Sexual Minority Women's Gender Identity and Expression: Challenges and Supports

Sexual minority women were divided into four groups to study their gender identities (butch and femme), and gender expression (traditionally gendered and non-traditionally gendered women who do not identify as butch or femme). Experiences of heterosexist events (discrimination, harassment, threats of violence, victimization, negative emotions associated with these events), mental health (self esteem, stress, depression), and supports for a sexual minority identity (social support, outness, internalized homophobia) were examined across these groups. Findings suggested that butch-identified women experienced more heterosexist events than femme women or women with non-traditional gender expressions. There were no differences in mental health variables.     

Sexual and Gender Identity Disorders

Abstract

The author responds to Hill et al.'s “Gender Identity Disorders in Childhood and Adolescence: A Critical Inquiry” and Moser and Kleinplatz's “DSM-IV-TRand the Paraphilias: An Argument for Removal.” The author sees the paper as raising the issue of whether there are any cases for which sexual and gender identity diagnoses are appropriate. The author believes a central issue is how does one decide that something is just unusual (normal variation) or something is disordered (pathological). The author believes the concept of “medical disorder” can be applied to human behavior and gives examples to support that view. The author supports an essentialist view that some “things” (like being human and modes of sexual expression) have properties or qualities that are invariable and represent the true essence of the “thing.” From this perspective, the author finds the arguments for eliminating the categories of GID and paraphilias from the DSM as weak at best.     

Longitudinal Associations Between Husbands' and Wives' Depressive Symptoms

Although concordance between husbands' and wives' mental health problems is often reported, questions remain about the nature of these relations. Extending research in this area, this study examined dynamic-longitudinal pathways among husbands' and wives' depressive symptoms and marital satisfaction as a moderator of associations. Participants were 296 heterosexual couples. Husbands and wives reported on their depressive symptoms and marital satisfaction. Results from dynamic bivariate latent difference score analyses indicated unidirectional longitudinal coupling such that higher levels of husbands' depressive symptoms predicted subsequent elevations in wives' depressive symptoms over time. This relation was stronger among couples reporting marital distress as compared to couples reporting higher marital satisfaction. The findings underscore the importance of considering one's spouses' depressive symptoms in treatment efforts.     

Power,Gender, and Public Relations: Sexual Harassment as a Threat to the Practice

As women increasingly take their place as public relations managers, their ability to work successfully in a harassment-free environment will have an impact on the overall stature and practice of the field. We used data from a national survey and 6 focus groups to explore the effects of sexual harassment.     

Integrated Behavioral Health and Counseling Gender and Sexual Minority Populations

abstract

Counselors are increasingly expected to operate within an integrated behavioral health framework across systems of care. This critical literature review provides an overview of the integrated behavioral health paradigm, including the practice of interprofessional collaboration, with specific application to lesbian, gay, bisexual, transgender, queer (LGBTQ), and other gender and sexual minority issues. Implications for practice and research are discussed, along with a focus on concrete recommendations for application practicing interprofessionally with and on behalf of LGBTQ clients.     

Race and Ethnic Differences in Hope and Hopelessness as Moderators of the Association Between Depressive Symptoms and Suicidal Behavior

Abstract

Objective: The authors examined trait hope and hopelessness as potential moderators of the association between depressive symptoms and suicidal behavior. Participants: A diverse sample of 372 college students. Methods: Depressive symptoms, hopelessness (Beck Hopelessness Scale), trait hope (Trait Hope Scale), and suicidal behaviors were assessed. Trait hope is defined as confidence in the ability to identify and attain goals, whereas hopelessness encompasses future attitudes and motivation loss. Results: In independent models, low hopelessness buffered the association between depressive symptoms and suicidal behavior for our whole sample, blacks, and whites, whereas trait hope buffered for Hispanics and whites. Examined simultaneously, hope remained a significant moderator only in whites and hopelessness only in blacks. These findings suggest that etiological and outcome correlates of hope and hopelessness may differ by ethnicity. Conclusions: These findings may have implications for development of culturally targeted interventions for college students that strive to simultaneously reduce hopelessness and bolster hopefulness.     

Estimating the Longitudinal Association Between Adolescent Sexual Behavior and Exposure to Sexual Media Content

The purpose of this study is to estimate the association between adolescent sexual behavior and exposure to sexual media content. A three-wave, longitudinal survey sample (N = 506) of 14- to 16-year-olds at baseline is analyzed using growth curves. Growth trajectories are linear for sexual behavior but not for exposure to sexual media content. The signs of the exposure slopes are not uniformly positive: Hispanic and African American respondents show declines of exposure to sexual media content over the age range investigated here. Although changes in exposure to sex content are highly associated with changes in sexual behavior among Whites, there is little or no association between changes in these variables among Blacks.     

The Influences of Career Support and Sexual Identity on Sexual Minority Women's Career Aspirations

The authors examined the relationship between sexual identity, family/friend career support, and career aspirations in a sample of 381 sexual minority women. The results indicated that family career support and friend career support were positively related to career aspirations of sexual minority women. The results also indicated that the relationship between family career support and career aspirations depended on the level of negative sexual identity. The findings demonstrate the utility of social cognitive career theory (Lent, Brown, & Hackett, 1994, 2002) with this particular population. Limitations and implications for further research and practice are discussed.     

Avenues for Future Minority Stress and Substance Use Research among Sexual and Gender Minority Populations

Sexual and gender minority individuals (lesbian, gay, bisexual, transgender, queer [LGBTQ]) experience elevated rates of minority stress and associated substance use relative to their heterosexual and cisgender counterparts. Although the minority stress–substance use relationship is well documented, less is currently known regarding day-to-day minority stress and substance use risk processes. Rather than criticize existing literature, this review highlights future directions and advocates for the use of experience sampling methodology as a valuable research tool regarding real-time data capture. Greater utilization of this methodology is encouraged and expected to improve understanding of daily minority stress processes, and provide insight into real-time risk monitoring and intervention strategies.     

Associations Among Coping Style,Personality, Unsafe Sexual Behavior,Depression, Conflict over Sexual Orientation,and Gender Nonconformity

Little attention has been given to dispositional variables in relapse into unsafe sex. In two previous papers, we showed (1) that recurrent adult depression in the gay/bisexual men in our sample is often associated with high gender nonconformity, especially core gender dysphoria, in childhood, (2) that coping strategies and personality scores are associated with changes from 1979 to 1989 in unsafe sex-defined as receiving semen rectally without a condom (RSR), and (3) that sexual identity conflicts are related to a general style of escape-avoidant coping, (4) which is in turn associated with the MMPI profiles previously shown to correlate with unsafe sex. Here we break down these analyses to see if these patterns are related to HIV status. We studied over 500 gay/bisexual men who contributed SCID interviews, Freund Feminine Gender Identity scale scores, MMPI-2 profiles, Ways of Coping (Revised) scores, Profile of Mood States (POMS) scores, and sex histories (ns varied by analysis). Concerning the relationship between FGI and depression (1), we found that the correlations persisted in the HIV positive subsample, but vanished to insignificance among the HIV negative controls. A similar pattern emerged in the correlations pertaining to MMPI scores and unsafe sex (2), as well as in the association between escape-avoidant coping and sexual identity conflict (3). The analyses correlating the MMPI scores with escape-avoidant coping were, in contrast, equally strongly associated when broken down by HIV status. A series of sample selection biases could account for these results. It would be more parsimonious, however, to hypothesize a deeper rationale. We suggest more investigation of the possibility that psychological and sexological variables may have more intriguing effects on sexual behaviors or Ihe dispositional factors (perhaps even immunologic ones) leading to HIV exposure than has been recognized to date.     

The Relationship Between Sexual Minority Verbal Harassment and Utilization of Health Services: Results from Countywide Risk Assessment Survey (CRAS) 2004

In this article we examine the prevalence of and associations between sexual orientation–based verbal harassment and reported utilization of health services across levels of sexual orientation in a diverse sample of adult recipients of Los Angeles County–funded HIV-related health and social services. Thirty-two percent reported they had experienced verbal harassment, the majority (80.3%) of whom identified as lesbian, gay, or bisexual (LGB). Those who reported being verbally harassed received significantly more services overall than those who were not verbally harassed, and service utilization varied by sexual orientation. These findings inform future efforts to identify and assess social discrimination in health and social service settings.     

The Relationship Between Nontraditional Gender Roles and Sexual Coercion

Social scientists have proposed that traditional gender role socialization contributes to sexual coercion. Data from 398 students at an eastern state university were used to examine (1) the incidence of women enacting nontraditional gender roles in dating and sexual interactions, (2) the relationship between women's enactment of nontraditional roles and their experiences with physical and nonphysical sexual coercion and (3) the incidence of men reporting nonphysical coercive strategies used by women to engage in sexual intercourse. Results showed that a majority of women had asked a man out for a date and shared or paid the entire expenses for a date and over one third had initialed a first sexual involvement with a man. No support was found for the view that women's enactment of nontraditional roles puts them at lower risk of sexual coercion. Women who reported more sex partners experienced significantly more incidents of both physical and nonphysical coercion than women with fewer sex partners. Subslantial proportions of men also reported that women tried to have sex with them by nonphysical coercive strategies. Findings are discussed in terms of implications for high school and college sex education courses.     

Missing from the Conversation: Sexual Risk Factors Across Young People by Gender Identity and Sexual Orientation

Abstract

Objectives: Lesbian, gay, bisexual, and queer/questioning (LGBQ), and transgender/nonbinary (trans/NB) youth experience health disparities. Much research combines gender identity with sexual orientation or siloes them, ignoring intersections. Methods: Logistic regressions with representative data from 2015 Healthy Kids Colorado Survey (n?=?15,970) explores sexual risk. Results: Findings indicate LGBQ and trans/NB youth have differential levels of sexual risk (drugs during sexual interactions, not using condoms) compared to cisgender heterosexual peers. Other identities, mental health, and bullying are also related. Conclusions: There is a need for culturally responsive bullying prevention, mental health support, education, and sexual health services for marginalized populations.     

The Association of Maternal Depressive Symptoms with Child Externalizing Problems: The Role of Maternal Support Following Child Sexual Abuse

This study examines the role of abuse-specific maternal support in the association between parent depressive symptoms and child externalizing problems in a sample of children with a history of sexual abuse. In total, 106 mother–child dyads were studied. The association between maternal depressive symptoms and child delinquency behaviors was found to partially operate through abuse-specific maternal support, which was assessed via parent report. Implications of the findings for parenting programs are discussed, and future research directions are considered.     

Differences in Sexual Orientation Diversity and Sexual Fluidity in Attractions Among Gender Minority Adults in Massachusetts

This study characterized sexual orientation identities and sexual fluidity in attractions in a community-based sample of self-identified transgender and gender-nonconforming adults in Massachusetts. Participants were recruited in 2013 using bimodel methods (online and in person) to complete a one-time, Web-based quantitative survey that included questions about sexual orientation identity and sexual fluidity. Multivariable logistic regression models estimated adjusted risk ratios (aRRs) and 95% confidence intervals (95% CIs) to examine the correlates of self-reported changes in attractions ever in lifetime among the whole sample (n = 452) and after transition among those who reported social gender transition (n = 205). The sample endorsed diverse sexual orientation identities: 42.7% queer, 19.0% other nonbinary, 15.7% bisexual, 12.2% straight, and 10.4% gay/lesbian. Overall, 58.2% reported having experienced changes in sexual attractions in their lifetime. In adjusted models, trans masculine individuals were more likely than trans feminine individuals to report sexual fluidity in their lifetime (aRR = 1.69; 95% CI = 1.34, 2.12). Among those who transitioned, 64.6% reported a change in attractions posttransition, and trans masculine individuals were less likely than trans feminine individuals to report sexual fluidity (aRR = 0.44; 95% CI = 0.28, 0.69). Heterogeneity of sexual orientation identities and sexual fluidity in attractions are the norm rather than the exception among gender minority people.     

Sexual Harassment and the Construction of Ethnographic Knowledge

It is not uncommon for women researchers to experience sexualized interactions, sexual objectification, and harassment as they conduct fieldwork. Nevertheless, these experiences are often left out of ethnographers’ “tales from the field” and remain unaddressed within our discipline. In this article, we use women's experiences with harassment in the field to interrogate the epistemological foundations of ethnographic methodology within the discipline of sociology. Based on more than 50 qualitative interviews, we examine three “fixations” of contemporary ethnography that inform women ethnographers’ understandings of and reactions to harassment in the field. These fixations are solitude, danger, and intimacy. Our data show that these fixations not only put researchers in danger but also have implications for the construction of ethnographic knowledge. They contribute to silence surrounding sexual harassment, and are motivated by and reproduce androcentric norms that valorize certain types of fieldwork. We argue that acknowledging and analyzing experiences with harassment and other unwanted sexual attention in the field is part of a more fully developed understanding of ethnographic research itself.     

Sexual Orientation,Relationships with Parents,Stress, and Depressive Symptoms among Adults

Disparities in depressive symptoms as a function of sexual orientation have been well documented, but less is known about their origins. This study examines whether, even in adulthood, less favorable parental relationships are associated with disparities in depressive symptoms as a function of sexual orientation. Cross-sectional data were drawn from Wave IV of the National Longitudinal Study of Adolescent to Adult Health. Gay, lesbian, and bisexual (GLB) participants reported lower quality parental relationships, greater stress, and more depressive symptoms than did heterosexual participants. Lower quality parental relationships were associated with higher stress. Higher stress and lower quality parental relationships were associated with more depressive symptoms. GLB individuals reported lower father relationship quality and higher stress, which partially mediated the association of sexuality and depressive symptoms. Lesbian and bisexual women reported lower mother relationship quality and higher stress, which fully mediated the association of sexuality and depressive symptoms. While no differences in mother relationship quality existed for men, mother relationship quality was more strongly associated with depressive symptoms for gay and bisexual men than for heterosexual men. Even in adulthood, greater stress and depressive symptoms among GLB individuals were at least partially accounted for by less favorable parental relationships.     

Gender,Pubertal Development,and Peer Sexual Harassment Predict Objectified Body Consciousness in Early Adolescence

Objectified body consciousness (OBC)—the tendency to view one's body as an object for others to look at and evaluate—is theorized to emerge during sexual maturation as adolescents, particularly adolescent girls, experience sexual objectification. Although OBC generally is discussed in developmental terms, research so far has examined primarily the experiences of undergraduates and adults. Our goal in this study was to examine early adolescent experiences with OBC and to explicitly test the idea that OBC is linked to experiences of sexual objectification, such as peer sexual harassment, that early adolescents face as their bodies reach maturity. We tested several structural models of OBC and its relation to puberty, peer sexual harassment, and negative body experience. The prevailing model supported OBC theory's premise that pubertal development and peer sexual harassment increase adolescent girls' tendency toward self-surveillance, which in turn leads to greater body shame. Several pathways in the model were not significant for boys.     

From Civility to Harassment and the Great Space in Between

Civility has produced powerful results in bringing about internal healing and understanding throughout the history of the United States. The proposition that civility is far more disciplined than the behavior required by law regarding appropriate social– or work–related behavior and its practice is good preventive law is the point of this article. By various means of teaching civility, the middle area between civility and legal restriction can be noted and tolerated as part of civility. This article will illustrate different aspects of civility by discussing Ulysses S. Grant and Robert E. Lee as they showed civility with the context of social order, and as Robert E. Lee demonstrated, in the academy. The difference between civility and legal restrictions on disruptive behavior that severely interfere with the educational process will be shown by first presenting civility examples, then citing the law regarding speech and harassment.