{"id":594,"date":"2020-06-10T18:26:43","date_gmt":"2020-06-10T18:26:43","guid":{"rendered":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/?post_type=chapter&#038;p=594"},"modified":"2021-09-15T16:26:32","modified_gmt":"2021-09-15T16:26:32","slug":"sexual-behaviour","status":"publish","type":"chapter","link":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/chapter\/sexual-behaviour\/","title":{"raw":"Sexual Behaviour","rendered":"Sexual Behaviour"},"content":{"raw":"<div id=\"34718\" class=\"ui-has-child-title\"><header>\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Learning Objectives<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\"><header>\r\n<h3><span style=\"font-family: Lora, serif;font-size: 1em;font-weight: normal\">By the end of this section, you will be able to:<\/span><\/h3>\r\n<\/header><section>\r\n<ul>\r\n \t<li>Understand basic biological mechanisms regulating sexual behaviour and motivation<\/li>\r\n \t<li>Appreciate the importance of Alfred Kinsey\u2019s research on human sexuality<\/li>\r\n \t<li>Recognize the contributions that William Masters and Virginia Johnson\u2019s research made to our understanding of the sexual response cycle<\/li>\r\n \t<li>Define sexual orientation and gender identity<\/li>\r\n<\/ul>\r\n<\/section><\/div>\r\n<\/div>\r\n<\/header><\/div>\r\n<p id=\"fs-idm27958544\">Like food, sex is an important part of our lives. From an evolutionary perspective, the reason is obvious\u2014perpetuation of the species. Sexual behaviour in humans, however, involves much more than reproduction. This section provides an overview of research that has been conducted on human sexual behaviour and motivation. This section will close with a discussion of issues related to gender and sexual orientation.<\/p>\r\n\r\n<section id=\"fs-idm94339104\">\r\n<h3>Physiological Mechanisms of Sexual Behaviour and Motivation<\/h3>\r\n<p id=\"fs-idp31114432\">Much of what we know about the physiological mechanisms that underlie sexual behaviour and motivation comes from animal research. As you\u2019ve learned, the hypothalamus plays an important role in motivated behaviours, and sex is no exception. In fact, lesions to an area of the hypothalamus called the medial preoptic area completely disrupt a male rat\u2019s ability to engage in sexual behaviour. Surprisingly, medial preoptic lesions do not change how hard a male rat is willing to work to gain access to a sexually receptive female (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_Rats\">Figure EM.14<\/a>). This suggests that the ability to engage in sexual behaviour and the motivation to do so may be mediated by neural systems distinct from one another. What is interesting, is that the medial preoptic area in males is larger and contains more cells, compared to females.<\/p>\r\n\r\n<div id=\"Figure_10_03_Rats\" class=\"os-figure\">\r\n<figure>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"325\"]<img id=\"40437\" src=\"https:\/\/openstax.org\/resources\/1ff7a3e91ce47380bc9f4dd1f3b8e6da081facdc\" alt=\"A photograph shows two rats.\" width=\"325\" height=\"226\" \/> Figure EM.14\u00a0A male rat that cannot engage in sexual behavior still seeks receptive females, suggesting that the ability to engage in sexual behavior and the motivation to do so are mediated by different systems in the brain. (credit: Jason Snyder)[\/caption]<\/figure>\r\n<div class=\"os-caption-container\"><span style=\"text-align: initial;font-size: 1em\">Animal research suggests that limbic system structures such as the amygdala and nucleus accumbens are especially important for sexual motivation. Damage to these areas results in a decreased motivation to engage in sexual behaviour, while leaving the ability to do so intact (<\/span><a class=\"autogenerated-content\" style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_SexBrain\">Figure EM.15<\/a><span style=\"text-align: initial;font-size: 1em\">) (Everett, 1990). Similar dissociations of sexual motivation and sexual ability have also been observed in the female rat (Becker, Rudick, &amp; Jenkins, 2001; Jenkins &amp; Becker, 2001).<\/span><\/div>\r\n<\/div>\r\n<div id=\"Figure_10_03_SexBrain\" class=\"os-figure\">\r\n<figure>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img id=\"36042\" src=\"https:\/\/openstax.org\/resources\/88954174d88ba86f35ceaee3b5d220a7dec7a7f4\" alt=\"An illustration of the brain labels the locations of the \u201cnucleus accumbeus,\u201d \u201chypothalamus,\u201d \u201cmedial preoptic area,\u201d and \u201camygdala.\u201d\" width=\"487\" height=\"408\" \/> Figure EM.15\u00a0The medial preoptic area, an area of the hypothalamus, is involved in the ability to engage in sexual behaviour, but it does not affect sexual motivation. In contrast, the amygdala and nucleus accumbens are involved in motivation for sexual behaviour, but they do not affect the ability to engage in it.[\/caption]<\/figure>\r\n<\/div>\r\n<p id=\"fs-idm136298928\">Although human sexual behaviour is much more complex than that seen in rats, some parallels between animals and humans can be drawn from this research. The worldwide popularity of drugs used to treat erectile dysfunction (Conrad, 2005) speaks to the fact that sexual motivation and the ability to engage in sexual behaviour can also be dissociated in humans. Moreover, disorders that involve abnormal hypothalamic function are often associated with hypogonadism (reduced function of the gonads) and reduced sexual function (e.g., Prader-Willi syndrome). Given the hypothalamus\u2019s role in endocrine function, it is not surprising that hormones secreted by the endocrine system also play important roles in sexual motivation and behaviour. For example, many animals show no sign of sexual motivation in the absence of the appropriate combination of sex hormones from their gonads. While this is not the case for humans, there is considerable evidence that sexual motivation for all humans varies as a function of circulating testosterone levels (Bhasin, Enzlin, Coviello, &amp; Basson, 2007; Carter, 1992; Sherwin, 1988).<\/p>\r\n\r\n<\/section><section id=\"fs-idm61240240\">\r\n<h3>Kinsey\u2019s Research<\/h3>\r\n<p id=\"fs-idm40383440\">Before the late 1940s, access to reliable, empirically-based information on sex was limited. Physicians were considered authorities on all issues related to sex, despite the fact that they had little to no training in these issues, and it is likely that most of what people knew about sex had been learned either through their own experiences or by talking with their peers. Convinced that people would benefit from a more open dialogue on issues related to human sexuality, Dr. Alfred\u00a0<span id=\"term656\" class=\"no-emphasis\">Kinsey<\/span>\u00a0of Indiana University initiated large-scale survey research on the topic (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_Kinsey\">Figure EM.16<\/a>). The results of some of these efforts were published in two books\u2014<em>Sexual Behavior in the Human Male\u00a0<\/em>and\u00a0<em>Sexual Behavior in the Human Female<\/em>\u2014which were published in 1948 and 1953, respectively (Bullough, 1998).<\/p>\r\n\r\n<div id=\"Figure_10_03_Kinsey\" class=\"os-figure\">\r\n<figure>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"325\"]<img id=\"59743\" src=\"https:\/\/openstax.org\/resources\/55ddca0df2aed07592861fbac175392cb98b11dd\" alt=\"A photograph shows Morrison Hall, the building that houses the Kinsey Institute for Research in Sex, Gender, and Reproduction.\" width=\"325\" height=\"212\" \/> Figure EM.16\u00a0In 1947, Alfred Kinsey established The Kinsey Institute for Research, Sex, Gender and Reproduction at Indiana University, shown here in 2011. The Kinsey Institute has continued as a research site of important psychological studies for decades.[\/caption]<\/figure>\r\n<\/div>\r\n<p id=\"fs-idm149577216\">At the time, the Kinsey reports were quite sensational. Never before had the American public seen its private sexual behaviour become the focus of scientific scrutiny on such a large scale. The books, which were filled with statistics and scientific lingo, sold remarkably well to the general public, and people began to engage in open conversations about human sexuality. As you might imagine, not everyone was happy that this information was being published. In fact, these books were banned in some countries. Ultimately, the controversy resulted in Kinsey losing funding that he had secured from the Rockefeller Foundation to continue his research efforts (Bancroft, 2004).<\/p>\r\n<p id=\"fs-idm76171232\">Although Kinsey\u2019s research has been widely criticized as being riddled with sampling and statistical errors (Jenkins, 2010), there is little doubt that this research was very influential in shaping future research on human sexual behaviour and motivation. Kinsey described a remarkably diverse range of sexual behaviours and experiences reported by the volunteers participating in his research. Behaviours that had once been considered exceedingly rare or problematic were demonstrated to be much more common and innocuous than previously imagined (Bancroft, 2004; Bullough, 1998).<\/p>\r\n\r\n<div id=\"fs-idm54876048\" class=\"psychology link-to-learning ui-has-child-title\"><section>\r\n<div class=\"os-note-body\">\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">Watch this\u00a0<a href=\"http:\/\/openstax.org\/l\/Kinsey\" target=\"_blank\" rel=\"noopener nofollow\">trailer for the 2004 film\u00a0<em>Kinsey<\/em>\u00a0that depicts Alfred Kinsey's life and research<\/a>\u00a0to learn more.<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section><\/div>\r\n<p id=\"fs-idm11321904\">Among the results of Kinsey\u2019s research were the findings that women are as interested and experienced in sex as their male counterparts, that both males and females masturbate without adverse health consequences, and that homosexual acts are fairly common (Bancroft, 2004). Kinsey also developed a continuum known as the Kinsey scale that is still commonly used today to categorize an individual\u2019s <strong>sexual orientation<\/strong> (Jenkins, 2010). According to that scale,\u00a0<span id=\"term657\">sexual orientation<\/span>\u00a0is an individual\u2019s emotional and erotic attractions to same-sexed individuals (<strong><span id=\"term658\">homosexual<\/span><\/strong>), opposite-sexed individuals (<strong><span id=\"term659\">heterosexual<\/span><\/strong>), or both (<strong><span id=\"term660\">bisexual<\/span><\/strong>).<\/p>\r\n\r\n<\/section><section id=\"fs-idp27619408\">\r\n<h3>Masters and Johnson\u2019s Research<\/h3>\r\n<p id=\"fs-idm9192048\">In 1966, William\u00a0<span id=\"term661\" class=\"no-emphasis\">Masters<\/span>\u00a0and Virginia\u00a0<span id=\"term662\" class=\"no-emphasis\">Johnson<\/span>\u00a0published a book detailing the results of their observations of nearly 700 people who agreed to participate in their study of physiological responses during sexual behaviour. Unlike Kinsey, who used personal interviews and surveys to collect data, Masters and Johnson observed people having intercourse in a variety of positions, and they observed people masturbating, manually or with the aid of a device. While this was occurring, researchers recorded measurements of physiological variables, such as blood pressure and respiration rate, as well as measurements of sexual arousal, such as vaginal lubrication and penile tumescence (swelling associated with an erection). In total, Masters and Johnson observed nearly 10,000 sexual acts as a part of their research (Hock, 2008).<\/p>\r\n<p id=\"fs-idm115229360\">Based on these observations, Masters and Johnson divided the\u00a0<strong><span id=\"term663\">sexual response cycle<\/span><\/strong>\u00a0into four phases that are fairly similar in men and women: excitement, plateau, orgasm, and resolution (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_SexReponse\">Figure EM.17<\/a>). The\u00a0<strong><span id=\"term664\">excitement<\/span><\/strong>\u00a0phase is the arousal phase of the sexual response cycle, and it is marked by erection of the penis or clitoris and lubrication and expansion of the vaginal canal. During\u00a0<strong><span id=\"term665\">plateau<\/span><\/strong>, women experience further swelling of the vagina and increased blood flow to the labia minora, and men experience full erection and often exhibit pre-ejaculatory fluid. Both men and women experience increases in muscle tone during this time.\u00a0<strong><span id=\"term666\">Orgasm<\/span><\/strong>\u00a0is marked in women by rhythmic contractions of the pelvis and uterus along with increased muscle tension. In men, pelvic contractions are accompanied by a buildup of seminal fluid near the urethra that is ultimately forced out by contractions of genital muscles, (i.e., ejaculation).\u00a0<strong><span id=\"term667\">Resolution<\/span><\/strong>\u00a0is the relatively rapid return to an unaroused state accompanied by a decrease in blood pressure and muscular relaxation. While many women can quickly repeat the sexual response cycle, men must pass through a longer refractory period as part of resolution. The\u00a0<strong><span id=\"term668\">refractory period<\/span><\/strong>\u00a0is a period of time that follows an orgasm during which an individual is incapable of experiencing another orgasm. In men, the duration of the refractory period can vary dramatically from individual to individual with some refractory periods as short as several minutes and others as long as a day. As men age, their refractory periods tend to span longer periods of time.<\/p>\r\n\r\n<div id=\"Figure_10_03_SexReponse\" class=\"os-figure\">\r\n<figure>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img id=\"87574\" src=\"https:\/\/openstax.org\/resources\/8779b02770677c3a72128d975437df4299869513\" alt=\"A graph titled \u201cSexual response cycle\u201d has an x-axis labeled \u201ctime\u201d and a y-axis labeled \u201carousal.\u201d Four phases are depicted. In the \u201cexcitement\u201d phase the arousal level increases from the bottom to midway on the graph. In the \u201cplateau\u201d phase the arousal level remains mostly steady at the midpoint of the graph and then begins to rise at the end of the plateau phase. At the \u201corgasm\u201d phase, the arousal level sharply increases, peaks at the top of the graph, and then declines to the midway point. In the \u201cresolution\u201d phase the graph drops from the midway point to the bottom.\" width=\"487\" height=\"349\" \/> Figure EM.17\u00a0This graph illustrates the different phases of the sexual response cycle as described by Masters and Johnson.[\/caption]<\/figure>\r\n<\/div>\r\n<p id=\"fs-idm57636752\">In addition to the insights that their research provided with regards to the sexual response cycle and the multi-orgasmic potential of women, Masters and Johnson also collected important information about reproductive anatomy. Their research demonstrated the oft-cited statistic of the average size of a flaccid and an erect penis (3 and 6 inches, respectively) as well as dispelling long-held beliefs about relationships between the size of a man\u2019s erect penis and his ability to provide sexual pleasure to his female partner. Furthermore, they determined that the vagina is a very elastic structure that can conform to penises of various sizes (Hock, 2008).<\/p>\r\n\r\n<\/section><section id=\"fs-idm143776496\">\r\n<h3>Sexual Orientation<\/h3>\r\n<p id=\"fs-idm17523296\">As mentioned earlier, a person\u2019s sexual orientation is their emotional and erotic attraction toward another individual (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_GayMales\">Figure EM.18<\/a>). While the majority of people identify as heterosexual, there is a sizeable population of people who identify as homosexual, bisexual, pansexual, asexual, or other non-hetero sexualities. Research suggests that somewhere between 3% and 10% of the population identifies as homosexual (Kinsey, Pomeroy, &amp; Martin, 1948; LeVay, 1996; Pillard &amp; Bailey, 1995). Bisexual people are attracted to people of their own gender and another gender; pansexual people experience attraction without regard to sex, gender identity or gender expression; asexual people do not experience sexual attraction or have little or no interest in sexual activity.<\/p>\r\n\r\n<div id=\"Figure_10_03_GayMales\" class=\"os-figure\">\r\n<figure>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"325\"]<img id=\"82305\" src=\"https:\/\/openstax.org\/resources\/9203e6515fe366d9be1f8abf325685d336cdfa62\" alt=\"A photograph shows two people holding hands.\" width=\"325\" height=\"488\" \/> Figure EM.18\u00a0Between 3% and 10% of the adult population identifies as homosexual. (credit: Till Krech)[\/caption]<\/figure>\r\n<\/div>\r\n<p id=\"fs-idm31244416\">Issues of sexual orientation have long fascinated scientists interested in determining what causes one individual to be straight while another is gay. For many years, people believed that these differences arose because of different socialization and familial experiences. However, research has consistently demonstrated that the family backgrounds and experiences are very similar among heterosexuals and homosexuals (Bell, Weinberg, &amp; Hammersmith, 1981; Ross &amp; Arrindell, 1988).<\/p>\r\n<p id=\"fs-idp30141008\">Genetic and biological mechanisms have also been proposed, and the balance of research evidence suggests that sexual orientation has an underlying biological component. For instance, over the past 25 years, research has demonstrated gene-level contributions to sexual orientation (Bailey &amp; Pillard, 1991; Hamer, Hu, Magnuson, Hu, &amp; Pattatucci, 1993; Rodriguez-Larralde &amp; Paradisi, 2009), with some researchers estimating that genes account for at least half of the variability seen in human sexual orientation (Pillard &amp; Bailey, 1998). Other studies report differences in brain structure and function between heterosexuals and homosexuals (Allen &amp; Gorski, 1992; Byne et al., 2001; Hu et al., 2008; LeVay, 1991; Ponseti et al., 2006; Rahman &amp; Wilson, 2003a; Swaab &amp; Hofman, 1990), and even differences in basic body structure and function have been observed (Hall &amp; Kimura, 1994; Lippa, 2003; Loehlin &amp; McFadden, 2003; McFadden &amp; Champlin, 2000; McFadden &amp; Pasanen, 1998; Rahman &amp; Wilson, 2003b). In aggregate, the data suggest that to a significant extent, sexual orientations are something with which we are born.<\/p>\r\n\r\n<section id=\"fs-idp32232800\">\r\n<h4>Misunderstandings About Sexual Orientation<\/h4>\r\n<p id=\"fs-idp30569776\">Regardless of how sexual orientation is determined, research has made clear that sexual orientation is not a choice, but rather it is a relatively stable characteristic of a person that cannot be changed. Claims of successful gay conversion therapy have received wide criticism from the research community due to significant concerns with research design, recruitment of experimental participants, and interpretation of data. As such, there is no credible scientific evidence to suggest that individuals can change their sexual orientation (Jenkins, 2010).<\/p>\r\n<p id=\"fs-idm93455504\">Dr. Robert Spitzer, the author of one of the most widely-cited examples of successful conversion therapy, apologized to both the scientific community and the gay community for his mistakes, and he publicly recanted his own paper in a public letter addressed to the editor of\u00a0<em>Archives of Sexual Behavior\u00a0<\/em>in the spring of 2012 (Carey, 2012). In this letter, Spitzer wrote,<\/p>\r\n\r\n<blockquote id=\"fs-idm136750768\">\r\n<p id=\"new2\">I was considering writing something that would acknowledge that I now judge the major critiques of the study as largely correct. . . . I believe I owe the gay community an apology for my study making unproven claims of the efficacy of reparative therapy. I also apologize to any gay person who wasted time or energy undergoing some form of reparative therapy because they believed that I had proven that reparative therapy works with some \u201chighly motivated\u201d individuals. (Becker, 2012, pars. 2, 5)<\/p>\r\n<\/blockquote>\r\n<p id=\"fs-idp21910352\">Citing research that suggests not only that gay conversion therapy is ineffective, but also potentially harmful, legislative efforts to make such therapy illegal have either been enacted (e.g., it is now illegal in California) or are underway across the United States, and many professional organizations have issued statements against this practice (Human Rights Campaign, n.d.)<\/p>\r\n\r\n<div id=\"fs-idm50063648\" class=\"psychology link-to-learning ui-has-child-title\"><section>\r\n<div class=\"os-note-body\">\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">Read this\u00a0<a href=\"http:\/\/openstax.org\/l\/spitzer\" target=\"_blank\" rel=\"noopener nofollow\">draft of Dr. Spitzer's letter<\/a>\u00a0to learn more.<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section><\/div>\r\n<\/section><\/section><section id=\"fs-idm105655904\">\r\n<h3>Gender Identity<\/h3>\r\n<p id=\"fs-idm103159600\">Many people conflate sexual orientation with gender identity because of stereotypical attitudes that exist about gay and lesbian sexuality. In reality, these are two related, but different, issues.\u00a0<strong><span id=\"term669\">Gender identity<\/span><\/strong>\u00a0refers to one\u2019s sense of being male or female. Generally, our gender identities correspond to our chromosomal and phenotypic sex, but this is not always the case. When individuals do not feel comfortable identifying with the gender associated with their biological sex, then they experience <strong>gender dysphoria<\/strong>.\u00a0<span id=\"term670\">Gender dysphoria<\/span>\u00a0is a diagnostic category in the fifth edition of the\u00a0<em>Diagnostic and Statistical Manual of Mental Disorders<\/em>\u00a0(DSM-5) that describes individuals who do not identify as the gender that most people would assume they are. This dysphoria must persist for at least six months and result in significant distress or dysfunction to meet DSM-5 diagnostic criteria. In order for children to be assigned this diagnostic category, they must verbalize their desire to become the other gender.<\/p>\r\n<p id=\"fs-idm99371728\">Many people who are classified as gender dysphoric seek to live their lives in ways that are consistent with their own gender identity. This involves dressing in opposite-sex clothing and assuming an opposite-sex identity. These individuals may also undertake\u00a0<strong><span id=\"term671\">transgender hormone therapy<\/span><\/strong>\u00a0in an attempt to make their bodies look more like the opposite sex, and in some cases, they elect to have surgeries to alter the appearance of their external genitalia to resemble that of their gender identity (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_Transgend\">Figure EM.19<\/a>). While these may sound like drastic changes, gender dysphoric individuals take these steps because their bodies seem to them to be a mistake of nature, and they seek to correct this mistake.<\/p>\r\n<p id=\"zip-idm340190176\">Our scientific knowledge and general understanding about gender identity continue to evolve, and young people today have more opportunity to explore and openly express different ideas about what gender means than previous generations. Recent studies indicate that that majority of millennials (those ages 18\u201334) regard gender as a spectrum instead of a strict male\/female binary, and that 12% identify as transgender or gender non-conforming. Additionally, over half of people ages 13\u201320 know people who use gender-neutral pronouns (such as they\/them) (Kennedy, 2017). This change in language means that millennials and Generation Z people understand the experience of gender itself differently. As young people lead this change, other changes are emerging in a range of spheres, from public bathroom policies to retail organizations. For example, some retailers are starting to change traditional gender-based marketing of products, such as removing \u201cpink and blue\u201d clothing and toy aisles. Even with these changes, those who exist outside of traditional gender norms face difficult challenges. Even people who vary slightly from traditional norms can be the target of discrimination and sometimes even violence.<\/p>\r\n\r\n<div id=\"Figure_10_03_Transgend\" class=\"os-figure\">\r\n<figure>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"487\"]<img id=\"3885\" src=\"https:\/\/openstax.org\/resources\/70e2acb857432ccc9ecddf2a3fce5e466bc0c065\" alt=\"Laverne Cox delivers a speech.\" width=\"487\" height=\"377\" \/> Figure EM.19\u00a0Actress Laverne Cox, who is openly transgender, is the first transgender actress to portray a transgender character on a regular television series. She is also an advocate for LGBTQ+ issues outside of her career, such as in this \"Ain't I a Woman?\" speaking tour. (credit: modification of work by \"KOMUnews_Flickr\"\/Flickr)[\/caption]<\/figure>\r\n<\/div>\r\n<div id=\"fs-idm99251040\" class=\"psychology link-to-learning ui-has-child-title\"><section>\r\n<div class=\"os-note-body\">\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">Hear firsthand about the transgender experience and the disconnect that occurs when one\u2019s self-identity is betrayed by one\u2019s body. Watch this\u00a0<a href=\"http:\/\/openstax.org\/l\/lcox\" target=\"_blank\" rel=\"noopener nofollow\">brief interview with Carmen Carrera and Laverne Cox on Katie Couric's talk show<\/a>\u00a0to learn more. This\u00a0<a href=\"http:\/\/openstax.org\/l\/transimm\" target=\"_blank\" rel=\"noopener nofollow\">video about transgender immigrants' experiences<\/a>\u00a0explains more struggles faced globally by those in the transgender community.<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section><\/div>\r\n<\/section><section id=\"fs-idp8110032\">\r\n<h3>Cultural Factors in Sexual Orientation and Gender Identity<\/h3>\r\n<p id=\"fs-idp20748320\">Issues related to sexual orientation and gender identity are very much influenced by sociocultural factors. Even the ways in which we define sexual orientation and gender vary from one culture to the next. While in the United States heterosexuality has historically been viewed as the norm, there are societies that have different attitudes regarding gay behaviour. In fact, in some instances, periods of exclusively homosexual behaviour are socially prescribed as a part of normal development and maturation. For example, in parts of New Guinea, young boys are expected to engage in sexual behaviour with other boys for a given period of time because it is believed that doing so is necessary for these boys to become men (Baldwin &amp; Baldwin, 1989).<\/p>\r\n<p id=\"fs-idm26172528\">There has historically been a two-gendered culture in the United States. We have tended to classify an individual as either male or female. However, in some cultures there are additional gender variants resulting in more than two gender categories. For example, in Thailand, you can be male, female, or kathoey. A kathoey is an individual who would be described as intersexed or transgender in the United States (Tangmunkongvorakul, Banwell, Carmichael, Utomo, &amp; Sleigh, 2010). Intersex is a broad term referring to people whose bodies are not strictly biologically male or female (Hughes, et al. 2006). Intersex conditions can present at any time during life (Creighton, 2001). Sometimes a child may be born with components of male and female genitals, and other times XY chromosomal differences are present (Creighton, 2001; Hughes, et al. 2006).<\/p>\r\n\r\n<div id=\"fs-idm58852320\" class=\"psychology dig-deeper ui-has-child-title\"><section>\r\n<div class=\"os-note-body\">\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">DIG DEEPER<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<h4 id=\"40848\" class=\"os-subtitle\"><span class=\"os-subtitle-label\">The Case of David Reimer<\/span><\/h4>\r\n<p id=\"fs-idm140489088\">In August of 1965, Janet and Ronald Reimer of Winnipeg, Canada, welcomed the birth of their twin sons, Bruce and Brian. Within a few months, the twins were experiencing urinary problems; doctors recommended the problems could be alleviated by having the boys circumcised. A malfunction of the medical equipment used to perform the circumcision resulted in Bruce\u2019s penis being irreparably damaged. Distraught, Janet and Ronald looked to expert advice on what to do with their baby boy. By happenstance, the couple became aware of Dr. John Money at Johns Hopkins University and his theory of psychosexual neutrality (Colapinto, 2000).<\/p>\r\n<p id=\"fs-idp6956976\">Dr. Money had spent a considerable amount of time researching transgender individuals and individuals born with ambiguous genitalia. As a result of this work, he developed a theory of psychosexual neutrality. His theory asserted that we are essentially neutral at birth with regard to our gender identity and that we don\u2019t assume a concrete gender identity until we begin to master language. Furthermore, Dr. Money believed that the way in which we are socialized in early life is ultimately much more important than our biology in determining our gender identity (Money, 1962).<\/p>\r\n<p id=\"fs-idm159174304\">Dr. Money encouraged Janet and Ronald to bring the twins to Johns Hopkins University, and he convinced them that they should raise Bruce as a girl. Left with few other options at the time, Janet and Ronald agreed to have Bruce\u2019s testicles removed and to raise him as a girl. When they returned home to Canada, they brought with them Brian and his \u201csister,\u201d Brenda, along with specific instructions to never reveal to Brenda that she had been born a boy (Colapinto, 2000).<\/p>\r\n<p id=\"fs-idm190344752\">Early on, Dr. Money shared with the scientific community the great success of this natural experiment that seemed to fully support his theory of psychosexual neutrality (Money, 1975). Indeed, in early interviews with the children it appeared that Brenda was a typical little girl who liked to play with \u201cgirly\u201d toys and do \u201cgirly\u201d things.<\/p>\r\n<p id=\"fs-idm149614544\">However, Dr. Money was less than forthcoming with information that seemed to argue against the success of the case. In reality, Brenda\u2019s parents were constantly concerned that their little girl wasn\u2019t really behaving as most girls did, and by the time Brenda was nearing adolescence, it was painfully obvious to the family that she was really having a hard time identifying as a female. In addition, Brenda was becoming increasingly reluctant to continue her visits with Dr. Money to the point that she threatened suicide if her parents made her go back to see him again.<\/p>\r\n<p id=\"fs-idm143121792\">At that point, Janet and Ronald disclosed the true nature of Brenda\u2019s early childhood to their daughter. While initially shocked, Brenda reported that things made sense to her now, and ultimately, by the time she was an adolescent, Brenda had decided to identify as a male. Thus, she became David Reimer.<\/p>\r\n<p id=\"fs-idm52553920\">David was quite comfortable in his masculine role. He made new friends and began to think about his future. Although his castration had left him infertile, he still wanted to be a father. In 1990, David married a single mother and loved his new role as a husband and father. In 1997, David was made aware that Dr. Money was continuing to publicize his case as a success supporting his theory of psychosexual neutrality. This prompted David and his brother to go public with their experiences in attempt to discredit the doctor\u2019s publications. While this revelation created a firestorm in the scientific community for Dr. Money, it also triggered a series of unfortunate events that ultimately led to David committing suicide in 2004 (O\u2019Connell, 2004).<\/p>\r\n<p id=\"fs-idm157881056\">This sad story speaks to the complexities involved in gender identity. While the Reimer case had earlier been paraded as a hallmark of how socialization trumped biology in terms of gender identity, the truth of the story made the scientific and medical communities more cautious in dealing with cases that involve intersex children and how to deal with their unique circumstances. In fact, stories like this one have prompted measures to prevent unnecessary harm and suffering to children who might have issues with gender identity. For example, in 2013, a law took effect in Germany allowing parents of intersex children to classify their children as indeterminate so that children can self-assign the appropriate gender once they have fully developed their own gender identities (Paramaguru, 2013).<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section><\/div>\r\n<div id=\"fs-idm163540960\" class=\"psychology link-to-learning ui-has-child-title\"><section>\r\n<div class=\"os-note-body\">\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">Watch this\u00a0<a href=\"http:\/\/openstax.org\/l\/reimer\" target=\"_blank\" rel=\"noopener nofollow\">news story about the experiences of David Reimer and his family<\/a>\u00a0to learn more.<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section><\/div>\r\n<\/section>","rendered":"<div id=\"34718\" class=\"ui-has-child-title\">\n<header>\n<div class=\"textbox textbox--learning-objectives\"><\/div>\n<\/header>\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Learning Objectives<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<header>\n<h3><span style=\"font-family: Lora, serif;font-size: 1em;font-weight: normal\">By the end of this section, you will be able to:<\/span><\/h3>\n<\/header>\n<section>\n<ul>\n<li>Understand basic biological mechanisms regulating sexual behaviour and motivation<\/li>\n<li>Appreciate the importance of Alfred Kinsey\u2019s research on human sexuality<\/li>\n<li>Recognize the contributions that William Masters and Virginia Johnson\u2019s research made to our understanding of the sexual response cycle<\/li>\n<li>Define sexual orientation and gender identity<\/li>\n<\/ul>\n<\/section>\n<\/div>\n<\/div>\n<p id=\"fs-idm27958544\">Like food, sex is an important part of our lives. From an evolutionary perspective, the reason is obvious\u2014perpetuation of the species. Sexual behaviour in humans, however, involves much more than reproduction. This section provides an overview of research that has been conducted on human sexual behaviour and motivation. This section will close with a discussion of issues related to gender and sexual orientation.<\/p>\n<section id=\"fs-idm94339104\">\n<h3>Physiological Mechanisms of Sexual Behaviour and Motivation<\/h3>\n<p id=\"fs-idp31114432\">Much of what we know about the physiological mechanisms that underlie sexual behaviour and motivation comes from animal research. As you\u2019ve learned, the hypothalamus plays an important role in motivated behaviours, and sex is no exception. In fact, lesions to an area of the hypothalamus called the medial preoptic area completely disrupt a male rat\u2019s ability to engage in sexual behaviour. Surprisingly, medial preoptic lesions do not change how hard a male rat is willing to work to gain access to a sexually receptive female (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_Rats\">Figure EM.14<\/a>). This suggests that the ability to engage in sexual behaviour and the motivation to do so may be mediated by neural systems distinct from one another. What is interesting, is that the medial preoptic area in males is larger and contains more cells, compared to females.<\/p>\n<div id=\"Figure_10_03_Rats\" class=\"os-figure\">\n<figure>\n<figure style=\"width: 325px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" id=\"40437\" src=\"https:\/\/openstax.org\/resources\/1ff7a3e91ce47380bc9f4dd1f3b8e6da081facdc\" alt=\"A photograph shows two rats.\" width=\"325\" height=\"226\" \/><figcaption class=\"wp-caption-text\">Figure EM.14\u00a0A male rat that cannot engage in sexual behavior still seeks receptive females, suggesting that the ability to engage in sexual behavior and the motivation to do so are mediated by different systems in the brain. (credit: Jason Snyder)<\/figcaption><\/figure>\n<\/figure>\n<div class=\"os-caption-container\"><span style=\"text-align: initial;font-size: 1em\">Animal research suggests that limbic system structures such as the amygdala and nucleus accumbens are especially important for sexual motivation. Damage to these areas results in a decreased motivation to engage in sexual behaviour, while leaving the ability to do so intact (<\/span><a class=\"autogenerated-content\" style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_SexBrain\">Figure EM.15<\/a><span style=\"text-align: initial;font-size: 1em\">) (Everett, 1990). Similar dissociations of sexual motivation and sexual ability have also been observed in the female rat (Becker, Rudick, &amp; Jenkins, 2001; Jenkins &amp; Becker, 2001).<\/span><\/div>\n<\/div>\n<div id=\"Figure_10_03_SexBrain\" class=\"os-figure\">\n<figure>\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" id=\"36042\" src=\"https:\/\/openstax.org\/resources\/88954174d88ba86f35ceaee3b5d220a7dec7a7f4\" alt=\"An illustration of the brain labels the locations of the \u201cnucleus accumbeus,\u201d \u201chypothalamus,\u201d \u201cmedial preoptic area,\u201d and \u201camygdala.\u201d\" width=\"487\" height=\"408\" \/><figcaption class=\"wp-caption-text\">Figure EM.15\u00a0The medial preoptic area, an area of the hypothalamus, is involved in the ability to engage in sexual behaviour, but it does not affect sexual motivation. In contrast, the amygdala and nucleus accumbens are involved in motivation for sexual behaviour, but they do not affect the ability to engage in it.<\/figcaption><\/figure>\n<\/figure>\n<\/div>\n<p id=\"fs-idm136298928\">Although human sexual behaviour is much more complex than that seen in rats, some parallels between animals and humans can be drawn from this research. The worldwide popularity of drugs used to treat erectile dysfunction (Conrad, 2005) speaks to the fact that sexual motivation and the ability to engage in sexual behaviour can also be dissociated in humans. Moreover, disorders that involve abnormal hypothalamic function are often associated with hypogonadism (reduced function of the gonads) and reduced sexual function (e.g., Prader-Willi syndrome). Given the hypothalamus\u2019s role in endocrine function, it is not surprising that hormones secreted by the endocrine system also play important roles in sexual motivation and behaviour. For example, many animals show no sign of sexual motivation in the absence of the appropriate combination of sex hormones from their gonads. While this is not the case for humans, there is considerable evidence that sexual motivation for all humans varies as a function of circulating testosterone levels (Bhasin, Enzlin, Coviello, &amp; Basson, 2007; Carter, 1992; Sherwin, 1988).<\/p>\n<\/section>\n<section id=\"fs-idm61240240\">\n<h3>Kinsey\u2019s Research<\/h3>\n<p id=\"fs-idm40383440\">Before the late 1940s, access to reliable, empirically-based information on sex was limited. Physicians were considered authorities on all issues related to sex, despite the fact that they had little to no training in these issues, and it is likely that most of what people knew about sex had been learned either through their own experiences or by talking with their peers. Convinced that people would benefit from a more open dialogue on issues related to human sexuality, Dr. Alfred\u00a0<span id=\"term656\" class=\"no-emphasis\">Kinsey<\/span>\u00a0of Indiana University initiated large-scale survey research on the topic (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_Kinsey\">Figure EM.16<\/a>). The results of some of these efforts were published in two books\u2014<em>Sexual Behavior in the Human Male\u00a0<\/em>and\u00a0<em>Sexual Behavior in the Human Female<\/em>\u2014which were published in 1948 and 1953, respectively (Bullough, 1998).<\/p>\n<div id=\"Figure_10_03_Kinsey\" class=\"os-figure\">\n<figure>\n<figure style=\"width: 325px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" id=\"59743\" src=\"https:\/\/openstax.org\/resources\/55ddca0df2aed07592861fbac175392cb98b11dd\" alt=\"A photograph shows Morrison Hall, the building that houses the Kinsey Institute for Research in Sex, Gender, and Reproduction.\" width=\"325\" height=\"212\" \/><figcaption class=\"wp-caption-text\">Figure EM.16\u00a0In 1947, Alfred Kinsey established The Kinsey Institute for Research, Sex, Gender and Reproduction at Indiana University, shown here in 2011. The Kinsey Institute has continued as a research site of important psychological studies for decades.<\/figcaption><\/figure>\n<\/figure>\n<\/div>\n<p id=\"fs-idm149577216\">At the time, the Kinsey reports were quite sensational. Never before had the American public seen its private sexual behaviour become the focus of scientific scrutiny on such a large scale. The books, which were filled with statistics and scientific lingo, sold remarkably well to the general public, and people began to engage in open conversations about human sexuality. As you might imagine, not everyone was happy that this information was being published. In fact, these books were banned in some countries. Ultimately, the controversy resulted in Kinsey losing funding that he had secured from the Rockefeller Foundation to continue his research efforts (Bancroft, 2004).<\/p>\n<p id=\"fs-idm76171232\">Although Kinsey\u2019s research has been widely criticized as being riddled with sampling and statistical errors (Jenkins, 2010), there is little doubt that this research was very influential in shaping future research on human sexual behaviour and motivation. Kinsey described a remarkably diverse range of sexual behaviours and experiences reported by the volunteers participating in his research. Behaviours that had once been considered exceedingly rare or problematic were demonstrated to be much more common and innocuous than previously imagined (Bancroft, 2004; Bullough, 1998).<\/p>\n<div id=\"fs-idm54876048\" class=\"psychology link-to-learning ui-has-child-title\">\n<section>\n<div class=\"os-note-body\">\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\n<\/header>\n<div class=\"textbox__content\">Watch this\u00a0<a href=\"http:\/\/openstax.org\/l\/Kinsey\" target=\"_blank\" rel=\"noopener nofollow\">trailer for the 2004 film\u00a0<em>Kinsey<\/em>\u00a0that depicts Alfred Kinsey&#8217;s life and research<\/a>\u00a0to learn more.<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<p id=\"fs-idm11321904\">Among the results of Kinsey\u2019s research were the findings that women are as interested and experienced in sex as their male counterparts, that both males and females masturbate without adverse health consequences, and that homosexual acts are fairly common (Bancroft, 2004). Kinsey also developed a continuum known as the Kinsey scale that is still commonly used today to categorize an individual\u2019s <strong>sexual orientation<\/strong> (Jenkins, 2010). According to that scale,\u00a0<span id=\"term657\">sexual orientation<\/span>\u00a0is an individual\u2019s emotional and erotic attractions to same-sexed individuals (<strong><span id=\"term658\">homosexual<\/span><\/strong>), opposite-sexed individuals (<strong><span id=\"term659\">heterosexual<\/span><\/strong>), or both (<strong><span id=\"term660\">bisexual<\/span><\/strong>).<\/p>\n<\/section>\n<section id=\"fs-idp27619408\">\n<h3>Masters and Johnson\u2019s Research<\/h3>\n<p id=\"fs-idm9192048\">In 1966, William\u00a0<span id=\"term661\" class=\"no-emphasis\">Masters<\/span>\u00a0and Virginia\u00a0<span id=\"term662\" class=\"no-emphasis\">Johnson<\/span>\u00a0published a book detailing the results of their observations of nearly 700 people who agreed to participate in their study of physiological responses during sexual behaviour. Unlike Kinsey, who used personal interviews and surveys to collect data, Masters and Johnson observed people having intercourse in a variety of positions, and they observed people masturbating, manually or with the aid of a device. While this was occurring, researchers recorded measurements of physiological variables, such as blood pressure and respiration rate, as well as measurements of sexual arousal, such as vaginal lubrication and penile tumescence (swelling associated with an erection). In total, Masters and Johnson observed nearly 10,000 sexual acts as a part of their research (Hock, 2008).<\/p>\n<p id=\"fs-idm115229360\">Based on these observations, Masters and Johnson divided the\u00a0<strong><span id=\"term663\">sexual response cycle<\/span><\/strong>\u00a0into four phases that are fairly similar in men and women: excitement, plateau, orgasm, and resolution (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_SexReponse\">Figure EM.17<\/a>). The\u00a0<strong><span id=\"term664\">excitement<\/span><\/strong>\u00a0phase is the arousal phase of the sexual response cycle, and it is marked by erection of the penis or clitoris and lubrication and expansion of the vaginal canal. During\u00a0<strong><span id=\"term665\">plateau<\/span><\/strong>, women experience further swelling of the vagina and increased blood flow to the labia minora, and men experience full erection and often exhibit pre-ejaculatory fluid. Both men and women experience increases in muscle tone during this time.\u00a0<strong><span id=\"term666\">Orgasm<\/span><\/strong>\u00a0is marked in women by rhythmic contractions of the pelvis and uterus along with increased muscle tension. In men, pelvic contractions are accompanied by a buildup of seminal fluid near the urethra that is ultimately forced out by contractions of genital muscles, (i.e., ejaculation).\u00a0<strong><span id=\"term667\">Resolution<\/span><\/strong>\u00a0is the relatively rapid return to an unaroused state accompanied by a decrease in blood pressure and muscular relaxation. While many women can quickly repeat the sexual response cycle, men must pass through a longer refractory period as part of resolution. The\u00a0<strong><span id=\"term668\">refractory period<\/span><\/strong>\u00a0is a period of time that follows an orgasm during which an individual is incapable of experiencing another orgasm. In men, the duration of the refractory period can vary dramatically from individual to individual with some refractory periods as short as several minutes and others as long as a day. As men age, their refractory periods tend to span longer periods of time.<\/p>\n<div id=\"Figure_10_03_SexReponse\" class=\"os-figure\">\n<figure>\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" id=\"87574\" src=\"https:\/\/openstax.org\/resources\/8779b02770677c3a72128d975437df4299869513\" alt=\"A graph titled \u201cSexual response cycle\u201d has an x-axis labeled \u201ctime\u201d and a y-axis labeled \u201carousal.\u201d Four phases are depicted. In the \u201cexcitement\u201d phase the arousal level increases from the bottom to midway on the graph. In the \u201cplateau\u201d phase the arousal level remains mostly steady at the midpoint of the graph and then begins to rise at the end of the plateau phase. At the \u201corgasm\u201d phase, the arousal level sharply increases, peaks at the top of the graph, and then declines to the midway point. In the \u201cresolution\u201d phase the graph drops from the midway point to the bottom.\" width=\"487\" height=\"349\" \/><figcaption class=\"wp-caption-text\">Figure EM.17\u00a0This graph illustrates the different phases of the sexual response cycle as described by Masters and Johnson.<\/figcaption><\/figure>\n<\/figure>\n<\/div>\n<p id=\"fs-idm57636752\">In addition to the insights that their research provided with regards to the sexual response cycle and the multi-orgasmic potential of women, Masters and Johnson also collected important information about reproductive anatomy. Their research demonstrated the oft-cited statistic of the average size of a flaccid and an erect penis (3 and 6 inches, respectively) as well as dispelling long-held beliefs about relationships between the size of a man\u2019s erect penis and his ability to provide sexual pleasure to his female partner. Furthermore, they determined that the vagina is a very elastic structure that can conform to penises of various sizes (Hock, 2008).<\/p>\n<\/section>\n<section id=\"fs-idm143776496\">\n<h3>Sexual Orientation<\/h3>\n<p id=\"fs-idm17523296\">As mentioned earlier, a person\u2019s sexual orientation is their emotional and erotic attraction toward another individual (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_GayMales\">Figure EM.18<\/a>). While the majority of people identify as heterosexual, there is a sizeable population of people who identify as homosexual, bisexual, pansexual, asexual, or other non-hetero sexualities. Research suggests that somewhere between 3% and 10% of the population identifies as homosexual (Kinsey, Pomeroy, &amp; Martin, 1948; LeVay, 1996; Pillard &amp; Bailey, 1995). Bisexual people are attracted to people of their own gender and another gender; pansexual people experience attraction without regard to sex, gender identity or gender expression; asexual people do not experience sexual attraction or have little or no interest in sexual activity.<\/p>\n<div id=\"Figure_10_03_GayMales\" class=\"os-figure\">\n<figure>\n<figure style=\"width: 325px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" id=\"82305\" src=\"https:\/\/openstax.org\/resources\/9203e6515fe366d9be1f8abf325685d336cdfa62\" alt=\"A photograph shows two people holding hands.\" width=\"325\" height=\"488\" \/><figcaption class=\"wp-caption-text\">Figure EM.18\u00a0Between 3% and 10% of the adult population identifies as homosexual. (credit: Till Krech)<\/figcaption><\/figure>\n<\/figure>\n<\/div>\n<p id=\"fs-idm31244416\">Issues of sexual orientation have long fascinated scientists interested in determining what causes one individual to be straight while another is gay. For many years, people believed that these differences arose because of different socialization and familial experiences. However, research has consistently demonstrated that the family backgrounds and experiences are very similar among heterosexuals and homosexuals (Bell, Weinberg, &amp; Hammersmith, 1981; Ross &amp; Arrindell, 1988).<\/p>\n<p id=\"fs-idp30141008\">Genetic and biological mechanisms have also been proposed, and the balance of research evidence suggests that sexual orientation has an underlying biological component. For instance, over the past 25 years, research has demonstrated gene-level contributions to sexual orientation (Bailey &amp; Pillard, 1991; Hamer, Hu, Magnuson, Hu, &amp; Pattatucci, 1993; Rodriguez-Larralde &amp; Paradisi, 2009), with some researchers estimating that genes account for at least half of the variability seen in human sexual orientation (Pillard &amp; Bailey, 1998). Other studies report differences in brain structure and function between heterosexuals and homosexuals (Allen &amp; Gorski, 1992; Byne et al., 2001; Hu et al., 2008; LeVay, 1991; Ponseti et al., 2006; Rahman &amp; Wilson, 2003a; Swaab &amp; Hofman, 1990), and even differences in basic body structure and function have been observed (Hall &amp; Kimura, 1994; Lippa, 2003; Loehlin &amp; McFadden, 2003; McFadden &amp; Champlin, 2000; McFadden &amp; Pasanen, 1998; Rahman &amp; Wilson, 2003b). In aggregate, the data suggest that to a significant extent, sexual orientations are something with which we are born.<\/p>\n<section id=\"fs-idp32232800\">\n<h4>Misunderstandings About Sexual Orientation<\/h4>\n<p id=\"fs-idp30569776\">Regardless of how sexual orientation is determined, research has made clear that sexual orientation is not a choice, but rather it is a relatively stable characteristic of a person that cannot be changed. Claims of successful gay conversion therapy have received wide criticism from the research community due to significant concerns with research design, recruitment of experimental participants, and interpretation of data. As such, there is no credible scientific evidence to suggest that individuals can change their sexual orientation (Jenkins, 2010).<\/p>\n<p id=\"fs-idm93455504\">Dr. Robert Spitzer, the author of one of the most widely-cited examples of successful conversion therapy, apologized to both the scientific community and the gay community for his mistakes, and he publicly recanted his own paper in a public letter addressed to the editor of\u00a0<em>Archives of Sexual Behavior\u00a0<\/em>in the spring of 2012 (Carey, 2012). In this letter, Spitzer wrote,<\/p>\n<blockquote id=\"fs-idm136750768\">\n<p id=\"new2\">I was considering writing something that would acknowledge that I now judge the major critiques of the study as largely correct. . . . I believe I owe the gay community an apology for my study making unproven claims of the efficacy of reparative therapy. I also apologize to any gay person who wasted time or energy undergoing some form of reparative therapy because they believed that I had proven that reparative therapy works with some \u201chighly motivated\u201d individuals. (Becker, 2012, pars. 2, 5)<\/p>\n<\/blockquote>\n<p id=\"fs-idp21910352\">Citing research that suggests not only that gay conversion therapy is ineffective, but also potentially harmful, legislative efforts to make such therapy illegal have either been enacted (e.g., it is now illegal in California) or are underway across the United States, and many professional organizations have issued statements against this practice (Human Rights Campaign, n.d.)<\/p>\n<div id=\"fs-idm50063648\" class=\"psychology link-to-learning ui-has-child-title\">\n<section>\n<div class=\"os-note-body\">\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\n<\/header>\n<div class=\"textbox__content\">Read this\u00a0<a href=\"http:\/\/openstax.org\/l\/spitzer\" target=\"_blank\" rel=\"noopener nofollow\">draft of Dr. Spitzer&#8217;s letter<\/a>\u00a0to learn more.<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<\/section>\n<\/section>\n<section id=\"fs-idm105655904\">\n<h3>Gender Identity<\/h3>\n<p id=\"fs-idm103159600\">Many people conflate sexual orientation with gender identity because of stereotypical attitudes that exist about gay and lesbian sexuality. In reality, these are two related, but different, issues.\u00a0<strong><span id=\"term669\">Gender identity<\/span><\/strong>\u00a0refers to one\u2019s sense of being male or female. Generally, our gender identities correspond to our chromosomal and phenotypic sex, but this is not always the case. When individuals do not feel comfortable identifying with the gender associated with their biological sex, then they experience <strong>gender dysphoria<\/strong>.\u00a0<span id=\"term670\">Gender dysphoria<\/span>\u00a0is a diagnostic category in the fifth edition of the\u00a0<em>Diagnostic and Statistical Manual of Mental Disorders<\/em>\u00a0(DSM-5) that describes individuals who do not identify as the gender that most people would assume they are. This dysphoria must persist for at least six months and result in significant distress or dysfunction to meet DSM-5 diagnostic criteria. In order for children to be assigned this diagnostic category, they must verbalize their desire to become the other gender.<\/p>\n<p id=\"fs-idm99371728\">Many people who are classified as gender dysphoric seek to live their lives in ways that are consistent with their own gender identity. This involves dressing in opposite-sex clothing and assuming an opposite-sex identity. These individuals may also undertake\u00a0<strong><span id=\"term671\">transgender hormone therapy<\/span><\/strong>\u00a0in an attempt to make their bodies look more like the opposite sex, and in some cases, they elect to have surgeries to alter the appearance of their external genitalia to resemble that of their gender identity (<a class=\"autogenerated-content\" href=\"https:\/\/openstax.org\/books\/psychology-2e\/pages\/10-3-sexual-behavior#Figure_10_03_Transgend\">Figure EM.19<\/a>). While these may sound like drastic changes, gender dysphoric individuals take these steps because their bodies seem to them to be a mistake of nature, and they seek to correct this mistake.<\/p>\n<p id=\"zip-idm340190176\">Our scientific knowledge and general understanding about gender identity continue to evolve, and young people today have more opportunity to explore and openly express different ideas about what gender means than previous generations. Recent studies indicate that that majority of millennials (those ages 18\u201334) regard gender as a spectrum instead of a strict male\/female binary, and that 12% identify as transgender or gender non-conforming. Additionally, over half of people ages 13\u201320 know people who use gender-neutral pronouns (such as they\/them) (Kennedy, 2017). This change in language means that millennials and Generation Z people understand the experience of gender itself differently. As young people lead this change, other changes are emerging in a range of spheres, from public bathroom policies to retail organizations. For example, some retailers are starting to change traditional gender-based marketing of products, such as removing \u201cpink and blue\u201d clothing and toy aisles. Even with these changes, those who exist outside of traditional gender norms face difficult challenges. Even people who vary slightly from traditional norms can be the target of discrimination and sometimes even violence.<\/p>\n<div id=\"Figure_10_03_Transgend\" class=\"os-figure\">\n<figure>\n<figure style=\"width: 487px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" id=\"3885\" src=\"https:\/\/openstax.org\/resources\/70e2acb857432ccc9ecddf2a3fce5e466bc0c065\" alt=\"Laverne Cox delivers a speech.\" width=\"487\" height=\"377\" \/><figcaption class=\"wp-caption-text\">Figure EM.19\u00a0Actress Laverne Cox, who is openly transgender, is the first transgender actress to portray a transgender character on a regular television series. She is also an advocate for LGBTQ+ issues outside of her career, such as in this &#8220;Ain&#8217;t I a Woman?&#8221; speaking tour. (credit: modification of work by &#8220;KOMUnews_Flickr&#8221;\/Flickr)<\/figcaption><\/figure>\n<\/figure>\n<\/div>\n<div id=\"fs-idm99251040\" class=\"psychology link-to-learning ui-has-child-title\">\n<section>\n<div class=\"os-note-body\">\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\n<\/header>\n<div class=\"textbox__content\">Hear firsthand about the transgender experience and the disconnect that occurs when one\u2019s self-identity is betrayed by one\u2019s body. Watch this\u00a0<a href=\"http:\/\/openstax.org\/l\/lcox\" target=\"_blank\" rel=\"noopener nofollow\">brief interview with Carmen Carrera and Laverne Cox on Katie Couric&#8217;s talk show<\/a>\u00a0to learn more. This\u00a0<a href=\"http:\/\/openstax.org\/l\/transimm\" target=\"_blank\" rel=\"noopener nofollow\">video about transgender immigrants&#8217; experiences<\/a>\u00a0explains more struggles faced globally by those in the transgender community.<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<\/section>\n<section id=\"fs-idp8110032\">\n<h3>Cultural Factors in Sexual Orientation and Gender Identity<\/h3>\n<p id=\"fs-idp20748320\">Issues related to sexual orientation and gender identity are very much influenced by sociocultural factors. Even the ways in which we define sexual orientation and gender vary from one culture to the next. While in the United States heterosexuality has historically been viewed as the norm, there are societies that have different attitudes regarding gay behaviour. In fact, in some instances, periods of exclusively homosexual behaviour are socially prescribed as a part of normal development and maturation. For example, in parts of New Guinea, young boys are expected to engage in sexual behaviour with other boys for a given period of time because it is believed that doing so is necessary for these boys to become men (Baldwin &amp; Baldwin, 1989).<\/p>\n<p id=\"fs-idm26172528\">There has historically been a two-gendered culture in the United States. We have tended to classify an individual as either male or female. However, in some cultures there are additional gender variants resulting in more than two gender categories. For example, in Thailand, you can be male, female, or kathoey. A kathoey is an individual who would be described as intersexed or transgender in the United States (Tangmunkongvorakul, Banwell, Carmichael, Utomo, &amp; Sleigh, 2010). Intersex is a broad term referring to people whose bodies are not strictly biologically male or female (Hughes, et al. 2006). Intersex conditions can present at any time during life (Creighton, 2001). Sometimes a child may be born with components of male and female genitals, and other times XY chromosomal differences are present (Creighton, 2001; Hughes, et al. 2006).<\/p>\n<div id=\"fs-idm58852320\" class=\"psychology dig-deeper ui-has-child-title\">\n<section>\n<div class=\"os-note-body\">\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">DIG DEEPER<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<h4 id=\"40848\" class=\"os-subtitle\"><span class=\"os-subtitle-label\">The Case of David Reimer<\/span><\/h4>\n<p id=\"fs-idm140489088\">In August of 1965, Janet and Ronald Reimer of Winnipeg, Canada, welcomed the birth of their twin sons, Bruce and Brian. Within a few months, the twins were experiencing urinary problems; doctors recommended the problems could be alleviated by having the boys circumcised. A malfunction of the medical equipment used to perform the circumcision resulted in Bruce\u2019s penis being irreparably damaged. Distraught, Janet and Ronald looked to expert advice on what to do with their baby boy. By happenstance, the couple became aware of Dr. John Money at Johns Hopkins University and his theory of psychosexual neutrality (Colapinto, 2000).<\/p>\n<p id=\"fs-idp6956976\">Dr. Money had spent a considerable amount of time researching transgender individuals and individuals born with ambiguous genitalia. As a result of this work, he developed a theory of psychosexual neutrality. His theory asserted that we are essentially neutral at birth with regard to our gender identity and that we don\u2019t assume a concrete gender identity until we begin to master language. Furthermore, Dr. Money believed that the way in which we are socialized in early life is ultimately much more important than our biology in determining our gender identity (Money, 1962).<\/p>\n<p id=\"fs-idm159174304\">Dr. Money encouraged Janet and Ronald to bring the twins to Johns Hopkins University, and he convinced them that they should raise Bruce as a girl. Left with few other options at the time, Janet and Ronald agreed to have Bruce\u2019s testicles removed and to raise him as a girl. When they returned home to Canada, they brought with them Brian and his \u201csister,\u201d Brenda, along with specific instructions to never reveal to Brenda that she had been born a boy (Colapinto, 2000).<\/p>\n<p id=\"fs-idm190344752\">Early on, Dr. Money shared with the scientific community the great success of this natural experiment that seemed to fully support his theory of psychosexual neutrality (Money, 1975). Indeed, in early interviews with the children it appeared that Brenda was a typical little girl who liked to play with \u201cgirly\u201d toys and do \u201cgirly\u201d things.<\/p>\n<p id=\"fs-idm149614544\">However, Dr. Money was less than forthcoming with information that seemed to argue against the success of the case. In reality, Brenda\u2019s parents were constantly concerned that their little girl wasn\u2019t really behaving as most girls did, and by the time Brenda was nearing adolescence, it was painfully obvious to the family that she was really having a hard time identifying as a female. In addition, Brenda was becoming increasingly reluctant to continue her visits with Dr. Money to the point that she threatened suicide if her parents made her go back to see him again.<\/p>\n<p id=\"fs-idm143121792\">At that point, Janet and Ronald disclosed the true nature of Brenda\u2019s early childhood to their daughter. While initially shocked, Brenda reported that things made sense to her now, and ultimately, by the time she was an adolescent, Brenda had decided to identify as a male. Thus, she became David Reimer.<\/p>\n<p id=\"fs-idm52553920\">David was quite comfortable in his masculine role. He made new friends and began to think about his future. Although his castration had left him infertile, he still wanted to be a father. In 1990, David married a single mother and loved his new role as a husband and father. In 1997, David was made aware that Dr. Money was continuing to publicize his case as a success supporting his theory of psychosexual neutrality. This prompted David and his brother to go public with their experiences in attempt to discredit the doctor\u2019s publications. While this revelation created a firestorm in the scientific community for Dr. Money, it also triggered a series of unfortunate events that ultimately led to David committing suicide in 2004 (O\u2019Connell, 2004).<\/p>\n<p id=\"fs-idm157881056\">This sad story speaks to the complexities involved in gender identity. While the Reimer case had earlier been paraded as a hallmark of how socialization trumped biology in terms of gender identity, the truth of the story made the scientific and medical communities more cautious in dealing with cases that involve intersex children and how to deal with their unique circumstances. In fact, stories like this one have prompted measures to prevent unnecessary harm and suffering to children who might have issues with gender identity. For example, in 2013, a law took effect in Germany allowing parents of intersex children to classify their children as indeterminate so that children can self-assign the appropriate gender once they have fully developed their own gender identities (Paramaguru, 2013).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<div id=\"fs-idm163540960\" class=\"psychology link-to-learning ui-has-child-title\">\n<section>\n<div class=\"os-note-body\">\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">LINK TO LEARNING<\/p>\n<\/header>\n<div class=\"textbox__content\">Watch this\u00a0<a href=\"http:\/\/openstax.org\/l\/reimer\" target=\"_blank\" rel=\"noopener nofollow\">news story about the experiences of David Reimer and his family<\/a>\u00a0to learn more.<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<\/section>\n","protected":false},"author":14,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"part":37,"_links":{"self":[{"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/pressbooks\/v2\/chapters\/594"}],"collection":[{"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/wp\/v2\/users\/14"}],"version-history":[{"count":11,"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/pressbooks\/v2\/chapters\/594\/revisions"}],"predecessor-version":[{"id":2148,"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/pressbooks\/v2\/chapters\/594\/revisions\/2148"}],"part":[{"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/pressbooks\/v2\/parts\/37"}],"metadata":[{"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/pressbooks\/v2\/chapters\/594\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/wp\/v2\/media?parent=594"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/pressbooks\/v2\/chapter-type?post=594"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/wp\/v2\/contributor?post=594"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/digitaleditions.library.dal.ca\/intropsychneuro\/wp-json\/wp\/v2\/license?post=594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}