Autism and Gender and Sexuality Diversity

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Dewinter, J., Zaks, Z., Brörmann, N., Henczyk, I., Graham, E. K., & Strang, J. F. (2024). Autism and Gender and Sexuality Diversity. In Autism Spectrum Disorder: Understanding the Female Phenotype (pp. 171-185). Springer International Publishing. https://doi.org/10.1007/978-3-031-62072-0_11

Publication date: 1 Jan 2024 Added to AutiHub: 29 Aug 2026 Type: Book chapter Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
6
Publication authors identified as autistic
1 / 6 (16.7%)

Abstract

The inclusion of a chapter on intersectional autism and LGBTQ+ identities within a book focused on autism in girls and women accords with calls for greater attention to both gender and assigned sex in autism research. For example, any study of autistic “girls” or “women” or “female” autistic people must consider gender identity, assigned sex, and broader gender expression-related characteristics. The chapter provides an overview of the existing literature on intersectional autism and gender and sexuality diversity. It also provides a critique regarding notable gaps in the literature, contextualizing the particular focus researchers have placed on intersectional autism and gender diversity and the relative lack of research on autism and sexual orientation diversity. The chapter begins by presenting a conceptual framework for understanding gender and sexuality diversity in autism. A review of the literature on broad LGBTQ+ identities and autism is followed by reviews of gender diversity and autism and sexual diversity and autism. Co-created by an authorship team of autistic LGBTQ+ co-authors, the chapter concludes with a contemporary commentary on the state of the literature, as contextualized by autistic LGBTQ+ people. The autistic LGBTQ+ co-authors also reflect on the daily lives of autistic LGBTQ+ individuals across a range of contexts. Several themes emerge in the commentary including the importance of research and advocacy across nations (as much research has been conducted in more affirming countries), the need for attention to mental health and clinical needs, and the need for societal acceptance and inclusion for individuals with multiple marginalized identities.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 12 Sep 2026 18:16.

Cited references
74
With a DOI
61
Without a DOI, from raw bibliography text
13
11 / 74 (14.9%) cited references include at least one author identified as autistic.
References with data to complete
3 / 74 (4.1%)
References with detected author names
72 / 74 (97.3%)
Without detected author names
2
Without a structured title
3
Without a stable identifier
13
References with raw author names still to review
2
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
379
From DOI or external metadata
379
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
8
194 / 379 (51.2%) names are linked to an author already present in AutiHub. 185 / 379 (48.8%) names are not yet linked.
Names linked to a person identified as autistic
19 / 379 (5.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 19 / 194 (9.8%). Distinct people identified as autistic: 12 / 279 (4.3%).
  1. Jessica Penwell Barnett , Eleanor Maticka‐Tyndale (2015). Qualitative Exploration of Sexual Experiences Among Adults on the Autism Spectrum: Implications for Sex Education . Perspectives on Sexual and Reproductive Health, 47(4), 171-179. Guttmacher Institute.
    Type: Article DOI: 10.1363/47e5715 OpenAlex: https://openalex.org/W1918492303
    Crossref OpenAlex OpenCitations
  2. A. de Vries , Ilse Noens , Peggy T. Cohen-Kettenis , Ina A. van Berckelaer-Onnes , Theo A. Doreleijers (2010). Autism Spectrum Disorders in Gender Dysphoric Children and Adolescents . Journal of Autism and Developmental Disorders, 40(8), 930-936. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  3. Jeroen Dewinter , H. De Graaf , Sander Begeer (2017). Sexual Orientation, Gender Identity, and Romantic Relationships in Adolescents and Adults with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 47(9), 2927-2934. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  4. W. Christopher Skidmore , Joan A. W. Linsenmeier , J. Michael Bailey (2006). Gender Nonconformity and Psychological Distress in Lesbians and Gay Men . Archives of Sexual Behavior, 35(6), 685-697. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  5. Rita George , Mark A Stokes (2018). Gender identity and sexual orientation in autism spectrum disorder . Autism, 22(8), 970-982. SAGE Publications.
    Crossref OpenAlex OpenCitations
  6. Mark A Stokes , Archana Kaur (2005). High-functioning autism and sexuality . Autism, 9(3), 266-289. SAGE Publications.
    Crossref OpenAlex OpenCitations
  7. Mark A Stokes , Naomi Newton , Archana Kaur (2007). Stalking, and Social and Romantic Functioning Among Adolescents and Adults with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 37(10), 1969-1986. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  8. Varun Warrier , David M. Greenberg , Elizabeth M Weir , Clara Buckingham , Paula Smith , Meng-Chuan Lai et al. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals . Nature Communications, 11(1), 1. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  9. Nat Thorne , Andrew Kam-Tuck Yip , Walter Pierre Bouman , Ellen Marshall , Jon Arcelus (2019). The terminology of identities between, outside and beyond the gender binary – A systematic review . International Journal of Transgenderism, 20(2-3), 138-154. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  10. Doug P. VanderLaan , Lori Postema , Hayley Wood , Devita Singh , Sophia Fantus , Jessica Hyun et al. (2015). Do Children With Gender Dysphoria Have Intense/Obsessional Interests? The Journal of Sex Research, 52(2), 213-219. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  11. González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.
    Crossref OpenAlex OpenCitations
  12. Susanne Bejerot , Jonna M. Eriksson , Sabina Bonde , Kjell Carlström , Mats B. Humble , Elias Eriksson (2012). The extreme male brain revisited: gender coherence in adults with autism spectrum disorder . British Journal of Psychiatry, 201(2), 116-123. Royal College of Psychiatrists.
    Crossref OpenAlex OpenCitations
  13. Roald A. Øien , Domenic V. Cicchetti , Anders Nordahl-Hansen (2018). Gender Dysphoria, Sexuality and Autism Spectrum Disorders: A Systematic Map Review . Journal of Autism and Developmental Disorders, 48(12), 4028-4037. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  14. John F. Strang , Haley Meagher , Lauren Kenworthy , A. de Vries , Edgardo Menvielle , Scott F. Leibowitz et al. (2018). Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents . Journal of Clinical Child & Adolescent Psychology, 47(1), 105-115. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  15. Daniel E. Shumer , Sari L. Reisner , Laura Edwards-Leeper , Amy C. Tishelman (2016). Evaluation of Asperger Syndrome in Youth Presenting to a Gender Dysphoria Clinic . LGBT Health, 3(5), 387-390. SAGE Publications.
    Crossref OpenAlex OpenCitations
  16. Giorgia Sala , Laura A. Pecora , Merrilyn Hooley , Mark A Stokes (2020). As Diverse as the Spectrum Itself: Trends in Sexuality, Gender and Autism . Current Developmental Disorders Reports, 7(2), 59-68. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  17. Rita George , Mark A Stokes (2018). A Quantitative Analysis of Mental Health Among Sexual and Gender Minority Groups in ASD . Journal of Autism and Developmental Disorders, 48(6), 2052-2063. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  18. Lorcan Kenny , Caroline Hattersley , Bonnie Molins , Carole Buckley , Carol Povey , Elizabeth Pellicano (2016). Which terms should be used to describe autism? Perspectives from the UK autism community . Autism, 20(4), 442-462. SAGE Publications.
    Crossref OpenAlex OpenCitations
  19. C Alison (2019). Autistic Women & Nonbinary Network (AWN) . Autistic Women & Nonbinary Network (AWN).
    Type: Other
    Crossref
  20. Michael S. Hogan , Joseph A. Micucci (2020). Same-sex relationships of men with autism spectrum disorder in middle adulthood: An interpretative phenomenological study. Psychology of Sexual Orientation and Gender Diversity, 7(2), 176-185. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  21. Anna I.R. van der Miesen , Hannah Hurley , A. de Vries (2016). Gender dysphoria and autism spectrum disorder: A narrative review . International Review of Psychiatry, 28(1), 70-80. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  22. B Carpenter , Francesca Happé , Jo Egerton (2019). Girls and Autism . Routledge.
    Crossref OpenAlex OpenCitations
  23. Jeroen Dewinter , R. Vermeiren , I. Vanwesenbeeck , Ch. Van Nieuwenhuizen (2016). Adolescent boys with autism spectrum disorder growing up: follow-up of self-reported sexual experience . European Child & Adolescent Psychiatry, 25(9), 969-978. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  24. Gözde Yazkan Akgül , Ayşe Burcu Ayaz , Burcu Yildirim , Nese Perdahli Fis (2018). Autistic Traits and Executive Functions in Children and Adolescents With Gender Dysphoria . Journal of Sex & Marital Therapy, 44(7), 619-626. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  25. Sandra Strunz , Constanze Schermuck , Sarah Ballerstein , Christoph J. Ahlers , Isabel Dziobek , Stefan Roepke (2017). Romantic Relationships and Relationship Satisfaction Among Adults With Asperger Syndrome and High‐Functioning Autism . Journal of Clinical Psychology, 73(1), 113-125. Wiley.
    Crossref OpenAlex OpenCitations
  26. A. Natisha Nabbijohn , Anna I.R. van der Miesen , Alanna Santarossa , Diana Peragine , A. de Vries , Arne Popma et al. (2019). Gender Variance and the Autism Spectrum: An Examination of Children Ages 6–12 Years . Journal of Autism and Developmental Disorders, 49(4), 1570-1585. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  27. Daphna Joel , Margaret M McCarthy (2017). Incorporating Sex As a Biological Variable in Neuropsychiatric Research: Where Are We Now and Where Should We Be? Neuropsychopharmacology, 42(2), 379-385. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  28. Elizabeth M Weir , Carrie Allison , Simon Baron-Cohen (2021). The sexual health, orientation, and activity of autistic adolescents and adults . Autism Research, 14(11), 2342-2354. Wiley.
    Type: Article DOI: 10.1002/aur.2604 OpenAlex: https://openalex.org/W3199419134
    Crossref OpenAlex OpenCitations
  29. WB Lawson (2017). Transitioning together: one Couple's journey of gender and identity discovery . Transitioning together: one Couple's journey of gender and identity discovery.
    Type: Other
    Crossref
  30. Anna I.R. van der Miesen , A. de Vries , Thomas D. Steensma , Catharina A. Hartman (2018). Autistic Symptoms in Children and Adolescents with Gender Dysphoria . Journal of Autism and Developmental Disorders, 48(5), 1537-1548. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  31. Jorieke Duvekot , Jan van der Ende , Frank C Verhulst , Geerte Slappendel , Emma van Daalen , Athanasios Maras et al. (2017). Factors influencing the probability of a diagnosis of autism spectrum disorder in girls versus boys . Autism, 21(6), 646-658. SAGE Publications.
    Crossref OpenAlex OpenCitations
  32. EA Mendes (2019). Gender identity, sexuality and autism: voices from across the spectrum . Gender identity, sexuality and autism: voices from across the spectrum.
    Type: Other
    Crossref
  33. Walter Pierre Bouman , Amets Suess Schwend , Joz Motmans , Adam Smiley , Joshua D. Safer , Madeline B. Deutsch et al. (2017). Language and trans health . International Journal of Transgenderism, 18(1), 1-6. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  34. Tamara May , Ken C. Pang , Katrina Williams (2017). Brief Report: Sexual Attraction and Relationships in Adolescents with Autism . Journal of Autism and Developmental Disorders, 47(6), 1910-1916. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  35. Laura Foran Lewis , Caroline Ward , Noah Jarvis , Eleni Cawley (2021). “Straight Sex is Complicated Enough!”: The Lived Experiences of Autistics Who are Gay, Lesbian, Bisexual, Asexual, or Other Sexual Orientations . Journal of Autism and Developmental Disorders, 51(7), 2324-2337. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  36. Jack L. Turban , Gerrit I. van Schalkwyk (2018). “Gender Dysphoria” and Autism Spectrum Disorder: Is the Link Real? Journal of the American Academy of Child & Adolescent Psychiatry, 57(1), 8-9.e2. Elsevier BV.
    Crossref OpenAlex OpenCitations
  37. Sari M. van Anders , Zach C. Schudson , Emma C. Abed , William J. Beischel , Emily R. Dibble , Olivia D. Gunther et al. (2017). Biological Sex, Gender, and Public Policy . Policy Insights from the Behavioral and Brain Sciences, 4(2), 194-201. SAGE Publications.
    Crossref OpenAlex OpenCitations
  38. A Sequenzia (2017). The failings of person first language . The failings of person first language.
    Type: Other
    Crossref
  39. Christiane E. S. Rudolph , Andreas Lundin , Jill W. Åhs , Christina Dalman , Kyriaki Kosidou (2018). Brief Report: Sexual Orientation in Individuals with Autistic Traits: Population Based Study of 47,000 Adults in Stockholm County . Journal of Autism and Developmental Disorders, 48(2), 619-624. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  40. T Insel (2013). Director Post Series . Director Post Series.
    Type: Other
    Crossref
  41. Anthony R. D'augelli , Arnold H. Grossman , Michael T. Starks (2008). Gender Atypicality and Sexual Orientation Development Among Lesbian, Gay, and Bisexual Youth . Journal of Gay & Lesbian Mental Health, 12(1-2), 121-143. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  42. Janet Shibley Hyde , Rebecca S. Bigler , Daphna Joel , Charlotte Chucky Tate , Sari M. van Anders (2019). The future of sex and gender in psychology: Five challenges to the gender binary. American Psychologist, 74(2), 171-193. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  43. Sarah M. Burke , Amir H. Manzouri , Ivanka Savic (2017). Structural connections in the brain in relation to gender identity and sexual orientation . Sci Rep, 7(1), 17954. Springer Science and Business Media LLC.
    Crossref OpenAlex
  44. World Health Organization (2021). Gender and Health . Gender and Health.
    Type: Other
    Crossref
  45. Hillary H. Bush , Lindsey W. Williams , Eva Mendes (2021). Brief Report: Asexuality and Young Women on the Autism Spectrum . Journal of Autism and Developmental Disorders, 51(2), 725-733. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  46. David Jackson‐Perry (2020). The Autistic Art of Failure? Unknowing Imperfect Systems of Sexuality and Gender . Scandinavian Journal of Disability Research, 22(1), 221-229. Stockholm University Press.
    Crossref OpenAlex OpenCitations
  47. GLAAD (2021). Terms to Avoid . Terms to Avoid.
    Type: Other
    Crossref
  48. Sarah M. Burke , Amir H. Manzouri , Ivanka Savic (2017). Structural connections in the brain in relation to gender identity and sexual orientation . Scientific Reports, 7(1). Springer Science and Business Media LLC.
    OpenCitations
  49. Elizabeth Hisle-Gorman , Corinne A. Landis , Apryl Susi , Natasha A. Schvey , Gregory H. Gorman , Cade M. Nylund et al. (2019). Gender Dysphoria in Children with Autism Spectrum Disorder . LGBT Health, 6(3), 95-100. SAGE Publications.
    Crossref OpenAlex OpenCitations
  50. Elie Vandenbussche (2022). Detransition-Related Needs and Support: A Cross-Sectional Online Survey . Journal of Homosexuality, 69(9), 1602-1620. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  51. Reubs J. Walsh , Lydia Krabbendam , Jeroen Dewinter , Sander Begeer (2018). Brief Report: Gender Identity Differences in Autistic Adults: Associations with Perceptual and Socio-cognitive Profiles . Journal of Autism and Developmental Disorders, 48(12), 4070-4078. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  52. Jeroen Dewinter , Anna I.R. van der Miesen , Laura Graham Holmes (2020). INSAR Special Interest Group Report: Stakeholder Perspectives on Priorities for Future Research on Autism, Sexuality, and Intimate Relationships . Autism Research, 13(8), 1248-1257. Wiley.
    Type: Article DOI: 10.1002/aur.2340 OpenAlex: https://openalex.org/W3037130462
    Crossref OpenAlex OpenCitations
  53. (n.d.). Strauss P, Cook A, Winter S, Watson V, Wright Toussaint D, Lin A. Trans pathways: the mental health experiences and care pathways of trans young people. Perth, Australia; 2017.
    Type: Other
    Crossref
  54. Kathrin Hartmann , Maria R. Urbano , C. Teal Raffaele , Lydia R. Qualls , Takeshia V. Williams , Clay Warren et al. (2019). Sexuality in the Autism Spectrum Study (SASS): Reports from Young Adults and Parents . Journal of Autism and Developmental Disorders, 49(9), 3638-3655. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  55. ASAN (2016). Joint Statement on the Death of Kayden Clark . Joint Statement on the Death of Kayden Clark.
    Type: Other
    Crossref
  56. Jung-Chi Chang , Meng-Chuan Lai , Yueh-Ming Tai , Susan Shur-Fen Gau (2022). Mental health correlates and potential childhood predictors for the wish to be of the opposite sex in young autistic adults . Autism, 26(1), 146-159. SAGE Publications.
    Crossref OpenAlex OpenCitations
  57. Simone Mahfouda , Christina Panos , Andrew Whitehouse , Cati S. Thomas , Murray Maybery , Penelope Strauss et al. (2019). Mental Health Correlates of Autism Spectrum Disorder in Gender Diverse Young People: Evidence from a Specialised Child and Adolescent Gender Clinic in Australia . Journal of Clinical Medicine, 8(10), 1503. MDPI AG.
    Crossref OpenAlex OpenCitations
  58. (n.d.). Autistic Self Advocacy Network, National Center for Transgender Equality, & LGBTQ Task Force. Autistic self advocacy network, National Center for transgender equality, and LGBTQ task force joint statement on the rights of transgender and gender non-conforming autistic people. Washington, DC; 2016.
    Type: Other
    Crossref
  59. Jean P. Hall , Katie Batza , Carl G. Streed , Brian A. Boyd , Noelle K. Kurth (2020). Health Disparities Among Sexual and Gender Minorities with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 50(8), 3071-3077. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  60. Penelope Strauss , Angus Cook , Vanessa Watson , Sam Winter , Andrew Whitehouse , Nicole Albrecht et al. (2021). Mental health difficulties among trans and gender diverse young people with an autism spectrum disorder (ASD): Findings from Trans Pathways . Journal of Psychiatric Research, 137, 360-367. Elsevier BV.
    Crossref OpenAlex OpenCitations
  61. Eric Llaveria Caselles (2021). Epistemic Injustice in Brain Studies of (Trans)Gender Identity . Frontiers in Sociology, 6, 63. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  62. JF, Strang (2019). Strang JF, Klomp SE, Caplan R, Griffin AD, Anthony LG, Harris MC, van der Miesen AIR. Community-based participatory design for research that impacts the lives of transgender and/or gender-diverse autistic and/or neurodiverse people. Clin Pract Pediatr Psychol. 2019;7(4):396. Clin Pract Pediatr Psychol, 7(4), 396.
    Type: Other
    Crossref
  63. JF Strang (2017). Gender-diversity-related barriers questionnaire (GBQ): a self-report of gender diverse/transgender adolescent and young adult barriers achieving gender diversity-related needs and goals . Gender-diversity-related barriers questionnaire (GBQ): a self-report of gender diverse/transgender adolescent and young adult barriers achieving gender diversity-related needs and goals.
    Type: Other
    Crossref
  64. LBK Mendos (2020). State-sponsored homophobia 2020: global legislation overview update . State-sponsored homophobia 2020: global legislation overview update.
    Type: Other
    Crossref