Abstract
Children referred because of concerns about their gender identity development were compared to their siblings on 4 sex-typed measures (15 variables) at both assessment and a 1-year follow-up. At assessment, the gender-referred children different from their siblings on all but one variable. At follow-up, the gender-referred children either maintained or significantly reduced their degree of cross-gender behavior; compared to their siblings, however, they continued to differ on the majority of measures. Degree of behavioral change at follo-up correlated positively with number of therapy sessions (child, parent, and total) and the child therapist's emphasis on gender identity issues.
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