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Skip to main content. For just about everybody, adolescence means having to confront a number of choices and life decisions, but rarely any as monumental as the one facing 15 year-old Alex Ines Efron, who was born an intersex child. Alex is immediately attracted to the young man, which adds yet another level of complexity to her personal search for identity, and forces both families to face their worst fears. Recommended Videos. Recommended For You. OUT IN THE SILENCE follows the story of a small American town confronting a firestorm of controversy ignited by a same-sex wedding announcement in the local newspaper, this gripping documentary illustrates the challenges of being an outsider in a conservative rural community and the change that is possible when courageous people break the silence and search for common ground.