Etiology of Homosexuality?

Dr. DeLollis is not the first psychoanalyst to speculate about relationships between gender dysphoria and the development of homosexuality. The late Richard C. Friedman did so in the book Male Homosexuality: A Contemporary Psychoanalytic Perspective more than three decades ago.

Friedman believed some types of homosexuality were prenatally caused by deficient androgen exposure in the womb, causing a subsequent disturbance in the development of a masculine gender identity in birth-assigned boys. Homosexuality, he believed, resulted from a “feminine or unmasculine self-concept” independent of family constellations, declaring “A strong case can be made for the hypothesis that a feminine or unmasculine self-concept during childhood is not only associated with the emergence of predominant or exclusive homosexuality in men, it is the single most important causal influence.”

Friedman further theorized that this condition then corrected itself in adolescence, the affected individual’s gender identity then aligning itself with the birth-assigned sex, although an attraction to the same sex remained as a residual effect. In other words, Friedman believed that a gay man’s attraction to men was a feminine trait that grew out of early gender dysphoria and that this residual same-sex attraction persisted into adulthood, even after the gender dysphoria resolved.

However, as I have written in the book Psychoanalytic Therapy and the Gay Man and a paper in The Annual of Psychoanalysis, Friedman and Dr. DeLollis illustrate the ability of psychoanalytic theorists using gender binaries to explain everything yet prove nothing.

For the record, the ways in which any gender identity, cisgender or transgender, develops remains a mystery still to be resolved. ■