LGBTQ+ Youths’ Community Engagement and Resource Seeking Online versus Offline

Abstract

LGBTQ+ (lesbian, gay, bisexual, transgender, queer, etc.) youth are at increased risk for negative outcomes. Yet little is known about their engagement with communities and resources that may ameliorate risk, particularly online. Oriented by a uses and gratifications approach, this secondary analysis (n?=?4,009) of LGBTQ+ youth (aged 14–29) compares online versus offline experiences. Respondents were significantly more likely to participate in LGBTQ+ communities online. Youth were also more active, and felt safer and more supported, when participating in online LGBTQ?+?communities. Additionally, respondents sought online information, support, and resources at higher rates than offline. Increased attention toward online programming and resource development is warranted.     

Policy, Practice and People: Current Issues Affecting Clinical Practice

This commentary highlights current policy issues affecting lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the US with implications for mental and behavioral health care and social work services. These issues include conversion or reparative therapies, especially for young people, and conscience clauses that may exempt some students and practitioners from serving LGBTQ people and their families. While not a “policy” per se, emerging knowledge about health disparities that affect LGBTQ people will also be summarized because of its relevance to practice; many of these concern mental health and behavioral health. Finally, some resources for making health care organizations more responsive to the needs of LGBT people are identified.     

The Lies That Bind: Heteronormative Constructions of “Family” in Social Work Discourse

The social work profession has an enduring history of commitment to American families; in fact, it has often led the way in embracing alternative family arrangements. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) families are gaining more political visibility and lobbying for rights and protections from which they were previously excluded. Therefore, this study is an analysis of social work's contemporary, defining representations of LGBTQ families. Twelve LGBTQ “family” research studies were culled from the database Social Work Abstracts, and subjected to queer discourse analysis in order to illuminate how these alternative family forms are being constructed within the discipline. This analysis details the multiple ways in which heterosexual norms are privileged throughout the research studies. For example, the heterosexual family is often constructed as an unchallenged index for psychological health, appropriate partnering, and child rearing practices, social acceptability, and general normative behavior. LGBTQ relationships often earn their “family” designations by their ability to approximate these legible, heteronormative “family” characteristics. As such, this queer discourse analysis indicates that LGBTQ families are ultimately invited to join, but not to change, the traditional terms of “family,” thus making the social work research less of an exploration of alternative family forms and more of an endorsement of same-sex, nuclear families.     

“It's a gap in awareness”: Exploring service provision for LGBTQ2S survivors of intimate partner violence in Ontario,Canada

ABSTRACT

Intimate partner violence (IPV) is a prevalent issue in all relationship configurations, including lesbian, gay, bisexual, transgender, queer, and two-spirit (LGBTQ2S) relationships. While the experiences of LGBTQ2S IPV survivors are understood, there are issues, needs, and challenges associated with service provision for them. Semi-structured interviews were conducted with a sample (N = 10) of professionals (e.g., counselors, shelter managers, program directors) affiliated with organizations that provide services for IPV survivors in Ontario, Canada. Participants answered questions pertaining to the inclusion of LGBTQ2S IPV survivors into their existing services, and what service provision should look like. Data was analyzed using a thematic analysis to uncover themes that reflected participants' responses. The data was organized into recommendations for service provision at three different levels: direct service provision, organizational transformation, and underlying principles and values. Findings reveal suggestions for service providers to consider modifying their current organizations, to adequately include LGBTQ2S IPV survivors.     

The “ethical loneliness” of male sexual violence survivors in Northern Uganda: gendered reflections on silencing

In this article, I explore the gendered silencing of conflict-related sexual violence against men and of male survivors’ lived realities in Northern Uganda using the frame of masculinities. Utilizing Stauffer’s conceptual framework of “ethical loneliness,” I elucidate how male survivors’ experiences of sexual violence are characterized by various layers of externally imposed silences by different actors and institutions often over decades. I demonstrate that the harms experienced by survivors in Northern Uganda are characterized by silence, isolation and abandonment, “compounded by the cruelty of wrongs not being heard” and constituted through multiple rounds of neglect. Exemplified through the narrative of a male survivor, I argue that in particular, the externally imposed silencing by institutions designed to listen entrenches further harms. I unpack how these layered silences are gendered and conditioned by socially constructed incompatibilities between masculinities and vulnerabilities, which disallow men to openly speak about their sexual violations and to seek services and support. Working with the concept of “ethical loneliness,” I propose a novel theoretical framework for analyzing the effects of externally imposed and gender-specific silencing with wider utility beyond male sexual violence, applicable to survivors of political and wartime gendered violence more broadly.     

Lesbian,Gay, Bisexual,Transgender, Queer,and Questioning Youths' Perspectives of Inclusive School-Based Sexuality Education

Sexuality education is perceived as one way to prevent unhealthy sexual behaviors. However, current sexuality education materials are not tailored to fit the needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth, and many have been critiqued for disenfranchising these populations. This study solicited the perspectives of LGBTQ youth on their experiences with school-based sexuality education in order to create a framework of LGBTQ-inclusive sexuality education. Five semistructured focus groups (N = 30 LGBTQ participants) were conducted to investigate the sexuality education experiences of LGBTQ youth and to solicit youth suggestions for improving the inclusiveness of sexuality education curricula. Results indicate that LGBTQ youth perceive current sexuality education as primarily “exclusive,” although examples of “inclusive” sexuality education were provided. In addition, participants provided suggestions for creating a more inclusive experience, such as directly discussing LGBTQ issues, emphasizing sexually transmitted infection (STI) prevention over pregnancy prevention, and addressing healthy relationships. Educators and policymakers can use these ideas to help improve the quality of sexuality education—not only to make it more inclusive for LGBTQ youth but to make sexuality education more inclusive for all young people.     

LGBTQ + community organizations under neoliberalism in Ontario,Canada: Contradictions and disconnects

Abstract

This study examines the impact of neoliberal policy—which introduces competition for funding and pressure to professionalize and bureaucratize—on the working conditions and precarity of a purposive sample of southern Ontario (Canada) organizations dealing with LGBTQ?+?health. Findings from semi-structured, in-depth interviews with 20 community-based organization stakeholders and government bureaucrats confirmed that neoliberal policy pressures these organizations to professionalize and bureaucratize, while restricting political advocacy. Queer Liberation Theory’s three central tenets of anti-assimilationism, solidarity across movements, and the political economy of queer health are used to understand the situation and possible futures for third-sector organizations within the LGBTQ?+?movement.     

“Parent Advocacy” as an Ideological Code: LGBTQ Parents Engage with Disability Services

What does the work that LGBTQ parents do to find resources for their disabled children reveal about the social organization of services? This article presents findings from an institutional ethnography study based on interviews with 15 lesbian, gay, bisexual, transgender, and/or queer (LGBTQ) parents and six key community informants in Toronto, Canada. The analysis focused on the work parents did to engage with disability service systems on behalf of their children, and the ways in which families’ social privilege and/or marginalization affected their experiences. Particular attention was paid to the ways in which “parent advocacy” was taken up, responded to, and critiqued in these interviews. “Parent advocacy” was found to operate as what Dorothy Smith has called an “ideological code” (Smith 1999), offloading systemic responsibilities onto parents, shielding inequities, and promoting individualized competition between service users. This study suggests that the systemic organization that makes “parent advocacy” necessary also renders parents’ relative privilege or marginality central to what their children receive.     

“To get the word out”: LGBTQ+ Young adults’ motivations for participating in qualitative research studies

Understanding why socially marginalized individuals, such as lesbian, gay, bisexual, transgender and/or queer (LGBTQ+) people, participate in research can improve qualitative research designs, as well as social services and policies. In providing a participant-centered foundation, we interviewed 65 LGBTQ+ young adults and asked “Why are certain LGBTQ+ young adults motivated to engage in qualitative social science studies?” Many LGBTQ+ young people said they were committed to enacting social change and promoting advocacy. Participants also highlighted supporting scientific research and knowledge production. Finally, LGBTQ?+ participants engaged with research to introspectively analyze their identity development processes. These findings can facilitate access to socially vulnerable and underrepresented groups through a methodological focus on participant benefits.     

Sex Ed in Higher Ed: Should We Say Yes to “Affirmative Consent?”

In this essay, the author explores the concept of “affirmative consent” as a sociolegal strategy for reducing sexual violence on college campuses. Meanings and implications of “consent” are considered from a psychoanalytic perspective, using the work of Laplanche and relational psychoanalysis to consider the fit between the construct of consent as it is invoked in contemporary sexual politics and our psychoanalytic understandings of sexual experience. The discourse of consent is also explored from the standpoint of queer and feminist theory. Finally, a brief clinical vignette is offered to illuminate the real challenges that are encountered in the effort to use language to communicate about sex. The author suggests an interdisciplinary, nonregulatory, exploratory approach to addressing the problem of sex and sexual violence on college campuses.     

Sex counts: An examination of sexual service advertisements in a UK online directory

Internationally, sex work research, public opinion, policy, laws, and practice are predicated on the assumption that commercial sex is a priori sold by women and bought by men. Scarce attention has been devoted to lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ) sex working as well as women who pay for sex. This is as much an empirical absence as it is a theoretical one, for the ideological claim that women comprise the “vast majority” of sex workers is rarely, if ever, exposed to empirical scrutiny. Focusing on the UK, we address this major gap in evidence in order to challenge the gendered and heterosexist logics that underpin contemporary debates. We do so by presenting large-scale data gained from the quantitative analysis of 25,511 registered member profiles of an online escort directory. Our findings point to heterogeneity rather than homogeneity in the contemporary sex industry including in terms of gender identity, sexual orientation, and advertised client base. For example, while two-thirds of advertisements self-identify as “Female,” one in four are listed as “Male;” less than half list their sexual orientation as “Straight;” and nearly two-thirds advertise to women clients. Our study thus challenges prevailing heteronormative assumptions about commercial sex, which erase LGBTQ sex workers and other non-normative identities and practices, and which we argue have important political, practical, and theoretical consequences.     

Understanding the needs of LGBTQ clients and their risk for commercial sexual exploitation: Training community mental health workers

Training on commercial sexual exploitation (CSE) and victimization of lesbian, gay, bisexual, transgender, and queer (LGBTQ) youths can increase awareness among professionals who provide services to this community. This study evaluated the effectiveness of a community-based training program geared toward mental health workers in a diverse metropolitan city. The training provided information about the continuum of sexuality and gender identity, sensitivity when working with LGBTQ clients, LGBTQ clients’ risks for CSE, and ways to improve service delivery to this population. Participants’ (N?=?64) knowledge level of these areas was examined prior to the training, immediately thereafter, and in a six-month follow-up. Participants showed an increase in knowledge from pretest to posttest. Follow-up testing on a limited sample revealed scores that were lower than posttest scores, but higher than pretest scores. Overall, through this community-based training, participants gained knowledge about the continuum of sexual and gender identity, appropriate service delivery when working with LGBTQ individuals, and the risk factors for CSE for LGBTQ youths. Participants also reported feeling satisfied with the training approach and format. Implications for future training to enhance mental health workers’ competence with LGBTQ victims of sexual exploitation are explored.     

Feminist and queer criminology: A vital place for theorizing LGBTQ youth

Creating safe environments for lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ) youth has become a significant public health concern. Despite the disparities in the risk factors associated with identifying as a member of the LGBTQ community, the theoretical frameworks for understanding these issues, particularly within criminology, have been limited. The purpose of this work is to review the historical treatment of gender and sexual orientation within criminology. More specifically, this work reviews how gender was introduced into criminology through the work of feminist criminology, followed by the need for theorization that further analyzed sexual orientation. This then became the focus of queer criminology. After tracing the historical development of gender and sexual orientation, the author uses the theoretical foundations of both to show how it applies to recognizing the issues faced by LGBTQ youth. Finally, the author discusses why consideration of these frameworks is paramount in understanding the issues faced by LGBTQ youth, as well as how such consideration and understanding can help mend the existing gap in providing safer environments for LGBTQ youth.     

Outness among LGBTQ Social Work Students in North America: The Contribution of Environmental Supports and Perceptions of Comfort

This study examines various environmental factors that may impact a lesbian, gay, bisexual, transgender, or queer (LGBTQ) social work student's level of ‘outness’ (disclosure) with regard to their sexual orientation or gender identity. An internet-based survey was conducted, comprised of LGBTQ undergraduate and graduate students from social work programs across North America (n = 1,018). Utilizing Pearson's chi square analysis, significant associations correlated between outness and the following six areas: (1) LGBTQ student perception of other students' overall level of comfort with their sexual orientation or gender identity within the program; (2) the number of faculty that know about their sexual orientation or gender identity; (3) the number of students that know about their sexual orientation or gender identity; (4) how supported they felt with regard to their LGBTQ identity within the program; (5) the percent of faculty that are supportive of LGB and Q issues; and (6) awareness of openly LGBTQ administrators or staff members. Implications for social work education and practice are examined, as are suggestions for continued research.     

Social Constructions of Masculinity and Male Survivors of Wartime Sexual Violence: an Analytical Review

ABSTRACT

Male sexual violence has been reported in 25 armed conflicts in recent years. However, communities and organizations are not equipped to deal with male survivors of sexual violence because it undermines the ideals of social constructions of masculinity. Compared with females, male survivors lack access to reproductive health programs and are generally ignored in gender-based violence discourse. Yet, male survivors are known to suffer from numerous physical injuries and psychosocial disorders. In this review, we call for a move beyond the paradigm of female-only sexual violence victims and for programs that address both male and female survivors.     

Participation in LGBTQ Organizations in Colombia: Motivations and Impacts

Studies on sexual minorities have shown the positive impact of the lesbian, gay, bisexual, trans, or queer (LGBTQ) community on the well-being of individuals. Few studies, however, have been interested in the role that LGBTQ organizations specifically play. Using a qualitative approach, this article examines individuals’ motivations to participate in LGBTQ organizations and how they think such participation impacts their lives. Semi-structured interviews were conducted with 20 self-identified LGBTQ adults living in the Andean region of Colombia. Thematic analysis with inductive coding was used, and six themes were identified. Within these, two findings are particularly relevant to the existing literature. First, organizations play an important role as educational spaces where individuals can learn about their sexual identity. Second, organizations can also impact families of origin by promoting a better understanding and acceptance of participants’ sexual identity, and by promoting solidarity with LGBTQ community members.     

Navigating Intersectional Approaches,Methods, and Interdisciplinarity to Health Equity in LGBTQ+ Communities

Abstract

The broad spectrum of health services and wellness surrounding lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities operates within multiple layers of social inequities. Research using intersectionality features numerous research methods purposed specifically for clarity toward increasing health equity. Generated in the scope of various research methods (e.g., quantitative, qualitative, mixed-methods), utilizing intersectionality illustrates potential to explore complex phenomena and outcomes within LGBTQ+?communities. As intersectionality thrives on interdisciplinarity, this article focuses on three overarching purposes: (a) accentuate health equity and social justice across an interdisciplinary scope for LGBTQ+?communities, (b) highlight formative principles grounded in intersectionality, and (c) supplement recommendations for research targeting health equity.     

Motivations for Involvement in Nonmetropolitan LGBTQ Organizations: A Multimethod Qualitative Exploration

Organizations serving lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities provide services aimed at improving the health and well-being of LGBTQ people, yet may face limited resources and community support in nonmetropolitan communities. This study seeks to understand LGBTQ individuals’ motivations for becoming and staying involved in nonmetropolitan LGBTQ organizations. Data collection methods included interviews, participant observation, and focus groups. Six categories of motivations emerged: (1) to access support and resources; (2) to establish an LGBTQ community; (3) to be generative; (4) to affirm identity; (5) to support an LGBTQ organization; and (6) to combine one’s personal and professional lives.     

“Multiplicity,Race, and Resilience: Transgender and Non-Binary People Building Community”

Scholars theorize that the development of community is an important part of resilience. In this mixed-methods study, we argue that race informs the experiences that transgender and non-binary (TNB) people have in seeking community. Using the Strengthening Colors of Pride Phase I and Phase II research, we argue that in a Latino-majority city, Latinx and Anglo TNB people connected with the transgender and broader lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community, although Anglo TNB people reported more transphobia in the LGBTQ+ community. Black and American Indian TNB people connected with LGBTQ+ communities of color specifically and struggled more to find in-person community. Anglo TNB people used their own White racial networks to connect with supportive hobby and interest groups. In general, TNB people connected more with communities that resonated with the multiplicities of their own lives, such as commonalities of economic precarity and immigration status. This research is an important contribution to understanding the development of community for resilience, and the way race and gender identity inform community experiences for TNB people.