 What is meant by appropriately institutionalized? For Foucault (1978) the most important sites of power lie in everyday social practices such as social work, medicine and psychiatry, in scientific and social scientific disciplines that type individuals and create categories of identity, and in institutions such as prisons, schools and hospitals. Such power is productive: social institutions and practices create modern identities such as gays, “blacks,” and manic-depressives. For Butler and others, the construction of men and women takes a similar path, as the result of compulsory heterosexuality. As a form of power, compulsory heterosexuality imposes a set of norms about how and whom we should desire and establishes a set of sanctions from this set. By doing so, it divides human populations into two genders that are in turn supposed to be connected to two sexes with two directions of sexual desire. Thus, one is a man with a male body and a desire for women or one is a woman with a female body and a desire for men. “The heterosexualization of desire,” Butler writes, “requires and institutes the production of discrete and asymmetrical oppositions between ‘feminine’ and ‘masculine,’ where these are understood as expressive attributes of ‘male’ and ‘female’” (1990, 17).