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Adult sexual orientation in relation to memories of childhood gender conforming and gender nonconforming behaviors.

Heterosexual, bisexual, and homosexual men recalled the extent to which they had engaged in gender conforming (masculine) and gender nonconforming (feminine) behaviors as a child. Adult sexual orientation was predicted as accurately by memories of childhood gender conforming behaviors as by memories of childhood gender nonconforming behaviors. However, childhood scripts as recalled by homosexual men were considerably more diverse. Twenty-two of 61 homosexual men reported having experienced few, if any, of the gender conforming behaviors and most, if not all, of the gender nonconforming behaviors. Another 18 homosexual men had the same profile of recalled childhood experiences as heterosexual men (high probability of masculine behaviors and low probability of feminine behaviors). Such diversity has implications not only for commentaries on the basis for homosexuality but for issues to be addressed in future research.

Adolescent↗

Parental physical abuse and sexual orientation in males.

Because male homosexuals have usually been found to have poorer relationships with their fathers than male heterosexuals, and because children who are disappointments to their parents are more likely to be physically abused than other children, it was hypothesized that gays are more likely than heterosexual men to have been physically abused by parents. This hypothesis was tested comparing 17 gay male college students and 67 heterosexual male college students. Gay males were found to have been more abused during adolescence. Abuse was related to a history of childhood femininity, to having poor relationships with fathers, and to having engaged in gay sex during adolescence. A history of childhood femininity and engaging in gay sex may provoke parental abuse.

Adolescent↗

Case study: cross-gender preoccupations with two male children with autism.

Persons with autism frequently exhibit circumscribed interests and unusual preoccupations. In this case study, two young males with autism are presented who have preoccupations with feminine gender-stereotyped activities and objects. These types of preoccupations in children with autism have not been reported in the literature, but may be more prevalent than realized due to parental underreporting given the negative stigma associated with feminine interests in young boys. The development of gender identity in young children with autism has rarely been addressed in the literature. It seems unlikely that these two cases can be categorized as gender identity disorders. Understanding these preoccupations in the context of autism rather than focusing on the gender identity issues has important implications for treatment. These cases point to the need for further study of the complex interplay of environmental and neurobiologic factors affecting gender identity roles and preoccupations in autism.

Autistic Disorder↗

Birth order and sibling sex ratio in two samples of Dutch gender-dysphoric homosexual males.

Two studies were undertaken to confirm the previous findings that homosexual men in general tend to have a later than expected birth order and that extremely feminine homosexual men also tend to have a higher than expected proportion of brothers (i.e., a higher sibling sex ratio). Subjects in Study 1 were Dutch, adult and adolescent, biological male patients with gender dysphoria (persistent and recurrent desires to belong to the opposite sex), who were undergoing treatment with feminizing hormones. These comprised 83 patients who reported sexual attraction to other males (the homosexual group) and 58 who reported sexual attraction to females or equal attraction to males and females (the non-homosexual group). Subjects in Study 2 were Dutch adolescent male patients at another hospital. The homosexual group consisted of 21 gender-dysphoric homosexual teenagers referred to a gender identity clinic for children and adolescents. The control group were 21 adolescent males referred to the child psychiatry department of the same hospital for reasons other than gender identity disorder, homosexuality, or transvestism. These were individually matched to the homosexual subjects on age and sibship size. In both studies, the homosexual group had a significantly later average birth order than the comparison group. In Study 1, the homosexual group had a significantly elevated sibling sex ratio; this was not tested in Study 2 because of its small sample size. These studies add to the mounting evidence that late birth orders are common to all homosexual samples and that elevated sibling sex ratios are an additional characteristic of extremely feminine ones.

Adolescent↗

2D:4D and sexually dimorphic facial characteristics.

The second-to-fourth-digit ratio (2D:4D) may be related to prenatal testosterone and estrogen levels and pubertal face growth. Several studies have recently provided evidence that 2D:4D is associated with other-rated facial masculinity and dominance, but not with facialmetric measures of masculinity. We found that localized face shape differences, shown here to be sexually dimorphic and related to ratings of dominance, were associated with direct and indirect measurements of 2D:4D. In this study we examined various localized features of the face, showing nose width, jaw angle, and lip height to be sexually dimorphic. We then had faces rated for dominance and saw that the most dimorphic characteristics were those most associated with rated dominance, with typically masculine characteristics tending to be associated with high ratings of dominance. Finally, 2D:4D measurements were made using three different techniques. High (feminine) values of 2D:4D were associated with feminine facial characteristics in women, but not in men. It was concluded that certain aspects of facial development are governed by factors that are established prenatally. These aspects may be associated with perceptions of the self by others that are important in the social environment, particularly in terms of intra-sexual competition and mate acquisition.

Adult↗

Temporal relationship between cell nuclear progestin receptor levels and sexual receptivity following intravenous progesterone administration.

This study was designed to assess the temporal relationship between the appearance and retention of cell nuclear progestin receptors in hypothalamus and the facilitation and decline of feminine sexual behavior following an i.v. injection of progesterone (P). Nuclear translocation of progestin receptors preceded the earliest appearance of behavior. The behavioral effects of P outlasted the nuclear progestin receptor elevation by several hours. Our results are consistent with the idea that P-induced effects on feminine sexual behavior involve genomic activation.

Animals↗

Preoptic lesions increase the display of lordosis by male rats.

Male rats do not normally show feminine patterns of sexual behavior even when injected with the ovarian hormones estrogen and progesterone. We find that brain lesions which damage the preoptic-anterior hypothalamic continuum augment the display of lordosis in hormone-treated male rats. The most effectively feminizing brain lesions are ones which bilaterally destroy a substantial portion of the medial preoptic area encompassing the sexually dimorphic nucleus of the preoptic area (SDN-POA). Males with particularly large preoptic lesions are receptive following estrogen treatment and show a progesterone facilitation of receptivity. In this respect, they cannot be behaviorally distinguished from females. Thus, axons originating in and/or passing through the preoptic area apparently inhibit the display of feminine sexual behaviors in males. Preoptic development and lordosis are each predictably affected by perinatal stimulation by testicular hormones, and hormone-stimulated preoptic development may form the neurological basis for some of the defeminizing effects of perinatal hormonal exposure. Our results raise the possibility that the site of this behavioral defeminization is the SDN-POA.

Animals↗

Accessory olfactory bulb lesions and lordosis behavior in the male rat feminized with ovarian hormones.

Orchidectomized rats were given estrogen and progesterone and tested for feminine behavior in the presence of a mounting male after accessory olfactory bulb removal (AOBR). Complete AOBR caused a rise in the number of estrogen-progesterone-treated male rats responding by lordosis behavior to male mounts as compared to controls and sham-operated animals. By contrast, LQ scores did not appear to differ in these three groups of animals. The results are discussed in terms of involvement of the main and the accessory olfactory systems in the regulation of feminine behavior in the male rat.

Animals↗

Estrogenic contributions to sexual differentiation in the female guinea pig: influences of diethylstilbestrol and tamoxifen on neural, behavioral, and ovarian development.

We administered the synthetic estrogen, diethylstilbestrol (DES), or the antiestrogen, tamoxifen, to pregnant guinea pigs and observed the consequences for sexual differentiation of their female offspring. Hormones were administered during the period when treatment of fetuses with testosterone influences the development of sex-related traits (approximately Days 30 to 65 of gestation). Ovarian function, masculine and feminine sexual behavior, and the structure of a sexually dimorphic neural region in the preoptic area were assessed in adulthood in hormone-exposed animals and in oil-treated and untreated controls. Prenatal exposure to DES dipropionate (DESDP) caused masculinization and defeminization. DESDP-treated females mounted more than control females, both without hormonal stimulation and when given testosterone propionate (TP) as adults. The sexually dimorphic neural region was also masculinized in these females. In regard to defeminization, they showed delayed vaginal opening, impaired progesterone (P) production, an absence of corpora lutea, and impaired lordosis and mounting responses to estradiol benzoate (EB) and P. Prenatal treatment with tamoxifen produced a complicated pattern of results. Tamoxifen-exposed females evidenced less masculine-typical behavior, showing diminished mounting without hormonal stimulation and in response to TP. However, they also showed delayed vaginal opening, enhanced P production, and impaired mounting in response to EB and P. Their lordosis behavior and the volume of the sexually dimorphic neural region were unaffected. These results suggest that estrogens play a substantial role in sexual differentiation in the guinea pig. High levels of estrogen promote masculine-typical development, and unusually low levels may impair some aspects of both masculine-typical and feminine-typical development.

Animals↗

Progesterone facilitation of lordosis in male and female Sprague-Dawley rats following priming with estradiol pulses.

Adult male Sprague-Dawley rats rarely exhibit progesterone-facilitated lordosis following steroid treatments which are effective in females. In contrast, progesterone-facilitated lordosis has been observed following priming with estradiol pulses in another strain. The aim of this study was to compare progesterone-facilitated feminine sexual behavior in adult male and female Sprague-Dawley rats following priming with estradiol benzoate (EB) or estradiol pulses. Female sexual behavior was measured in adult, gonadectomized males and females treated as follows: Two pulses of estradiol followed by progesterone or oil the next day; EB (two doses) for 3 days, and progesterone or oil the next day. These protocols were repeated at 4- or 6-day intervals, respectively. Progesterone-facilitated lordosis was observed consistently in both sexes treated with estradiol pulses. By the fifth test, lordosis quotients did not differ between the sexes, but the lordosis ratings in progesterone-treated males remained lower than those observed in females. Proceptivity (hop-darting) was facilitated by progesterone in females, but was never observed in males. Lordosis was induced in both sexes by 15 micrograms EB, but was not reliably facilitated by progesterone. Treatment with the lower dose of EB (1.5 micrograms) induced high levels of receptivity in females (occasionally facilitated by progesterone), but not in males regardless of subsequent treatment (i.e, progesterone or oil). These data suggest that progesterone-facilitated lordosis can be induced in male Sprague-Dawley rats, if a regimen of estradiol pulses is used. Thus, the brain of the adult male is not inflexibly differentiated with regard to progesterone facilitation of feminine receptive behavior.

Animals↗

Sexual behavior and sexual orientation of the female rat after hormonal treatment during various stages of development.

The amount of circulating sex steroids during Postnatal Days 30-90 was varied in normally developed and in androgenized female rats. The influence of these manipulations on sexual behavior and sexual orientation was investigated. Normally developed or neonatally androgenized females were ovariectomized and implanted with estradiol through Postnatal Days 30-90 or sham-implanted. The remaining subjects were left intact during that period. The hormonal condition during Postnatal Days 30-90 significantly affected the behavior of normally developed females, but affected the behavior of neonatally androgenized females only to minor extent. Estrogen implants in normally developed females enhanced masculine sexual responses and induced a female-directed sexual orientation. Feminine sexual responses were unaffected by this treatment. Sham-implanted, normally developed females showed a male-directed sexual orientation and fewer masculine sexual responses than subjects which were left intact during Postnatal Days 30-90. Neonatal androgen treatment in general resulted in elevated levels of masculine Neonatal androgen treatment in general resulted in elevated levels of masculine sexual responses, inhibited feminine sexual behavior, and facilitated a female-directed sexual orientation.

Animals↗

Sex-role stereotype, self-concept, education and experience: do they influence decision-making?

The purpose of this study was to investigate the effects of self-concept, sex-role stereotype, educational preparation and years of experience upon the nurse's attitudes regarding decision-making. The Joseph Decision-making Tool (JDMT) was designed by the investigator to measure nurses' attitudes regarding decision-making. The tool consists of 20 scenarios in which the subject is asked to make a decision regarding a patient problem. Having an alpha reliability of 0.79, the JDMT was found to be exceedingly useful and easy to administer. Self-concept was measured by the BEM Scale. A heterogeneous population of female staff nurses working in medical-surgical units of two large metropolitan hospitals was used. A stepwise multiple regression technique was used to measure the potency of the particular variables in question. In a selected sample of 85 nurses, it was found that nurses with masculine sex-type scores and diploma education (P less than 0.05) felt that nurses should assume responsibility for decision-making. Experience was found to have an inverse relationship (P less than 0.01) with the JDMT. The more experience the nurse has, the less willing she is to make decisions. The majority of nurses (62%) who participated in the study were found to have androgynous rather than feminine sex-role stereotype scores. These two findings indicate changing trends in the traditional view of staff nurses. These new findings will assist nurses in changing the current image of a typically feminine nurse with a low self-concept. This study found strengths in nurses that are often overlooked by the feminists when they study nurses.

Adult↗

Motivational factors in women requesting augmentation and reduction mammaplasty.

This study confirms that women requesting breast reduction and breast augmentation differ beyond the anatomical. There were significantly more single and co-habiting women in the breast reduction group, and significantly more separated and divorced women in the breast augmentation group, compared to women attending an obstetric clinic. The majority of women requesting surgery agreed that to feel more confident was an important reason for seeking surgery, but those requesting breast augmentation also stressed the need to feel more feminine and less shy with men. A significantly higher percentage of the breast augmentation group had been pregnant, and they had a higher average number of pregnancies than the obstetric comparison group, together with a significantly higher experience of miscarriage. The psychodynamic proposal that women requesting breast augmentation are seeking to symbolically boost their sense of femininity and womanliness is supported by this study.

Adaptation, Psychological↗

Sexual adjustment to tubal sterilization.

Sexual adjustment after laparoscopic sterilization has been investigated in a Danish population. The study comprises 659 patients who underwent laparoscopic sterilization during the 4-year period 1980-1983. The study focused on libido, coital frequency, coital enjoyment, lack of excitement, sexual life and feelings of femininity after sterilization in one group of patients satisfied with the sterilization and in another group dissatisfied with the decision to undergo tubal sterilization. There was no difference in libido, coital frequency and sexual satisfaction between the two groups. However, a significant difference was seen between the two groups concerning lack of excitement in sexual life, perception of a more relaxed sexual life, and, finally, perception of changed femininity.

Coitus↗

Synergistic action of estradiol, progesterone and testosterone on rat proceptive behavior.

The role of estradiol (E), progesterone (P) and testosterone (T) in the control of rat feminine sexual behavior (receptivity, proceptivity and sexual orientation) was analyzed. The action of estradiol benzoate (EB, 1.25 micrograms/rat x 3 days) and P (0.5 mg/rat) was compared in ovariectomized (OVX) and ovariectomized-adrenalectomized (OVX + ADX) subjects. Administration of EB alone was followed by maximum levels of lordosis behavior and a male-directed orientation in both OVX and OVX + ADX females. A reduction in the level of proceptivity was observed in EB-treated OVX + ADX animals as compared with EB-treated OVX rats. The administration of P to OVX + ADX females resulted in an increase in proceptive behavior similar to that observed in OVX EB-treated animals. A further study analyzed the effect of combined administration of EB, P and various doses of T (30, 90 and 270 micrograms/rat) in OVX + ADX rats. A synergistic action of all three hormones on proceptivity was observed. Neither a further increase in lordosis nor in male-directed orientation was observed in EB-treated females after additional treatment with P or T independently or together. Finally, we studied the effect of adrenalectomy on the spontaneous onset of estrous behavior. Adrenalectomy did not modify any aspect of normal feminine sexual behavior, suggesting that the adrenals, in the presence of the ovaries, are of no critical importance for this behavior. The possible contribution of adrenal steroids to the expression of proceptivity is discussed.

Adrenalectomy↗

The effect of prenatal stress on adult sexual behavior in rats depends on the nature of the stressor.

It is well known that prenatal stress induces behavioral demasculinization and/or feminization in male offspring during adulthood. In this study, four different stressors were prenatally applied to rats. Pregnant rats were subjected to immobilization, unavoidable electric foot shocks, rapid eye movement sleep deprivation (REMd), or immersion in cold water. During adulthood, male offspring were tested for masculine and feminine sexual behavior. The results corroborated the fact that immobilization induced an impairment of masculine sexual behavior and a facilitation of feminine sexual behavior. Electric shocks showed only minor differences in masculine behavior when compared to intact controls, and no signs of lordosis behavior were observed. The REMd group displayed a major impairment of masculine behavior, even greater than that observed within the immobilization group. However, lordosis behavior was only induced with estradiol. On the other hand, water immersion seems to have a facilitatory effect on several parameters of masculine behavior and did not show lordosis behavior even with hormonal treatment. These results strongly suggest that changes in sex behavior induced by prenatal stress are linked to the nature of the stressor.

Animals↗

Effects of prenatal exposure to morphine sulfate on reproductive function of female rats.

The purpose of this study was to investigate the effect of prenatal exposure to morphine sulfate on the development of reproductive function in female rats. Female rats exposed to morphine sulfate in utero (5-10 mg/kg on days 5-12 of gestation) exhibited varying dates of vaginal opening and a partial inhibition in adult feminine sexual behavior when compared to controls. However, the estrogen binding capacity of hypothalamic cytosols from morphine- and saline-treated females was identical. While we cannot rule out the possibility that the observed changes in reproductive function were an indirect result of morphine-induced alterations in maternal physiology or behavior, these results suggest that the development of feminine sexual behavior can be influenced during the early prenatal period and that morphine sulfate can affect the process of feminization.

Animals↗

Comparative effects of progesterone and alphaxalone on aggressive, reproductive and locomotor behaviors.

Progesterone can reduce aggressive behaviors in rodents under various experimental conditions, but it could be argued that this effect is due to the well known anesthetic/sedative properties of some steroids. We have tested this hypothesis by comparing the effects of progesterone and the anesthetic progestin, alphaxalone, on the aggressive, reproductive and locomotor behaviors of hamsters. Locomotion is used as a sensitive index of sedative/soporific effects. Progesterone reduced aggressive behavior without depressing the general locomotor activity of the animals, and it also facilitated feminine sexual behaviors in both sexes. Alphaxalone induced mild sedation in hamsters but this did not decrease their aggressive display. Alphaxalone did not facilitate feminine sexual behavior in either sex. We proposed that the inhibitory effect of progesterone on hamster aggressiveness is unlikely to follow from the hormone's sedative properties.

Aggression↗