“. . .the reality is that sex has been fixed for only two centuries of the long history of Western civilization, and a number of non-Western societies have, for generations, recognized three, four, or five sexes, and with little or no stigma.” SexCivilizationStigmaWestern Civilization Book:Nobody's Normal: How Culture Created the Stigma of Mental Illness Source: Nobody's Normal: How Culture Created the Stigma of Mental Illness