Attitudes towards homosexuality in American health care literature 1983-1987

The purpose of this paper was to content analyze a purposive sample of American health care literature from 1983-1987 to ascertain what impact if any, the AIDS epidemic has had on the images of gay men and lesbian women in health sciences literature. Empirical studies, letters to the editor, policy statements and opinion papers expressing attitudes towards homosexuality and psychosocial aspects of AIDS in nursing, general medicine, and psychiatric literature were content analyzed. Findings indicate that although positive, neutral and negative images were found in the 59 articles which were examined, the largest proportion (61%) were negative. This reflects a change in the literature from previously neutral positions. Implications for patient care and further research are addressed.     

Psychoanalytic theory and affirmation of the gay lifestyle: are they necessarily antithetical?

This article explores a conflict between the American psychoanalytic community and the American gay community which has played itself out in this country's mental health system for most of this century. The roots of the conflict are traced back to the American conception of diagnosis, as well as a lack of adequate developmental studies focused on the nature of homosexuality. The current psychoanalytic stance is presented as inimical to the stance Freud took, and an exploration of ways to ameliorate the conflict between American psychoanalytic thought and affirmation of homosexuality as an alternative healthy lifestyle is undertaken.     

On our memory of gay Sullivan: a hidden trajectory

This article examines psychiatrist Harry Stack Sullivan's approach to the issue of homosexuality. Sullivan (1892-1949), well-known for his interpersonal theory of mental illness, is believed to have accomplished a high recovery rate in his treatment of schizophrenia during the 1920s. Most of his patients, as well as Sullivan himself, were concerned about their "homosexual" orientations. He encouraged physical affection between male patients and male attendants, believing that it would free patients from their guilt for their "unconventional" sexuality. But he kept his compelling practice hidden, not bringing it into open discussion to confront the definition of homosexuality as "sickness." This article traces the process in which the omission of the important aspect of Sullivan's practice began during his lifetime and continued in the scholarship since. In so doing, the article suggests a nuanced understanding of this important figure in the U.S. intellectual and cultural history of homosexuality.     

On Our Memory of Gay Sullivan: A Hidden Trajectory

ABSTRACT

This article examines psychiatrist Harry Stack Sullivan's approach to the issue of homosexuality. Sullivan (1892–1949), well-known for his interpersonal theory of mental illness, is believed to have accomplished a high recovery rate in his treatment of schizophrenia during the 1920s. Most of his patients, as well as Sullivan himself, were concerned about their “homosexual” orientations. He encouraged physical affection between male patients and male attendants, believing that it would free patients from their guilt for their “unconventional” sexuality. But he kept his compelling practice hidden, not bringing it into open discussion to confront the definition of homosexuality as “sickness.” This article traces the process in which the omission of the important aspect of Sullivan's practice began during his lifetime and continued in the scholarship since. In so doing, the article suggests a nuanced understanding of this important figure in the U.S. intellectual and cultural history of homosexuality.     

The dilemma of essentiality in homosexual theory

A close examination of the literature on homosexuality reveals a long history of definitional crises in which the central consideration has been the maintenance of a belief in homosexuality as a state of being. This paper asks what, if anything, can be considered essential to the homosexual category. To answer this question, various approaches to homosexuality in the literature have been examined: as a general state of being (the person), as a state of desire (sexual orientation), as a form of behavior (sexual acts), and, more recently, as a personal identification (sexual identity). In addition, the interrelationships of these categorizations are explored.     

Attitudes Toward Homosexuality in China: Exploring the Effects of Religion,Modernizing Factors,and Traditional Culture

Using the zero-inflated model and nationally representative sample data from the Chinese General Social Surveys 2013, this study systematically explored the effects of religion, modernizing factors, and traditional culture on attitudes toward homosexuality in China. The findings indicate that most Chinese people generally hold conservative attitudes toward homosexuality, as approximately 78.53% of the respondents believed that “same-sex sexual behavior is always wrong.” Modernizing factors (i.e., education, exposure to Internet information, and liberal inclinations) predicted greater tolerance for homosexuality, whereas Islamic beliefs negatively influenced respondents’ attitudes toward homosexuality. In contrast to the findings of the existing literature, Christian beliefs and traditional culture did not have significant effects on attitudes toward homosexuality. These findings may contribute to the literature by not only quantitatively testing the applicability of several factors identified in most Western studies of this topic but also providing new knowledge of attitudes toward homosexuality in the social context of China.     

The relationship between homosexuality, internalized homo-negativity, and mental health in men who have sex with men

Whether homosexuality or internalized homo-negativity is the critical variable affecting the mental health of men who have sex with men has long been debated. As part of a larger study, 422 Midwestern homosexual men completed questionnaires examining degree of homosexuality, internalized homo-negativity, and depression. Logistic regression modeling identified internalized homo-negativity, but not degree of homosexuality, as significantly associated with greater adjustment depression (OR = 1.5), major depression (OR = 2.6), dysthymia (OR = 1.5), and likelihood of being in therapy (OR = 1.4). Internalized homo-negativity was also negatively associated with overall sexual health, psychosexual maturation, comfort with sexual orientation, "outness," and peer socialization. Internalized homo-negativity, not homosexuality, appears associated with negative health outcomes. Providers should promote sexual health and avoid interventions that reinforce internalized homo-negativity.     

Homosexual identity: a concept in need of definition

Despite the fact that the concept homosexual identity has been used extensively in the literature on homosexuality since the late 1960s, investigators have shown little concern for defining or discussing the manner in which it is used. As a result, the study of homosexual identity has been characterized by confusion, disarray, and ambiguity. A multiplicity of terminologies makes comparisons between studies difficult. There has been little attempt to place theoretical proposals or data within the framework of existing psychological literature on identity. A number of assumptions critical to an understanding of homosexual identity are commonly made, and several of these are discussed: The synonymity of homosexual identity and self-concept; homosexual identity as childhood identity; homosexual identity as sexual identity; and homosexuality as distinct essence. This review also considers the following issues: The distinction between identity and behavior; the utility of an identity construct as applied to the study of homosexuals; the definition of identity in developmental theories of homosexual identity; and homosexual group identity.     

Not Threat,But Threatening: Potential Causes and Consequences of Gay Innumeracy

Existing literature on numeracy suggests that people are likely to perceive outgroups as larger if the group is perceived as threatening. However, some studies also suggest that numeracy is a function of wishful thinking or even a lack of political knowledge. We engage the literature on numeracy of the gay and lesbian population by employing data from 1977 and 2013 surveys of American adults. We examine the factors that are associated with estimating the gay population. Next we explore how innumeracy may shape attitudes about homosexuality and gay rights. Our findings suggest that estimates of the gay population are partly a function of knowledge, and perhaps wishful thinking, but not threat. However, our analysis also reveals that higher estimates of the gay population are associated with less support for gay civil rights in the current era and were not a factor in the past.     

Self-management of a chronic illness: An exploratory study on the role of spirituality among older African American women

Living with a chronic illness is an experience characterized by changes in self-management behavior. Few studies have addressed the role of spirituality in the self-management of a chronic illness among older African American women. The purpose of this exploratory study was to understand the role of spirituality in the self-management of chronic illness. Data from a sample of 10 African American women were collected from semi-structured interviews and analyzed for common themes through narrative analysis. Four themes emerge from the linkage of spirituality and self-management. Understanding this experience will assist public health providers in creating culturally appropriate health education interventions.     

The Relationship Between Homosexuality,Internalized Homo-Negativity,and Mental Health in Men Who Have Sex with Men

ABSTRACT

Whether homosexuality or internalized homo-negativity is the critical variable affecting the mental health of men who have sex with men has long been debated. As part of a larger study, 422 Midwestern homosexual men completed questionnaires examining degree of homosexuality, internalized homo-negativity, and depression. Logistic regression modeling identified internalized homo-negativity, but not degree of homosexuality, as significantly associated with greater adjustment depression (OR?=?1.5), major depression (OR?=?2.6), dysthymia (OR?=?1.5), and likelihood of being in therapy (OR?=?1.4). Internalized homo-negativity was also negatively associated with overall sexual health, psychosexual maturation, comfort with sexual orientation, “outness,” and peer socialization. Internalized homo-negativity, not homosexuality, appears associated with negative health outcomes. Providers should promote sexual health and avoid interventions that reinforce internalized homo-negativity.     

Multiple Dimensions of Attitudes About Homosexuality: Development of a Multifaceted Scale Measuring Attitudes Toward Homosexuality

Attitudes toward homosexuality are complex. To get a comprehensive view on the attitudes of people, different dimensions need to be included in research. Based on a review of the literature, we distinguish five dimensions: acceptance of homosexuality in a general sense; attitude toward equal rights; reactions to homosexuality “at close quarters”; reactions to homosexuality in public; and so-called modern homonegativity. In a study on a representative sample of Dutch Defence personnel (N = 1,607) we tested this model. Structural equation modeling of several items measuring the attitude toward homosexuality offers a six factor solution. These six factors are more or less comparable to the five dimensions we distinguished. The dimension “reactions to homosexuality at close quarters” is, however, empirically split in a dimension on affective reactions to homosexuality and homosexual persons in general and a dimension on affective reaction to homosexual friends or acquaintances.     

Self-Management of a Chronic Illness: An Exploratory Study on the Role of Spirituality Among Older African American Women

ABSTRACT

Living with a chronic illness is an experience characterized by changes in self-management behavior. Few studies have addressed the role of spirituality in the self-management of a chronic illness among older African American women. The purpose of this exploratory study was to understand the role of spirituality in the self-management of chronic illness. Data from a sample of 10 African American women were collected from semi-structured interviews and analyzed for common themes through narrative analysis. Four themes emerge from the linkage of spirituality and self-management. Understanding this experience will assist public health providers in creating culturally appropriate health education interventions.     

Developing Lesbian Identity: A Sociohistorical Approach

The process of construction of lesbian identity in a group of eight Spanish women is analyzed from a historical–cultural perspective. For that purpose, we provide a characterization of discourses about homosexuality in Spain and the way in which these discourses are intertwined with autobiographical narratives of the participants. The participants' life stories were analyzed using a qualitative methodology. We focused on the relationship between self and lesbianism and emphasized the themes related to identity issues (development of lesbian identity and reflections about identity). As a conclusion, we stress the need to deconstruct stigmatizing discourses about homosexuality for the development of a positive personal identity.     

Same-Sex Relationships in Yorùbá Culture and Orature

It is widely believed that lesbianism and homosexuality are foreign concepts and colonial imports to Sub-Saharan Africa. This popular view is not unconnected with hegemonic heterosexual orientation of the society. The pitfall of heterosexual orientation, which hinges on politics of sexual representation, is worth an academic investigation. Therefore, this study seeks to close the analytical gap by examining Yorùbá oral literature, which is regarded as the repertoire of their traditional and cultural beliefs and nuances, to unravel the subject of lesbianism and homosexuality from a sociological approach.

Drawing on interviews and oral literature, this article examines the vital ideas of lesbianism and gay culture among the Yorùbá people of southwestern Nigeria. This article argues that the preconceived obscenity of lesbianism and homosexuality among the Yorùbá hinges on the culture of silence within the cultural milieu of the people. The study concludes that the representation of lesbianism and gay in diverse oral literature, as the repertoire of people's experiences and worldview, rubberstamped its presence and practices in the Yorùbá society.     

Beyond the Dichotomy: Six Religious Views of Homosexuality

Using published theological and scholarly evidence, this article disrupts the stereotypical “born gay”/“sinful choice” dichotomy widely assumed to characterize religious views of homosexuality in the United States. It argues that we need to keep moral questions separate from questions about the fixity or fluidity of sexual orientation. Rather than two, American Christian and Jewish views of homosexuality can been seen on a range from the “God Hates Fags” view through “Love the Sinner, Hate the Sin,” “We Don’t Talk About That,” “They Can’t Help It,” “God’s Good Gift,” and a queer-theological view of the “Godly Calling.”     

Multiple dimensions of attitudes about homosexuality: development of a multifaceted scale measuring attitudes toward homosexuality

Attitudes toward homosexuality are complex. To get a comprehensive view on the attitudes of people, different dimensions need to be included in research. Based on a review of the literature, we distinguish five dimensions: acceptance of homosexuality in a general sense; attitude toward equal rights; reactions to homosexuality "at close quarters"; reactions to homosexuality in public; and so-called modern homonegativity. In a study on a representative sample of Dutch Defence personnel (N = 1,607) we tested this model. Structural equation modeling of several items measuring the attitude toward homosexuality offers a six factor solution. These six factors are more or less comparable to the five dimensions we distinguished. The dimension "reactions to homosexuality at close quarters" is, however, empirically split in a dimension on affective reactions to homosexuality and homosexual persons in general and a dimension on affective reaction to homosexual friends or acquaintances.     

The Role of Beliefs on Learning About Homosexuality in a College Course

The present research investigated how personal beliefs about homosexuality influence learning in a college course. We tested students in introductory psychology over material on the science of homosexuality by Simon LeVay (2010). All students reported information about their typical academic habits and the extent to which homosexuality was consistent with their beliefs and values. The results showed that students’ personal beliefs were related to academic behaviors (e.g., reading assignments, skipping class) and retention of the course material. The results also showed that students’ recall of course material six weeks later was predicted by the extent to which they reported studying information that is inconsistent with their beliefs for an exam and then forgetting it. Students who reported the material to be inconsistent with their beliefs engaged in selective forgetting of the material on homosexuality. The results provide evidence that personal beliefs can reduce the retention of belief-inconsistent information in a college course.