Abstract
Over the last 25 years, dramatic advances have occurred in the understanding of the development of sexual orientation. Gay and lesbian interests and behavior appear to result from a complex interplay of genetic, prenatal, and environmental influences. Gender identity develops early, especially for males, and is difficult to change. Homosexuality is less likely to be characterized as pathological, although discrimination and hate crimes continue to affect many gay men and lesbians. The overall emotional well-being of gay men and lesbians, as well as children raised in gay and lesbian families, is as psychologically healthy as that of their heterosexual counterparts. Methodological difficulties in research remain with continued needs for more delineated definitions of sexual orientation and empirically derived databases of population statistics of gay men and lesbians
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