Fetal Testosterone Predicts Sexually Differentiated Childhood Behavior in Girls and in Boys

This is an important study from the Psychological Science journal’s early view:

Fetal Testosterone Predicts Sexually Differentiated Childhood
Behavior in Girls and in Boys

Bonnie Auyeung, Simon Baron-Cohen, Emma Ashwin, Rebecca Knickmeyer, Kevin Taylor, Gerald Hackett, and Melissa Hines
ABSTRACT—Mammals, including humans, show sex differences in juvenile play behavior. In rodents and nonhuman primates, these behavioral sex differences result, in part, from sex differences in androgens during early development. Girls exposed to high levels of androgen prenatally, because of the genetic disorder congenital adrenal hyperplasia, show increased male-typical play, suggesting similar hormonal influences on human development, at least in females. Here, we report that fetal testosterone measured from amniotic fluid relates positively to male-typical scores on a standardized questionnaire measure of sextypical play in both boys and girls. These results show, for the first time, a link between fetal testosterone and the development of sex-typical play in children from the general population, and are the first data linking high levels of prenatal testosterone to increased male-typical play behavior in boys.

Here’s the money quote:

Thus, our data are the first documentation that androgen exposure prenatally relates to sexually differentiated play behavior in boys and in girls. In addition, the current results support an organizational, as opposed to current, activational role of testosterone, because play behavior is measured in childhood, when concurrent testosterone levels are low.

Gender non-conformity is the strongest predictor of same-sex attraction in adulthood. This study links prenatal testosterone with later gender typical behavior. The brains of children are organized in ways that react to their environment in socially typical or atypical ways. How such behavior shapes the family environment is unclear, however, it does not appear that the behavior is exclusively a response to parental bonding or modeling.

Sexual abuse and sexual orientation: A prospective study

Online now ahead of publication is a report from H. Wilson and C. Widom of a prospective study of the relationship between sexual abuse, physical abuse and neglect and sexual orientation in men and women. Published to subscribers January 7, 2009 on the Archives of Sexual Behavior website, the abstract provides a glimpse into the many findings reported here.

Existing cross-sectional research suggests associations between physical and sexual abuse in childhood and same-sex sexual orientation in adulthood. This study prospectively examined whether abuse and/or neglect in childhood were associated with increased likelihood of same-sex partnerships in adulthood. The sample included physically abused (N = 85), sexually abused (N = 72), and neglected (N = 429) children (ages 0-11) with documented cases during 1967-1971 who were matched with non-maltreated children (N = 415) and followed into adulthood. At approximately age 40, participants (483 women and 461 men) were asked about romantic cohabitation and sexual partners, in the context of in-person interviews covering a range of topics. Group (abuse/neglect versus control) differences were assessed with cross-tabulations and logistic regression. A total of 8% of the overall sample reported any same-sex relationship (cohabitation or sexual partners). Childhood physical abuse and neglect were not significantly associated with same-sex cohabitation or sexual partners. Individuals with documented histories of childhood sexual abuse were significantly more likely than controls to report ever having had same-sex sexual partners (OR = 2.81, 95% CI = 1.16-6.80, p = .05); however, only men with histories of childhood sexual abuse were significantly more likely than controls to report same-sex sexual partners (OR = 6.75, 95% CI = 1.53-29.86, p = .01). These prospective findings provide tentative evidence of a link between childhood sexual abuse and same-sex sexual partnerships among men, although further research is needed to explore this relationship and to examine potential underlying mechanisms.

Beyond the result reported above there is much of interest here. I want to describe some how sexuality was measured and then make some general observations. This study will get more than one post.
One of the weaknesses of research on sexual orientation and social factors has been the lack of long term prospective studies. Most research into abuse and sexual orientation is based on retrospective self-report. This study is a significant improvement in that the authors had documentation of childhood sexual and physical abuse and neglect regarding 908 children from juvenile and family courts in a midwestern metropolitan area. The cases were reported and processed between 1967 and 1971. The authors then interviewed as many of these individuals as possible and included interviews with a matched set of control participants. The control group was matched with the abuse group on age, sex, race/ethnicity, and approximate social class at the time of the abuse. The average age of participant reports for all cases was 6.3 years.
At follow up, when the participants were in their late 30s and early 40s, they were asked if they lived (at the time of the interview) with a person of the same sex in a sexual relationship, whether the person had ever cohabited in a same-sex relationship, had ever had a same-sex sexual partner and whether the person had such a partner with the past year. Attraction was not directly assessed which is an unfortunate aspect of the study. Primarily the authors were interested in sames-sex sexual behavior, which may or may not indicate enduring attractions.
Among males, 2.9% reported a same-sex partner within the last year and 6.4% saying they had such a partner at some time in the past. Percentages were similar for women (2.1% and 6.8% respectively). Similar differences were reported for cohabitation and any prior same-sex relationships. Nearly all participants reported sexual partners of both sexes. Only five men (1.3%) and one woman (.24%) reported exclusively same-sex relations. It is highly likely that some of these individuals would identify as straight but had engaged in same-sex relations at some point in their past.
The main significant finding was reported in the abstract: “men with histories of childhood sexual abuse were significantly more likely than controls to report same-sex sexual partners.” There was no relationship between child sexual abuse and sexual behavior for women. Also, “child physical abuse and neglect were not significantly associated with increased likelihood of same-sex cohabitation or sexual partnerships” (from paper, pg 7). While sexual abuse is associated with an increased likelihood of same-sex behavior, this is not a study that shows homosexuality is caused by sexual abuse. Also, the study does not indicate that sexual abuse leads to homosexuality. In the control group, 5.3% said they had engaged in same-sex relationships, whereas in the sexual abuse group, 27.3% did. More on this in the next post.
This study is a significant challenge to reparative drive theory. Reparative theory, on display recently on the Dr. Phil Show, proposes that gender disturbances are caused by a poor relationship with the same-sex parent. Although this study does not directly test a specific set of family dynamics, it is plausible based on reparative concepts to predict that abuse and neglect might be more frequent in homes where dad is uninvolved or hostile to the children. Dr. Nicolosi frequently says he has never met a gay man who had a good relationship with his father. One would expect a significant elevation in these circumstances but none shows up here. Regarding parenting and sexual orientation, Wilson and Widom write:

These results were consistent for men and women and support the conclusions of Bell et al (1981) that early parenting experiences, positive or negative, play little direct role in the development of sexual orientation. Among women, we also found no associations between childhood sexual abuse and same-sex relationships.

This study, along with the recent work from Andrew Francis casts more doubt on reparative drive theory as a general theory of same-sex attraction. In a future post, I want to address additional implications of this study, especially regarding the complex question of how sexual orientation may be related to sexual abuse. The pattern of findings in the Wilson and Widom study can be interpreted in several ways. More about that soon.

Can we believe ex-gays and ex-ex-gays?

Peterson Toscano makes a curious comment about ex-gays and ex-ex-gays in an email to Box Turtle Bulletin

In sharing ex-gay survivor narratives, I see the importance of digging up the many non-religious reasons people go ex-gay. For too long Focus on the Family, Exodus, etc, have been hiding behind a religious curtain. Similarly many ex-gays and former ex-gays I meet express that their ONLY reason for going ex-gay was their faith. Warren Throckmorton capitalizes on this sort of thing claiming that the struggle is an incongruence between faith and sexuality, when in reality for many it is primarily a conflict between society and sexuality.

First, Peterson says the ex-gays and former ex-gays express that the only reason for seeking to be ex-gay is related to conflicts over faith. And then he says I, in some way “capitalize” on this claim when in fact, the conflict is not really with faith but derives from conflicts with society. Maybe it is just me, but it appears he is saying those congruence seeking ex-gays and former ex-gays are wrong. They really weren’t motivated by religious conflicts at all. Apparently, I am wrong as well when I believe them. Perhaps, he is suggesting that I know that they and I are wrong but I ignore that. I am not really sure. But the message I get here is that he knows the real motives.
Seems like you find confirmation bias all over. Those ex-gays and ex-ex-gays are mistaken, the real reason they seek ex-gay is social conflict, Peterson asserts, even if they don’t know it. He needs to dig for what he knows is there.
I am sure in some cases, that social disapproval is more motivational than religious issues. Religious disapproval is a metaphor for disapproval from all sources. However, on the other hand, I think you risk missing the individual factors by “digging up the many non-religious reasons people go ex-gay.” Sure those who minister and help should be open to those reasons. However, those who dig should be prepared to find little else but what the conflicted person said in the first place.

Ted Haggard says sexuality labels "just don't work"

Ted Haggard could have been in my study last summer. Over 190 same-sex attracted men who are heterosexually married took my survey to describe their sexuality. Many of them said the same thing – that labels didn’t fully capture their experience.
Haggard told the Denver Post that labels don’t work. Read the rest at the link.
Haggard’s description is consistent with the results I found. I am still collecting data involving same-sex attracted women in straight marriages. Just a few points on the men:
-191 men completed the survey; referrals came from ex-gay ministries, bisexual groups, mixed orientation couple support groups and via this website.
-Regarding the labels issue, 33% of all respondents qualified their sexual orientation self-description because they felt the labels were not adequately descriptive.
-We found 6 groups of such men with different attaction patterns. Haggard may fit into the “spousosexual” group if his general attractions are for men, but he experiences attraction for his wife. We found 20% of the total group in that category.
-The smallest group was the “ex-gay” group. Just over 6% said they once were attracted to the same-sex primarily and are now primarily attracted to the opposite sex.
-The largest group (40%) were bisexual in their attraction patterns and about one-quarter of the men were primarily attracted to the same sex in the present.
There are many more interesting findings that I am saving for the paper on this research. It should be ready by the end of February for submission. Stay tuned…

Year in review: Top ten stories of 2008

As in year’s past, I have enjoyed reviewing the posts from the year and coming up with the top ten stories.

1. Cancelation of the American Psychiatric Association symposium – Amidst threat of protests, the APA pressed to halt a scheduled symposium dedicated to sexual identity therapy and religious affiliation. Whipped up by a factually inaccurate article in the Gay City News, gay activists persuaded the APA leadership to pressure symposium organizers to pull the program. Gay City News later ran a correction.

2. The other APA, the American Psychological Association, released a task force report on abortion and mental health consequences. Basing their conclusions on only one study, the APA surprised no one by claiming abortion had no more adverse impact on mental health than carrying a child to delivery. I revealed here that the APA had secretly formed this task force after a series of research reports in late 2005 found links between abortion and adverse mental health consequences for some women. New research confirms that concern is warranted.

3. Golden Rule Pledge – In the wake of Sally Kern saying homosexuality was a greater threat to the nation than terrorism, I initiated the Golden Rule Pledge which took place surrounding the Day of Silence and the Day of Truth. Many conservative groups were calling for Christian students to stay home. This did not strike me as an effective faith-centered response. The Golden Rule Pledge generated some controversy as well as approval by a small group of evangelicals (e.g., Bob Stith) and gay leaders (e.g., Eliza Byard). Some students taking part in the various events were positively impacted by their experience.

4. Exodus considers new direction for ministry – At a leadership training workshop early in 2008, Wendy Gritter proposed a new paradigm for sexual identity ministry. Her presentation was provocative in the sense that it generated much discussion and consideration, especially among readers here. It remains to be seen if Exodus will continue to move away from a change/reparative therapy focus to a fidelity/congruence ministry focus.

5. New research clarifies sexual orienatation causal factors – A twin study and a study of brain symmetry, both from Sweden and a large U.S. study shed some light on causal factors in sexual orientation.

6. Letter to the American Counseling Association requesting clarification of its policies concerning counseling same-sex attracted evangelicals. Co-signed by over 600 counselors (many of whom were referred by the American Association of Christian Counselors), I wrote a letter to the ACA requesting clarification regarding how counselors should work with evangelicals who do not wish to affirm homosexual behavior. The current policy is confusing and gives no guidance in such cases. Then President Brian Canfield replied affirming the clients self-determination in such cases. He referred the matter back to the ACA ethics committee. To date, that committee has not responded.

7. Paul Cameron’s work resurfaces and then is refuted – Insure.com resurrected Paul Cameron’s work in an article on their website about gay lifespans. The article was later altered to reflect more on HIV/AIDS than on homosexual orientation. Later this year, Morten Frisch produced a study which directly addressed Cameron’s methods.

8. Mankind Project unravels – This year I posted often regarding the Mankind Project and New Warriors Training Adventure. Recently, I reported that MKP is in some financial and organizational disarray.

9. Debunking of false claims about Sarah Palin’s record on support for social programs – I had lots of fun tracking down several false claims made about Sarah Palin during the election. Her opponents willfully distorted her real record to paint her as a hypocrite. I learned much more about Alaska’s state budget than I ever wanted to know but found that most claims of program cuts were actually raises in funding which not quite as much as the agencies requested. However, overall funding for such programs increased.

10. During the stretch run of the election, I became quite interested in various aspects of the race. As noted above, I spent some time examining claims surround Sarah Palin’s record. I also did a series on President-elect Obama’s record on housing, including an interview with one of Barack Obama’s former constituents.

I know, I know, number 10 is an understatement. (Exhibit A)

Happy New Year!