"I am a boy" became a constant theme in struggles over clothing, bathing, swimming, eating, playing, breathing.
Jean and Stephen gave up trying to force Kathryn to wear the frilly dresses that Grandma kept sending. Kathryn wanted nothing to do with her big sister Moyin's glittery, sparkly pink approach to the world. (Moyin attends school with my son, which is how I came to know the family. The Washington Post is using the family's middle names to protect their identity beyond their community, where their situation already is widely known.)
Kathryn didn't even want to be around other little girls, let alone acknowledge that she biologically is one.
Image: Child riding a skateboard, via Shutterstock.