Sexual Orientation Bias Experiences and Service Needs of Gay,Lesbian, Bisexual,Transgendered, and Two-Spirited American Indians

Summary

Employing both quantitative and qualitative methodologies, this study examined: sexual orientation bias experiences among American Indians (AIs) who were gay, lesbian, bisexual, transgend-ered, or two-spirited (GLBTT-S); service provider attitudes toward AI GLBTT-S; and service barriers and needs with respect to AI GLBTT-S at one AI community-based organization. Among the 14 AI GLBTT-S surveyed, the percentages reporting various bias-related experiences were comparable or greater to those reported for non-AI GLBTT-S in other studies (e.g., 36% had been physically assaulted because of their sexual orientation). The 22 service providers surveyed revealed generally low levels of heterosexism, which was inversely related to contact and comfort with AI GLBTT-S as well as understanding of AI GLBTT-S terms. Data from 8 focus groups (7 with service providers and 1 with AI two-spirited men) yielded four main themes related to problems and barriers to service utilization for AI GLBTT-S (i.e., invisibility, discrimination, trauma, and identity) as well as ideas for community-based program planning with this population.     

Living and loving with dementia: Negotiating spousal and caregiver identity through narrative

In this paper, we examine how Alzheimer's disease and related disorders (ADRD) affect caregivers' perceptions of change in the identity of their afflicted spouse and the ways in which accompanying changes in caregiver identity influence intimate relations. We also explore how gender shapes the ADRD caregiving experience among married couples, specifically, the extent to which intimate relations are also gendered relations. The study group was comprised of spousal caregivers recruited from support groups in the two Midwestern states and from the Alzheimer's Disease Center (ADC) at a large Midwestern university hospital. In-depth interviews were conducted with 13 men and 15 women whose spouses had ADRD. The intensive interviews confirmed that identity change on the part of sick spouses had important implications for intimacy, although not always in adverse ways. The majority of caregiver husbands and wives reported diminished intimacy as a result of the ADRD. Many men and women believed they would retain feelings of closeness to their afflicted spouses as long as they were alive. Wives were more likely than husbands to report that changes in their spouses' identity altered how they identified themselves within their marriage. This has important implications for intimate relations between people with ADRD and those who care for them. Our findings suggest that caregiving and intimacy are very different experiences for men and women, and point to the need for caregiver education and support.     

Comparing violence over the life span in samples of same-sex and opposite-sex cohabitants

Using data from a nationally representative telephone survey that was conducted from November 1995 to May 1996, this study compares lifetime experiences with violent victimization among men and women with a history of same-sex cohabitation and their counterparts with a history of marriage and/or opposite-sex cohabitation only. The study found that respondents who had lived with a same-sex intimate partner were significantly more likely than respondents who had married or lived with an opposite-sex partner only to have been: (a) raped as minors and adults; (b) physically assaulted as children by adult caretakers; and (c) physically assaulted as adults by all types of perpetrators, including intimate partners. The study also confirms previous reports that intimate partner violence is more prevalent among gay male couples than heterosexual couples. However, it contradicts reports that intimate partner violence is more prevalent among lesbian couples than heterosexual couples. Overall study findings suggest that intimate partner violence is perpetrated primarily by men, whether against same-sex or opposite-sex partners.     

Minimal Treatment Approaches for Concerned Significant Others of Problem Gamblers: A Randomized Controlled Trial

The goal of this study was to examine the efficacy of minimal treatment interventions for concerned significant others (CSOs) of problem gamblers. One hundred and eighty-six participants (82% females, 56% spouses) were randomly assigned to one of three groups: the first minimal intervention group received a self-help workbook [based on behavioral principles, modified from the Community Reinforcement and Family Therapy (CRAFT) model] and the second minimal intervention group received the workbook plus telephone support. The control condition received a treatment resource information package. Overall, all participants reported significant improvement in personal and relationship functioning and gambling behavior and consequences at the 3- and 6-month follow-up. The data demonstrated differences in favor of the interventions in three areas: days gambling, satisfaction with the program, and number who had their needs met. There was no difference in the number who had entered treatment. It may be that CSOs require more guidance and follow-up support to achieve these goals using the CRAFT procedures and strategies.     

Childhood sexual experiences and the perception of abuse among Latino men who have sex with men

There is a lack of consensus on how to define childhood sexual abuse (CSA). In this study we explore the perceptions of CSA among men who had such experiences. One hundred Latino men (predominately gay) who had childhood sexual experiences with an older partner (CSEOP) were asked whether they considered their experiences sexual abuse (41 said no; 59 said yes). Those who felt abused were younger when the events happened and were more likely to have been physically forced, physically hurt, threatened, and emotionally hurt. Negative correlates of CSEOP in adulthood were also explored. Men who considered themselves the victims of CSA differed from those without CSEOP in having more alcohol use, unprotected anal sex, and male sex partners.     

Childhood sexual experiences and the perception of abuse among latino men who have sex with men

There is a lack of consensus on how to define childhood sexual abuse (CSA). In this study we explore the perceptions of CSA among men who had such experiences. One hundred Latino men (predominately gay) who had childhood sexual experiences with an older partner (CSEOP) were asked whether they considered their experiences sexual abuse (41 said no; 59 said yes). Those who felt abused were younger when the events happened and were more likely to have been physically forced, physically hurt, threatened, and emotionally hurt. Negative correlates of CSEOP in adulthood were also explored. Men who considered themselves the victims of CSA differed from those without CSEOP in having more alcohol use, unprotected anal sex, and male sex partners.     

Possible Indicators of Childhood Sexual Abuse for Individuals in Substance Abuse Treatment

This study reviewed the charts of 217 patients discharged from two inpatient substance abuse treatment facilities to compare clients with a history of childhood sexual abuse to clients without such a history. Approximately 1/3 of the women and 1/10 of the men reported that they had been sexually abused as children. Individuals reporting a sexual abuse history differed significantly from individuals who did not report such a history in only a few respects. They were significantly more likely to report that they were still troubled by childhood experiences, that they had been physically abused in childhood, that there were sexual issues they were reluctant to share or discuss, that they had been physically harmed by another, and that they had made one or more suicide attempts. Research needs and implications for treatment providers are discussed.     

Marital violence: comparing women in violent and nonviolent unions.

This study examined marital violence among Israeli Jews. Data were obtained from a sample of 161 women who gave birth at Soroka Medical Center in the Negev region of Israel in 1992. The literature reveals that Jewish families tolerate domestic violence if an "evil" woman refuses housework or shows no respect for her husband. It is believed that Jews do not beat their wives. This study explored the degree to which women accept as legitimate the gender division of authority and use of power. It is posited that women in violent marriages (VMs) tend to accept the traditional division of labor and authority and hold more tolerant attitudes toward VMs. It is posited that VMs may be less egalitarian and democratic. VMs may be maintained if women are emotionally dependent on husbands, have a lower self-image, and perceive their husbands more positively. The questionnaire asked about social background and resources, attitudes toward marital power and violence, power relations, self-image, conflict solving, and women's emotional dependency. 18% had 1 domestic violent episode. 8 factors explained 56% of the difference between VMs and non-VMs and 90% of the cases. Husbands tried to avoid conflict. Wives fought for their interests and used external resources when conflict occurred. Husbands were reluctant to share power. There were 2 distinct patterns: the battered women syndrome and the struggle for power. Marital conflict was associated, as in the American literature, with economic hardship, lack of collectiveness in the dyad, and the form of conflict solving tactics used by both spouses. Women in VMs had different attitudes toward husband control and were emotionally dependent on their husbands.     

Perceived threats of female infidelity, male proprietariness, and violence in college dating couples

According to evolutionary theory, men faced the adaptive problem of keeping their partners sexually faithful. In the current study, men's perception that their partners are interested in other men was hypothesized to be associated with more controlling behaviors in romantic relationships. Of the two dimensions of mating tactics, controlling and attentive behaviors, physically aggressive men were expected to be especially controlling, but not attentive. Using structural equation modeling with 116 college dating couples, women who reported greater interest in other men were perceived by their partners to do so and these men also exhibited more controlling behaviors, which were associated with physical aggression. Men's perception of women's interest in others was a more important predictor of male violence than women's actual interest in other men. The link between women's control tactics and their use of physical violence differed from men.     

A Qualitative Look at the Perceived Strengths of Male Batterers: Implications for Intervention Programs

Currently, batterer intervention programs tend to focus on education and confrontation, with outcomes being less than promising. Limitations of current interventions have encouraged development of alternative treatment forms aimed at ending relationship violence. An emerging trend in the fields of social work and positive psychology is to build on strengths and competencies of offenders. The purpose of this qualitative study was to introduce an alternative position within the treatment field by identifying self-disclosed strengths of men who had been charged with a domestic violence offense and who were being evaluated for a voluntary batterer diversion program. A content analysis revealed competencies useful for helping men be accountable and end violence against their partners through redirecting negative behavior and identifying resources and strengths.     

Victimization in young urban adults and depressed mood: understanding the interplay of coping and gender

Violence exposure has a significant impact on victims' psychological well-being. This study examined the relationship between two types of violence exposures (threats and physical assaults), coping styles (emotion focused, avoidant, and problem focused), gender, and depression among 211 (147 females and 64 males) young urban adults (ages 18-24). Most participants (60%) endorsed being physically assaulted, whereas many (40%) endorsed being threatened. Hierarchical multiple regressions were conducted. As hypothesized, women reported using more emotion-focused coping and reported greater depression than men. Avoidant coping was a predictor for increased depression for both men and women. However, women who employed problem-focused coping after their first physical assault reported lower rates of depression. These findings have implications for designing early interventions.     

Using social media-based drama therapy and family counselling to treat symptoms of postpartum depression among women

This study examines the impact of social media-based drama therapy and family counselling in reducing symptoms of postpartum depression (PPD) in women aged 18–34. The researchers used a quasi-experimental design and randomly assigned the participants (n = 303) to the control, drama therapy, and family counselling groups. The key findings of the study are as follows. First, at baseline, women not only showed more symptoms of PPD than their male counterparts, but men also reached the PPD threshold of 12/13. Second, the difference between women and men regarding their PPD scores achieved statistical significance (p = 0.004). However, during the post-intervention assessment, men who received drama therapy intervention reported a significant drop in their PPD below the threshold of 12/13. Only women whose spouses received family counselling on spousal support reported a significant drop in their PPD. However, those whose partners did not receive family counselling on spousal support still reported PPD scores within the threshold. In both instances, women in the control group still had high PPD scores. Finally, during the 6-month follow-up assessment, even men in the control group did not have significant symptoms of PPD as their scores dropped below the threshold. On the contrary, women in the control group still had high PPD, indicating that PPD lasted more in women than in men. Also, women whose husbands received family counselling on spousal support reported PPD scores below the threshold. However, women whose husbands did not receive spousal counselling still had PPD scores at the threshold, even though their scores marginally dropped.     

Trajectories of physical and emotional marital aggression in midlife couples

This study used three-level generalized hierarchical linear modeling to examine trajectories of husbands' and wives' physical and emotional aggression over three assessments and the effects of years since marriage. In this community sample of 118 couples, physical aggression significantly decreased over time (43% per year). Emotional aggression did not significantly change over time, but trajectories significantly differed for husbands (3% increase) versus wives (10% decrease). Longer-duration marriages had lower physical aggression and, for wives only, lower emotional aggression. Aggression trajectories showed considerable variability: 44%-55% of physically aggressive spouses desisted from one assessment to the next; 5%-12% reported start-ups in physical aggression. Discussion addresses the role of gender and type of aggression in aggression trajectories.     

The meanings and motives for women's use of violence in Canadian college dating relationships: Results from a national survey

Data from a Canadian nationwide representative sample of 1,835 female college students were used to test a variety of propositions about women's use of violence in dating relationships. It has become progressively common in both Canada and the United States to argue that women are as violent as men. Although in a crude counting of violent acts these data confirm the contention that women commit a large number of such acts, a further investigation of the women's motives shows that a substantial amount of their violence was in self‐defense, or “fighting back.” The more these women had been victimized, whether physically or sexually, the more likely they were to report that they had used self‐defensive violence. The finding that a substantial amount of women's     

Female harassment after ending a relationship: A preliminary study

While dramatic instances of male aggression directed toward women, such as rape and wife battering, have been frequently studied, a more subtle form of male aggression—female harassment—has been investigated less often. In the present study, 50 women who had terminated relationships with males and then were harassed were interviewed. In general, the harassment lasted for about a year, and episodes which occurred on a daily basis consisted of calls, letters, visits to home or work, being followed, verbal threats, and physical aggression. For the most part, these aggressive actions were perceived as both threatening and disturbing. Findings indicated that assertive female strategies were not more effective in reducing harassment than more sex-role stereotyped passive and nonassertive responses to male aggression. In the second phase of this study a sample of college undergraduates was interviewed on the topic of harassment. Fifty-six percent of the women indicated that they had been harassed by men.My thanks to Lyn De Amicis and LaVome Robinson for their instructive and helpful comments.     

Family caregivers of the elderly: quality of life and coping in Estonia

The purpose of the study was to analyse the assessments of elderly people aged 65 and more about family caregiving as a factor influencing their quality of life and coping. The study is based on the project SUFACARE—‘Supporting family carers and care receivers in Estonia and in Finland’—in the framework of which the Institute of Social Work of Tallinn University carried out postal surveys in 2010. The Estonian survey was conducted in Tallinn and Lääne-Viru County. The total number of respondents was 581 (70% female and 30% male), of whom 98 (n=74 female and n=24 male) were family caregivers. Caregiving has not influenced the physical and mental health of caregivers, the reason being that many people who receive care are not of very ill health or suffer from dementia. People mostly take care of their spouses. Based on the Estonian Family Law Act (RT I 2009, 60, 395), adult descendants are required to provide maintenance if their relatives are not able to care for themselves. Caregivers whose health is below average consider caring to be physically demanding. We cannot speak of the social isolation of respondents who have care duties—they communicate actively and do not feel lonely. Women report caregiving to be physically strenuous more often than men. The mental health of male caregivers is better—fewer male respondents claimed to feel unhappy or depressed compared to female respondents.     

Women’s Employment Status,Coercive Control,and Intimate Partner Violence in Mexico

Findings from previous studies examining the relation between women’s employment and the risk of intimate partner violence have been mixed. Some studies find greater violence toward women who are employed, whereas others find the opposite relation or no relation at all. I propose a new framework in which a woman’s employment status and her risk of violent victimization are both influenced by the level of control exercised by her partner. Controlling men will actively prevent women from working and are also more likely to physically harm their partners. Using a statistical model in which the effect of omitted characteristics on women’s employment and their risk of violence are allowed to be correlated reverses the estimated association between employment and violence. The final results show that employment reduces women’s risk of violence. Data for the study are drawn from a sample of over 30,000 Mexican women in intimate relationships. The findings have broad implications given the increase in female labor force participation in many parts of the world.     

An examination of pathways from childhood victimization to violence: the role of early aggression and problematic alcohol use

Using prospective data from a cohort design study involving documented cases of child abuse and neglect and a matched control group, we examine two potential pathways between childhood victimization and violent criminal behavior: early aggressive behavior and problematic drinking. Structural equation models, including controls for race/ethnicity, socioeconomic status, parental alcoholism, and parental criminality, revealed different pathways for men and women. For men, child maltreatment has direct and indirect (through aggressive behavior and problematic alcohol use) paths to violence. For women, problematic alcohol use mediates the relationship between childhood victimization and violence, and, independent of child maltreatment, early aggression leads to alcohol problems, which lead to violence. Interventions for victims of childhood maltreatment need to recognize the role of early aggressive behavior and alcohol problems as risk factors for subsequent violence.     

Black heterosexuals’ attitudes toward lesbians and gay men in the United States

Although the direction and intensity of Black heterosexuals’ attitudes toward homosexuality have been topics for considerable speculation, empirical data from representative samples previously have not been available. In the current article we report findings from a two‐wave telephone survey with a national probability sample of 391 Black heterosexual adults. Results indicated that negative attitudes toward homosexuality are widespread but do not appear to be more prevalent among Blacks than among Whites. Gender differences in Black heterosexuals’ attitudes (men's attitudes toward gay men were more negative than their attitudes toward lesbians or women's attitudes toward gay men) appeared to result primarily from men's greater tendency to regard male homosexuality as unnatural. The single most important predictor of attitudes was the attribution of choice to sexual orientation: Respondents who believed that homosexuality is beyond an individual's control expressed significantly more favorable attitudes toward gay men and lesbians than did respondents who regarded homosexuality as a choice. Consistent with previous research in predominantly White samples, respondents were more likely to express favorable attitudes if they were highly educated, unmarried, politically liberal, registered to vote and not religious, and if they included Blacks in their concept of gay men. In addition, respondents reported more favorable attitudes if they had experienced personal contact with gay men or lesbians, but this was not a significant predictor of attitudes when other variables were statistically controlled. Possible differences between Blacks’ and Whites’ social constructions of sexual orientation are discussed.