Psychoanalytic efforts to think sexual difference beyond the restrictions of binary notions about anatomy and gender continue to prove challenging in both clinical practice and theory building. Claims that such binary notions are no longer applicable fail to take seriously the ongoing power of binary processes as they manifest both consciously and unconsciously. Without a capacity to think sexual difference as more than two, a capacity that resists the lure of spectrum modeling, efforts to conceptualize intersexuality and other nonbinary forms of anatomy and gender falter. An exploration into the challenges faced by two parents of an intersex baby, especially regarding the dilemma of pursuing genital surgery or not, shows some of the difficulties inherent in thinking sexual difference when the profound inadequacy of binary notions cannot be ignored.

超越关于解剖学和性别的二元概念的限制来思考性别差异的精神分析努力在临床实践和理论构建中继续证明具有挑战性。声称这种二元概念不再适用的说法未能认真对待二元过程的持续力量，因为它们有意识地和无意识地表现出来。如果没有能力将性别差异视为两个以上，一种抵制频谱模型诱惑的能力，将双性恋和其他非二元解剖形式和性别概念化的努力就会步履蹒跚。探讨双性婴儿的两个父母所面临的挑战，特别是关于是否进行生殖器手术的困境，