Why did David Reimer commit suicide?

Health and medicine explained.
June 3 2004 3:58 PM

Gender Gap

What were the real reasons behind David Reimer's suicide?

David Reimer, 1965-2004
David Reimer, 1965-2004

Just shy of a month ago, I got a call from David Reimer's father telling me that David had taken his own life. I was shocked, but I cannot say I was surprised. Anyone familiar with David's life—as a baby, after a botched circumcision, he underwent an operation to change him from boy to girl—would have understood that the real mystery was how he managed to stay alive for 38 years, given the physical and mental torments he suffered in childhood and that haunted him the rest of his life. I'd argue that a less courageous person than David would have put an end to things long ago.         

After David's suicide, press reports cited an array of reasons for his despair: bad investments, marital problems, his brother's death two years earlier. Surprisingly little emphasis was given to the extraordinary circumstances of his upbringing. This was unfortunate because to understand David's suicide, you first need to know his anguished history, which I chronicled in my book As Nature Made Him:The Boy Who Was Raised As a Girl.

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David Reimer was one of the most famous patients in the annals of medicine. Born in 1965 in Winnipeg, he was 8 months old when a doctor used an electrocautery needle, instead of a scalpel, to excise his foreskin during a routine circumcision, burning off his entire penis as a result. David's parents (farm kids barely out of their teens) were referred to Johns Hopkins Hospital in Baltimore, home of the world's leading expert in gender identity, psychologist Dr. John Money, who recommended a surgical sex change, from male to female. David's parents eventually agreed to the radical procedure, believing Dr. Money's claims that this was their sole hope for raising a child who could have heterosexual intercourse—albeit as a sterile woman with a synthetic vagina and a body feminized with estrogen supplements.

For Dr. Money, David was the ultimate experiment to prove that nurture, not nature, determines gender identity and sexual orientation—an experiment all the more irresistible because David was an identical twin. His brother, Brian, would provide the perfect matched control, a genetic clone raised as a boy.

David's infant "sex reassignment" was the first ever conducted on a developmentally normal child. (Money had helped to pioneer the procedure in hermaphrodites.) And according to Money's published reports through the 1970s, the experiment was a success. The twins were happy in their assigned roles: Brian a rough and tumble boy, his sister Brenda a happy little girl. Money was featured in Time magazine and included a chapter on the twins in his famous textbook Man & Woman, Boy & Girl.

The reality was far more complicated. At age 2, Brenda angrily tore off her dresses. She refused to play with dolls and would beat up her brother and seize his toy cars and guns. In school, she was relentlessly teased for her masculine gait, tastes, and behaviors. She complained to her parents and teachers that she felt like a boy; the adults—on Dr. Money's strict orders of secrecy—insisted that she was only going through a phase. Meanwhile, Brenda's guilt-ridden mother attempted suicide; her father lapsed into mute alcoholism; the neglected Brian eventually descended into drug use, pretty crime, and clinical depression.

When Brenda was 14, a local psychiatrist convinced her parents that their daughter must be told the truth. David later said about the revelation: "Suddenly it all made sense why I felt the way I did. I wasn't some sort of weirdo. I wasn't crazy."

David soon embarked on the painful process of converting back to his biological sex. A double mastectomy removed the breasts that had grown as a result of estrogen therapy; multiple operations, involving grafts and plastic prosthesis, created an artificial penis and testicles. Regular testosterone injections masculinized his musculature. Yet David was depressed over what he believed was the impossibility of his ever marrying. He twice attempted suicide in his early 20s.

David did eventually marry a big-hearted woman named Jane, but his dark moods persisted. He was plagued by shaming memories of the frightening annual visits to Dr. Money, who used pictures of naked adults to "reinforce" Brenda's gender identity and who pressed her to have further surgery on her "vagina."

When David was almost 30, he met Dr. Milton Diamond, a psychologist at the University of Hawaii and a longtime rival of Dr. Money. A biologist by training, Diamond had always been curious about the fate of the famous twin, especially after Money mysteriously stopped publishing follow-ups in the late 1970s. Through Diamond, David learned that the supposed success of his sex reassignment had been used to legitimize the widespread use of infant sex change in cases of hermaphroditism and genital injury. Outraged, David agreed to participate in a follow-up by Dr. Diamond, whose myth-shattering paper (co-authored by Dr. Keith Sigmundson) was published in Archives of Pediatrics and Adolescent Medicine in March 1997 and was featured on front pages across the globe.

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