Special issues in the etiologies and treatments of sexual problems among gay men

Some of the special circumstances and issues involved in both the causes and treatments of sexual problems among gay men are discussed. Reported frequencies of specific dysfunctions are discussed, and desire, arousal, and orgasmic phases are used to describe the special problems gay men have. These categories are also used to explore some of the probable contributing factors and specific treatment issues and suggestions that have been found useful. Since there is some indication that inhibited ejaculation is a somewhat frequent problem among gay men and has been more difficult than some dysfunctions to treat, emphasis has been placed on possible causes and treatments that have been helpful. A category of sexually inexperienced gay men is also discussed.     

Stress and dress: investigating the relationship between social anxiety and appearance management among gay and straight men

This research project explores the relationship between social anxiety and appearance management behaviors (AMB), including both routine and non-routine, among gay and straight men and women. Prior research had found links between AMB and stress (Reilly & Rudd, 2002), stress and (perceived) discrimination (Lee, 1997; Savin-Williams, 1994), and sexual orientation and weight (Brand, Rothblum, & Solom, 1992). An argument is made that links stress with AMB using the foundation of Social Comparison Theory (Festinger, 1954) as a guide. Research questions investigated were: (1) Is there a correlation between stress and AMB; (2) Is there a significant difference between body mass indices of men and women of differing sexual orientations; (3) How do AMB differ between those with gay and straight orientations; and (4) How do AMB differ between men and women? Using a survey design, a questionnaire was posted on the Internet. Measures included the Rudd/Lennon Appearance Management Scale of Routine and Risky Behaviors and the Liebowitz Social Anxiety Scale. A total of 365 usable forms were completed. Results show that social anxiety is positively correlated with non-routine AMB, or behaviors that carry some risk. Gay and straight participants differed on the routine AMB they practiced. Men and women differed on the non-routine or risky AMB they practiced or would consider practicing. Implications are discussed and further research is suggested.     

Permanent partner priorities: gay and straight

Based on a design used in previous research with heterosexuals, this study assessed the permanent partner priorities of gay and straight men and women, as well as the perception of those priorities by each gender and sexual orientation. Heterosexuals and homosexuals did not differ in their rank-ordered priorities, but tended to misperceive the priorities of their own and the other groups studied. Differentials of misperception were explained by varying societal pressures experienced by homo- and heterosexual men and women. Implications based on the difference between the competitive nature of courtship and the cooperative nature of permanent pairing were drawn from the findings.     

Predictors of sports motivation among gay and bisexual men

Athletic activities are associated with reduced levels of stress and negative mood states among heterosexuals; thus, examining this association among gay/bisexual men is warranted. The current study examined the relationship between sports motivation and mood states, self-esteem, body esteem, life satisfaction, perceptions of masculinity/femininity, and parental encouragement for athletic endeavors among 195 gay/bisexual men. The results were mixed, but suggest that sports participation among gay/bisexual men may relate to a desire to express their masculinity and maintain a positive body image. Gay/bisexual men may be more likely to participate in sports if they receive positive reinforcement from others.     

Measure of internalized sexual stigma for lesbians and gay men: a new scale

The goal of this study is to propose a new Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG) that assesses three dimensions of internalized homonegativity: identity, social discomfort, and sexuality. A convenience sample of 735 Italian lesbians and gay male participants was used to demonstrate the psychometric validity of the scale. Results of confirmatory factor analysis supported three identifiable factors reflecting theoretically based constructs of the MISS-LG. The correlations with other instruments demonstrate the convergent validity: lesbian and gay participants with high internalized sexual stigma describe lower levels of self-disclosure and wellbeing. Implications for research and practice are discussed.     

Intergroup dialogue courses on sexual orientation: lesbian, gay and bisexual student experiences and outcomes

Intergroup dialogue is a method of social justice education. Most intergroup dialogue research explores race and gender identities. Sexual orientation dialogues are uncommon and not yet examined empirically. This qualitative study explores sexual orientation dialogue courses from the perspective of lesbian, gay, and bisexual (LGB) student participants. Understanding target, or marginalized, group perspective of planned intergroup experiences is important given concerns raised in the literature. We document student motivations for participating in dialogues, core outcomes, and main challenges that arose in dialogue. Core outcomes include learning about and accepting one's sexual identity and empowerment. Challenges include those stemming from invisibility of sexual orientation identity. Recommendations are made for intergroup dialogue practice and research.     

Social support and life satisfaction among gay men in Spain

Since the early 1960s, social support has been a topic of interest and study among social psychologists and other professionals investigating social issues. In spite of this growing interest by the scientific community, there are few studies on social support in the lesbian, gay, bisexual, and transgender (LGBT) community, and even fewer on the impact of social support on life satisfaction. In this regard, in Spain, there are very few psychosocial studies on homosexual groups. In the present study, the authors analyze social support data and life satisfaction in a sample of 220 gay residents of Málaga and Sevilla. The results show that friends are the most important source of overall social support, and that, in the family, sisters provide the most support and contribute to increased life satisfaction. On the other hand, social support had an effect on the level of life satisfaction, although the results indicate that factors associated with homosexual identity are the best predictors of life satisfaction. The implications of these results are discussed as well as potential future research.     

Attitudes towards lesbians and gay men and support for lesbian and gay human rights among psychology students

A questionnaire comprising two scales, the short form of the Attitudes Towards Lesbians and Gay Men Scale (ATLG-S; Herek, 1984) and the newly devised Support for Lesbian and Gay Human Rights Scale (SLGHR) were administered to 226 students taking undergraduate psychology courses at universities in the United Kingdom, to assess their attitudes towards lesbians and gay men, and their level of support for lesbian and gay human rights. The results indicated that whilst only a small percentage of respondents expressed negative attitudes towards lesbians and gay men on the ATLG-S, the sample as a whole did not overwhelmingly support lesbian and gay human rights. The lack of support for lesbian and gay human rights is discussed in relation to its implications for psychology students as future practitioners and policymakers.     

Attitudes and beliefs about hepatitis B vaccination among gay men: the Birmingham Measurement Study

This study was designed to develop reliable and valid quantitative measures of the beliefs and attitudes toward hepatitis B virus (HBV) vaccination among gay men, using a community-based participatory research approach. A convenience sample of 358 gay men was recruited in two gay bars. Exploratory factor analysis performed on the first split-half sample was used to assess the factor structure from five scales measuring beliefs about HBV vaccination. The scales were based on constructs from the health belief model and the social cognitive theory. Confirmatory factor analysis was performed on the remaining half-sample using structural equation modeling. Multivariable analysis further validated the scales. These findings propose standardized measures that may be useful in assessing the beliefs and attitudes of gay men toward HBV vaccination to guide intervention design and evaluation.     

Alcoholics anonymous and gay American men

Self-help groups can be powerful tools for self-change. Thus, counselors and other professionals are wise to consider referrals to such groups when possible. In this article, the nature of self-help groups is explored in general, and Alcoholics Anonymous (A.A.) in particular. A.A. was chosen because it is the "grandparent" of all 12-Step groups, it has proven effective over time, and because of the pandemic incidence of alcoholism among homosexual American men. Therefore, professionals should be well aware of this invaluable resource for the treatment of alcoholism. This article explores the homosexual alcoholic man in relation to A.A., as well as how professionals may be supportive of the gay A.A. member. Finally, some suggestions are provided about how rural homosexual alcoholic men might be better treated.     

Negative sexual experiences with men among heterosexual women and lesbians

Survey responses on traumatic experiences with men were compared from 50 matched pairs of heterosexual women and lesbians. Prior research has implied that lesbians have had more traumatic experiences with men than heterosexual women. The purpose of this study was to test the hypothesis that lesbians would report more negative sexual experiences with men than heterosexual women. The findings of the present study did not support this hypothesis. The only significant difference found between the two groups was that heterosexual women were more likely to report multiple categories of traumatic experiences and lesbians were more likely to report experiences in only one category of trauma. Contrary to prior studies, these results indicate that previous traumatic experiences with men may not be a significant factor in the development of sexual orientation.     

Memoir and performance: social change and self life-writing among men who are gay pornography producers and actors

Identity may be understood both as a life-story, either told or written as memoir or autobiography, and also as a practice such as producing or acting in gay pornographic film, but always within the context of social and historical change. Study of the memoirs of gay men who have been actors and/or producers of gay pornographic films across three generation cohorts provides an opportunity for understanding the interplay of social change and life circumstances in making gay identity. This perspective on identity is illustrated through the study of the memoirs of three men from different cohorts who have produced and acted in gay pornographic films: Wakefield Poole, born in 1936; Scott O'Hara, born in 1961; and Aaron Lawrence, born in 1971. Differences in style and content of both memoir and practice in gay pornographic films reflect changing social expectations regarding men who have sex with men following the emergence of the gay rights movement and the AIDS epidemic.     

A double epidemic: crystal methamphetamine drug use in relation to HIV transmission among gay men

Emerging research on methamphetamine use among gay men suggests that growth in the use of this drug could present serious problems for HIV/AIDS prevention within the gay community. This article summarizes current studies on the extent, role, and context of methamphetamine use among gay men and its relationship to high risk sexual behaviors related to HIV transmission. Methamphetamine is often used by gay men to initiate, enhance, and prolong sexual encounters. Use of the drug is, therefore, associated with particular environments where sexual contact among gay men is promoted, such as sex clubs and large "circuit" parties. Research with gay and bisexual men indicates that methamphetamine use is strongly associated with risky sexual behaviors that may transmit HIV. This relationship, coupled with emerging evidence that methamphetamine use is on the rise among gay men, suggests that the drug could exacerbate the HIV/AIDS epidemic among this community. The article offers recommendations for further research and suggestions for prevention programs regarding methamphetamine use by gay men.     

Assessment of sexual orientation

This paper reviews the multitude of methods which have been utilized to assess sexual orientation. The basic assumption of most of the previous methods of assessment is that sexual orientation is determined by one's gender or genitalia and the gender or genitalia of the individual one is attracted to. This assumption is challenged and the complexity of sexual orientation is illustrated. Consequently, a model for assessment of sexual orientation is proposed which includes nine dimensions: current relationship status, self-identification identity, ideal self-identification identity, global acceptance of their current sexual orientation identity, physical identity, gender identity, sex-role identity, and sexual orientation identity as measured by behavior, fantasies and emotional attachments, and finally the individual's past and present perception of their sexual identity compared to their idealized future.     

Homecoming: the relevance of radical feminism for gay men

Sexual politics in the gay male world would be enhanced by a serious engagement with radical feminist politics, particularly critiques of pornography and the sex industry. As the domination/subordination dynamic at the heart of patriarchy damages homosexual men, such engagement is crucial to the future of a gay movement.     

Research on sexual orientation: definitions and methods

An extensive survey of the research literature on sexual orientation was undertaken for the purpose of determining how sexual orientation had been conceptually and operationally defined and how research subjects had been identified and selected. Two hundred-twenty-eight articles from 47 different journals were analyzed. Sexual orientation, it was found, was conceptually defined in 28 studies and operationally defined in 168. In 196 studies respondents were identified on the basis of the settings in which they were found. Because of the great variation in both conceptual and operational definitions, it was almost impossible to determine with certainty the theoretical frameworks used in the studies. The wide divergency in the definitions of sexual orientation, the investigators conclude, is symptomatic of an underlying conceptual confusion.     

Positive associations among interpersonal contact, motivation, and implicit and explicit attitudes toward gay men

A correlational study explored the role of intergroup contact and motivation to respond without prejudice on heterosexuals' expression of explicit and implicit (unconscious) bias against gay men. Participants who reported having more relationships and closer relationships with gay, lesbian, or bisexual people tended to exhibit more favorable attitudes toward gay men on implicit as well as explicit attitude measures. Attitudes were also related to self-reported motivation to be non-prejudiced, including motivation stemming from sources internal as well as external to the individual. Multiple regression analyses showed that contact and motivation explain unique variance in attitude but that motivation is a relatively stronger predictor. The results are interpreted to suggest that implicit and explicit prejudice may be reduced through motivation coupled with positive contact experiences.     

The mediating effects of attitudes toward homosexuality between secure attachment and disclosure outcomes among gay men

Past research has found that a stronger secure attachment style, developed in childhood, enhances one's ability to acknowledge negative feelings, cope with negative life events, and develop satisfying social relationships. Because an integral part of the "coming out" process for gay men is the ability to seek support from the gay community in order to reevaluate negative beliefs toward homosexuality, a gay man's attachment style may strongly impact this critical stage of his life. Results demonstrated that men who more strongly endorsed a secure attachment style reported more positive attitudes toward their own homosexuality, and that these more positive attitudes could mediate the relation between more secure attachment style, greater levels of self-disclosure regarding their homosexuality, and greater self-esteem. Implications of these data for internalized homophobia, the coming-out process, and effective social functioning are discussed.     

HIV disclosure and subsequent sexual behaviors among men who have sex with men who meet online

To assess HIV disclosure discussions and related sexual behaviors among men who have sex with men (MSM) who meet sex partners online, 28 qualitative interviews with Seattle-area MSM were analyzed using grounded theory methods and themes and behavior patterns were identified. MSM found a greater ease in communicating and could prescreen partners through the Internet. However, no consistent relationship was found between HIV disclosure and subsequent behaviors: some were safer based on disclosure while perceived HIV status led others to risky behaviors. Interventions need to promote accurate disclosure while acknowledging its limitations and the need for men to self-protect.