I think when you have a lot of jumbled up ideas they come together slowly over a period of several years.
I used to love to play dress-up, where you get your mother's or your grandmother's dresses and high heels.
When I talked to my medical friends about the strange silence on this subject in American medical magazines and textbooks, I gained the impression that here was a subject tainted with Socialism or with feminine sentimentality for the poor.

