Ask Dr. Frank

Family therapist Frank Pittman, M.D., imparts his wit and his wisdom ontending to gender in children, symptoms without meaning, how to spot a man-eater, the trouble with turning day into night, and the longest-running stomachache.

DEAR DR. FRANK: MY 3-YEAR-OLD SON IS A DELIGHT--SMART, GOOD-NATURED, ADORABLE. BUT HIS NONCOMPETITIVE NATURE IS SOMETIMES SEEN BY OTHERS AS A SIGN OF EFFEMINACY. WHAT'S MORE, STRANGERS, RESPONDING TO HIS CHERUBIC FACE AND HALO OF BLOND HAIR, OFTEN ASSUME HE IS A GIRL. I DON'T KNOW WHETHER THEIR CONFUSION WILL CAUSE HIM CONFUSION. SOMETIMES IT CAUSES ME CONFUSION. I DON'T KNOW WHETHER TO BE WORRIED OR NOT.

Dear Mother of a Cherub: Congratulations! It sounds as if you have a wonderful son. Don't worry about your son's gender: There are only two genders, and I'm sure your son has discovered which one he belongs to and is preparing to enjoy it if no one makes too big a fuss over it. But it would help if it were more obvious to others.

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I've always thought that if I couldn't tell whether someone was male or female, it couldn't possibly matter to me or to them. But a lot of people go around classifying things according to gender, and they get upset when they can't decide which slot to drop someone into. To avoid upsetting people, it might be helpful to display your son's gender, not by exposing his genitals but by dressing him up in a way that clearly identifies him as male. That way people won't be obsessed with trying to figure out which he is and thereby making more of gender than necessary. Once that issue is settled, people won't get confused, and they can respond to his many virtues.

Your other question, though, involves your concern over whether there is something wrong with a boy being sweet and good-natured--which is what I assume you mean by effeminate. Absolutely not! I hope these days we are all trying to raise full-scale human beings with the virtues associated traditionally with both males and females, all of which will be useful. There is no danger from your son (or daughter) having the traditional female virtues, as long as your son (or daughter) has the traditional male virtues, too.

Don't let either the feminist or the masculinist literature scare you into believing that men are, by nature, assholes and women saints. Men can have redeeming qualities, too, and if you are raising a son, it helps to know that sweetness, noncompetitiveness, good-naturedness, adorableness, beauty, and even "cherubism" are quite compatible with Y chromosomes.

Dear Dr. Frank: Recently I've been losing sleep. I keep having these recurring thoughts, you could almost say flashbacks. At these times I often feel that I am unable to breathe. They seem to occur in the evening and every time I am in an elevator. I feel very flushed and uncomfortable when they occur. I've also noticed that I become very irritable toward my older brother. This problem really scares me. Please help.

Dear Flushed: I have no idea why you are developing anxiety symptoms. It could possibly be a brain tumor or a faulty thyroid gland, so you should get a physical exam. It is more likely something simple and benign. When I'm restless, flushed, irritable, and sleeping fitfully, it is usually from drinking too much caffeine.

You say you're having flashbacks, but I'm not sure I understand what you mean. Flashbacks to what? Unpleasant experiences of the day? Unpleasant experiences from your past? Scary movies you have seen? When I am overcaffeinated, I experience all three.

Obviously, I know nothing about your relationship with either your brother or elevators, but if your brother used to close you up in elevators when you were a baby, ask him not to do that anymore. Otherwise, don't jump to the conclusion that these symptoms have any hidden meaning that you have forgotten. The reality we remember is quite sufficient to keep us busy for a lifetime, without having to speculate on adventures or traumas we may have experienced and forgotten.

If you are uncomfortable with elevators, I would recommend that you spend some time riding up and down in them until the experience becomes boring and a waste of time. If you are irritable with your brother, I would recommend that you lovingly discuss with him your problem of irritability, and apologetically mention the things you think he could do to make you more comfortable with him.

Meanwhile, exercise is probably the best anxiety reliever, so after you get comfortable riding up and down in the elevator, try walking up and down the stairs.

Dear Dr. Frank: I am in love with Veronica and she seems to need me. But every man in her family has been a disappointment in one way or another. Her father was abusive, as were her stepfathers. Her three sisters have all divorced their abusive husbands. Veronica's first husband couldn't hold a job, her second husband never took her anywhere, and her current husband is so jealous he doesn't like for her to go out and drink with us guys from work. I am a gentle, loving man and my friends are worried about me. They call Veronica a "man-eater." But I see her as just hungry for love. What do you think?

Tags: blond hair, confusion, dear mother, dr frank, family therapist, family therapy, frank pittman, fuss, genders, genitals, halo, virtues, wit