53 Sex and Gender

Sexual Orientation

A person’s sexual orientation is their physical, mental, emotional, and sexual attraction to a particular sex (male or female). Sexual orientation is typically divided into several categories: heterosexuality, the attraction to individuals of the other sex; homosexuality, the attraction to individuals of the same sex; bisexuality, the attraction to individuals of either sex; asexuality, a lack of sexual attraction or desire for sexual contact; pansexual, an attraction to people regardless of gender, gender identity, or gender expression; and queer, an umbrella term used to describe sexual orientation, gender identity or gender expression. Heterosexuals and homosexuals may also be referred to informally as “straight” and “gay,” respectively. The United States is a heteronormative society, meaning many people assume heterosexual orientation is biologically determined and unambiguous. Consider that LGBTQ people are often asked, “When did you know you were gay?” but heterosexuals are rarely asked, “When did you know that you were straight?” (Ryle 2011).

According to current scientific understanding, individuals are usually aware of their sexual orientation between middle childhood and early adolescence (American Psychological Association 2008). They do not have to participate in sexual activity to be aware of these emotional, romantic, and physical attractions; people can be celibate and still recognize their sexual orientation, and may have very different experiences of discovering and accepting their sexual orientation. At the point of puberty, some may be able to announce their sexual orientations, while others may be unready or unwilling to make their homosexuality or bisexuality known since it goes against U.S. society’s historical norms (APA 2008).

Alfred Kinsey was among the first to conceptualize sexuality as a continuum rather than a strict dichotomy of gay or straight. He created a six-point rating scale that ranges from exclusively heterosexual to exclusively homosexual. See the figure below. In his 1948 work Sexual Behavior in the Human Male, Kinsey writes, “Males do not represent two discrete populations, heterosexual and homosexual. The world is not to be divided into sheep and goats … The living world is a continuum in each and every one of its aspects” (Kinsey 1948).

Later scholarship by Eve Kosofsky Sedgwick expanded on Kinsey’s notions. She coined the term “homosocial” to oppose “homosexual,” describing nonsexual same-sex relations. Sedgwick recognized that in U.S. culture, males are subject to a clear divide between the two sides of this continuum, whereas females enjoy more fluidity. This can be illustrated by the way women in the United States can express homosocial feelings (nonsexual regard for people of the same sex) through hugging, handholding, and physical closeness. In contrast, U.S. males refrain from these expressions since they violate the heteronormative expectation that male sexual attraction should be exclusively for females. Research suggests that it is easier for women violate these norms than men, because men are subject to more social disapproval for being physically close to other men (Sedgwick 1985).

There is no scientific consensus regarding the exact reasons why an individual holds a heterosexual, homosexual, or bisexual orientation. Research has been conducted to study the possible genetic, hormonal, developmental, social, and cultural influences on sexual orientation, but there has been no evidence that links sexual orientation to one factor (APA 2008). Research, however, does present evidence showing that homosexuals and bisexuals are treated differently than heterosexuals in schools, the workplace, and the military. In 2011, for example, Sears and Mallory used General Social Survey data from 2008 to show that 27 percent of lesbian, gay, bisexual (LGB) respondents reported experiencing sexual orientation-based discrimination during the five years prior to the survey. Further, 38 percent of openly LGB people experienced discrimination during the same time.

Much of this discrimination is based on stereotypes and misinformation. Some is based on heterosexism, which Herek (1990) suggests is both an ideology and a set of institutional practices that privilege heterosexuals and heterosexuality over other sexual orientations. Much like racism and sexism, heterosexism is a systematic disadvantage embedded in our social institutions, offering power to those who conform to hetereosexual orientation while simultaneously disadvantaging those who do not. Homophobia, an extreme or irrational aversion to homosexuals, accounts for further stereotyping and discrimination. Major policies to prevent discrimination based on sexual orientation have not come into effect until the last few years. In 2011, President Obama overturned “don’t ask, don’t tell,” a controversial policy that required homosexuals in the US military to keep their sexuality undisclosed. The Employee Non-Discrimination Act, which ensures workplace equality regardless of sexual orientation, is still pending full government approval. Organizations such as GLAAD (Gay & Lesbian Alliance Against Defamation) advocate for equal rights and encourage governments and citizens to recognize the presence of sexual discrimination and work to prevent it. Other advocacy agencies frequently use the acronyms LBGT and LBGTQ, which stands for “Lesbian, Gay, Bisexual, Transgender” (and “Queer” or “Questioning” when the Q is added).

Sociologically, it is clear that gay and lesbian couples are negatively affected in states where they are denied the legal right to marriage. In 1996, The Defense of Marriage Act (DOMA) was passed, explicitly limiting the definition of “marriage” to a union between one man and one woman. It also allowed individual states to choose whether or not they recognized same-sex marriages performed in other states. Imagine that you married an opposite-sex partner under similar conditions—if you went on a cross-country vacation the validity of your marriage would change every time you crossed state lines. In another blow to same-sex marriage advocates, in November 2008 California passed Proposition 8, a state law that limited marriage to unions of opposite-sex partners.

Over time, advocates for same-sex marriage have won several court cases, laying the groundwork for legalized same-sex marriage across the United States, including the June 2013 decision to overturn part of DOMA in Windsor v. United States, and the Supreme Court’s dismissal of Hollingsworth v. Perry, affirming the August 2010 ruling that found California’s Proposition 8 unconstitutional. In October 2014, the U.S. Supreme Court declined to hear appeals to rulings against same-sex marriage bans, which effectively legalized same-sex marriage in Indiana, Oklahoma, Utah, Virginia, and Wisconsin, Colorado, North Carolina, West Virginia, and Wyoming (Freedom to Marry, Inc. 2014). Same-sex marriage is now legal across most of the United States. The next few years will determine whether the right to same-sex marriage is affirmed, depending on whether the U.S. Supreme Court takes a judicial step to guarantee the freedom to marry as a civil right.

Gender Roles

As we grow, we learn how to behave from those around us. In this socialization process, children are introduced to certain roles that are typically linked to their biological sex. The term gender role refers to society’s concept of how men and women are expected to look and how they should behave. These roles are based on norms, or standards, created by society. In U.S. culture, masculine roles are usually associated with strength, aggression, and dominance, while feminine roles are usually associated with passivity, nurturing, and subordination. Role learning starts with socialization at birth. Even today, our society is quick to outfit male infants in blue and girls in pink, even applying these color-coded gender labels while a baby is in the womb.

One way children learn gender roles is through play. Parents typically supply boys with trucks, toy guns, and superhero paraphernalia, which are active toys that promote motor skills, aggression, and solitary play. Daughters are often given dolls and dress-up apparel that foster nurturing, social proximity, and role play. Studies have shown that children will most likely choose to play with “gender appropriate” toys (or same-gender toys) even when cross-gender toys are available because parents give children positive feedback (in the form of praise, involvement, and physical closeness) for gender normative behavior (Caldera, Huston, and O’Brien 1998).

The drive to adhere to masculine and feminine gender roles continues later in life. Men tend to outnumber women in professions such as law enforcement, the military, and politics. Women tend to outnumber men in care-related occupations such as childcare, healthcare (even though the term “doctor” still conjures the image of a man), and social work. These occupational roles are examples of typical U.S. male and female behavior, derived from our culture’s traditions. Adherence to them demonstrates fulfillment of social expectations but not necessarily personal preference (Diamond 2002).

Gender Identity

U.S. society allows for some level of flexibility when it comes to acting out gender roles. To a certain extent, men can assume some feminine roles and women can assume some masculine roles without interfering with their gender identity. Gender identity is a person’s deeply held internal perception of his or her gender.

Individuals who identify with a role that is the different from their biological sex are called transgender. Transgender is not the same as homosexual, and many homosexual males view both their sex and gender as male. Transgender females are males who have such a strong emotional and psychological connection to the feminine aspects of society that they identify their gender as female. The parallel connection to masculinity exists for transgender males. It is difficult to determine the prevalence of transgenderism in society. However, it is estimated that two to five percent of the U.S. population is transgender (Transgender Law and Policy Institute 2007).

Transgender individuals who attempt to alter their bodies through medical interventions such as surgery and hormonal therapy—so that their physical being is better aligned with gender identity—are called transsexuals. They may also be known as male-to-female (MTF) or female-to-male (FTM). Not all transgender individuals choose to alter their bodies: many will maintain their original anatomy but may present themselves to society as another gender. This is typically done by adopting the dress, hairstyle, mannerisms, or other characteristic typically assigned to another gender. It is important to note that people who cross-dress, or wear clothing that is traditionally assigned to a gender different from their biological sex, are not necessarily transgender. Cross-dressing is typically a form of self-expression, entertainment, or personal style, and it is not necessarily an expression against one’s assigned gender (APA 2008).

There is no single, conclusive explanation for why people are transgender. Transgender expressions and experiences are so diverse that it is difficult to identify their origin. Some hypotheses suggest biological factors such as genetics or prenatal hormone levels as well as social and cultural factors such as childhood and adulthood experiences. Most experts believe that all of these factors contribute to a person’s gender identity (APA 2008).

After years of controversy over the treatment of sex and gender in the American Psychiatric Association Diagnostic and Statistical Manual for Mental Disorders (Drescher 2010), the most recent edition, DSM-5, responds to allegations that the term “Gender Identity Disorder” is stigmatizing by replacing it with “Gender Dysphoria.” Gender Identity Disorder as a diagnostic category stigmatized the patient by implying there was something “disordered” about them. Gender Dysphoria, on the other hand, removes some of that stigma by taking the word “disorder” out while maintaining a category that will protect patient access to care, including hormone therapy and gender reassignment surgery. In the DSM-5, Gender Dysphoria is a condition of people whose gender at birth is contrary to the one they identify with. For a person to be diagnosed with Gender Dysphoria, there must be a marked difference between the individual’s expressed/experienced gender and the gender others would assign him or her, and it must continue for at least six months. In children, the desire to be of the other gender must be present and verbalized. This diagnosis is now a separate category from sexual dysfunction and paraphilia, another important part of removing stigma from the diagnosis (APA 2013).

Changing the clinical description may contribute to a larger acceptance of transgender people in society. Studies show that people who identify as transgender are twice as likely to experience assault or discrimination as nontransgender individuals; they are also one and a half times more likely to experience intimidation (National Coalition of Anti-Violence Programs 2010; Giovanniello 2013). Organizations such as the National Coalition of Anti-Violence Programs and Global Action for Trans Equality work to prevent, respond to, and end all types of violence against transgender, transsexual, and homosexual individuals. These organizations hope that by educating the public about gender identity and empowering transgender and transsexual individuals, this violence will end.