Sexuality in Older Adults (65+)—An Overview of The Recent Literature,Part 2: Body Image and Sexual Satisfaction

Objectives: the aim of the paper is to provide an overview of the literature published 2005-2015 on sexual satisfaction and body image in older adults. Method: A narrative literature search using the PsycINFO database was conducted. Results: Although women in general seem less satisfied with their bodies than men, particularly in sexual contexts, older women appear to be less vulnerable to body-related dissatisfaction than younger women. Despite the age-specific dynamics of sexual satisfaction and sexual well-being, which parallel age-related decrease in the frequency of sexual activity, research findings from different countries show that substantial proportions of aging men and women are satisfied with their sex life. There is some limited evidence that this proportion may be increasing across cohorts. Gender differences in factors that influence sexual satisfaction among older adults appear marginal. Conclusion: Older age can affect sexual satisfaction on individual, interpersonal, and culture-related levels. Future research in older adults' sexuality should focus on sexual well-being in women who are without partners, sexual satisfaction among aging lesbian, gay, bisexual, and transgender individuals and couples, the relationship between religiosity and sexual satisfaction, and employ a comparative, cross-cultural approach.     

Older Adults’ Experiences of Sexual Difficulties: Qualitative Findings From the English Longitudinal Study on Ageing (ELSA)

There is a growing body of evidence demonstrating that sexual activity is important to the quality of life of older adults, and that it can be influenced by physical, psychological, and social factors. However, older adults’ experiences of sexual difficulties remain relatively unexplored. This article draws on qualitative data collected as part of the English Longitudinal Study of Ageing (ELSA). Participants answered a Sexual Relationships and Activities Questionnaire (SRA-Q), which included an open comment box for further details, 1,084 (1/7) of which were completed. These data were analyzed using Template Analysis, and findings on the experiences of sexual difficulties are presented in this article. Sexual difficulties were contextualized within the couple relationship and could be detrimental to the relationship, particularly if the partner would not seek professional help. Participants reported that sexual difficulties could also have a negative impact on psychological well-being, described mainly as frustration, depression, and sadness. For some participants the supportive nature of their relationship buffered these impacts. Few had sought professional help; those who had reported helpful and unhelpful experiences. These findings add to the limited evidence base and have implications for health care in the context of global aging and a growing recognition of older adults’ sexual rights.     

Social Workers’ Attitudes Toward Older Adults: A Review of the Literature

Ageist attitudes toward older adults have been recognized as barriers to recruiting and training competent social workers. This article provides a systematic review of the literature that focused on social workers’ and social work students’ attitudes toward older adults and working with older adults. The authors sought empirical studies that used an attitudinal measure of ageism with a social work sample, and a total of 20 articles met the criteria. Characteristics of the studies’ participants, methodology, instruments, and results were evaluated. This article discusses the findings and offers implications for future research.     

“Living Well in Later Life”: An Overview of the National Service Framework for Older People in England

The National Service Framework (NSF) for Older People is a set of standards produced by the Department of Health in England in 2001 to overhaul the health and social service delivery systems over a 10-year period aimed at optimizing the care received by older adults. The NSF arose from broader social and health care reforms that likewise sought the establishment of performance assessment, augmented consumer sovereignty, and greater coherence across health and social services. The United States shares with England similar problems with care for its older adults, strategies for improvement, and obstacles to successful implementation of change.     

Older Adults’ Use of Adaptable Design Features in Housing Units: An Exploratory Study

In 1997, the city of North Vancouver, British Columbia developed Adaptable Design Guidelines for housing to support aging-in-place for older tenants. This article reports the first qualitative evaluation of those adaptable design features since those guidelines were implemented. The study used a qualitative methodology to explore the elderly tenants’ use and satisfaction of the adaptable design features in the housing units and environmental changes made by those tenants. Key qualitative categories that emerged from the interviews were design preferences and environmental modifications. Findings from this study can inform future revisions of the guidelines and demonstrate what needs to be done in environmental design of seniors’ housing that can foster functional independence.     

The Steps of Sexuality—A Developmental,Emotion-Focused,Child-Centered Model of Sexual Development and Sexuality Education from Birth to Adulthood

Abstract

Objective: To review research on emotional, cognitive, and behavioral levels of sexual development in children and adolescents, and, based on that, to propose a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Methods: Literature review. Results: We present a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Conclusion: We posit that to promote “a state of physical, emotional, mental and social well-being in relation to sexuality,” sexuality education needs to focus on emotional needs and positive dimensions/aspects of sexuality.     

The Role of Intimate Relationship Status,Sexuality, and Ethnicity in Doing Fieldwork among Sexual–Racial Minority Refugees: An Intersectional Methodology*

Feminist researchers from a range of disciplines have called for consolidation of intersectionality as a methodology. In this article, I contribute to the literature on intracategorical intersectional methodology by drawing on my experiences of conducting fieldwork with 19 gay male Iranian refugees in Canada. Also, by merging the research on intersectionality, sexuality, and refugee studies, I take intersectionality beyond its traditional application on the lives of women of color. I particularly focus on relations between intimate relationship status and insider status, sexuality and internal gatekeepers, and ethnicity and obtaining signed consent forms. Assuming that ethnographers, albeit marginally, participate in or become part of their participant group during fieldwork, I demonstrated the utility of intracategorical intersectional methodology for a systematic examination of power dynamics and the interactions between participants’ and researchers’ markers of identity. I argue that intracategorical intersectionality challenges static definitions of insiderness in qualitative research and provides researchers with nuanced and non-hegemonic analyses of research process.     

Sexuality in the Global South: 50 Years of Published Research in the Journal of Sex Research—Inclusions,Omissions, and Future Possibilities

Sexuality researchers from a range of disciplines have called for more global inclusiveness in sexualities research, particularly in the Global South (GS). We investigated the degree to which sexuality researchers have published work focused on the GS by conducting a content analysis of 50 years of research published in the Journal of Sex Research (JSR). We examined all research articles, brief research reports, and clinical notes published in JSR from 1965 to 2014 (N = 1,626). Overall, a small percentage of articles focused on the GS with no increase over time (4.8%; N = 78). Articles in the GS focused on Asia (37.2%), Latin America (28.2%), Sub-Saharan Africa (23.1%), the Middle East (6.4%), and a mix of GS regions (5.1%). Topics related to sexual and reproductive health were most prevalent (19.2%), followed by articles on sexual risk, sexually transmitted infections (STIs), and human immunodeficiency virus (HIV) (17.9%), sexual norms, attitudes, and beliefs (16.7%), sex work (11.5%), cultural practices (10.3%), gay, lesbian, and bisexual issues (9.0%), intimate partner relationships (3.8%), and sexual violence (3.8%); the remaining categories (transgender and transsexual populations, sex research methods, sex testing, and women’s sexuality) were negligible. We conclude with recommendations for improving the quantity, quality, and scope of global sexuality research in JSR.     

An Overview of the Victims’ Rights Movement: Historical,Legislative, and Research Developments†

The Victims' Rights Movement has made considerable accomplishments since the 1960s, when an increasing crime rate, coupled with the underreporting of crime, inspired concerns regarding crime victims. In subsequent decades the Victims' Rights Movement evolved and gained considerable momentum. This paper examines the historical development of the Victims' Rights Movement, including the movement's focus on specific types of victimization and crimes. State and Federal responses to the movement are also presented, with attention to constitutional developments and debates. Finally, current issues are presented and future research is suggested.     

Bullying and its consequences: In search of solutions—Part II

Abstract

In Western societies the closing of the twentieth century witnessed sweeping changes across many forms of life – including the Mafia. Within the crime families male dominance continues but with important qualifications. The norm of male authority has been eclipsed by Carmela soprano emerging triumphantly from the loyal maternal role of devotion to her family, church, and her cooking. Behind the glitter of jewels, the clouds of teased-cut hair and frosted nails are smart, savvy, morally conflicted women who are more that tightlipped, emotionally smothered Mamma Coreleones. What transformations are apparent in this new world of post-RICCO crime? Has the erosion of traditional organized crime power provided opportunities for the emergence of a subculture of clever, resourceful women occupying and inhabiting some of the conventional roles in Mafia-type hierarchies? How do these wives, mistresses, mothers and daughters of “made men” in crime organizations actually function? How does the exposure to criminality conspire to attract or repel women caught up in the midst of such activities? Some examples of women immersed in organized crime in the United States and elsewhere will be examined.     

Reliability and Validity of the IPAQ-L in a Sample of Hong Kong Urban Older Adults: Does Neighborhood of Residence Matter?

This study examined reliability and validity of the Chinese version of the International Physical Activity Questionnaire-Long Form (IPAQ-LC) in Chinese seniors, including moderating effects of neighborhood walkability and socioeconomic status (SES) on reliability and validity. The IPAQ-LC was interviewer-administered (n = 96), accelerometer and 7-day walk-diary data were collected (n = 94), and the IPAC-LC was readministered (N = 92). Acceptable reliability was found for all measures of physical activity (PA) overall and across different types of neighborhood. Participants from highly walkable neighborhoods were more reliable at estimating walking for transport. Participants from low-SES areas were less reliable at estimating leisure-time PA and sitting but more reliable at estimating transport-related walking. IPAQ-LC walking was significantly related to light- but not moderate-intensity accelerometry-based PA. It was moderately to strongly related to a 7-day diary of walking. The data imply slow-paced walking, probably due to age, climate, and terrain. The findings suggest that the IPAQ-LC's reliability and validity are acceptable in Chinese seniors.     

Skimming the Milk,Cajoling the Soul—Embodiment and Obscenity in Sexuality: Commentary on Muriel Dimen's Paper

Responding to Dimen's bringing together the vagaries of disgust, embarrassment, and shame lurking in sexuality, I translate “Eew” into abjection. I emphasize the “otherness” of sexuality mainly through the paradoxes of the body, which can figure as a chunk of flesh, demurring in a state of “facticity” (thingness), but which can also be(come) the house of the soul, the carrier of one's spirit, one's unique individuality and subjectivity.

To capture the other's ineffable subjectivity, we have to “cajole” his or her spirit to come and dwell on the body, particularly its apertures and skin. By caressing and arousing the other, we can transform the obscenity that inheres potentially in the sexual experience into the most transcendent and ecstatic event. Abjection, “Eew,” occurs when mutual understanding, which is the embodiment between two people, fails. When embodiment collapses into being only body, it is obscene and disgusting.     

Sexual Health Interventions for Black Women in the United States: A Systematic Review of Literature

Objective: The purpose of this systematic review was to identify and evaluate approaches used in sexual health interventions targeting Black women in the United States. Methods: We conducted a review of 15 sexual health intervention studies for Black women published between January 2000 and May 2017 in the United States. Results: Each intervention focused on HIV/sexually transmitted infection prevention, incorporated an asset and deficit-based approach, primarily used individual-level assets, and was effective in achieving the stated sexual health-related outcomes. Conclusions: Comprehensive sexual health interventions require further development and refinement to include more community and institutional-level assets to improve long-term sustainable change and empower Black women.     

The Last Bastion of Sexual and Gender Prejudice? Sexualities,Race, Gender,Religiosity, and Spirituality in the Examination of Prejudice Toward Sexual and Gender Minorities

Prior research has reported that many Americans hold prejudicial attitudes toward sexual and gender minorities. Most of this research analyzed attitudes toward target categories in isolation and not in relation to attitudes toward heterosexuals. In addition, most previous research has not examined attitudes of members of sexual and gender minority categories toward other categories. While some research has examined the influence of religiosity on attitudes toward sexual and gender minorities, none of these studies has examined religiosity while also examining the influence of spirituality. In this article we drew on insights from queer theory to examine attitudes toward heterosexual, gay, lesbian, bisexual, and transgender individuals, as well as individuals who practice polygamy, among college students. Three samples gathered over a four-year period (2009, 2011, 2013) at a private, nonsectarian, midsized urban university in the Southeastern United States were used. We found that heterosexuals had the most positive rating, followed in order of rating by gay/lesbian, bisexual, and transgender individuals, and then those who practice polygamy. Regression analyses revealed gender and race were significant predictors of attitudes toward various sexual and gender categories. Holding a literalistic view of the Bible and self-identifying as more religious were related to more negative views toward sexual minorities, while self-identifying as more spiritual was related to more positive views.     

How Sexual Identities Change: Pragmatism,Habit, and Creativity in the ‘Situation’ of the Lascivious Costume Ball

How do individuals’ sexual identities, in the sense of who they are as sexual beings, change? Research addressing this question in the modern U.S. setting points to several factors, including macrolevel societal transformations, vernacular culture, interpersonal interactions, psychodynamics, and life course transitions. Yet it is less clear how these diverse factors are configured in broader social processes. This article draws on and extends the pragmatist mechanism-based approach to social theory to illuminate a key causal pathway whereby individuals’ sexual identities may change. I argue that habits, specifically taken-for-granted ways of doing and thinking about sexuality, are a crucial constituent of sexual identities. But when individuals encounter problem situations to which existing habits are inadequate responses, they are more likely to do and think about sexuality creatively. Incorporation of these creative responses into stocks of habits can readily encompass shifts in sexual identities. The argument is illustrated using people’s dramatic reflections on the first three iterations of the Lascivious Costume Ball, a sexuality-themed party that occurred at the University of Chicago. The Ball dramatized the radical historical moment of the Sixties and functioned as an exceptional problem situation for all but three of my respondents. The utility of the theory centers on its capacity to (1) generate more precise explanations of how individuals’ sexual identities change; (2) integrate distinct literatures on sexual identity into a carefully generalizable theory of individual change; and (3) highlight a crucial relational dimension of certain problem situations.     

The Outsider’s Edge: Geography,Gender, and Sexuality in the Local Color Movement

Outsider status, especially multiple social marginalities, usually constitutes a burden. Certain combinations can be advantageous for cultural producers, however, especially when geographic marginality is part of the mix. The Local Color movement demonstrates the outsider’s edge. In mid-nineteenth century in America, print technology, reduced postal rates, and mass literacy led to the golden age of magazines. Their readers sought stories about the regional cultures that were disappearing in an industrializing nation. Local Color—fiction about places outside the northeast cultural heartland—met this demand. Local Color authors shared outsider identities – geography, gender, and sexuality—that characterized and shaped the movement. Comparison with authors in the adjacent genres of Bestselling, Sentimental, and The Atlantic Monthly fiction reveals that multiple outsiderness (1) was not typical for authors of the period, and (2) advantaged women from the geographic periphery, especially those with unconventional sexual careers.     

The Making of “La Gran Familia Mexicana”: Eugenics,Gender, and Sexuality in Mexico

This article examines the impact of Mexican eugenics on different programs relating to the family throughout the post-Revolutionary period. It deals with how Mexican elites thought about the family and how these discussions delimited who should be part of or exist under the banner of “la gran familia mexicana”. I discuss how eugenicists' debates regarding motherhood, puericulture, class, and different preventive health measures were intended to keep “undesirables”—or the people who, in their view, should not be part of “la gran familia mexicana”—at bay. I argue that science was used as a tool for implementing different eugenic plans that would make ideas of mestizaje and “rational mixing” into the modern Mexican nation. I argue that according to the Mexican Society of Eugenics (MSE), it was through the regulation of individual families and the acceptance of eugenic precept of self-management and rational reproduction that the creation of the national family was to be crafted. Thus, the “gran familia mexicana” would become the organizing principle for both the individual and broader national dynamics in Mexico.     

Sibling Sexual Abuse: An Empirical Analysis of Offender,Victim, and Event Characteristics in National Incident-Based Reporting System (NIBRS) Data, 2000–2007

Sibling sexual abuse is identified as the most common form of familial sexual abuse. Extant literature is plagued by definitional inconsistencies, data limitations, and inadequate research methodology. Trivialized as “normal” sexual exploration, sibling sexual abuse has been linked to psychosocial/psychosexual dysfunction. Research has relied on retrospective, convenience, and/or homogenous samples. This work drew on eight years of National Incident-Based Reporting System data (2000–2007) to provide aggregate level baseline information. This work extended prior research exploring victim-, offender-, and incident-based characteristics. Results highlight the need for expanded definitional criteria relating to both age and gender to better inform risk assessment and prevention. Findings both corroborate and contrast prior work and suggest victim- and offender-based gender differences.