Abstract
Early childhood is an important time for gender identity development. During this developmental period, children learn that there are gender categories and assign meaning to these categories. This chapter focuses on two aspects of gender development—gender identification (e.g., evaluations of one’s gender) and gender typing (e.g., gender-stereotypical dress, play, and other behaviors). In early childhood, it is normative for most children to exhibit a positive and strong sense of gender identification, as well as elevated gender-typing. However, this is not true of all children as not all boys and girls adhere to a gender-normative path. This chapter aims to review literature encompassing both gender normative and gender-variant children. We discuss the developmental trajectories of gender identification and gender-typing for each group. Further, we put forward a model whereby feeling different from others based on gender or feeling devalued by others based on one’s gender can put children at risk for poorer mental and physical health. We discuss theory and evidence to support our model, identify future areas of inquiry, and suggest practical implications.
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References
Ahlqvist, S., Halim, M. L., Greulich, F. K., Lurye, L. E., & Ruble, D. N. (2013). The potential benefits and risks of identifying as a tomboy: A social identity perspective. Self and Identity, 12, 563–581. doi:10.1080/15298868.2012.717709.
Aron, A., Aron, E. N., & Smollan, D. (1992). Inclusion of Other in the Self Scale and the structure of interpersonal closeness. Journal of Personality and Social Psychology, 63(4), 596–612.
Arredondo, M., Walsh, A., Baeg, S. A., Halim, M. L., Ruble, D. N., Ng, F. F., … Tamis-LeMonda, C. S. (2014, April). Gender appearance rigidity in American and Asian 4-year-olds. Poster presented at the Western Psychological Association Convention, Portland, OR.
Ashmore, R. D., Deaux, K., & McLaughlin-Volpe, T. (2004). An organizing framework for collective identity: Articulation and significance of multidimensionality. Psychological Bulletin, 130, 80–114. doi:10.1037/0033-2909.130.1.80.
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. doi:10.1023/A:1016272209463.
Bailey, J. M., & Zucker, K. J. (1995). Childhood sex-typed behavior and sexual orientation: A conceptual analysis and quantitative review. Developmental Psychology, 31, 43–55. doi:10.1037/0012-1649.31.1.43.
Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162. doi:10.1037/h0036215.
Bem, S. L. (1981). Gender schema theory: A cognitive account of sex typing. Psychological Review, 88, 354–364. doi:10.1037/0033-295X.88.4.354.
Bennett, D. A., & Cooper, C. L. (1999). Eating disturbance as a manifestation of the stress process: A review of the literature. Stress and Health, 15, 167–182.
Blakemore, J. (2003). Children’s beliefs about violating gender norms: Boys shouldn’t look like girls, and girls shouldn’t act like boys. Sex Roles, 48, 411–419. doi:10.1023/A:1023574427720.
Blair, C. (2010). Stress and the development of self‐regulation in context. Child Development Perspectives, 4(3), 181–188.
Brady, S. S., & Matthews, K. A. (2006). Chronic stress influences ambulatory blood pressure in adolescents. Annals of Behavioral Medicine, 31, 80–88.
Brown, C., & Bigler, R. S. (2004). Children’s perceptions of gender discrimination. Developmental Psychology, 40, 714–726. doi:10.1037/0012-1649.40.5.714.
Campbell, A., Shirley, L., & Caygill, L. (2002). Sex-typed preferences in three domains: Do two-year-olds need cognitive variables? British Journal of Psychology, 93, 203–217. doi:10.1348/000712602162544.
Carver, P. R., Egan, S. K., & Perry, D. G. (2004). Children who question their heterosexuality. Developmental Psychology, 40, 43–53. doi:10.1037/0012-1649.40.1.43.
Carver, P., Yunger, J., & Perry, D. (2003). Gender identity and adjustment in middle childhood. Sex Roles, 49, 95–109.
Cohen, S., & Herbert, T. B. (1996). Health psychology: Psychological factors and physical disease from the perspective of human psychoneuroimmunology. Annual Review of Psychology, 47, 113–142.
Colizzi, M., Costa, R., Pace, V., & Todarello, O. (2013). Hormonal treatment reduces psychobiological distress in gender identity disorder, independently of the attachment style. Journal of Sexual Medicine, 10, 3049–3058. doi:10.1111/jsm.12155.
Coolidge, F., Thede, L., & Young, S. (2002). The heritability of gender identity disorder in a child and adolescent twin sample. Behavior Genetics, 32, 251–257.
Corby, B. C., Hodges, E. V. E., & Perry, D. G. (2007). Gender identity and adjustment in Black, Hispanic, and White preadolescents. Developmental Psychology, 43, 261–266. doi:10.1037/0012-1649.43.1.261.
de Vries, A. L. C., Doreleijers, T. A. H., Steensma, T. D., & Cohen-Kettenis, P. T. (2011). Psychiatric comorbidity in gender dysphoric adolescents. Journal of Child Psychology and Psychiatry, 52, 1195–1202. doi:10.1111/j.1469-7610.2011.02426.x.
Drummond, K. D., Bradley, S. J., Badali-Peterson, M., & Zucker, K. J. (2008). A follow-up study of girls with gender identity disorder. Developmental Psychology, 44, 34–45.
Egan, S. K., & Perry, D. G. (2001). Gender identity: A multidimensional analysis with implications for psychosocial adjustment. Developmental Psychology, 37, 451–463. doi:10.1037/0012-1649.37.4.451.
El-Sheikh, M., Buckhalt, J. A., Mize, J., & Acebo, C. (2006). Marital conflict and disruption of children’s sleep. Child Development, 77, 31–43.
Evans, G. W., & Kim, P. (2013). Childhood poverty, chronic stress, self‐regulation, and coping. Child Development Perspectives, 7(1), 43–48.
Fagundes, C. P., & Way, B. (2014). Early-life stress and adult inflammation. Current Directions in Psychological Science, 23, 277–283.
Ginsburg, G. S., Riddle, M. A., & Davies, M. (2006). Somatic symptoms in children and adolescents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1179–1187. doi:10.1097/01.chi.0000231974.43966.6e.
Gluck, M. E. (2006). Stress response and binge eating disorder. Appetite, 46, 26–30.
Golombok, S., & Tasker, F. (1996). Do parents influence the sexual orientation of their children? Findings from a longitudinal study of lesbian families. Developmental Psychology, 32, 3–11. doi:10.1037/0012-1649.32.1.3.
Green, R. (1987). The “sissy boy syndrome” and the development of homosexuality. New Haven, CT: Yale University Press.
Gross, R. T., & Borkovec, T. D. (1982). Effects of a cognitive intrusion manipulation on the sleep-onset latency of good sleepers. Behavior Therapy, 13, 112–116.
Grossman, A. H., D’Augelli, A. R., Howell, T. J., & Hubbard, S. (2005). Parent’ reactions to transgender youth’ gender nonconforming expression and identity. Journal of Gay & Lesbian Social Services, 18, 3–16. doi:10.1300/J041v18n01_02.
Halim, M. D., Ruble, D. N., Tamis-LeMonda, C. S., Shrout, P. E., & Amodio, D. A. (in press). Gender attitudes among ethnic minority children: Consequences for intergroup behavior and social cognitive antecedents. Child Development.
Halim, M. L. (2012). Gender rigidity and flexibility in young children’s gender-typed behaviors, identity, and attitudes: A cognitive theories of gender development perspective (Unpublished doctoral dissertation). New York University, New York, NY.
Halim, M. L., Dalmut, E., Greulich, F., Ahlqvist, S., Lurye, L. E., & Ruble, D. N. (2011). The self-esteem of tomboys and the role of athletics. Child Development Research. http://www.hindawi.com/journals/cdr/2011/830345/
Halim, M. L., & Lindner, N. (2013). Gender self-socialization in early childhood. In R. E. Tremblay, M. Boivin, & R. D. Peters (Eds.), Encyclopedia on early childhood development [online] (pp. 1–6). Montreal, Quebec: Centre of Excellence for Early Childhood Development and Strategic Knowledge Cluster on Early Childhood Development. Retrieved from http://www.child-encyclopedia.com/documents/Halim-LindnerANGxp1.pdf.
Halim, M. L., & Ruble, D. N. (2010). Gender identity and stereotyping in early and middle childhood. In J. Chrisler & D. McCreary (Eds.), Handbook of gender research in psychology (pp. 495–525). New York: Springer.
Halim, M. L., Ruble, D. N., Tamis-LeMonda, C., Zosuls, K. M., Lurye, L. E., & Greulich, F. K. (2014). Pink frilly dresses and the avoidance of all things “girly”: Children’s appearance rigidity and cognitive theories of gender development. Developmental Psychology, 50, 1091–1101. doi:10.1037/a0034906; 10.1037/a0034906.supp (Supplemental).
Halim, M. L., Ruble, D. N., Tamis-LeMonda, C. S., Shrout, P. E., & Amodio, D. A. (2016). Gender attitudes among ethnic minority children: Consequences for intergroup behavior and social cognitive antecedents.
Halim, M. L., Ruble, D. N., & Amodio, D. M. (2011). From pink frilly dresses to ‘one of the boys’: A social-cognitive analysis of gender identity development and gender bias. Social and Personality Psychology Compass, 5, 933–949. doi:10.1111/j.1751-9004.2011.00399.x.
Halim, M. L., Ruble, D. N., & Tamis-Lemonda, C. (2013). Four-year-olds’ beliefs about how others regard males and females. British Journal of Developmental Psychology, 31, 128–135. doi:10.1111/j.2044-835X.2012.02084.x.
Halim, M. L., Zosuls, K. M., Ruble, D. N., Tamis-LeMonda, C. S., Baeg, A. S., Walsh, A. S., & Moy, K. H. (in press). Children’s dynamic gender identities across development and the influence of cognition, context, and culture. In C. S. Tamis-LeMonda & L. Balter (Eds.), Child Psychology: A Handbook of Contemporary Issues (3rd ed.). New York, NY: Psychology Press/Taylor & Francis.
Hall, J., & LaFrance, B. (2012). “That’s gay”: Sexual prejudice, gender identity, norms, and homophobic communication. Communication Quarterly, 60, 35–58.
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730. doi:10.1037/a0016441.
Ho, A. K., & Sidanius, J. (2009). Preserving positive identities: Public and private regard for one’s ingroup and susceptibility to stereotype threat. Group Processes & Intergroup Relations, 13, 55–67.
Huston, A. C. (1983). Sex-typing. In E. M. Hetherington (Ed.), & P. H. Mussen (Series Ed.), Handbook of child psychology: Vol. 4. Socialization, personality, and social development (pp. 387–467). New York: Wiley.
Jewell, J. A., & Brown, C. S. (2014). Relations among gender typicality, peer relations, and mental health during early adolescence. Social Development, 23, 137–156. doi:10.1111/sode.12042.
Kagan, J. (1964). A cognitive-developmental analysis of children’s sex-role concepts and attitudes. Review of Child Development Research, 1, 137–167.
Kittleson, M. M., Meoni, L. A., Wang, N. Y., Chu, A. Y., Ford, D. E., & Klag, M. J. (2006). Association of childhood socioeconomic status with subsequent coronary heart disease in physicians. Archives of Internal Medicine, 166, 2356–2361.
Kohlberg, L. (1966). A cognitive-developmental analysis of children’s sex-role concepts and attitudes. In E. E. Maccody (Ed.), The development of sex differences (pp. 82–172). Stanford, CA: Stanford University Press.
Lawrence, A. A. (2010). Sexual orientation versus age of onset as bases for typologies (subtypes) for gender identity disorder in adolescents and adults. Archives of Sexual Behavior, 39(2), 514–545. doi:10.1007/s10508-009-9594-3.
Lawrence, A. A., & Zucker, K. J. (2014). Gender dysphoria. In D. C. Beidel, B. C. Frueh, & M. Hersen (Eds.), Adult psychopathology and diagnosis (7th ed., pp. 603–639). Hoboken, NJ: Wiley.
Leibowitz, S., & Telingator, C. (2012). Assessing gender identity concerns in children and adolescents: Evaluation, treatments, and outcomes. Current Psychiatry Reports, 14, 111–120.
Leroux, A. (2008). Do children with gender identity disorder have an in-group or an out-group gender-based bias? Unpublished Master’s thesis, University of Toronto.
Lick, D. J., Durso, L. E., & Johnson, K. L. (2013). Minority stress and physical health among sexual minorities. Perspectives on Psychological Science, 8, 521–548. doi:10.1177/1745691613497965.
Lindner, N., Bryant, D., & Halim, M. L. (2014, April). Gender discrimination predicts worse health through gender public regard. Poster presented at the Western Psychological Association Convention, Portland, OR.
Lippa, R. A. (2005). Gender, nature, and nurture. New York, NY: Taylor & Francis.
Lobel, T. E., Slone, M., & Winch, G. (1997). Masculinity, popularity, and self-esteem among Israeli preadolescent girls. Sex Roles, 36(5-6), 395–408.
Lurye, L. E. (2011). Felt gender typicality and sex-typing: Examining felt gender typicality, sex-typing, and their relation to adjustment (Unpublished doctoral dissertation). New York University, New York, NY.
Maccoby, E. E., & Jacklin, C. N. (1987). Gender segregation in childhood. In H. W. Reese (Ed.), Advances in child development and behavior (Vol. 20, pp. 239–288). New York: Academic Press.
Martin, C. L. (1990). Attitudes and expectations about children with nontraditional and traditional gender roles. Sex Roles, 22, 151–165. doi:10.1007/BF00288188.
Martin, C. L., Andrews, N., England, D., Ruble, D. N., & Zosuls, K. M. (in press). A dual identity approach for conceptualizing and measuring children’s gender identity. Child Development.
Martin, C., & Dinella, L. (2012). Congruence between gender stereotypes and activity preference in self-identified tomboys and non-tomboys. Archives of Sexual Behavior, 41, 599–610. doi:10.1007/s10508-011-9786-5.
Martin, C. L., Fabes, R. A., Evans, S. M., & Wyman, H. (1999). Social cognition on the playground: Children’s beliefs about playing with girls versus boys and their relations to sex segregated play. Journal of Social and Personal Relationships, 16, 751–771. doi:10.1177/0265407599166005.
Martin, C. L., Fabes, R. A., & Hanish, L. D. (2014). Gendered-peer relationships in educational contexts. In L. Liben & R. Bigler (Eds.), Advances in Child Development and Behavior, 47, 151–187. Burlington: Academic Press.
Martin, C. L., & Ruble, D. N. (2010). Patterns of gender development. Annual Review of Psychology, 61, 353–381. doi:10.1146/annurev.psych.093008.100511.
Martin, C. L., Ruble, D. N., & Szkrybalo, J. (2002). Cognitive theories of early gender development. Psychological Bulletin, 128, 903–933. doi:10.1037/0033-2909.128.6.903.
Matthews, K. A., Salomon, K., Kenyon, K., & Zhou, F. (2005). Unfair treatment, discrimination, and ambulatory blood pressure in black and white adolescents. Health Psychology, 24(3), 258–265. doi:10.1037/0278-6133.24.3.258.
McDuffie, E., & Brown, G. R. (2010). 70 U.S. veterans with gender identity disturbances: A descriptive study. International Journal of Transgenderism, 12, 21–30. doi:10.1080/15532731003688962.
McEwen, B. S., & Wingfield, J. C. (2003). The concept of allostasis in biology and biomedicine. Hormones and Behavior, 43, 2–15.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. doi:10.1037/0033-2909.129.5.674.
Miller, G. E., Chen, E., & Parker, K. J. (2011). Psychological stress in childhood and susceptibility to the chronic diseases of aging: Moving toward a model of behavioral and biological mechanisms. Psychological Bulletin, 137, 959.
Neff, K. D., Cooper, C. E., & Woodruff, A. L. (2007). Children’s and adolescents’ developing perceptions of gender inequality. Social Development, 16, 682–699.
Pascoe, E. A., & Richman, L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531–554. doi:10.1037/a0016059.
Plöderl, M., & Fartacek, R. (2009). Childhood gender nonconformity and harassment as predictors of suicidality among gay, lesbian, bisexual, and heterosexual Austrians. Archives of Sexual Behavior, 38, 400–410. doi:10.1007/s10508-007-9244-6.
Rankin, S., & Beemyn, G. (2012). Beyond a binary: The lives of gender-nonconforming youth. About Campus, 17, 2–10. doi:10.1002/abc.21086.
Ratner, K. G., Halim, M. L., & Amodio, D. M. (2013). Perceived stigmatization, ingroup pride, and immune and endocrine activity evidence from a community sample of Black and Latina women. Social Psychological and Personality Science, 4, 82–91.
Rieger, G., Linsenmeier, J. A., Gygax, L., & Bailey, J. M. (2008). Sexual orientation and childhood gender nonconformity: evidence from home videos. Developmental psychology, 44(1), 46.
Rijn, A. B., Steensma, T. D., Kreukels, B. P., & Cohen-Kettenis, P. T. (2013). Self-perception in a clinical sample of gender variant children. Clinical Child Psychology and Psychiatry, 18, 464–474. doi:10.1177/1359104512460621.
Romens, S. E., McDonald, J., Svaren, J., & Pollak, S. D. (2014). Associations between early life stress and gene methylation in children. Child Development, 86, 303–309. doi:10.1111/cdev.12270.
Ruble, D. N., Lurye, L. E., & Zosuls, K. M. (2007). Pink frilly dresses (PFD) and early gender identity. Princeton Report on Knowledge (P–ROK), 2. Retrieved from http://www.princeton.edu/prok/issues/2-2/pink_frilly.xml
Ruble, D. N., Martin, C. L., & Berenbaum, S. A. (2006). Gender development. In N. Eisenberg (Ed.), Handbook of child psychology: Vol. 3. Personality and social development (6th ed., pp. 858–932). New York: Wiley.
Ruble, D. N., Taylor, L. J., Cyphers, L., Greulich, F. K., Lurye, L. E., & Shrout, P. E. (2007). The role of gender constancy in early gender development. Child Development, 78, 1121–1136.
Sadeh, A. (1996). Stress, trauma, and sleep in children. Child and Adolescent Psychiatric Clinics of North America, 5, 685–700.
Savin-Williams, R. C. (1998). …And then I became gay: Young men’s stories. New York: Routledge.
Sellers, R. M., Copeland-Linder, N., Martin, P. P., & Lewis, R. L. (2006). Racial identity matters: The relationship between racial discrimination and psychological functioning in African American adolescents. Journal of Research on Adolescence, 16, 187–216. doi:10.1111/j.1532-7795.2006.00128.x.
Signorella, M. L., Bigler, R. S., & Liben, L. S. (1993). Developmental differences in children’s gender schemata about others: A meta-analytic review. Developmental Review, 13, 147–183. doi:10.1006/drev.1993.1007.
Singh, D. (2012). A follow-up study of boys with gender identity disorder (Unpublished doctoral dissertation). University of Toronto, Toronto, ON, Canada.
Slaby, R. G., & Frey, K. S. (1975). Development of gender constancy and selective attention to same-sex models. Child Development, 46, 849–856.
Smith, T. E., & Leaper, C. (2006). Self-perceived gender typicality and the peer context during adolescence. Journal of Research on Adolescence, 16, 91–104. doi:10.1111/j.1532-7795.2006.00123.x.
Steensma, T., Biemond, R., de Boer, F., & Cohen-Kettenis, P. T. (2011). Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study. Clinical Child Psychology and Psychiatry, 16, 499–516. doi:10.1177/1359104510378303.
Steensma, T. D., McGuire, J. K., Kreukels, B. P., Beekman, A. J., & Cohen-Kettenis, P. T. (2013). Factors associated with desistence and persistence of childhood gender dysphoria: A quantitative follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 582–590.
Substance Abuse and Mental Health Services Administration (2015). Suicidal thoughts and behavior among adults: Results from the 2014 National Survey on Drug Use and Health. NSDUH Data Review. Retrieved from http://www.samhsa.gov/data/sites/default/files/NSDUH-FRR2-2014/NSDUH-FRR2-2014.pdf.
Susskind, J. E., & Hodges, C. (2007). Decoupling children’s gender-based in-group positivity from out-group negativity. Sex Roles, 56, 707–716.
Tajfel, H., & Turner, J. C. (2004) The social identity theory of intergroup behavior. In J. T. Jost & J. Sidanius (Eds.), Key readings in social psychology. Political psychology: Key readings (pp.276–293). New York: Psychology Press.
Terada, S., Matsumoto, Y., Sato, T., Okabe, N., Kishimoto, Y., & Uchitomi, Y. (2011). Suicidal ideation among patients with gender identity disorder. Psychiatry Research, 190, 159–162. doi:10.1016/j.psychres.2011.04.024.
Trautner, H. M., Ruble, D. N., Cyphers, L., Kirsten, B., Behrendt, R., & Hartmann, P. (2005). Rigidity and flexibility of gender stereotypes in childhood: Developmental or differential? Infant and Child Development, 14, 365–381. doi:10.1002/icd.399.
Wallien, M. S. C., & Cohen-Kettenis, P. T. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1413–1423. doi:10.1097/CHI.0b013e31818956b9.
Wallien, M. S., van Goozen, S. H., & Cohen-Kettenis, P. T. (2007). Physiological correlates of anxiety in children with gender identity disorder. European child & adolescent psychiatry, 16(5), 309–315.
Woodall, K. L., & Matthews, K. A. (1989). Familial environment associated with Type A behaviors and psychophysiological responses to stress in children. Health Psychology, 8, 403–426.
Woodford, M. R., Howell, M. L., Silverschanz, P., & Yu, L. (2012). “That’s so gay!”: Examining the covariates of hearing this expression among gay, lesbian, and bisexual college students. Journal of American College Health, 60(6), 429–434.
Woodhill, B., & Samuels, C. (2003). Positive and negative androgyny and their relationship with psychological health and well-being. Sex Roles, 48, 555–565.
Zosuls, K. M., Ruble, D. N., Tamis-LeMonda, C. S., Shrout, P. E., Bornstein, M. H., & Greulich, F. K. (2009). The acquisition of gender labels in infancy: Implications for sex-typed play. Developmental Psychology, 45, 688–701. doi:10.1037/a0014053.
Zucker, K. J., & Bradley, S. J. (1995). Gender identity disorder and psychosexual problems in children and adolescents. New York: Guilford Press.
Zucker, K. J., Bradley, S. J., & Sanikhani, M. (1997). Sex differences in referral rates of children with gender identity disorder: Some hypotheses. Journal of Abnormal Child Psychology, 25, 217–227.
Zucker, K. J., Wood, H., & VanderLaan, D. P. (2014). Models of psychopathology in children and adolescents with gender dysphoria. In B. P. C. Kreukels, T. D. Steensma, & A. L. C. de Vries (Eds.), Gender dysphoria and disorders of sex development: Progress in care and knowledge (pp. 171–192). New York: Springer.
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Halim, M.L.D., Bryant, D., Zucker, K.J. (2016). Early Gender Development in Children and Links with Mental and Physical Health. In: Korin, M. (eds) Health Promotion for Children and Adolescents. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7711-3_10
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