Saturday, May 22, 2010

What is sexuality?


Historical Overview

Sexuality is usually manifested and experienced as orientation toward and attraction to people of the opposite gender, the same gender, or both. Sexual orientation is also referred to as “sexual preference.” The term “preference,” however, can imply that sexual attraction and orientation are chosen and voluntary, that one can will oneself to find another person sexually appealing. In fact, most research suggests the opposite: People find themselves attracted to an individual or a particular gender without having thought about that attraction or having consciously willed it. The attraction and orientation are not chosen. People can wish not to be attracted in the ways that they are, and they may choose not to act on these feelings, but the attraction felt and experienced is outside voluntary control.



A female athlete may wish not to have the sexual feelings she does for her teammates. A male chemistry major may want himself not to find a female classmate as distracting as she is. A female attorney who is happily married may want the sexual feelings she experiences for her male client to cease. A celibate priest may desire the sexual feelings that he has toward some members of his congregation to go away. As much as these individuals may want to will such feelings away, success in this endeavor is unlikely. Each, instead, must choose how to cope with the feelings, from acting on them directly, to carrying on in spite of them, to pretending that the feelings are not there.


The historical evidence suggests that the prevailing belief in most societies was that people had either a homosexual or a heterosexual orientation; that regardless of what made people attracted to their own or to the opposite gender, sexual orientation was “either-or.” In the twentieth century, most social scientists and sex researchers came to think about sexual orientation as lying on a continuum marked by degrees of likelihood of finding one’s own or the opposite gender attractive. Sexologist Alfred C. Kinsey and his associates published their landmark works, Sexual Behavior in the Human Male in 1948 and Sexual Behavior in the Human Female in 1953, in which they used a continuum of sexual orientation to quantify a range of attraction, from those who found only members of the opposite gender attractive (whom they defined as “heterosexual”) to those who found only members of the same gender attractive (whom they defined as “homosexual”). Between the two extremes were the majority of people, who find both genders attractive and arousing in varying degrees—and thus are defined as “bisexual.”


In determining sexual orientation, researchers once focused on the gender of sex partners, which also was the criterion on which laypersons generally focused. If a male usually had female partners, they would consider him heterosexual; if a female usually had female partners, they would consider her homosexual. Yet sexual orientation, how one is attracted by and toward others, is more accurately considered to be primarily the subjective experience of how one feels inside, not the overt behavior that one demonstrates outside.


Research has shown that, in any given individual, there can be a large discrepancy between the gender of one’s actual partners and the gender to which one is more attracted and drawn. Social and cultural circumstances often affect, even determine, whether one will behave the way one feels. People who are primarily attracted to opposite-gender persons may be influenced to have, and even pursue, same-gender partners by particular religious beliefs, certain restricted environments (such as prison), or the sense that this behavior is or is not permissible. Orientation is better understood in the minds and feelings of persons themselves: which gender attracts, how often, and how much. Personal histories that include procreation, marriage, homosexual activities, and bisexual experimentation should not be used to identify sexual orientation.


Although many studies followed the early work of Kinsey, most experts believe that Kinsey and his colleagues have produced the most valid observations about sexuality and sexual orientation to date. Conducting research in this field is difficult. Different studies use different survey tools, and not all are equally reliable. In addition, many people will not candidly or honestly discuss their sexual attitudes, attractions, or behaviors. Nevertheless, the best estimates that rely and build on the Kinsey group’s earlier work suggest that about 10 percent of the population in Western countries is primarily gay or lesbian and that an additional 10 percent of the population is primarily bisexual. (There is less research available on non-Western nations, and much of what is available is methodologically less reliable.) In the United States, an estimated 60 million people are likely to be homosexual or bisexual. Far more important than the numbers, however, is the reality that gay, lesbian, and bisexual orientations are neither unusual nor peculiar. This remains true even though heterosexuality is the more common pattern for most people, most of the time—a finding true for all societies ever studied. Yet a minority pattern of attraction cannot, simply on the basis of numbers, be considered abnormal.


Expert and lay opinions about how sexual orientation develops differ, often considerably. Yet expert, if not lay, opinions do converge about when it develops: at about age four or five, which is a year to two earlier than when experts believe an individual’s personal traits and characteristics emerge intact as an identifiable personality. Because erotic behavior and erogenous stimuli do not usually become an important part of one’s personal world until puberty begins (the developmental marker used to interpret when childhood ends and adolescence begins), many do not learn what their orientation is until late adolescence or even well into adulthood. People who eventually come to have nearly exclusively heterosexual fantasies, attractions, and sexual affiliations often have had earlier, adolescent homosexual experiences. Likewise, people who eventually come to discover that their orientation is strongly homosexual have often married, borne children, and had long periods of gratifying heterosexual dating experiences.


Most people eventually come to identify their orientation, at least implicitly, in terms of direction and strength. Direction refers to the direction of sexual orientation, toward one’s own or one’s opposite gender. Strength refers to the degree of exclusivity associated with the direction of one’s orientation: attracted only by the same or opposite gender, sometimes attracted by each, always attracted to each.


Bidirectional orientation is the least researched and least understood of sexual orientations. As with homosexual and heterosexual behavior, bisexual encounters, even if gratifying, do not in themselves mean that someone is bisexually oriented, and therefore bisexual. All sexual orientation is internal, not behavioral.


Some people, while learning about their sexual selves and their accompanying orientation, engage in experimental bisexual behavior. Some, with limited access to the gender toward which they are more predominantly or exclusively oriented, become sexually active with the gender toward which they are not oriented but which is more available. Some are sexually active with both genders for money. Some are sexually stimulated and aroused regardless of gender. (William H. Masters and Virginia E. Johnson, perhaps the leading sex researchers and sex educators of all time, label this group “ambisexual.”) Some indicate that they have a definite orientation toward sexual activity with both genders. Among this last group, there are those who report having long-term, one-gender relationships that followed long-term, other-gender relationships, and there are others who report having concurrent sexual relationships with partners of both genders.


Although descriptions of active bisexuality are readily available in the research, the sheer variety of patterns substantially challenges research-based understandings of how sexual orientation originates and develops. What is known is that people with bisexual orientations are neither more poorly nor better psychologically adjusted than heterosexuals or homosexuals, and that bisexuality, while poorly understood, reflects a comfortable and fulfilling sexual life and identity for a significant percentage of the general population.




Theories of Sexual Orientation

No other area of sexuality has generated more interest, theory, or research than orientation and how it originates. No one theory stands alone as proven, and not-yet-explained data shake the foundations of even the most useful theories. Nevertheless, scientific inquiry has disproven many earlier theories. The most promising theories fall into several categories, some of which can overlap to a degree: genetic, hormonal, psychodynamic, parental, familial, behavioral, societal, and cultural.


The first significant study of genetic causality for sexual orientation was published in 1952. The research compared one group of male identical twins with one group of male fraternal twins. In both groups, one twin was known to be homosexually oriented. Reasonably assuming that both twins of a pair would be exposed to essentially the same environments, the study counted how many second twins, whose sexual orientations were unknown at the start of the study, were also gay. If the rate of homosexuality for twins was higher among the group of identical twins than in the group of fraternal twins, it would be evidence that genetic makeup, which is virtually the same between identical twins, the main cause of sexual orientation.


Twelve percent of fraternal twins who were homosexual had a homosexual twin. Because male fraternal twins are genetically as similar and dissimilar as any pair of brothers, and the rate of homosexuality among the fraternal set was close to the rates that the Kinsey group found in the general population, the results were initially considered a breakthrough. The study also showed, however, that the twin of every known homosexual in the identical set was also homosexual. One hundred percent concordance rates are rare in studies of identical twins (even studies which might compare heights or weights between identical twins would not achieve 100 percent concordance) and are almost nonexistent in all other social groups on any variable ever studied. This particular study and its unique finding needed replication to be believed. Two later studies, published in 1968 and 1976, had quite different results, and the view that sexual orientation was principally a product of genetic conditions and variability was abandoned, though most researchers still believe genetics provides contributory
influence.


Investigation into the role that hormonal factors play in sexual orientation divides between research on animals and research on humans. Studies clearly show that altering prenatal hormone exposure leads to male or female homosexual behavior in at least several animal species. Among humans, a number of studies have had findings that link prenatal exposure to specific sexual orientation outcomes. For example, females who were exposed to male hormones (androgens), especially testosterone, were more likely to develop lesbian orientations; males with Kleinfelter’s syndrome, a chromosomal abnormality marked by a deficiency in androgens, are known to develop gay orientations at a greater frequency than the population average.


Other research on humans has shown that there are different hormone levels between adult homosexuals and heterosexuals. Some studies have found lower testosterone in homosexual males, some have found higher levels of estrogens (though present in both sexes, they are usually considered female hormones) in homosexual males, and other studies have found both. At least one study found higher blood testosterone in homosexual females than heterosexual females.


While this evidence seems illuminating on the surface, it is far from conclusive. First, although many studies show different hormone levels between heterosexual and homosexual persons, several studies have also found hormone levels to be the same in both groups. Second, administering sex hormones to adults does not affect their orientation in any way. Third, prenatal overexposure or underexposure to sex hormones is relatively rare. It would not account for the differences in orientation that are observed in the general adult population, nor is it beyond reason to view cases of abnormal hormonal prenatal environments as extraordinary and unrepresentative of how sexual orientation usually develops. Fourth, while animal studies often describe processes in particular species that are readily analogous to processes in humans, this does not seem to be the case with human sexuality in general or human sexual orientation in particular.


What seems clear is that there is no one-to-one link between sex hormones and sexual orientation. Prenatal hormones, which are known to influence brain development in many ways, may play an indirect role in predisposing individuals toward adapting certain adult sexual behavioral patterns of greater or lesser bisexuality.


Psychodynamic explanations focus on the nature of parent-child relationships and how parents encourage or discourage the growth of their children. Several studies showed homosexual males to have been reared in homes where mothers were dominant and overprotective and fathers were weak, passive, or emotionally uninvolved, a family constellation seen with less statistical frequency among heterosexual males. Other studies, however, showed strained, distant relationships between homosexual men and their fathers but could not find evidence of maternal dominance and overprotectiveness. One study even described the fathers of homosexual males as underprotective, generous, good, and dominant, while the mothers were not found to be overly protective or bossy. Another study simply found no differences in family constellation and dynamics between psychologically well-adjusted heterosexual and homosexual males and females. Given the varied results, the research outcomes from psychodynamic, parental, and familial studies lack cohesive evidence that homosexuality or any orientation results from poor parent-child relationships or dysfunctional family environments.


Behavioral, societal, and cultural theories assume that orientation is primarily learned as people become culturally assimilated and psychologically conditioned (rewarded and punished) for specific sexual feelings, thoughts, and behaviors. Therefore, in an environment where homoerotic feelings were accepted and valued, people would be more likely to develop homosexual, and perhaps bisexual, orientations. In an environment where homophobic attitudes were considered the norm, homoerotic feelings would more likely be abandoned. While these theories have utility in explaining certain sociological phenomena such as atypical gender role behavior (for example, tomboys) and observed shifts toward lesbian sexuality among some female rape victims, they seem to have less utility in explaining how orientation develops in the majority of the population.




Perspective and Prospects

Although answers to the question of how orientation develops are complex, researchers Alan P. Bell, Martin S. Weinberg, and S. K. Hammersmith published the two-volume work Sexual Preference: Its Development in Men and Women (1981) in an attempt to reveal the causal chain of sexual orientation development in more than thirteen hundred adult homosexual, heterosexual, and bisexual men and women. They based their findings both on lengthy face-to-face interviews with every person in their study and on a sophisticated and reliable statistical technique called path analysis.


Bell, Weinberg, and Hammersmith’s research represents the most extensive collection of data on a large number of people in existence, and many experts take at least some of their findings to be conclusive. These results show that sexual orientation is strongly established in most people by late adolescence and that sexual feelings rarely undergo directional changes in adulthood. Atypical gender role behavior in childhood, such as boys preferring to play with dolls and not having an interest in more competitive activities, was found to be more likely than not to proceed homosexual orientations in adolescence and adulthood. Adult homosexuals and bisexuals had, on average, the same amount of heterosexual experience as heterosexual adolescents, though their heterosexual experiences were less rewarding and enjoyable than either their own homosexual experiences or the heterosexual experiences of heterosexuals. The study found that girls choosing their fathers as role models does not cause these girls to become lesbian (as several theories had maintained) and that the parental combination of a domineering, powerful mother and a weak, inadequate father does not cause homosexuality in males (as was once believed).


Although their study was methodologically well planned and statistically sound, Bell, Weinberg, and Hammersmith could not find solid support for any of the prevailing theories about the causality of sexual orientation. Some theories explain some of the observed data, and some theories seem to enhance understanding of the origins of sexual orientation in some elements of the population, but no theory or combination of theories explains all the data.


If this research has moved medical science along to some degree, it also serves to remind everyone, professional and nonprofessional alike, that the very complexity of human experience and how humans develop their identity warrants caution if it is ever to be accurately understood. The evidence is not complete. It is known that some aspects of the theories of the origins of sexual orientation are true and that others are false.


Learning one’s own sexual orientation is a complex process requiring self-observation, self-reflection, and self-recollection. People discover what they like and who they like; the content and orientation of their sexual fantasies; and which gender feels closer to their sexual identity as persons (rather than the gender role that they feel a societal obligation to play). It is their own experiences of what is, and is not, sexually gratifying that teaches people how they are oriented sexually.




Bibliography


Berzon, Betty. Permanent Partners: Building Gay and Lesbian Relationships That Last. Rev. ed. New York: Plume, 2004.



Byer, Curtis O., Louis W. Shainberg, and Grace Galliano. Dimensions of Human Sexuality. 6th ed. Revised by Sharon P. Shriver. Boston: McGraw-Hill, 2002.



Corinna, Heather. S.E.X.: The All-You-Need-to-Know Progressive Sexuality Guide to Get You Through High School and College. New York: Marlowe, 2007.



Dibble, Suzanne L., and Patricia A. Robertson. Lesbian Health 101: A Clinician’s Guide. San Francisco: UCSF Nursing Press, 2010.



Fairchild, Betty, and Nancy Hayward. Now That You Know: A Parent’s Guide to Understanding Their Gay and Lesbian Children. 3d ed. San Diego, Calif.: Harcourt Brace, 1998.



Katz, Jonathan Ned. The Invention of Heterosexuality. Chicago: University of Chicago Press, 2007.



Masters, William H., Virginia E. Johnson, and Robert C. Kolodny. Human Sexuality. 5th ed. New York: HarperCollins College, 1995.



Strong, Bryan, et al. Human Sexuality: Diversity in Contemporary America. 7th ed. Boston: McGraw-Hill, 2013.

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