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These guidelines are not intended to be mandatory or exhaustive and may not be applicable to every clinical situation.

The guidelines revision process was funded by Division 44 and by the APA Board of Directors.Categories of sexual orientation typically have included attraction to members of one’s own sex (gay men or lesbians), attraction to members of the other sex (heterosexuals), and attraction to members of both sexes (bisexuals).While these categories continue to be widely used, research has suggested that sexual orientation does not always appear in such definable categories and instead occurs on a continuum (e.g., Kinsey, Pomeroy, Martin, & Gebhard, 1953; Klein, 1993; Klein, Sepekoff, & Wolff, 1985; Shiveley & De Cecco, 1977) In addition, some research indicates that sexual orientation is fluid for some people; this may be especially true for women (e.g., Diamond, 2007; Golden, 1987; Peplau & Garnets, 2000).When one’s gender identity and biological sex are not congruent, the individual may identify as transsexual or as another transgender category (cf. refers to the “…way in which a person acts to communicate gender within a given culture; for example, in terms of clothing, communication patterns and interests.A person’s gender expression may or may not be consistent with socially prescribed gender roles, and may or may not reflect his or her gender identity” (American Psychological Association, 2008, p. refers to the sex of those to whom one is sexually and romantically attracted.

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