Subjects whose sexual orientation and identification is with homosexual persons of the opposite biological sex were studied. "Transhomosexual" has been coined to describe such persons. Forms of transhomosexual expression vary with different emphases found in regard to orientation to, idealization of, and wish to participate in activities of homosexuals of the opposite biological sex. Where identification is strong or overriding, such persons become "transsexual." However, there are important differences between these and conventionally diagnosed transsexuals. Sexual orientation then is not defined entirely or always by the sex of the sexual object choice, but sometimes additionally by references to preferred heterosexual or homosexual styles of relationship.