The Medico-Legalization of Sex in the Nineteenth-Century United States

Authors

  • Maayan Sudai Faculty of Law and Faculty of Humanities, University of Haifa, Haifa, Israel Author

Keywords:

medical jurisprudence, common law, expert witnesses, lay witnesses, epistemic power, legal fact of sex, sex classification, medical experts

Abstract

The rising field of medical jurisprudence in common law from late eighteenth century has led to a rearrangement of authority and epistemic power between lay and expert witnesses, in favor of the latter. Although the law had long relied on testimony from members of the community to establish the legal fact of a person's sex, the legal procedure of fact-making started to rely instead on the opinions of doctors, surgeons, and medical practitioners. This article closely reads medical jurisprudence books, U.S. case law, and U.S. newspapers from the nineteenth century to describe this expansion of medical experts’ authority to establish the legal fact of sex in vague cases. The article describes the spread of medico-legal technics of sex classification in three arenas of U.S. law: the law of marriage and divorce, cross-dressing, and defamation. The practice of legal sex classification was thus absorbed into medical expertise, and the meaning of sex in the law transformed from a socio-physical construct to a medical one. The mid-nineteenth-century decline of medical jurisprudence subsequently pushed the practice of sex classification outside the realm of law and into the jurisdiction of the medical profession, thus leaving sex classification mainly to doctors.

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51

The case of 23-year-old Levi Suydam tells of the inconclusiveness of physical examinations and the reliance on social signs and gender stereotypes in some cases of sex classification. See, James Wm. Barry, “Case of Doubtful Sex,” The Medical Examiner and Record of Medical Science, 3 (1847): 308. This case was often cited in medical jurisprudence books and texts as justification for conducting a thorough examination and as a reminder of the consequences of medical mistakes. See, e.g., Arthur C. Nelson, “Medical Jurisprudence,” Nelson's American Lancet 2 (1851): 121; Francis Wharton and Moreton Stillé, A Treatise on Medical Jurisprudence (Philadelphia: Kay & Brothe, 1860), 392; Alfred Swaine Taylor, A Manual of Medical Jurisprudence (London: J. & A. Churchill, 1874), 625.

52

Marshall Davis Ewell, A Manual of Medical Jurisprudence for the Use of Students at Law and of Medicine (Boston: Little, Brown, and Company, 1887), 177. As demonstrated by Alice Dreger, toward the last quarter of the nineteenth century, gonads became the most important indicators of sex in Europe; Dreger, Hermaphrodites, 139.

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Francis Wharton, Treatise on Medical Jurisprudence (Philadelphia: Kay & Brother, 1855), 311.

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See, e.g., Forbes et al., The Cyclopaedia of Practical Medicine, 159. [my emphasis, M.S.]

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See, e.g., “Wednesday and Thursday's Posts,” The Leeds Intelligencer, June 25, 1771.

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Geertje Mak, Doubting Sex: Inscriptions, Bodies and Selves in Nineteenth-Century Hermaphrodite Case Histories (New York: Manchester University Press, 2013), 34.

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Susan Stryker, Transgender History: The Roots of Today's Revolution (Berkeley: Seal Press, 2017), 45–46. For guarding against cross-dressing, see, Bennett Capers, “Cross Dressing and the Criminal,” Yale Journal of Law & the Humanities 20 (2008): 7–8. For guarding race boundaries, see, Reis, Bodies in Doubt, 36–40.

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See e.g., “Police Office,” Morning Herald, April 16, 1840.

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A note on terminology: except for when I quote directly from historical texts, I tried to use either neutral pronouns (the person/prisoner/name) or inclusive ones (s/he, they, their, etc.).

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“New York Police,” Mississippian, August 13, 1836.

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Clare Sears, Arresting Dress: Cross-Dressing, Law, and Fascination in Nineteenth-Century San Francisco (Durham: Duke University Press, 2015), 122–24.

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Boag, Re-dressing America's Frontier Past, 16.

103

Ibid., 114–15.

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Melissa N. Stein, Measuring Manhood: Race and the Science of Masculinity, 1830–1934 (Minneapolis, MN: University of Minnesota Press, 2015).

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Stein, Measuring Manhood, 15. See also Londa L. Schiebinger's discussion about the emergence of a scientific discussion about beards as differentiating between sexes and races in the eighteenth century: Londa L. Schiebinger, Nature's Body: Gender in the Making of Modern Science (New Brunswick, NJ: Rutgers University Press, 2004), 120–24.

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“Francis Thomas,” Memphis Daily Appeal, July 12, 1876.

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“Francis Thomas.”

108

Stein, Measuring Manhood, 23.

109

Reis, Bodies in Doubt, 32, 66.

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“A Negro Man Passes for Years for a Woman,” The Wheeling Daily Intelligencer, February 21, 1878.

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Boag, Re-dressing America's frontier past, 115.

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“A Freak of Nature.”

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Mohr, Doctors and the Law, 86–87.

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Mohr, Doctors and the Law, 99–100.

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“Union Hall,” Morning Herald (London), July 11, 1844; “A Most Strange Chapter Explained,” Shasta Courier, 1868.

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Flint, “Hermaphroditism,” 145.

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123

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124

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125

Levinz, 233.

126

Defamation, 9 ALB. L.J. 118 (1874); Thomas Starkie, A Treatise on the Law of Slander Scandalum Magnatum and False Rumors (London: Clarke and Sons, 1826), 121; Franklin Fiske Heard, A Treatise on the Law of Libel and Slander (Lowell, MA: F.A. Hildreth, 1860), 48; William Blake Odgers, The Law of Libel and Slander: The Evidence, Procedure, and Practice, Both in Civil and Criminal Cases, and Precedents of Pleadings, With a Chapter on the Newspaper Libel and Registration Act (London: Stevens and Sons, 1881), 673.

127

Joseph Chitty the Elder (1775–1841), barrister and legal writer, Oxford Dictionary of National Biography, accessed August 17, 2021, http://www.oxforddnb.com/view/10.1093/ref:odnb/9780198614128.001.0001/odnb-9780198614128-e-5336.

128

Joseph Chitty, A Practical Treatise on Medical Jurisprudence Microform (Philadelphia: Carey, Lea & Blanchard, 1836), 377.

129

Chitty, A Practical Treatise, 377. This was cited by other medical jurisprudence books, particularly by Alfred Swaine Taylor, e.g., see Alfred Swaine Taylor, A Manual of Medical Jurisprudence (London: J. Churchill, 1844), 621; Alfred Swaine Taylor, Medical Jurisprudence (Philadelphia: Lea & Blanchard, 1861), 497; Alfred Swaine Taylor, A Manual of Medical Jurisprudence (London: J. & A. Churchill, 1879), 636.

130

Oxford Dictionary of National Biography, s.v. “Taylor, Alfred Swaine (1806–1880), Medical Jurist and Toxicologist,” accessed August 17, 2021, https://www-oxforddnb-com.ezp-prod1.hul.harvard.edu/view/10.1093/ref:odnb/9780198614128.001.0001/odnb-9780198614128-e-27017?rskey=G5JyJj&result=1.

131

Mohr, Doctors and the Law, 37.

132

Malone v. Stewart from 1846 (reported in George W. McCook et al., Ohio Reports, Official Series Reports of cases in the Supreme Court of Ohio 321 [1853]).

133

Daston and Park, “Hermaphrodites in Renaissance France,” 6.

134

Krzanich, “Virtue and Vindication,” 33–37.

135

Krzanich, “Virtue and Vindication,” 321

136

Penelope Pether, “Sex, Lies and Defamation: The Bush Lawyer of Wessex,” Law and Literature 6 (1994): 182; Diane L. Borden, “Reputational Assault: A Critical and Historical Analysis of Gender and the Law of Defamation,” Journalism & Mass Communication Quarterly 75 (1998): 98–111; L. R. Pruitt, “‘On the Chastity of Women All Property in the World Depends’: Injury From Sexual Slander in the Nineteenth Century,” Indiana Law Journal 78 (2003): 965–1018; Krzanich, “Virtue and Vindication,” 33–34.

137

Dreger, Hermaphrodites, 60.

138

See, e.g., Cooper, Tracks on Medical Jurisprudence, 83–84.

139

Mohr, Doctors and the Law, 71.

140

See, e.g., Palmer, “Two Hermaphrodite Sisters,” American Journal of Obstetrics & Diseases of Women & Children 13 (1880): 174; Charles W. Allen, “Report of a Case of Psycho-Sexual Hermaphroditism,” Medical Records 51 (1897): 653.

141

Golan, Laws of Men, 54.

142

Mohr, Doctors and the Law, 102–5; Stanford E. Chaillé, Origin and Progress of Medical Jurisprudence (Philadelphia: Collins, 1876), 413–15.

143

Golan, Laws of Men, 54.

144

See Mnookin, Jennifer L., “Idealizing Science and Demonizing Experts: An Intellectual History of Expert Evidence Symposium: Expertise in the Courtroom: Scientists and Wizards—Panel One: Judges, Evidence and Expertise,” Villanova Law Review 52 (2007): 766Google Scholar.

145

Dean, “Medical Jurisprudence,” 324.

146

Fausto-Sterling, Sexing the Body, 40; Reis, Bodies in Doubt, 62–66.

147

Reis, Bodies in Doubt; Sudai, Maayan, “‘A Woman and Now a Man’: The Legitimation of Sex-Assignment Surgery in the United States (1849–1886),” Social Studies of Science 52, no. 1 (2022): 79–105CrossRefGoogle Scholar.

148

Golan, Laws of Men, 96–98; Mohr, Doctors and the Law, 102–3.

149

Slayton, R. D., “Evidence—Expert Testimony—The Ultimate-Issue Rule,” Chicago-Kent Law Review 40, no. 2 (1963): 147Google Scholar; “Expert Testimony as an ‘Invasion of The Province of The Jury’,” Iowa Law Review 26 (1941): 819–40.

150

Haney-López, Ian, White by Law: The Legal Construction of Race (New York : New York University Press, 2006)Google Scholar; Gross, Ariela J., “Litigating Whiteness: Trials of Racial Determination in the Nineteenth-Century South,” Yale Law Journal 108 (1998): 109CrossRefGoogle Scholar.

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152

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Published

2026-06-27