Berdache is not a Native American term. According to linguist Claude Courouve, the word derives from the Persian bardaj; via European contact with the Muslim world, the word spread by the early sixteenth century to Italian as bardasso, to Spanish as bardaxa or bardaje, and to French as bardache.

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Berdache is a relatively recent Anglophonic corruption of this term, which was defined in seventeenth- and eighteenth-century French dictionaries as "a young man who is shamefully abused" or "a young man or boy who serves as another's succubus, permitting to be committed on him."

Early Spanish and French explorers and colonizers in North America applied these terms as a means of making sense of the relationships, anatomical sex, sexual behavior, and social gender role of those individuals they encountered who fell outside their own conceptual frameworks.

Berdachism was well known to anthropologists of North America in the nineteenth and twentieth centuries, but discussion of it was most often relegated to footnotes in general texts. Famed anthropologist Alfred Kroeber, a student of Franz Boas and founding figure in the Department of Anthropology at the University of California, Berkeley, did extensive ethnographic fieldwork on berdachism among California tribes. This work reportedly informed The Left Hand of Darkness (1969), a popular science fiction novel set on a world with a complex gender system in which individuals change sex over the course of their life span, which was written by Kroeber's daughter, Ursula K. Le Guin.

Interest in berdachism among gay, lesbian, bisexual, and scholars began with the publication, in Jonathan N. Katz's Gay American History (1976), of several ethnographic descriptions discovered in archival source materials. Over the past several decades, a large body of literature on the phenomenon has been produced by Charles Callender and Lee Kochems, Walter Williams, Will Roscoe, Beatrice Medicine, Evelyn Blackwood, Sabine Lang, and others.

Contemporary investigators of two-spirit traditions have documented their existence in 150 tribes for males, and roughly half that number for females. According to Will Roscoe, key features of these traditions include economic specializations (handcrafts and domestic work for males; warfare, hunting, and leadership roles for females); supernatural sanction (in the form of authorization through dreams and visions for adopting the atypical role); and gender variation (relative to normative expectations for males and females in a given society).

Same-sex erotic behavior is no longer considered a definitive marker of two-spirit status, although homosexuality (defined here as sexual relations involving two individuals of the same anatomical sex, regardless of their social gender) is common.

Historically, two-spirit people typically have been well integrated into the life of their tribes, and have often held revered and honored positions within them. Because of in the dominant cultures of North America, some aspects of two-spirit traditions have been suppressed or lost. Members of native cultures are often quite reluctant to discuss two-spirit traditions with outsiders, who they feel may misunderstand them or appropriate them for their own agendas.

Anthropology, the first of the social science disciplines to take sexuality--and particularly homosexuality--seriously as a field of intellectual inquiry in the late nineteenth and early twentieth centuries, has achieved a new impetus in the post-Stonewall era.

Ethnography, the description of indigenous non-European peoples by Euro-Americans, has been a safe way for writers to discuss homosexuality as a normal, non-pathological behavior.

Beginning in the 1960s increasing numbers of ethnographers have conducted research on glbtq issues, spurred by the premise that studies of diverse sexualities are crucial to understanding human behavior and culture.

Same-sex sexual practices among the indigenous peoples of Latin America were seen by their Spanish and Portuguese conquerors as evidence of their cultural inferiority and were repressed through both religious and civil means.

A social role for individuals who crossed or mixed male and female characteristics was one of the most widely distributed institutions of native North America.

From the two-spirits of traditional culture to contemporary writers, Native North Americans have produced a considerable body of gay and lesbian literature.

Sexual orientation indicates erotic attraction, whether toward people of the same gender (homosexual), the opposite gender (heterosexual), or both (bisexual).

A distinctive American narrative genre that has developed over more than two centuries, the Western is now consumed worldwide; characteristically depicting homosocial relationships, it is also frequently suffused with homoeroticism.

Although Ursula Le Guin does not address homosexual issues directly, she includes homosexuals as minor characters in works that cause readers to reexamine their assumptions about sex roles and stereotypes.