Female-to-male transsexuals compared to lesbians: behavioral patterns of childhood and adolescent development

We report detailed interview data on a clinical sample (N = 15) of female-to-male transsexuals (FTs) compared to a matched research sample (N = 15) of lesbians (Ls). Both groups were relatively young, with a mean age of 21 years 10 months (FTs) and 23 years 8 months (Ls), respectively, and were of middle or lower SES. Both groups did not differ from each other in respect to frequency of tomboyish behavior or interest in doll play and other aspects of materanl rehearsal. Male peer preference was more often remembered among the FTs, but the difference between the groups was only of borderline significance. The groups differed significantly regarding childhood cross-dressing (80% for FTs, 0% for Ls), gender identity confusion in adolescence (absent among Ls), and negative reaction to breast development and menarche (approximately 70% for FTs, 10% for Ls). The similarities and differences between the two groups in childhood and adolescent development are relevant for clinical management and the differential diagnosis of transsexualism vs. lesbianism.