Outcomes For Children With Lesbian or Gay Parents. A Review of Studies From 1978 To 2000
Outcomes For Children With Lesbian or Gay Parents. A Review of Studies From 1978 To 2000
Anderssen, N., Amlie, C. & Ytterøy, E. A. (2002). Outcomes for children with lesbian or gay parents. A review of studies from 1978 to 2000.
Scandinavian Journal of Psychology, 43, 335 – 351.
Twenty-three empirical studies published between 1978 and 2000 on nonclinical children raised by lesbian mothers or gay fathers were reviewed
(one Belgian/Dutch, one Danish, three British, and 18 North American). Twenty reported on offspring of lesbian mothers, and three on offspring
of gay fathers. The studies encompassed a total of 615 offspring (age range 1.5 – 44 years) of lesbian mothers or gay fathers and 387 controls,
who were assessed by psychological tests, questionnaires or interviews. Seven types of outcomes were found to be typical: emotional functioning,
sexual preference, stigmatization, gender role behavior, behavioral adjustment, gender identity, and cognitive functioning. Children raised by
lesbian mothers or gay fathers did not systematically differ from other children on any of the outcomes. The studies indicate that children
raised by lesbian women do not experience adverse outcomes compared with other children. The same holds for children raised by gay men,
but more studies should be done.
Key words: Children, lesbians, gays, psychological outcomes, review.
Norman Anderssen, University of Bergen, Department of Psychosocial Science, Christiesgt.12, N-5015 Bergen, Norway. E-mail:
[email protected]
© 2002 The Scandinavian Psychological Associations. Published by Blackwell Publishers, 108 Cowley Road, Oxford OX4 1JF, UK and
350 Main Street, Malden, MA 02148, USA. ISSN 0036-5564.
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336   N. Anderssen et al.                                                                                            Scand J Psychol 43 (2002)
lesbian-headed households” (p. 849). Allen and Burrell (1996)           Selection criteria
found in their metaanalysis no statistically significant differ-        To be included in the review, the material had to be published in an
ences between children of lesbian and gay parents on the                available journal or book and based on empirical data collected from
topics they analyzed: emotional well-being and sexual ori-              nonclinical samples of children raised by one or two lesbian or gay
entation of the child. Brewaeys and Hall (1997) found no                parents, with or without proxy information from parents and teachers,
                                                                        with or without control groups, with or without children born in a
investigations that could identify adverse effects of lesbian           setting of heterosexual marriage or cohabitation (with later change in
motherhood on child development, and reviews published in               parental lifestyles), and recruited through self-identified lesbian or gay
Scandinavia conclude similarly (Ernulf & Innala, 1991;                  parents. Excluded from the review were reports with limited circulation,
Halvorsen & Joner, 1999). However, other reviewers con-                 such as master and doctoral theses and conference proceedings.
cluded that there is evidence to believe that there is harm,               We searched the most common databases within psychology and
                                                                        related disciplines as of 1 February 2000 with no time limitations
or not enough evidence to reach any conclusion. Belcastro,              backwards. The searches were based on the following terms in Eng-
Gramlich, Nicholson, Price and Wilson (1993) concluded in               lish: “lesbian”, “gay”, “homosexual(-ity)”, “parents”, “mother(s)”,
their review that the research database (as of 1993) did not            “father(s)”, “children”, “families”, and “couples” in the English lan-
contain data of sufficient quality to be able to conclude               guage databases Psychlit, Medline, Eric, Article-first, Isi, PapersFirst,
whether children raised by lesbian mothers differ significantly         and Proceedings. The literature databases in the other languages
                                                                        were Danske tidsskrift- og avisartikler and Dansk nationalbiblio-
from children raised by heterosexual mothers. In their                  grafi (Danish), Bibliographie National Francais (French), Norart:
review Cameron and Cameron (1997) held that the available               Norske tidsskriftartikler and Bibsys (Norwegian), and Libris ( Swedish).
empirical evidence regarding sexual orientation and inter-              In the non-English searches we utilized fewer and wider terms (e.g.
personal relations in offspring of lesbian mothers or gay               “lesbiske” and “bøsser” in Danish).
fathers is far from conclusive. Baumrind (1995) stated that
“Studies to date show few differences among children of
                                                                        Assessments of the literature
lesbian, gay, and heterosexual couples. Research findings to
date are not definitive” (p. 134).                                      The selected studies were assessed and categorized according to
                                                                        sample and design, measures and assessments, and findings (see
   In sum, there is a need to provide an overview of the                Table 1). Categorizations will inevitably simplify and leave out infor-
outcome themes and research methods in this literature. The             mation from each study. However, the most important studies are
reviews referred to above cited English-language publica-               described in the text. Only offsprings’ and controls’ age, and the
tions, and the studies typically originate in the USA and to            type of study (cross-sectional or not) were easy to categorize. To
a lesser extent in Britain. Our review therefore intended to            avoid too many “Not reported” in Table 1 we have exercised our
                                                                        best judgment where the information was not clear but was deduc-
include research from the French and Scandinavian literat-              ible (e.g. blind participation).
ure on the subject as well.
   The purpose of the present review, thus, was:                        Sample and design categories. The parents of the children in the
                                                                        reviewed studies belong to several categories according to various
(1) to describe, categorize, and interpret empirical studies            histories of marriage and divorce, cohabitation and living arrangements
    on children raised by lesbian mothers or gay fathers;               (single or not). This is indicated in Table 1 and partly in the text to
                                                                        the degree that the information is provided in the reports. Several
(2) to provide an overview of the existing studies (excluding
                                                                        parts of a research process may be blinded to avoid having research-
    multiple reports from the same database).                           ers, research assistants, or participants consciously or unconsciously
                                                                        bias the data in any direction. In Table 1 we chose to categorize the
                                                                        studies according to blinding during three phases of a research project:
METHOD
                                                                        (1) data collection blind to researcher – whether the researcher
Deciding on the outcomes to review                                          who collected data knew the status (heterosexual, lesbian, gay)
The most common research questions in the field relate to the types         of the person from whom he / she collected data;
of outcomes that have been the focus of concern in child custody        (2) data scoring blind to researcher – whether the researcher who
cases in the USA and England (Patterson & Redding, 1996; Tasker             coded the information knew the status of the person who had
& Golombok, 1997): those labeled as sexual identity issues (gender          provided the data;
identity, gender role behavior, and sexual orientation), personal       (3) aim of study blind to participants – whether the participant
characteristics other than sexual identity (e.g. psychiatric status,        knew the objectives of the study.
self-concept, and intelligence), and social relationships (e.g. peer
relations) (see the review by Patterson, 1992). Here, we organize the      In categorizing the measures and assessments in each study we
review according to a modified scheme of these outcomes, regard-        tried to stay close to the concepts provided in each study.
less of the motivational base, paradigmatic approach, or origin of
the research questions. We hold that these research questions center    Findings categories. The seven findings categories represent to a large
around the following seven outcomes for children, listed according      degree what is reported in the studies. “Norms” may mean popu-
to number of studies which assess the outcomes: “emotional func-        lation norms (as with the Child Behavior Checklist, used for
tioning”, “sexual preference”, “stigmatization”, “gender role beha-     example by Patterson, 1994) or more limited sample norms (as with
vior”, “behavioral adjustment”, “gender identity”, and “cognitive       the Harter scale, used by Gershon, Tschann & Jemerin, 1999). In
functioning”. Definitions of the concepts are presented within each     other works norms may be based on a trained observer’s experience
of the themes below.                                                    (e.g. Green, 1978).
                                                      Bailey et al.,     43 s of gay fa      0                  17–43     Convenience            Cross-        Yes             Yes          Yes           Mailed questionnaires            Sexual preference:
                                                      1995               (all fa earlier                                                         sectional                                                                                 37 reported to have
                                                                         mar, 91% sep                                                                                                                                                      het preferences
                                                                         or div today)
                                                      Bozett, 1988       19 s and d of       0                  14–35     Convenience            Cross-        No              No           No            Unstructured in-depth            Sexual preference:
                                                                         gay fa (various                                                         sectional                                                interviews (grounded             16 reported to have
                                                                         family histories)                                                                                                                theory)                          het preferences
                                                      Brewaeys et al.,   30 s and d of       52 s and d         4–8       Register samples       Cross-        Not             Yes          Yes           Questionnaires to parents:       Behavioral adjustment:
                                                      1997               lesbian couples     of het couples               (donor insemination)   sectional     reported                                   Child Behavior Checklist,        No group differences
                                                                         (from birth)        (from birth)                 and convenience                                                                 Preschool Activities             for sons. Fewer
                                                                         (donor8)            (26 donor and                                                                                                Inventory                        problems among
                                                                                             26 traditionally                                                                                                                              daughters of lesbian
                                                                                             conceived)                                                                                                                                    and het (nondonor)
                                                                                                                                                                                                                                           couples
                                                                                                                                                                                                                                           Gender role behavior:
                                                                                                                                                                                                                                           No group differences
                                                      Flaks et al.,      15 s and d          15 s and d         3–8       Convenience            Cross-        No              Partly       Yes           Standardized questionnaires      Emotional functioning:
                                                      1995               of lesbian          of het couples                                      sectional                                                to parents and teachers,         No group differences
                                                                         couples (from       (from birth)                                                                                                 including: Child Behavior        Behavioral adjustment:
                                                                         birth) (donor)      (traditionally                                                                                               Checklist, Teacher’s Report      No group differences
                                                                                             conceived)                                                                                                   Form, testing of offspring       Cognitive functioning:
                                                                                                                                                                                                          with WPPSI-R or WISC-R           No group differences
                                                      Gershon et al.,    76 s and d of       0                  11–18     Convenience            Cross-        No              No           Yes           Standardized questionnaires      Emotional functioning:
                                                      1999               lesbian mo (67%                                                         sectional                                                (interview), including: Harter   No differences from
                                                                         of mo in het                                                                                                                     Self Perception Profile for      norms by Harter
                                                                         marriage at time                                                                                                                 Adolescents
                                                                         of birth)
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© 2002 The Scandinavian Psychological Associations.
                                                                                                                                                                                                                                                            338
                                                      Table 1. Continued
                                                                                                                                                                                                                                                            N. Anderssen et al.
                                                                       Sample and design
                                                      Golombok         37 s and d of       38 s and d            5–17      Convenience   Cross-      No              Partly       Yes           Structured interviews with       Emotional functioning:
                                                      et al., 19839    lesbian single      of het single                                 sectional                                              mo and with offspring            More children with
                                                                       and nonsingle       mo (23/27                                                                                            (separately); sexual             het mo had psychiatric
                                                                       mo (23/27 mo        mo earlier mar)                                                                                      preference assessment            symptoms
                                                                       earlier mar or                                                                                                           only for the older part          Sexual preference:
                                                                       cohabiting                                                                                                               of sample; standardized          No group differences
                                                                       with a man)                                                                                                              questionnaires to mo and         Stigmatization:
                                                                                                                                                                                                teachers about offspring         No group differences
                                                                                                                                                                                                                                 Gender role behavior:
                                                                                                                                                                                                                                 No group differences
                                                                                                                                                                                                                                 Behavioral adjustment :
                                                                                                                                                                                                                                 No group differences
                                                                                                                                                                                                                                 Gender identity:
                                                                                                                                                                                                                                 No group differences
                                                      Golombok         30 s and d of       42 s and d of         3–9       Convenience   Cross-      Partly          Partly       Partly        Structured interviews and        Emotional functioning:
                                                      et al., 1997     lesbian mo          het single mo                                 sectional                                              questionnaires for mo;           No group differences
                                                                       (from birth)        (single since                                                                                        ratings from school teachers;    Stigmatization:
                                                                       (15 single at        child’s first year                                                                                  testing of offspring,            No group differences
                                                                       time of data        of life)                                                                                             including adaptation of          Behavioral adjustment:
                                                                       collection)                                                                                                              Separation Anxiety Test          No group differences
                                                      Gottman, 1990    35 d of             70 d of               18–44     Not           Cross-      Not             Yes          Yes           Standardized questionnaires      Emotional functioning:
                                                                       lesbian div mo      het div mo                      reported      sectional   reported                                   (returned by mail),              No group differences
                                                                       (cohabiting with    (35 single,                                                                                          including: Personal              on 17 of 18 scales.
                                                                       another women       35 remarried)                                                                                        Attribute Questionnaire,         On well-being scale d
                                                                       at least some                                                                                                            Sexual Orientation Method,       of div single mo
                                                                       point in time)                                                                                                           California Psychological         indicated more problems
                                                                                                                                                                                                Inventory (18 scales)            Sexual preference:
                                                                                                                                                                                                                                 No group differences
                                                                                                                                                                                                                                 Gender role behavior:
                                                                                                                                                                                                                                 No group differences
                                                                                                                                                                                                                                 Gender identity:
                                                                                                                                                                                                                                 No group differences
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                                                                       Number of                                                                   Aim of          Data         Data
                                                                       offspring of                                                                study           collection   scoring
                                                                       lesbian mothers     Number of         Ages      Sample        Study         blind to        blind to     blind to
                                                      Work             or gay fathers2,3   controls2,3       (years)   type          type4         participants5   researcher   researcher6   Measures and assessments      Findings7
                                                      Hoeffer, 1981    20 s and d          20 s and d of     6–9       Not           Cross-        Not reported    No           Not           Structured interviews         Gender role behavior:
                                                                       of lesbian          het, single                 reported      sectional                                  reported      with offspring. Testing       No group differences
                                                                       single mo           mo (a majority                                                                                     of offspring, including
                                                                       (a majority         sep /div)                                                                                          modified version
                                                                       sep/div)                                                                                                               of Block’s
                                                                                                                                                                                              Toy Preference Test
                                                                                                                                                                                                                                                       340
                                                                                                                                                                                                                                                       N. Anderssen et al.
                                                      Table 1. Continued
                                                      Kirkpatrick       20 s and d             20 s and d    5–12      Convenience   Cross-      Not reported    Yes          Yes           Semistructured interview         Emotional functioning:
                                                      et al., 1981      of lesbian             of het div,                           sectional                                              with offspring and with          No group differences
                                                                        div mo                 single mo                                                                                    mo (separately). Observation     Gender identity:
                                                                                                                                                                                            and testing of offspring,        No group differences
                                                                                                                                                                                            including: Play-room             Cognitive functioning:
                                                                                                                                                                                            observation, WISC,               No group differences
                                                                                                                                                                                            Human Figure Drawing
                                                      Lewis, 1980       21 s and d             0             9–26      Convenience   Cross-      No              No           No            In-depth interviews with         Stigmatization:
                                                                        of lesbian                                                   sectional                                              children (psychodynamically      Children at all ages
                                                                        nonsingle mo                                                                                                        oriented)                        worried about potential
                                                                                                                                                                                                                             reactions from peers,
                                                                                                                                                                                                                             no report of specific
                                                                                                                                                                                                                             incidents
                                                      McCandlish,       7 s and d of           0             1.5–7     Convenience   Cross-      No              No           No            Structured interviews with       Behavioral adjustment:
                                                      1987              lesbian couples                                              sectional                                              offspring and mo together.       No specific problems
                                                                        (from birth) (donor)                                                                                                Observations of children         Gender identity:
                                                                                                                                                                                            during the interviews            No specific problems
                                                                                                                                                                                            (object-relations perspective)
                                                      Miller, 1979      14 s and d             0             14–33     Convenience   Cross-      No              No           No            In-depth interviews              Sexual preference:
                                                                        of gay fa                                                    sectional                                                                               2 of 14 reported
                                                                        (various family                                                                                                                                      to be lesbian/gay
                                                                        histories)                                                                                                                                           Stigmatization:
                                                                                                                                                                                                                             No specific
                                                                                                                                                                                                                             incidents reported
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                                                                           Number of                                                                       Aim of          Data         Data
                                                                           offspring of                                                                    study           collection   scoring
                                                                           lesbian mothers     Number of           Ages      Sample         Study          blind to        blind to     blind to
                                                      Work                 or gay fathers2,3   controls2,3         (years)   type           type4          participants5   researcher   researcher6   Measures and assessments       Findings7
                                                      Steckel, 1987        11 s and d of       11 s and d          3–4       Not reported   Cross-         Not reported    No           No            Structured interview with      Emotional functioning:
                                                                           lesbian couples     of het couples                               sectional                                                 parents; Q-sort administered   No group differences
                                                                                                                                                                                                      to teachers and parents;       in degree of
                                                                                                                                                                                                      Projective Structured          psychopathology
                                                                                                                                                                                                      Doll Technique interview       or difficulties in
                                                                                                                                                                                                      with offspring                 separation–individuation
                                                                                                                                                                                                                                     processes
                                                      Tasker &             25 s and d of       21 s and d of       17–35     Convenience    Longitudinal   Not reported    Partly       Partly        Baseline details: see          Emotional functioning:
                                                      Golombok,            lesbian mo          het mo (19/21                                (14 years)                                                Golombok et al. (1983)         No group differences
                                                      19979,14 follow-up   (22/25 by           by het couples,                                                                                        above                          Sexual preference:
                                                      of Golombok          lesbian couples)    these mo                                                                                               Follow-up: Semistructured      No group differences,
                                                      et al., 1983                             no longer single)                                                                                      interviews. Standardized       but more variation in
                                                      (baseline details                                                                                                                               questionnaires, including:     offspring of lesbian mo
                                                                                                                                                                                                                                                                                   342
                                                                                                                                                                                                                                                                                   N. Anderssen et al.
                                                      Table 1. Continued
                                                      Totals15            61516                  38716               1.5–44     Convenience             Cross-            Yes 1; no, 11;   Yes, 6;       Yes, 9;       Interviews: 16                 Emotional functioning:
                                                                                                                                or not reported,        sectional,        partly, 1; not   no, 11;       no, 8;        Questionnaires: 11             12 studies
                                                                                                                                21; register            22;               reported, 10     partly, 6;    partly, 4;    Tests: 7                       Sexual preference:
                                                                                                                                sample, 2               longitudinal, 1                    not           not           Observation: 2                 9 studies
                                                                                                                                                                                           reported, 0   reported, 2                                  Stigmatization: 9 studies
                                                                                                                                                                                                                                                      Gender role behavior:
                                                                                                                                                                                                                                                      8 studies
                                                                                                                                                                                                                                                      Behavioral adjustment:
                                                                                                                                                                                                                                                      7 studies
                                                                                                                                                                                                                                                      Gender identity: 6 studies
                                                                                                                                                                                                                                                      Cognitive functioning:
                                                                                                                                                                                                                                                      3 studies
                                                      Notes: Abbrievations: s = sons; d = daughters; fa = fathers; mo = mothers; het=heterosexual; mar = married; sep = separated; div = divorced.
                                                      1
                                                         Only sample sizes, design, measures, and assessments that are relevant and meeting the inclusion criteria for the present review are presented, not necessarily the total array of participants or methods in the study
                                                      referred to.
                                                      2
                                                         The family histories vary considerably. If provided in the study, the table includes information about divorce or not, single status or not, whether lived in lesbian or gay households since birth or not.
                                                      3
                                                         The number of children is reported (not of parents).
                                                      4
                                                         By cross-sectional design we mean studies where information is collected at one time point even though the information collected covers a time span (e.g. in studies where persons are asked to give information of
                                                      childhood experiences).
                                                      5
                                                         By participants we mean those who provided information, whether it is offspring, parents, or teachers.
                                                      6
                                                         Classification in this column is done under the assumption that scoring of questionnaires followed prewritten rules, and accordingly questionnaires are classified as blind to researcher.
                                                      7
                                                         For purposes of clarity, phrases for the assessed outcomes correspond to the categorization scheme outlined in the present text. Phrases in the original works are not necessarily used.
                                                      8
                                                         Donor means that the children are conceived through donor insemination.
                                                      9
                                                         British Longitudinal Study of Lesbian Mother Families.
                                                      10
                                                          Earlier reports from this study (with fewer subjects and no specific measures reported) seem to be Mandel and Hotvedt (1980) and Hotvedt and Mandel (1982). These two reports are thus not included in the review.
                                                      11
                                                          This study is a follow-up of a sample of 15 offspring of lesbian mothers who were interviewed and assessed in 1973, published as a psychology thesis at University of Copenhagen (Leick and Nielsen, 1974). The thesis
                                                      was not included in this review because of the limited circulation (theses were not included in the review).
                                                      12
                                                          This study explored stigmatization and sexual preferences as well, but these themes were not included in the review because of imprecise procedures and results descriptions.
assessed at the follow-up were emotional functioning, as            peers with heterosexual mothers to identify as lesbian or gay,
measured by the Trait Anxiety Inventory and Beck Depres-            or to be attracted to someone of their own gender, “however,
sion Inventory, sexual preferences, and stigmatization (see         if they do experience same-gender attraction, they are more
below). No differences between the two groups of offspring          likely to pursue a sexual relationship” (p. 132).
were found on the two inventories. Gottman (1990) con-                 In two studies covering adolescent and adult offspring,
ducted a mail survey among 35 adult daughters of lesbian            the groups did not differ on survey measures of sexual ori-
divorced mothers, 35 adult daughters of heterosexual                entation (Gottman, 1990) or on interview questions about
divorced mothers who remained single, and 35 adult daugh-           romantic crushes and erotic fantasies (Green, 1978; Golom-
ters of heterosexual divorced mothers who remarried/lived           bok et al., 1983). In the remaining four studies (three in the
with a man. She reported no differences between the three           USA and Canada, one in Denmark) 57 sons and daughters
groups on the measures used (scales from the California             of lesbian mothers and gay fathers were interviewed with no
Psychological Inventory).                                           comparison groups (Bozett, 1988; Haack-Møller & Møhl,
                                                                    1984; Miller, 1979; O’Connell, 1993). Among these, six off-
                                                                    spring (11%) said they had homosexual preferences (in
(2) Sexual preference                                               Bozett’s study, recorded as “nonheterosexual preferences”).
By “sexual preference” we mean “the individual’s physical
sexual activity with, interpersonal affection for, and erotic
fantasies about members of the same or opposite biological          (3) Stigmatization
sex” (after De Cecco, 1981, p. 61, in his definition of sexual      Stigmatization, that is, being teased, harassed, or bullied, is
orientation). Sexual preference is one of the outcomes of           one of the potential outcomes for children of lesbian mothers
most concern in debates about children growing up with a            or gay fathers that worries court judges in the USA most
lesbian mother or gay father. We prefer the term “sexual            (Rivera, 1987). Goffman (1963) conceptualizes stigma in
preference” to “sexual orientation”, as does Baumrind (1995),       relational terms and defines the one being stigmatized as
to emphasize the nonfixed nature of sexual relations.               possessing an attribute that make him or her “reduced in
   Of the nine studies examining this outcome, three studied        our minds from a whole and usual person to a tainted, dis-
offspring living or having lived with their gay fathers (i.e. all   counted one” (p. 12). According to Goffman, persons who
the studies with gay fathers in the present review). None           relate to the stigmatized person run the risk of being stigmat-
of the studies reported that sexual preferences in offspring        ized as well. Children with lesbian mothers and gay fathers
varied with parental sexual preferences.                            might run the risk of being stigmatized, since lesbian
   Bailey, Bobrow, Wolfe and Mikach (1995) recruited gay            women and gay men still represent a stigmatized group of
fathers through advertisements in gay publications in several       persons, as indicated by attitude surveys reporting that a
states in the USA. Self-reported sexual preferences from            substantial proportion of the adult populations in Norway
their 43 adult sons aged 17– 43 were assessed through               and the USA hold negative views of homosexuality and of
questions about sexual orientation (mailed questionnaires           lesbians and gays (Statistisk Sentralbyrå, 1997; Herek &
blinded for informants as to the researchers’ specific interest     Capitanio, 1996). King and Black (1999) found that in two
in sexual orientation). Thirty-seven of the sons (86%) rated        samples of college students in the US Mid-West (a total of
themselves as heterosexual and six as nonheterosexual.              615 students) 15 –19% indicated that they were not willing to
   In the longitudinal study of Tasker and Golombok (1997,          have a spouse whose mother was a lesbian.
see details above) “sexual orientation” was recorded through           We included in this stigmatization category studies that
semistructured interviews. There were no differences between        reported on offsprings’ social relations with friends and
the two groups (25 offspring with lesbian mothers and 21            schoolmates. The nine studies that covered the issue of
with heterosexual mothers) on “same-gender sexual attrac-           stigmatization of children of lesbian mothers (eight studies)
tions” or “sexual identity”. However, more offspring of les-        or gay fathers (one study) found generally that the children
bian mothers reported that they had “considered a lesbian/          were not stigmatized, but they tended to be teased more
gay relationship” as a possibility or still did (14 offspring       than their peers.
of lesbian mothers as compared with three offspring of                 Only one study reported that the children had experienced
heterosexual mothers), and more offspring of lesbian mothers        direct negative actions from others due to their parents’
(six) had experienced “same-gender sexual relationships” as         alternative choice of sexual partner. In their report from
compared with none among the others. Tasker and Golom-              interviews with 13 Danish offspring of lesbian mothers,
bok interpreted these variations as indicating a different          Haack-Møller and Møhl (1984) stated that “The relation-
degree of openness in their sample due to the specific family       ship to friends have in many instances been problematic,
experiences, offspring of heterosexual mothers being less           there have often been direct negative reactions towards the
likely to think of same-gender relationships in terms of            children because of their lesbian mother” (p. 317, our trans-
possible sexual relationships. They stated that the offspring       lation) (the number of informants with these experiences
of lesbian mothers probably are no more likely than their           and the number of instances were not reported). The
authors pointed especially to the age period 10 –11 years as        In sum, the studies reported few or no incidents of serious
difficult. This was the period when the informants tended to     teasing, harassment, and bullying due to having a lesbian
realize that their mother was a lesbian, and they experienced    mother or gay father. However, the studies clearly indicate
tension between being loyal to her while being afraid of         that the children were concerned about the chance of being
sanctions from friends. One boy reported: “I said that they      stigmatized (O’Connell, 1993; Tasker & Golombok, 1997),
had shared [a house] for reasons of economy, because the         and the foremost worry was the chance of getting teased
house rent was so high” (p. 316, our translation).               about being lesbian or gay oneself. O’Connell reported that
   In the 1983 study by Golombok et al. in Britain (see          several of her 11 informants experienced shame due to the
details above) “quality of children’s peer relationships” was    conflict between the loyalty they felt for the mother (lesbian)
assessed through structured interviews with mothers, and         and the need for self-protection, that is, concealing that the
the interview transcripts were later rated blind to the sexual   mother was a lesbian.
preference of the mothers. No group differences were                In a collection of interviews and stories told by sons and
reported, and the majority in each group were found to be        daughters of lesbian women (mainly North American), it
able to make and maintain relationships with people of their     was evident that that the interviewed children had invested
own age. In the follow-up of this study 14 years later, the      energy to deal with the issue of their friends’ knowing or not
offspring were thoroughly interviewed about “stigmatization      knowing that they had a lesbian mother (Rafkin, 1990, not
in school”, the extent of teasing and being bullied, and         a research report). Here are two examples. Carey, aged 21,
“integration of family and friends”, about telling friends,      said: “Friends would come to my house, and I would run
bringing friends home, and school friends’ response to           ahead to check if my mother was home or if she was with
knowledge of their mother being a lesbian (Tasker &              her lover” (p. 157). Carl, aged 12, said: “But it is hard some
Golombok, 1997). It was found that there was no higher           times. I don’t know what the kids would do if they knew”
prevalence of peer group hostility reported by the offspring     (p. 50). Javaid (1993) described “a general attitude of secrecy”
of lesbian mothers. However, more of the male offspring of       (p. 243) in her interviews with children of lesbian mothers
lesbian mothers did report teasing about being gay them-         (see below).
selves compared with the other males. Further, there was a          Bozett (1988), who specifically studied how children
trend for the offspring of lesbian mothers to have been          experienced being a child with a gay father, found that chil-
teased more about their mother’s lifestyle than the offspring    dren employed various strategies so that they were perceived
of heterosexual mothers. The authors speculated that reports     by others as they wanted to be perceived. The strategies
of more frequent teasing of the children of lesbian mothers      included setting and controlling the limits for the father’s
may reflect actual occurrences, or may indicate that these       expression of homosexuality (“boundary control”), keeping
children recognize and remember such teasing more than           it a secret that the father was gay (“nondisclosure”), and
other children. In the study among children aged 3–9 years       disclosure to a larger number of people that the father was
(Golombok et al., 1997), “peer acceptance”, a subscale of        gay to prepare them to meet the father (“disclosure”).
Pictorial Scale of Perceived Competence and Social Accept-          The studies reviewed and the stories referred to may be
ance for Young Children, did not reveal differences between      summed up under three points. First, children of lesbian
the children of lesbian and heterosexual mothers in how the      mothers or gay fathers generally developed peer relation-
children perceived their own relationships with friends.         ships as stable and as good as those of other children.
Interviews of children of lesbian and heterosexual mothers       Second, very few were harassed more than other children,
about “peer group relationships” (popularity with same-sex       although they were teased somewhat more. Third, they
and other-sex children in school and in neighborhood) and        invested energy in other people knowing or not knowing.
the mothers’ ratings of relations between offspring and peers
indicated that children of lesbian mothers did not differ in
peer group relationships (Green et al., 1986).                   (4) Gender role behavior
   In an in-depth psychodynamically oriented study of            Gender role behavior means behaviors that are culturally
21 children (aged 9–26) of divorced lesbian mothers in           associated with men or with women (after Shively & De
Massachusetts, children were interviewed about their “feelings   Cecco, 1977). This definition captures what is meant by the
about their mother’s changed life-style”. The children           authors of the seven studies assessing to what degree the
expressed concern about how others might react if they           offspring of lesbian mothers (no studies with gay fathers)
knew their mother was a lesbian (Lewis, 1980). No specific       deviate from gender role norms. Generally, the studies
incidents of rejection or harassment were, however, reported.    found that children with lesbian mothers tended to choose
The same pattern is indicated in the interview studies of the    gender-typical activities, toys, and games, much as other
young and adult offspring of gay fathers (Miller, 1979) and      children.
lesbian mothers (O’Connell, 1993). In the interview and test-       Again, we start with the study by Golombok et al. (1983)
ing study by Green (1978), three of the 21 children reported     (see above). To assess “sex role behavior”, they devised a
minor incidents of teasing.                                      14-item sex role scale used in their structured interviews with
mothers. The scale was constructed of items about the              (playing with trucks, rough-and-tumble play), clothing, and
frequency with which the child had participated in typical         future adult roles (as doctor, lawyer, and astronaut).
gender-typed activities (according to earlier studies), such as      Patterson (1994), in her standard open-ended interviews
male sports, dressing up, and pretend games like a tea party.      of 37 children of lesbian mothers, found no remarkable
A five-item scale was likewise constructed for offspring           pattern in “preferences for sex role behavior” (peer friend-
interviews, consisting of questions about favorite activities/     ships, favorite toys, favorite games, and favorite characters).
hobbies, toys and collections, books and comics, sport, and        Gottman (1990), surveying adult daughters of lesbian and
television programs. No group differences were found               heterosexual mothers, reported no difference in “gender
between the offspring of lesbian and heterosexual mothers,         role” as assessed by the Personal Attribute Questionnaire,
for neither boys nor girls, as reported by mothers and as          a bipolar masculinity and femininity scale.
reported by offspring.
   Hoeffer (1981) compared 20 6–9-year old children of
lesbian, single mothers with 20 children of heterosexual           (5) Behavioral adjustment
single mothers in the San Francisco area. “Sex role behavior”      The term “adjustment” signals a foundation in prevailing
was assessed by a modified version of Block’s Toy Preference       values, which may be defensible or not. For the present
Test and through a structured interview in which the child         purpose we use the pragmatic approach and refer to studies
showed and explained eight favorite toys and activities to the     that assess overt behaviors. Thus, with the phrase “behavioral
investigator (Toy Selection Interview; the interview data          adjustment” we mean the degree to which children behave
were later rated as masculine, feminine, or neutral). No           according to expectations about social behavior. Of six stud-
group differences were found. In a study from Belgium and          ies that compared the children of lesbian mothers with other
The Netherlands, Brewaeys et al. (1997) compared the gen-          children (no studies with gay fathers), none gave indications
der role behavior of 30 children aged 4 – 8 years conceived by     of higher prevalence of behavioral problems among children
donor to lesbian couples with 52 children of heterosexual          with lesbian mothers.
matched couples (donor insemination, 26 children; tradi-              In the studies Golombok et al. (1983) and Golombok
tional conception, 26 children). The donor samples were            et al. (1997) the assessments of the children included scores
drawn from registers. Gender role behavior was assessed            on “unsociability” (1983), “conduct difficulty” (1983), and
by a validated questionnaire completed by parents (the             “behavioral problems” (1997), as reported by both mothers
Preschool Activity Inventory), and no differences between          and teachers on the questionnaires. In addition, the child’s
the three groups of children were reported.                        “behavioral problems” were assessed through standardized
   Green (1978) interviewed 21 children of lesbian mothers         interviews with the mother (1997). None of the measures
about their toy and game preferences, peer group composi-          was found to differentiate between children of lesbian
tion, clothing preference, roles played in fantasy games, and      mothers and children of heterosexual mothers.
vocational aspiration, and he also conducted the Draw-a-              In the studies by Chan et al. (1998), Flaks et al. (1995),
Person test. No specific atypical patterns were identified.        and Patterson (1994), behavioral assessments were based on
(Green assessed gender role behavior and gender identity,          reports from mothers on the Child Behavior Checklist
but does not specify which of these measures assessed what         (“externalizing scale”), and from the corresponding ques-
concept.) Javaid (1993) interviewed sons and daughters of          tionnaire completed by teachers, the Teacher’s Report
lesbian divorced mothers (26 offspring) and heterosexual           Form (though not in the Patterson study). Chan et al. and
divorced mothers (28 offspring) about gender role prefer-          Flaks et al. did not find evidence of differences between
ences and expectations, for example attitudes toward being         children with lesbian mothers and heterosexual mothers,
married and having children. A χ2 analysis of her data             and Patterson did not find evidence that children with
(p. 242) conducted by the present reviewers showed no stat-        lesbian mothers deviated from norms provided by the
istically significant differences.                                 authors of the scale. Brewaeys et al. (1997) also assessed
   Green et al. (1986) assessed 56 children of lesbian mothers     the children in their study with Child Behavior Checklist,
and 48 children of heterosexual mothers with “tests of sexual      but without distinguishing between externalizing and inter-
identity” (p. 170) and with interviews with children and           nalizing scales in the report. (In the present context the
mothers about the children’s favorite games, toys, and activ-      reported score was categorized within “behavioral adjust-
ities at home and at school (e.g. children selected between        ment” and not “emotional functioning”). There were found
typical sex-typed and neutral activities). It is not clear which   no group differences for boys, but fewer problems were
of these measures specifically measured gender role behavior,      reported among daughters of lesbian couples and among
as opposed to gender identity. However, the study reported no      traditionally conceived daughters of heterosexual couples
differences in the various preferences for boys. While there       (compared with daughters of heterosexually couples with
were no differences for many types of preferences among            donor insemination).
daughters, more daughters of lesbian mothers than those of            A seventh study did not make a comparison between
heterosexual mothers preferred some boy-typical activities         groups of children. Nonetheless, from her structured and open-
ended interviews with five lesbian couples who had children      DISCUSSION
1.5 –7 years of age (donor insemination), McCandlish (1987)
found that the mothers did not report behavioral problems        The purpose of this review was to describe, categorize, and
with the children. Neither were behavioral problems of the       interpret empirical studies on children raised by lesbian
children noted during the interviews.                            mothers or gay fathers and to provide an overview of the
                                                                 existing studies (excluding double reports). The studies
                                                                 reported surprisingly similar findings. Children raised by
(6) Gender identity                                              lesbian mothers or gay fathers did not systematically differ
By “gender identity” we mean “an individual’s basic con-         from other children on any outcomes. The typical outcomes
viction of being male or female” (adapted from Green’s           in the 23 studies that met the inclusion criteria for the review
conceptualization, 1974, p. xv). Six studies assessed gender     were emotional adjustment (12 studies), sexual preference
identity, all in children of lesbian and heterosexual mothers.   (nine studies), stigmatization (nine studies), gender role
None of the studies reported that children of lesbian            behavior (eight studies), behavioral adjustment (seven stud-
mothers had specific problems with gender identity.              ies), gender identity (six studies), and cognitive functioning
   The six studies utilized a variety of methods (see Table 1    (three studies). Of these, only three studies assessed children
for details): structured interviews with offspring about feel-   of gay fathers, and they assessed sexual preference (three)
ings about being male or female (Golombok et al., 1983);         and stigmatization (one).
Personal Attribute Questionnaire masculinity and feminin-           Among the seven outcomes, emotional functioning,
ity scales (Gottman, 1990); interview information about toy      behavioral adjustment, and stigmatization might be seen as
and game preference, peer group composition, clothing pre-       indicating to what degree the offspring suffer. The opera-
ference, roles played in fantasy games, vocational aspiration,   tionalization and measures of these concepts varied con-
and the Draw-a-Person test (Green, 1978; some of these           siderably across the studies. The fact that none of them
methods measured gender role behavior); It-Scale for Chil-       indicated that the offspring of lesbian mothers had worse
dren, testing aspects of gender identity where the children      emotional functioning or more behavioral problems than
used a gender-neutral figure to select from a series of sex-     other children supports the notion that the offspring of
typed toys, games, and activity preferences, interview ques-     lesbian mothers do not suffer more than other children. Not
tions about wish to be a person of the opposite sex if born      surprisingly, the stigmatization measures suggested that chil-
again, and Koppitz system scoring of the first-drawn person      dren of lesbian mothers or gay fathers may experience the
on Draw-a-Person (Green et al., 1986, see also some of the       stigma attached to persons choosing a lesbian or gay life-
measures described above under gender role behavior);            style, as some of the offspring of lesbian mothers reported
historical data, probably from interviews with mothers,          being teased more than others. Also, the offspring of lesbian
including characters chosen in fantasy play, sex of favored      mothers or gay fathers seemed to invest energy into whether
playmates, sex play, and reports of cross-dressing, Koppitz      and to whom to reveal that their mother or father was a
system scoring of the Human Figure Drawing test, semi-           homosexual. However, this was probably not of a magnitude
structured playroom interviews with children concerning          that hurt the offspring on a long-term basis, as reported by
sex, current interests, and future roles in life (Kirkpatrick    the offspring in the follow-up study by Tasker and Golombok
et al., 1981); and interviews with mothers and offspring         (1997), and as indicated by the fact that the offspring of
together and observations during interviews (McCandlish,         lesbian mothers did not report different emotional function-
1987).                                                           ing or more behavioral problems than other children. Open-
                                                                 ness toward offspring, neighborhood, and school from an
                                                                 early age might minimalize the issue so that the fear of being
(7) Cognitive functioning                                        stigmatized is reduced. This, however, presupposes a certain
Cognitive functioning means in the present review scores on      degree of acceptance in the specific culture/neighborhood.
intelligence as measured by the Wechsler Intelligence Scale         Gender identity, gender role behavior, and sexual orienta-
for Children (WISC-R and WISC) or Wechsler Preschool             tion were in the studies typically seen as distinct phenomena,
and Primary Scale of Intelligence (WPPSI-R and WPPSI).           with frequent reference to Money and Erhardt (1972). The
Three studies included such testing of children (pooled age      empirical studies reported no differences between children of
range 3 –12 years), all assessing offspring of lesbian mothers   lesbian women or gay men and other children in any of the
(in sum 91 children) as compared with offspring of hetero-       three realms, despite the great variety of measures employed.
sexual mothers (in sum 83 children) (Flaks et al., 1995;         Commentators on this research do, however, speculate that
Green et al., 1986; Kirkpatrick et al., 1981) (see details in    the studies indicate a higher proportion of lesbian/gay off-
Table 1). In Kirkpatrick et al.’s study the testing was con-     spring of lesbian mothers or gay fathers than what is
ducted without knowledge of the mother’s sexual preference.      believed to be the case in the population at large (Baumrind,
In all three studies no group differences between the children   1995; Wardle, 1997). But again, to the degree that the differ-
of lesbian mothers and the others were reported.                 ences in proportions actually exist, it may reflect that it is
easier to be openly lesbian or gay with lesbian mothers or        control for experiences believed to be important in children’s
gay fathers rather than more of the offspring developing          development that may confound the comparisons of various
homosexual preferences as such. It should also be noted that      child groups. Such experiences might be to what degree a
important discussions about the concepts of gender identity       male/female adult figure has been present in the children’s
and sexual orientation take place within social construction-     family life, to what degree the children have experienced a
ist and other post modern-oriented psychology (e.g. Bem,          divorce, whether the children have one or two care-givers,
1995; Bohan, 1993; Richardson, 1984), as in related discip-       and when parents “came out” to their children as lesbian or
lines. Here, the very categories of women and men, hetero-        gay (see Fitzgerald, 1999; Golombok, 1999).
sexual and homosexual, are questioned. Gender and sexual
orientation outcomes are within these perspectives possible       Measures.
to study and understand only in relation to cultural contexts     Some of the measures had uncertain validity. For example,
through which the categories are produced and reproduced.         the relationship between toy, activity or peer preferences and
The perspectives taken in the reviewed literature seem, how-      gender identity is not clear (Goodman et al., 1998). Self-
ever, to be unproblematized and essentialistic.                   identification as lesbian or gay most often does not happen
   Intelligence scores were, as expected, not differentiated by   until late adolescence or later in life, and thus studies in
the mother’s sexual preferences. We know of no theories pre-      which sexual preference was measured in younger years was an
dicting that intelligence scores are related to parental sexual   outcome had methodological difficulties (Patterson, 1992).
preferences, although one might speculate that children with
emotional problems would score lower on intelligence tests        Blinding procedures and response bias.
due to investments in maintaining emotional equilibrium.          Blinding of data collection, coding, and interpretation was
   In sum, none of the reviewed studies reported substantial      not conducted in all studies. Participants or researchers may
differences in outcome among groups of children. However,         consciously or unconsciously bias data in one or the other
there is a need to discuss the view of Belcastro et al. (1993)    direction, and this bias may become stronger when using
and Baumrind (1995) that the data in the empirical studies        self-reported recall data.
are insufficient to conclude that no differences exist. Two
related lines of reasoning must be laid out in discussing this,   Strengths.
concerning both the research methods and the reasons why          Some of the above limitations are inherent in doing studies
outcomes for children of lesbian mothers or gay fathers are       on hidden and stigmatized groups, and we may in fact see
an issue.                                                         the studies as representing unique and valuable evidence
                                                                  from groups that until the last decade have been largely
                                                                  invisible, both in the public and in the psychological liter-
Research methods in the studies                                   ature. Strictly speaking, representative samples of lesbian
The research methods in the studies reviewed are not with-        mothers or gay fathers are unattainable, because many of
out weaknesses, as the authors have commented themselves          them will not have “come out”; similarly, adequate sample
(see also Fitzgerald, 1999; Goodman et al., 1998), as well as     sizes are difficult to establish. Two of the recently published
certain strengths. We will point out three typical weaknesses.    studies utilized, however, sample sizes that gave more statist-
                                                                  ical power (Bailey et al., 1995; Chan et al., 1998), and issues
Samples.                                                          of statistical power and effect sizes were discussed (Chan
The samples were typically selected through snowball              et al., 1998). The meta-analysis by Allen and Burrell (1996),
techniques or self-selection, which bias the samples toward       reporting no differences in emotional well-being and sexual
the more advantaged subjects among children of lesbian            preference between children of heterosexual and homo-
mothers or gay fathers. The samples were most often small,        sexual parents, was based on analyses of adequate effect
increasing the chance to conclude that no differences exist       size and power considerations. The studies that included
between groups when in fact the differences do exist. This        matching procedures represent time-consuming and costly
casts doubt on the external validity of the studies, as Belcas-   efforts at solving the problems with matching according to
tro et al. (1993) pointed out. Further, parents are often         exposure to various family structures. These problems are
poorly matched. Case-control designs, used in several of the      of a conceptual and practical nature. For example, single
studies, are well suited for comparing groups of small preval-    mothers may live with extended families and thus not fall
ence or groups who are difficult to reach, and it represents      within either “single” or “couple” categories, and single
one of the standard designs within epidemiology. It requires,     mothers may provide their children with male figures to
however, careful matching between cases (lesbian mother           various degrees.
or gay father headed families) and controls (heterosexual            Although measures of uncertain validity were utilized in
headed families). For example, many (but not all) lesbian         some studies, several of the studies utilized measures with
mothers and gay fathers have had their children within a          known reliability and validity, like the Child Behavior
heterosexual relationship, and it is therefore necessary to       Checklist (Brewaeys et al., 1997; Chan et al., 1998; Flaks
et al., 1995; Patterson, 1994) and the WISC-R (Flaks et al.,       Future studies
1995; Green et al., 1986) and others have gone far to estab-       What is needed is a large research program exploring spe-
lish valid and reliable measures (as Golombok et al., 1983).       cific experiences and needs of children and their lesbian
   Blinding in studies where persons are assessed face to face     mothers and gay fathers, with less emphasis on psychological
complicates recruitment, data collection, and coding proced-       outcomes as such. A panel sample of families from all
ures. More than half of the studies did, nevertheless, utilize     Scandinavian countries aimed at cultural, cross-sectional and
blinding procedures in one or more phases of the study.            longitudinal analyses might be established and followed for
   The studies converged on finding no substantial differ-         several years. Due to the unambiguous results in the studies
ences between the children groups on the seven outcomes            reviewed, we believe that large epidemiological studies with
reviewed, despite the variety of samples, ways of defining         more fine-tuned instruments and tests are less needed than
concepts, measures, and procedures. This strengthens the           in-depth and process-oriented methods. An approach wel-
validity of the data (Goodman et al., 1998). It is unreasonable    coming lesbian women and gay fathers as parents would
to believe that we, in the near future, in any satisfactory way,   start with the fact that their children must have experiences
will totally overcome the conceptual and practical problems        with their parents’ identity and behavior that are different
in comparing children from the various types of families.          from other children. Questions that really speak up relate to
Therefore we have to make use of the available evidence.           issues like how one may help these families to overcome
   In conclusion, then, although there were methodological         prejudice, exploring the experiences of coming out to one’s
weaknesses in the reviewed studies, the data, in our view,         children (e.g. Lynch & Murray, 2000), and exploring what
were of good enough quality to make use of them.                   nonlesbian or nongay families may learn from these families
                                                                   (e.g. Benkov, 1995). A growing body of literature is studying
                                                                   these phenomena, but much remains to be done.
Comments on the research questions
                                                                      The reviewed literature originates primarily in the USA and
What are the ideologies underlying the research themes?            Britain. Other studies published in French or Scandinavian
An answer to this question would require historical and            languages may have been published in nonindexed literature,
discursive analyses, as the research questions originate in        and thus may have been overlooked by us. Our guess is that
prevailing values and ideologies, and we will only briefly         the results of the present review may be generalized to Scan-
raise the issue here. We suspect that the research questions       dinavian settings, since family structures, economic systems,
in the reviewed works originate in negative views about            gender relations, and conceptualizations of sexual categories
homosexual expressions and lifestyles in Western cultures.         are basically the same, in contrast to, for example, Arabic
Whether one shares these negative views or resists them, the       cultures. However, important differences do also exist
research questions center around comparisons between child         between the regions, such as the comparative lack of ethnic
groups. While appreciating the value of many such empirical        diversity in Scandinavian countries, and there is a need to
studies, Benkov (1995) also stated: “I was uncomfortable           explore specific Scandinavian experiences.
with the existing lesbian mother studies for many reasons, I
don’t see the traditional nuclear family as a normative model
which should set standards for all others to meet. I don’t         Conclusion
think it matters whether children grow up to be lesbian or         The present review did not reveal evidence that children of
gay, or construct their sense of gender in non-traditional         lesbian mothers differed from other children on emotional
ways. In both these respects, the studies took up rather than      adjustment, sexual preference, stigmatization, gender role
questioned homophobic and heterosexist assumptions”                behavior, behavioral adjustment, gender identity, or cognit-
(p. 53; see also Clarke, 2000; Fitzgerald, 1999; Pollack,          ive functioning. The studies reported surprisingly similar
1990). The normative status of the nuclear family within           findings despite the variety of conceptual and methodolo-
developmental psychology probably has a strong influence           gical approaches. In sum, the findings support the idea that
on which research questions are phrased and supported fin-         lesbian women should be allowed to be considered suitable for
ancially. As Burman (1994) has pointed out, normalization          adoption. For men, there are too few studies to provide sub-
ideologies and adjustment rhetorics are typical within             stantive evidence, although the same probably holds for them.
the field. Thus, the field might reinforce fear of homosexual
relations by the very focus on the outcomes studied. On the
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