Understanding the Link: “Homosexuality,” Gender Identity,and the DSM

This article reviews the historical and present notions of identity, in relation to sexual orientation and gender identity within counseling. It also discusses the link between the historical pathologizing of homosexuality and gender identity, as well as summarizes the implications of the diagnosis of gender dysphoria (GD) as outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (5th ed.; DSM-5). The ethics of maintaining GD in the DSM-5 and future diagnostic manuals is discussed. Finally, a brief explanation of the role of the counselor in working with transgender individuals is given.     

Intimate Partnerships and Sexual Health in Gender-Dysphoric Individuals Before the Start of Medical Treatment

ABSTRACT

Objectives: This study focuses on sexual health aspects in partnered gender-dysphoric individuals at the start of medical treatment by examining their partnership constellations, sexual experiences, and reports of psychological problems. Methods: As part of the cross-national European Network for the Investigation of Gender Incongruence Study, 168 adult male-to-females (MFs) and female-to-males (FMs; MF:FM sex ratio = 1:1.2) were surveyed by means of self-administered questionnaires prior to any gender-confirming hormonal and surgical interventions. Results: MFs were often found to have androphilic (female) partners (sexually oriented toward males), noncomplementary with their female gender identity. In contrast, FMs frequently had androphilic (female) partners, complementary with their male gender identity and sexual orientations toward females. Conclusions: In both genders, complementary partnership constellations were associated with more avoidance of sexual experiences and more negative sexual experiences.     

On the Outside Looking In? The Experience of Being a Straight,Cisgender Qualitative Researcher

Research with disenfranchised and marginalized populations is often completed by those traditionally considered outsiders who are not part of the studied population. The history of outsider research has been somewhat tumultuous, and some outsider researchers have manipulated participants or carried out unethical studies. However, the insider/outsider dichotomy is overly simplistic and does not always accurately reflect the researcher position. Using lesbian, gay, bisexual, transgender, and queer individuals as an example, this article will review the literature on insider/outsider researchers, suggest a more fluid concept of researcher positionality, and identify several recommendations for qualitative researchers.     

Psychological Interventions for Transgender Persons: A Scoping Review

This study aimed to investigate psychological interventions for transgender persons, aiming to highlight their goals, theoretical background and methods. A scoping review was conducted in four databases, ranging from 1980 to 2015. Selection led to a final sample of 36 articles. The goals of psychological interventions are unclearly described in many studies. Different background theories were identified and in some studies, these were not clearly explained and presented no epistemological considerations. The publishing of more empirical studies, with an affirmative standpoint toward gender identity and stricter scientific rigor, is needed to support and strengthen interventions.     

Diversification as a New Disciplinary Power: Gender and Sexual Subjectivity in Postmodernity

Nowadays, the power of gender and sexuality works not only to reinforce and reconstruct the essentialized norms but also, in direct opposition, to deconstruct these norms. The new disciplinary power and its discourse encourages people to have diverse and fluid self/body images. This article aims to discuss the new characteristics of gender and sexual self-image, body, discourse, and social images in postmodern society through a comparison with Foucault's arguments. This article also briefly mentions how these phenomena have spread through society and questions whether recent social movements really go beyond the style of the former one, which is based on sharing the same identity.     

Gender and professional identity: A qualitative study of social workers practising as counsellors and psychotherapists

This article presents an analysis of the interactions between gender and class in the career pathways of social workers practising as counsellors and psychotherapists. Gender is one of the strong patterns found in the empirical data generated by a qualitative study of the professional identity of practitioners in social work. Gender was found to have a strong influence on the career choices made by men and women in social work. Women in the sample have pursued career directions that continue to have a strong clinical focus, combined with other roles such as management, supervision and training. They are more likely to express the need to balance their working lives with the needs of their families. Men are more likely to single-mindedly pursue careers in management and to express feelings of responsibility to provide for their families once children are born. However, the analysis of data also found that men were more likely to identify their family origins as working class, while women identify their family backgrounds as middle class. This patterning shows the complex interactions between gender and class in determining life outcomes. These differential pathways and work preferences need to be recognised and addressed to work towards more equitable outcomes for practitioners within social work, so that structural disadvantages on the basis of gender and class are challenged rather than replicated.     

HIV Prevention,Gender and Sexual Health

Abstract

Drawing on a review of relevant literature as well as global experience, this paper focuses on aspects of the growing feminisation of the HIV epidemic, especially the combination of age and gender which makes young women particularly vulnerable to HIV. It also briefly touches upon the gender-constructed vulnerability of young men. The linkages between gender, sexual health and HIV-and what works to forge these linkages-have now been well established. Not acting on the basis of this knowledge in order to avert millions of infections and deaths due to HIV, is no longer an option.     

Acknowledgement and support matter: A brief report on gender identity and sexual orientation at a large,urban university

ABSTRACT

Objective. To examine reporting trends of students identifying as LGBTQIA+ following changes made to the ACHA-NCHA-II survey about gender identity and sexual orientation.

Methods. Data were analyzed from two sources for the purpose of triangulation: the ACHA-NCHA-II 2016 survey specific to our university and an electronic audience response survey.

Participants. Primary analyses included first-year students from the ACHA-NCHA-II data (N = 158; spring 2016) and the audience response survey (N = 1,452; August 2016).

Results. Five percent of students did not identify as cis-gender and 21% did not identify as straight/heterosexual. The sexual orientation trend was confirmed by the audience response survey.

Conclusions. The percentage of students identifying as LGBTQIA+ increased nationally between the ACHA-NCHA-II 2014 and 2016 survey samples, a trend which was confirmed using an independent audience response survey. This information has implications for university programming and inclusivity efforts nationwide.     

Beyond alphabet soup: helping college health professionals understand sexual fluidity

ABSTRACT

Many college students today are no longer using the terms straight, gay, lesbian, bisexual, or transgender to self-identify their sexual orientation or gender identity. This commentary explores research related to fluidity of sexual identities, emerging sexual identities used by college students, and how these identities interact with the health and well-being of the student. Additionally, the authors discuss strategies to help college health professionals provide a sensitive environment and clinical experience for students whose sexual identity is fluid.     

Positioning,participation, and possibility: using post-structural concepts for social change in Asia-Pacific youth HIV prevention

This article addresses one of the areas of global concern for Southern youth: HIV rates amongst young people from key communities. In the Asia-Pacific region 95% of all new infections occur amongst those under 25. Furthermore, in this region the nature of the epidemic is concentrated, chiefly affecting people from certain sub-groups such as those who inject drugs, sell sex, participate in male-to-male sex and people who are transgender. In this article we discuss an innovative peer-led leadership and advocacy program for youth which uses post-structural theoretical frames and concepts in an effort to steer against the dominant medicalised and individualising storylines which tend to inform approaches to HIV prevention. We draw on examples and data collected from the NewGen Asia Leadership training program to illustrate the ways post-structural concepts can be used to inform program design as well as analysis and critique of the impact of change efforts. Rather than the traditional focus on transmission of knowledge, skills, and attitudes in prevention efforts, we aim to show how the concepts of positioning, platform, and possibility may be mobilised in strategies used to address the challenge of HIV prevention amongst key youth populations.     

Identity development among social workers,from training to practice: results from a three-year qualitative longitudinal study

During their training, social work students embark on a process of professional identity (PI) development which will continue to evolve even after graduation. While the literature has begun to point out factors that may facilitate PI development, research that documents the various processes and narratives of identity development is scarce, including in social work. Because PI is known to be influenced by many aspects pertaining to personal, educational and occupational contexts, and because those contexts can be varied, it becomes important to explore PI development from initial training to professional practice and map which aspects may be influencing the experience, and how they do so. Drawing on a longitudinal qualitative methodology, we explore the experience of six young social workers and map the development of their professional identities over the course of nearly three years. Meetings during their final year of undergraduate studies, and again after 6 and 18 months of employment, reveal some of the aspects that emerged as fundamental facilitators of or impediments to a strong PI. This article concludes by suggesting ways to foster a stronger sense of PI among social workers going forward.     

HIV Voluntary Testing among Portuguese Women Attending Family Planning Clinics: Implications for HIV Prevention Education and Testing

ABSTRACT

Objectives: The aim of this article is to analyze the factors associated with HIV testing among 767 sexually active women. Methods: Participants were administered several self-report questionnaires that assessed behavioral and psychosocial measures. Results: Overall, 59.8% of the participants reported ever having tested for HIV. Results show that higher levels of education, being pregnant or having been pregnant, concern about AIDS, AIDS knowledge, self-efficacy in condom negotiation and perception of no risk in partner significantly predicted the likelihood of testing among women. Attending the mass was negatively associated with HIV testing. Conclusions: These findings provide information that can be used in the development of a focused gender sensitive HIV prevention program to increase HIV testing.     

Lived experience of Iranian bisexual women: a thematic analysis

Abstract

Normative homo-sociality, physical sex-segregation and other oppressive gender politics in Iran raise questions about the development of bisexuality as an “identity” among Iranian women. This study examines the lived experience of Iranian bisexual women. Six self-identified bisexual women were recruited by two announcements in Iranian LGBTI community social media. After in-depth online interviews, data were coded and analyzed by inductive thematic analysis method. Seventeen themes in three broad patterns (identity, social structure and relationship) are found across and within the data. Themes such as biphobia, confusion and self-definition are in concordance with studies of the western bisexual population. Themes related to social structure are unique and reflect the particular socio-cultural condition of non-heterosexual women in Iran.     

Youth voice in service acceptability: Experiences of lesbian,gay, bisexual,and transgender adolescents

This study engaged lesbian, gay, bisexual, and transgender (LGBT) youths to tell their stories of satisfying and dissatisfying HIV-related service features and tapped into their common language when expressing satisfaction. Findings included youth agreement with six of the nine features proposed by adult experts and identification of “atmosphere,” the service feature encompassing the youths’ need to be themselves, to find comfort, and to socialize. Inclusion of youth voice in the design of a satisfaction survey highlighted those features most meaningful to these LGBT youths and added to the growing literature regarding power sharing with youths in health services evaluation.     

Gendering the Research Self: Social Practice and Corporeal Multiplicity in the Writing of Organizational Research

This article examines the problems inherent in taking a reflexively gendered position in writing research accounts. Such socially constructed accounts typically require researchers to do one of two things: to suppress the feminine and write implicitly as male, or to adopt a textual position as ‘woman’ that fails to do justice to the complex and unstable multiplicity that underpins the research self. It is argued that this shifting multiplicity is stabilized by the relationship between self and research text being corporeally grounded and gendered in practice. Three possible approaches to gender are considered: the discursive/textual approach (as developed by Foucault); the performance/social practice approach (as developed by Judith Butler) and the corporeal multiplicity approach (as developed by Elizabeth Grosz and Dorothea Olkowski). The article concludes by suggesting a tripartite approach to writing self‐multiplicity in research to extend the possibilities opened up by the social practice approach: re‐citing (redeploying discursive resources in intertextuality); re‐siting (changing the positioning of the self in power relations by reinscribing) and re‐sighting (opening up new, virtual visions of possibility).     

The Impact of HIV Pre-exposure Prophylaxis (PrEP) Use on the Sexual Health of Men Who Have Sex with Men: A Qualitative Study in Seattle,WA

This study explores the impacts of HIV pre-exposure prophylaxis (PrEP) use on the sexual health of men who have sex with men (MSM). The authors conducted in-depth interviews with MSM who use PrEP (n = 14). Data was analyzed using interpretative phenomenological analysis. PrEP use reduced fear and shame associated with sex and facilitated greater sexual satisfaction and intimacy. Although participants generally viewed PrEP as empowering and beneficial, they also experienced PrEP-related stigma. The authors’ analysis emphasizes the importance of understanding the reasons MSM use PrEP and highlights opportunities for reducing harm and fostering sexual health among MSM who are using or considering PrEP.     

Fairy Godmothers and Guardian Angels: A Qualitative Study of the Gay Mentorship Relationship

We conducted a qualitative study to explore the benefits of one gay male community resource, gay mentorship, particularly regarding sexual identity development. Findings indicate that gay mentorship is most involved in gay identity integration, and aided in supporting gay identity development, connecting men to gay-related resources, helping men to feel part of a gay community, improving management of gay-related stressors and role-modeling a positive gay identity. We found that gay mentorship was not associated with gay identity formation. Our research does suggest that gay mentorship fosters psychosocial benefits in gay men, and should therefore be fully explored in future studies.     

Sampling hidden populations: lessons learned from a telephone-based study of persons recently diagnosed with HIV (PRDH)

This paper describes a flexible, multi-stage, nonprobability sampling process used in a study of persons recently diagnosed as HIV-positive (PRDH). From July 2007 to June 2008, we used venue and chain-referral sampling strategies to recruit PRDH in the US. We sought equal distributions (n = 20) of eligible PRDH from four self-identified subgroups: gay or bisexual men (GBM), heterosexual men (HM), heterosexual women (HW), and male-tofemale transgender women (TGW). We categorized 30 sampling venues as websites, health clinics, or other networks. For 359 volunteer respondents, website venues proved more productive compared to health clinics and other sources. Website venues were most efficient for sampling recently diagnosed GBM and HW. Passive sampling methods were less effective in recruiting HM and TGW. Sampling approaches should be flexible and tailored to reach sub-categories within hidden populations. The sampling process itself produced valuable knowledge about social networks of hidden HIV populations.     

Retaining clients in an outcome monitoring evaluation study: HIV prevention efforts in community settings

The Centers for Disease Control and Prevention (CDC), Division of HIV/AIDS Prevention (DHAP) conducted outcome monitoring studies on evidence-based interventions (EBIs) provided by CDC-funded community-based organizations (CBOs). Critical to the success of outcome monitoring was the ability of CBOs to recruit and retain clients in evaluation studies. Two EBIs, Video Opportunities for Innovative Condom Education and Safer Sex (VOICES/VOCES) and Healthy Relationships, were evaluated using repeated measure studies, which require robust follow-up retention rates to increase the validity and usefulness of the findings. The retention rates were high for both VOICES/VOCES CBOs (95.8% at 30 days and 91.1% at 120 days), and Healthy Relationships CBOs (89.5% at 90 days and 83.5% at 180 days). This paper presents an overview of the retention of clients, challenges to follow-up, and strategies developed by CBOs to achieve high retention rates. These strategies and rates are discussed within the context of the CBOs’ target populations and communities.