Gender opportunities in psychosocial oncology

Avoidance of discussions of sex and gender in medicine reflects the larger lingering societal discomfort with any discussion that links potential sex and gender differences with superiority. The data show that there is more intra-sexual then intersexual variation in men and women. When speaking about sex and gender the literature reflects that, on average, there are many differences, and although they are small, that when taken together, the impact may be quite robust. Sex and gender differences are relevant to how individuals, couples, and families experience and cope with serious illness; however, these important and obvious variables are seldom taken into account when counseling seriously ill patients and their families. Cancer is a complex disease that brings into sharp relief the potential alignments and misalignments in the sexes. In this chapter we have attempted to communicate the imperative for and importance of understanding people under stress within the context of sex and gender. Gender-specific medicine is a very young movement for scientific study but one that has great potential to maximize adaptation and mutual respect at a time when men and women are redefining themselves and adapting to new social realities and challenges.