of his chest, his distaste for clothing traditionally worn by women, and the steps he took, including donning baggy clothes and sports bras, to hide the shape of his body. As Jeremy entered puberty, the growing turmoil concerning his gender identity became impossible to ignore.

Jeremy also faced societal pressures that intensified his personal turmoil. At eleven years old, the requirement from the gym teacher to don a brassiere during physical education class highlighted his uniqueness in a way that was blatant and humiliating. The narrative describes how Jeremy became increasingly alienated as he grappled with the societal norms associated with adolescence. As his male friends began displaying an interest in more traditionally feminine girls, they ostracized Jeremy, perceiving tomboyishness as “gross.” His attempts to connect with girls his own age did not succeed, as they regarded him simply as one of the boys, believing that he did not grasp their unique experiences.

Embarking on a path of self-realization and accepting a transgender identity throughout adolescence and the onset of adulthood.

Jeremy slowly embraced his identity...

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Never a Girl, Always a Boy Summary Family response and adjustment to the transition process

This part explores the reaction of Jeremy's family to his transition in gender identity. Ivester emphasizes the range of reactions beginning with confusion and sadness, which then progress to understanding and support. The author draws on personal experiences and the perspectives of Jeremy's siblings to illustrate this intricate journey.

The parents and siblings initially responded with feelings of bewilderment, worry, and sadness.

The initial transition of Jeremy to a different gender identity caused confusion and concern within his family. Ivester illustrates that while the family endeavored to offer support, they grappled with fully understanding his experiences. Their love for Jeremy was deeply intertwined with a sorrow for a loss that they couldn't fully comprehend. His parents worried that choosing to transition might complicate his life by exposing him to discrimination, which could lead to distress.

Confusion surrounding the concept of transgender individuals.

Jeremy's family initially struggled to understand the concept of transgender identity, as it was an entirely unfamiliar area for them. The author initially grappled with understanding why Jeremy found...

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Never a Girl, Always a Boy Summary Medical, legal, and social aspects of the transition journey

The story delves into the difficulties faced by those who defy traditional gender expectations in a culture that often finds it hard to recognize their existence. Ivester narrates a journey laden with obstacles, including medical and legal challenges, complex social dynamics, and the ever-present risk of facing prejudice while embracing their authentic self.

This section highlights the complexities of navigating the healthcare system and insurance coverage for transition-related care. Ivester details the difficulties that transgender people encounter in medical settings, where educating healthcare providers frequently became a duty shouldered by Jeremy and his relatives. The author expresses their irritation with medical staff who lacked knowledge of the proper terminology. She recalls an instance when a nurse persistently referred to Jeremy with male pronouns, even though he had not suggested that his family should use such language. The experiences echo a common truth for those who have come to recognize themselves as transgender.

The author also addresses the challenging elements involved in...

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