Skip to main content
Log in

Measurement of Psychosexual Differentiation

  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

Since the early 1990s, there has been a surge in interest in the study of infants, children, adolescents, and adults with physical intersex conditions or other congenital conditions that affect, among other things, the configuration of the external genitalia. Regarding psychologic evaluation, an important aspect of both short-term and long-term outcome concerns gender differentiation. This article provides an overview of various measures pertaining to gender identity, gender role, and sexual orientation that have been used in assessment studies of samples of either children and adults with gender identity disorder and/or children and adults with various physical intersex conditions. All of the measures have good psychometric quality although some have been studied more systematically than others. It is hoped that this overview will provide a template for the new generation of studies that are looking at both gender development and sexual orientation in people born with physical intersex conditions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ahmed, S. F., Morrison, S., & Hughes, I. A. (2004). Intersex and gender assignment: The third way? Archives of Diseases in Childhood, 89, 847–850.

    Article  Google Scholar 

  • Alexander, G. M., & Hines, M. (1994). Gender labels and play styles: Their relative contribution to children’s selection of playmates. Child Development, 65, 869–879.

    PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev). Washington, DC: Author.

  • Bailey, J. M., Bechtold, K. T., & Berenbaum, S. A. (2002). Who are tomboys and why should we study them? Archives of Sexual Behavior, 31, 333–341.

    Article  PubMed  Google Scholar 

  • Bates, J. E., & Bentler, P. M. (1973). Play activities of normal and effeminate boys. Developmental Psychology, 9, 20–27.

    Google Scholar 

  • Bates, J. E., Bentler, P. M., & Thompson, S. K. (1973). Measurement of deviant gender development in boys. Child Development, 44, 591–598.

    PubMed  Google Scholar 

  • Bates, J. E., Bentler, P. M., & Thompson, S. K. (1979). Gender-deviant boys compared with normal and clinical control boys. Journal of Abnormal Child Psychology, 7, 243–259.

    Article  PubMed  Google Scholar 

  • Berenbaum, S. A. (1999). Effects of early androgens on sex-typed activities and interests in adolescents with congenital adrenal hyperplasia. Hormones and Behavior, 35, 102–110.

    Article  PubMed  Google Scholar 

  • Berenbaum, S. A. (2002). Prenatal androgens and sexual differentiation of behavior. In E. A. Eugster & O. H. Pescovitz (Eds.), Contemporary endocrinology: Developmental endocrinology: From theory to clinical practice (pp. 293–311). Totowa, NJ: Humana Press.

    Google Scholar 

  • Berenbaum, S. A., & Bailey, J. M. (2003). Effects on gender identity of prenatal androgens and genital appearance: Evidence from girls with congenital adrenal hyperplasia. Journal of Clinical Endocrinology & Metabolism, 88, 1101–1106.

    Google Scholar 

  • Berenbaum, S. A., & Hines, M. (1992). Early androgens are related to childhood sex-typed toy preferences. Psychological Science, 3, 203–206.

    Google Scholar 

  • Berenbaum, S. A., & Resnick, S. M. (1997). Early androgen effects on aggression in children and adults with congenital adrenal hyperplasia. Psychoneuroendocrinology, 22, 505–515.

    Article  PubMed  Google Scholar 

  • Berenbaum, S. A., & Snyder, E. (1995). Early hormonal influences on childhood sex-typed activity and playmate preferences: Implications for the development of sexual orientation. Developmental Psychology, 31, 31–42.

    Article  Google Scholar 

  • Blanchard, R., & Freund, K. (1983). Measuring masculine gender identity in females. Journal of Consulting and Clinical Psychology, 51, 205–214.

    Article  PubMed  Google Scholar 

  • Carver, P. R., Yunger, J. L., & Perry, D. G. (2003). Gender identity and adjustment in middle childhood. Sex Roles, 49, 95–109.

    Article  Google Scholar 

  • Chase, C. (1998). Hermaphrodites with attitude: Mapping the emergence of intersex political activism. GLQ, 4, 189–211.

    Google Scholar 

  • Chiu, S. W., Johnson, L. L., Owen-Anderson, A. F. H., Bradley, S. J., & Zucker, K. J. (2004, June). Sex-dimorphic color preference in children with gender identity disorder: A comparison to clinical and community controls. Poster session presented at the meeting of the International Academy of Sex Research, Helsinki, Finland.

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Cohen-Bendahan, C. C. C., van de Beek, C., & Berenbaum, S. A. (2005). Prenatal sex hormone effects on child and adult sex-typed behavior: Methods and findings. Neuroscience and Biobehavioral Reviews, 29, 353–384.

    Article  PubMed  Google Scholar 

  • Cohen-Kettenis, P. T. (2005). Gender change in 46,XY persons with 5α-reductase-2 deficiency and 17β-hydroxysteroid dehydrogenase-3 deficiency. Archives of Sexual Behavior, 34, 399–410.

    Google Scholar 

  • Cohen-Kettenis, P. T., Wallien, M., Johnson, L. L., Owen-Anderson, A. F. H., Bradley, S. J., & Zucker, K. J. (in press). A parent-report Gender Identity Questionnaire for Children: A cross-national, cross-clinic comparative analysis. Clinical Child Psychology and Psychiatry.

  • Collaer, M. L., & Hines, M. (1995). Human behavioral sex differences: A role for gonadal hormones during early development? Psychological Bulletin, 118, 55–107.

    Article  PubMed  Google Scholar 

  • Dessens, A. B., Slijper, F. M. E., & Drop, S. L. S. (2005). Gender dysphoria and gender change in chromosomal females with congenital adrenal hyperplasia. Archives of Sexual Behavior, 34, 389–397.

    Google Scholar 

  • Diamond, M. (1965). A critical evaluation of the ontogeny of human sexual behavior. Quarterly Review of Biology, 40, 147–175.

    Article  PubMed  Google Scholar 

  • Diamond, M., & Sigmundson, H. K. (1997a). Sex reassignment at birth: Long-term review and clinical implications. Archives of Pediatrics and Adolescent Medicine, 151, 298–304.

    Google Scholar 

  • Diamond, M., & Sigmundson, H. K. (1997b). Management of intersexuality: Guidelines for dealing with persons with ambiguous genitalia. Archives of Pediatrics and Adolescent Medicine, 151, 1046–1050.

    Google Scholar 

  • DiPietro, J. A. (1981). Rough and tumble play: A function of gender. Developmental Psychology, 17, 50–58.

    Article  Google Scholar 

  • Doering, R. W., Zucker, K. J., Bradley, S. J., & MacIntyre, R. B. (1989). Effects of neutral toys on sex-typed play in children with gender identity disorder. Journal of Abnormal Child Psychology, 17, 563–574.

    Article  PubMed  Google Scholar 

  • Eaton, W. O., & Enns, L. R (1986). Sex differences in human motor activity level. Psychological Bulletin, 100, 19–28.

    Article  PubMed  Google Scholar 

  • Egan, S. K. (1999). Three new measures of gender identity: Implications for children’s psychosocial development. Unpublished doctoral dissertation, Florida Atlantic University, Boca Raton, Florida.

  • Egan, S. K., & Perry, D. G. (2001). Gender identity: A multidimensional analysis with implications for psychosocial adjustment. Developmental Psychology, 37, 451–463.

    Article  PubMed  Google Scholar 

  • Ehrhardt, A. A., & Meyer-Bahlburg, H. F. L. (1984). Gender-Role Assessment Schedule-Adult (GRAS-A). Unpublished, New York State Psychiatric Institute, New York, NY.

  • Fane, B. (2002). Androgens and gender development in children with congenital adrenal hyperplasia: Studies of spatial cognition and social mechanisms influencing gender-typed behaviour. Unpublished doctoral dissertation, City University, London, England.

  • Fausto-Sterling, A. (2000). Sexing the body: Gender politics and the construction of sexuality. New York: Basic Books.

    Google Scholar 

  • Fridell, S. R. (2001). Sex-typed play behavior and peer relationships in boys with gender identity disorder. Unpublished doctoral dissertation, Ontario Institute for Studies in Education of the University of Toronto.

  • Fridell, S. R., Zucker, K. J., Bradley, S. J., & Maing, D. M. (1996). Physical attractiveness of girls with gender identity disorder. Archives of Sexual Behavior, 25, 17–31.

    PubMed  Google Scholar 

  • Glass, G. V., McGaw, B., & Smith, M. L. (1981). Meta-analysis in social research. Beverly Hills, CA: Sage.

    Google Scholar 

  • Golombok, S., & Rust, J. (1993a). The measurement of gender role behavior in preschool children: A research note. Journal of Child Psychology and Psychiatry, 34, 805–811.

    Google Scholar 

  • Golombok, S., & Rust, J. (1993b). The Pre-School Activities Inventory: A standardized assesssment of gender role children. Psychological Assessment, 5, 131–136.

    Article  Google Scholar 

  • Green, R. (1974). Sexual identity conflict in children and adults. New York: Basic Books.

    Google Scholar 

  • Green, R., Fuller, M., & Rutley, B. (1972). It-Scale for Children and Draw-a-Person test: 30 feminine vs. 25 masculine boys. Journal of Personality Assessment, 36, 349–352.

    PubMed  Google Scholar 

  • Green, R., Fuller, M., Rutley, B., & Hendler, J. (1972). Playroom toy preferences of fifteen masculine and fifteen feminine boys. Behavior Therapy, 3, 425–429.

    Google Scholar 

  • Hall, C. M., Jones, J. A., Meyer-Bahlburg, H. F. L., Dolezal, C., Coleman, M. Foster, P., et al. (2004). Behavioral and physical masculinization are related to genotype in girls with congenital adrenal hyperplasia. Journal of Clinical Endocrinology and Metabolism, 89, 419–424.

    Article  PubMed  Google Scholar 

  • Hanna, M. K. (2004). Editorial comment. Journal of Urology, 172, 2398.

    Google Scholar 

  • Hines, M. (1982). Prenatal gonadal hormones and sex differences in human behavior. Psychological Bulletin, 92, 56–80.

    Article  PubMed  Google Scholar 

  • Hines, M. (2003). Sex steroids and human behavior: Prenatal androgen exposure and sex-typical play behavior in children. Annals of the New York Academy of Sciences, 1007, 272–282.

    Article  PubMed  Google Scholar 

  • Hines, M. (2004). Brain gender. Oxford: Oxford University Press.

    Google Scholar 

  • Hines, M., Ahmed, S. F., & Hughes, I. A. (2003). Psychological outcomes and gender-related development in complete androgen insensitivity syndrome. Archives of Sexual Behavior, 32, 93–101.

    Article  PubMed  Google Scholar 

  • Hines, M., Brook, C., & Conway, G. S. (2004). Androgen and psychosexual development: Core gender identity, sexual orientation, and recalled gender role behavior in women and men with congenital adrenal hyperplasia (CAH). Journal of Sex Research, 41, 75–81.

    PubMed  Google Scholar 

  • Hines, M., & Collaer, M. L. (1993). Gonadal hormones and sexual differentiation of human behavior: Developments from research on endocrine systems and studies of brain structure. Annual Review of Sex Research, 4, 1–48.

    Google Scholar 

  • Hines, M., Johnston, K. J., Golombok, S., Rust, J., Stevens, M., Golding, J., et al. (2002). Prenatal stress and gender role behavior in girls and boys: A longitudinal, population study. Hormones and Behavior, 42, 126–134.

    Article  PubMed  Google Scholar 

  • Hines, M., & Kaufman, F. R. (1994). Androgen and the development of human sex-typical behavior: Rough-and-tumble play and sex of preferred playmates in children with congenital adrenal hyperplasia (CAH). Child Development, 65, 1042–1053.

    PubMed  Google Scholar 

  • Hurtig, A. L., & Rosenthal, I. M. (1987). Psychological findings in early treated cases of female pseudohermaphroditism caused by virilizing congenital adrenal hyperplasia. Archives of Sexual Behavior, 16, 209–223.

    Article  PubMed  Google Scholar 

  • Huston, A. C. (1983). Sex-typing. In E. M. Hetherington (Ed.), Handbook of child psychology. Vol. 4. Socialization, personality, and social development (pp. 387–467). New York: Wiley.

    Google Scholar 

  • Imperato-McGinley, J., Peterson, R. E., Gautier, T., & Sturla, E. (1979). Androgens and the evolution of male-gender identity among male pseudohermaphrodites with 5α-reductase deficiency. New England Journal of Medicine, 300, 1233–1237.

    PubMed  Google Scholar 

  • Johnson, L. L., Bradley, S. J., Birkenfeld-Adams, A. S., Kuksis, M. A. R., Maing, D. M., Mitchell, J. N., & Zucker, K. J. (2004). A parent-report Gender Identity Questionnaire for Children. Archives of Sexual Behavior, 33, 105–116.

    Article  PubMed  Google Scholar 

  • Juraska, J. M. (1998). Neural plasticity and the development of sex differences. Annual Review of Sex Research, 9, 20–38.

    PubMed  Google Scholar 

  • Jürgensen, M., Hampel, E., & Thyen, U. (2004, April). Measuring gender-specific role behavior in children with intersexuality. Poster session presented at the meeting From Gene to Gender, Lübeck, Germany.

  • Kessler, S. J. (1990). The medical construction of gender: Case management of intersexed infants. Signs, 16, 3–26.

    Google Scholar 

  • Kessler, S. J. (1998). Lessons from the intersexed. New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Leveroni, C. L., & Berenbaum, S. A. (1998). Early androgen effects on interest in infants: Evidence from children with congenital adrenal hyperplasia. Developmental Neuropsychology, 14, 321–340.

    Google Scholar 

  • Long, D. N., Wisniewski, A. B., & Migeon, C. J. (2004). Gender role across development in adult women with congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Journal of Pediatric Endocrinology and Metabolism, 17, 1367–1373.

    PubMed  Google Scholar 

  • Martin, P. L. (2002). Moving toward an international standard in informed consent: The impact of intersexuality and the internet on the standard of care. Duke Journal of Gender Law & Policy, 9, 135–169.

    Google Scholar 

  • May, B., Boyle, M., & Grant, D. (1996). A comparative study of sexual experiences: Women with diabetes and women with congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Journal of Health Psychology, 1, 479–492.

    Google Scholar 

  • Mazur, T. (2005). Gender change and gender dysphoria in androgen insensitivity or micropenis. Archives of Sexual Behavior, 34, 411–421.

    Google Scholar 

  • Mazur, T., Sandberg, D. E., Perrin, M. A., Gallagher, J. A., & MacGillivray, M. H. (2004). Male pseudohermaphroditism: Long-term quality of life outcomes in five 46,XY individuals reared female. Journal of Pediatric Endocrinology and Metabolism, 17, 809–823.

    PubMed  Google Scholar 

  • McDermid, S. A., Zucker, K. J., Bradley, S. J., & Maing, D. M. (1998). Effects of physical appearance on masculine trait ratings of boys and girls with gender identity disorder. Archives of Sexual Behavior, 27, 253–267.

    Article  PubMed  Google Scholar 

  • Meyer-Bahlburg, H. F. L. (1998). Gender assignment in intersexuality. Journal of Psychology & Human Sexuality, 10(2), 1–21.

    Google Scholar 

  • Meyer-Bahlburg, H. F. L. (2001). Gender and sexuality in classic congenital adrenal hyperplasia. Endocrinology and Metabolism Clinics of North America, 30, 155–171.

    PubMed  Google Scholar 

  • Meyer-Bahlburg, H. F. L. (2003). Rationale for gender assignment. The Endocrinologist, 13, 224–226.

    Google Scholar 

  • Meyer-Bahlburg, H. F. L. (2004). Gender assignment and psychosocial management. Encyclopedia of Endocrine Diseases, 2, 125–133.

    Google Scholar 

  • Meyer-Bahlburg, H. F. L. (2005). Gender identity outcome in female-raised 46,XY persons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation. Archives of Sexual Behavior, 34, 423–438.

    Google Scholar 

  • Meyer-Bahlburg, H. F. L., Baker, S. W., Dolezal, C., Carlson, A. D., Obeid, J. S., & New, M. I. (2003). Long-term outcome in congenital adrenal hyperplasia: Gender and sexuality. The Endocrinologist, 13, 227–232.

    Google Scholar 

  • Meyer-Bahlburg, H. F. L., & Blizzard, R. M. (2004). Research on intersex: Summary of a planning workshop. The Endocrinologist, 14, 59–69.

    Article  Google Scholar 

  • Meyer-Bahlburg, H. F. L., Dolezal, C., Baker, S. W., Carlson, A. D., Obeid, J. S., & New, M. I. (2004). Prenatal androgenization affects gender-related behavior but not gender identity in 5–12-year-old girls with congenital adrenal hyperplasia. Archives of Sexual Behavior, 33, 97–104.

    Article  PubMed  Google Scholar 

  • Meyer-Bahlburg, H. F. L., & Ehrhardt, A. A. (1983). Sexual Behavior Assessment Schedule-Adult (SEBAS-A). Unpublished, New York State Psychiatric Institute, New York, NY.

  • Meyer-Bahlburg, H. F. L., Gruen, R. S., New, M. I., Bell, J. J., Morishima, A., Shimshi, M., et al. (1996). Gender change from female to male in classical congenital adrenal hyperplasia. Hormones and Behavior, 30, 319–332.

    Article  PubMed  Google Scholar 

  • Meyer-Bahlburg, H. F. L., Sandberg, D. E., Dolezal, C. L., & Yager, T. J. (1994). Gender-related assessment of childhood play. Journal of Abnormal Child Psychology, 22, 643–660.

    PubMed  Google Scholar 

  • Meyer-Bahlburg, H. F. L., Sandberg, D. E., Yager, T. J., Dolezal, C. L., & Ehrhardt, A. A. (1994). Questionnaire scales for the assessment of atypical gender development in girls and boys. Journal of Psychology & Human Sexuality, 6(4), 19–39.

    Google Scholar 

  • Migeon, C. J., Wisniewski, A. B., Gearhart, J. P., Meyer-Bahlburg, H. F. L., Rock, J. A., Brown, T. R., et al. (2002). Ambiguous genitalia with perineoscrotal hypospadias in 46,XY individuals: Long-term medical, surgical, and psychosexual outcome. Pediatrics, 110(3). Retrieved on December 10, 2004 from http://www.pediatrics.org/cgi/content/full/110/3/e31.

  • Money, J. (1955). Hermaphroditism, gender and precocity in hyperadrenocorticism: Psychologic findings. Bulletin of the Johns Hopkins Hospital, 96, 253–264.

    PubMed  Google Scholar 

  • Money, J., & Ehrhardt, A. A. (1972). Man and woman, boy and girl: The differentiation and dimorphism of gender identity from conception to maturity. Baltimore, MD: Johns Hopkins Press.

    Google Scholar 

  • Money, J., Hampson, J. G., & Hampson, J. L. (1955a). Hermaphroditism: Recommendations concerning assignment of sex, change of sex, and psychologic management. Bulletin of the Johns Hopkins Hospital, 97, 284–300.

    Google Scholar 

  • Money, J., Hampson, J. G., & Hampson, J. L. (1955b). An examination of some basic sexual concepts: The evidence of human hermaphroditism. Bulletin of the Johns Hopkins Hospital, 97, 301–319.

    Google Scholar 

  • Money, J., Hampson, J. G., & Hampson, J. L. (1957). Imprinting and the establishment of gender role. Archives of Neurology and Psychiatry, 77, 333–336.

    Google Scholar 

  • Nordenström, A., Servin, A., Bohlin, G., Larsson, A., & Wedell, A. (2002). Sex-typed toy play behavior correlates with degree of prenatal androgen exposure assessed by CYP21 genotype in girls with congenital adrenal hyperplasia. Journal of Clinical Endocrinology & Metabolism, 87, 5119–5124.

    Google Scholar 

  • Paoletti, J. B. (1987). Clothing and gender in America: Children’s fashions, 1890–1920. Signs, 13, 136–143.

    Google Scholar 

  • Paoletti, J. B. (1997). The gendering of infants’ and toddlers’ clothing in America. In K. A. Martinez & K. L. Ames (Eds.), The material culture of gender/The gender of material culture (pp. 27–35). Hanover, NH: University Press of New England.

    Google Scholar 

  • Pasterski, V. L. (2002). Development of gender role behaviour in children: Prenatal hormones and parental socialisation. Unpublished doctoral dissertation, City University, London, England.

  • Pasterski, V. L., Geffner, M. E., Brain, C., Hindmarsh, P., Brook, C., & Hines, M. (2005). Prenatal hormones and postnatal socialization by parents as determinants of male-typical toy play in girls with congenital adrenal hyperplasia. Child Development, 76, 264–278.

    Article  PubMed  Google Scholar 

  • Preves, S. E. (2003). Intersex and identity: The contested self. New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Reiner, W. G., & Gearhart, J. P. (2004). Discordant sexual identity in some genetic males with cloacal exstrophy assigned to female sex at birth. New England Journal of Medicine, 350, 333–341.

    Article  PubMed  Google Scholar 

  • Reiner, W. G., & Kropp, B. P. (2004). A 7-year experience of genetic males with severe phallic inadequacy assigned female. Journal of Urology, 172, 2395–2398.

    Article  PubMed  Google Scholar 

  • Reinisch, J. M., & Sanders, S. A. (1986). A test of sex differences in aggressive response to hypothetical conflict situations. Journal of Personality and Social Psychology, 50, 1045–1049.

    Article  PubMed  Google Scholar 

  • Rekers, G. A., & Yates, C. E. (1976). Sex-typed play in feminoid boys vs. normal boys and girls. Journal of Abnormal Child Psychology, 4, 1–8.

    Article  PubMed  Google Scholar 

  • Servin, A., Bohlin, G., & Berlin, L. (1999). Sex differences in 1-, 3-, and 5-year-olds’ toy-choices in a structured play-session. Scandinavian Journal of Psychology, 40, 43–48.

    Article  PubMed  Google Scholar 

  • Servin, A., Nordenström, A., Larsson, A., & Bohlin, G. (2003). Prenatal androgens and gender-typed behavior: A study of girls with mild and severe forms of congenital adrenal hyperplasia. Developmental Psychology, 39, 440–450.

    Article  PubMed  Google Scholar 

  • Skilbeck, W. M., Bates, J. E., & Bentler, P. M. (1975). Human figure drawings of gender- problem and school-problem boys. Journal of Abnormal Child Psychology, 3, 191–199.

    Article  PubMed  Google Scholar 

  • Slijper, F. M. E. (1984). Androgens and gender role behaviour in girls with congenital adrenal hyperplasia (CAH). Progress in Brain Research, 61, 417–422.

    PubMed  Google Scholar 

  • Storms, M. D. (1980). Theories of sexual orientation. Journal of Personality and Social Psychology, 38, 783–792.

    Article  Google Scholar 

  • Wallen, K. (1996). Nature needs nurture: The interaction of hormonal and social influences on the development of behavioral sex differences in rhesus monkeys. Hormones and Behavior, 30, 364–378.

    Article  PubMed  Google Scholar 

  • Wallen, K., & Baum, M. J. (2002). Masculinization and defeminization in altricial and precocial mammals: Comparative aspects of steroid hormone action. Hormones, Brain and Behavior, 4, 385–423.

    Google Scholar 

  • Whalen, R. E. (1974). Sexual differentiation: Models, methods, and mechanisms. In R. C. Friedman, R. M. Richart, & R. L. Vande Wiele (Eds.), Sex differences in behavior (pp. 467–481). New York: Wiley.

    Google Scholar 

  • Wisniewski, A. B., Migeon, C. J., Gearhart, J. P., Rock, J. A., Berkovitz, G. D., Plotnick, L. P., et al. (2001). Congenital micropenis: Long-term medical, surgical and psychosexual follow-up of individuals raised as male or female. Hormone Research, 56, 3–11.

    Article  PubMed  Google Scholar 

  • Wisniewski, A. B., Migeon, C. J., Meyer-Bahlburg, H. F. L., Berkovitz, G. D., Gearhart, J. P., Rock, J. A., et al. (2003). Long-term outcome of patients with complete androgen insensitivity syndrome or congenital micropenis. The Endocrinologist, 13, 187–189.

    Google Scholar 

  • Wisniewski, A. B., Migeon, C. J., Meyer-Bahlburg, H. F. L., Gearhart, J. P., Berkovitz, G. D., Brown, T. R., et al. (2000). Complete androgen insensitivity syndrome: Long-term medical, surgical, and psychosexual outcome. Journal of Clinical Endocrinology and Metabolism, 85, 2664–2669.

    Article  PubMed  Google Scholar 

  • Yunger, J. L., Carver, P. R., & Perry, D. G. (2004). Does gender identity influence children’s psychological well-being? Developmental Psychology, 40, 572–582.

    Article  PubMed  Google Scholar 

  • Zucker, K. J. (1999). Intersexuality and gender identity differentiation. Annual Review of Sex Research, 10, 1–69.

    PubMed  Google Scholar 

  • Zucker, K. J. (2002). Evaluation of sex- and gender-assignment decisions in patients with physical intersex conditions: A methodological and statistical note. Journal of Sex & Marital Therapy, 28, 269–274.

    Google Scholar 

  • Zucker, K. J., Allin, S., Babul-Hirji, R., Bradley, S. J., Chitayat, D., Khoury, A. E., et al. (2003). Assessment of gender identity and gender role behavior: A comparison of girls with gender identity disorder, girls exposed prenatally to gender-atypical levels of androgens, and control girls [Abstract]. The Endocrinologist, 13, 291.

    Google Scholar 

  • Zucker, K. J., & Bradley, S. J. (1995). Gender identity disorder and psychosexual problems in children and adolescents. New York: Guilford.

    Google Scholar 

  • Zucker, K. J., Bradley, S. J., Lowry Sullivan, C. B., Kuksis, M., Birkenfeld-Adams, A., & Mitchell, J. N. (1993). A gender identity interview for children. Journal of Personality Assessment, 61, 443–456.

    PubMed  Google Scholar 

  • Zucker, K. J., Bradley, S. J., Oliver, G., Blake, J., Fleming, S., & Hood, J. (1996). Psychosexual development of women with congenital adrenal hyperplasia. Hormones and Behavior, 30, 300–318.

    Article  PubMed  Google Scholar 

  • Zucker, K. J., Doering, R. W., Bradley, S. J., & Finegan, J. K. (1982). Sex-typed play in gender- disturbed children: A comparison to sibling and psychiatric controls. Archives of Sexual Behavior, 11, 309–321.

    Article  PubMed  Google Scholar 

  • Zucker, K. J., Finegan, J. K., Doering, R. W., & Bradley, S. J. (1983). Human figure drawings of gender-problem children: A comparison to sibling, psychiatric, and normal controls. Journal of Abnormal Child Psychology, 11, 287–298.

    Article  PubMed  Google Scholar 

  • Zucker, K. J., Lozinski, J. A., Bradley, S. J., & Doering, R. W. (1992). Sex-typed responses in the Rorschach protocols of children with gender identity disorder. Journal of Personality Assessment, 58, 295–310.

    PubMed  Google Scholar 

  • Zucker, K. J., Meyer-Bahlburg, H. F. L., Kessler, S. J., Schober J. M., Deogracias, J. J., & Johnson, L. L. (2004a, June). The Gender Identity Questionnaire for Adults: Psychometric properties. Poster session presented at the meeting of the International Academy of Sex Research, Helsinki, Finland.

  • Zucker, K. J., Mitchell, J. N., Bradley, S. J., Tkachuk, J., Cantor, J. M., & Allin, S. (2004b). The Recalled Childhood Gender Identity/Gender Role Questionnaire: Psychometric properties. Manuscript submitted for publication.

  • Zucker, K. J., Wild, J., Bradley, S. J., & Lowry, C. B. (1993). Physical attractiveness of boys with gender identity disorder. Archives of Sexual Behavior, 22, 23–34.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kenneth J. Zucker Ph.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zucker, K.J. Measurement of Psychosexual Differentiation. Arch Sex Behav 34, 375–388 (2005). https://doi.org/10.1007/s10508-005-4336-7

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-005-4336-7

Key Words

Navigation