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P. Hegarty (2009) offered several critiques of the articles by G. Rieger, J. A. W. Linsenmeier, L. Gygax, and J. M. Bailey (2008) and K. D. Drummond, S. J. Bradley, M. Peterson-Badali, and K. J. Zucker (2008) that were published in a "Developmental Psychology" special section entitled "Sexual Orientation Across the Lifespan," guest-edited by C. J. Patterson and R. C. Savin-Williams (2008): (a) reliance on a "disease paradigm" (i.e., the use of "medicalizing" language) of lesbian-gay-bisexual-transgender issues at the expense of a "stigma paradigm," (b) endorsement of a developmental linkage between childhood sex-typed behavior and later gender identity-sexual orientation, and (c) various sociophilosophical and applied matters pertaining to the diagnosis of gender identity disorder in children. In this reply, we address these 3 criticisms and argue that an interdisciplinary approach, informed by multiple paradigms, will most certainly facilitate, not impede, the discovery of answers to many questions about psychosexual development for which data are currently lacking. (Contains 2 footnotes.)

This study provided information on the natural histories of 25 girls with gender identity disorder (GID). Standardized assessment data in childhood (mean age, 8.88 years; range, 3-12 years) and at follow-up (mean age, 23.24 years; range, 15-36 years) were used to evaluate gender identity and sexual orientation. At the assessment in childhood, 60% of the girls met the Diagnostic and Statistical Manual of Mental Disorders criteria for GID, and 40% were subthreshold for the diagnosis. At follow-up, 3 participants (12%) were judged to have GID or gender dysphoria. Regarding sexual orientation, 8 participants (32%) were classified as bisexual/homosexual in fantasy, and 6 (24%) were classified as bisexual/homosexual in behavior. The remaining participants were classified as either heterosexual or asexual. The rates of GID persistence and bisexual/homosexual sexual orientation were substantially higher than base rates in the general female population derived from epidemiological or survey studies. There was some evidence of a "dosage" effect, with girls who were more cross-sex typed in their childhood behavior more likely to be gender dysphoric at follow-up and more likely to have been classified as bisexual/homosexual in behavior (but not in fantasy).

The purpose of this study was to extend the findings, previously limited to adults, that male homosexuals have a greater than average proportion of male siblings and a later than average birth order. There were 2 matched groups of 156 probands. The homosexual-prehomosexual (HP) group included boys referred to a specialty clinic because of persistent cross-gender behavior plus homosexual adolescents with or without gender identity problems. The controls were male child and adolescent patients referred for reasons other than gender identity disorder, homosexuality, or transvestism. Both predicted results were obtained in comparisons of the HP group with the controls and with expected values for the general population. Psychosocial and biological theories have been advanced to explain why male homosexuals have later births and more brothers, but none are well established.