Abstracts of sexuality articles by medical,nursing, and social work students: Preferences for journal and topic

Theories of gender transpositions are fundamentally flawed because they often fail to comprise biological, social, familial, and cultural variables which influence the development of sexual behavior and identities in humans. These theories are reminiscent of 19th century views of sexuality which relied on the notion of biological determinism. This approach has been considered reductionistic and has led to conclusions that variations of human sexual expression, such as homosexuality, are deviations from the heterosexual norm. That heterosexuality is considered to be the norm originates from the equation of sexuality to reproductive biology in biomedicine. While there is an impressive body of information on hormonal influence on sexual brain differentiation, prenatal life, and later sexual motor behavior in lower mammals, these findings have not been clearly replicated in primates or humans. Yet, there have been forceful extrapolations to the human from lower mammals (e.g., theories of gender transpositions). Upon critical analyses of hormonal theories of heterosexuality and transsexualism, there are no robust data to support the role of hormones in the development of these behaviors or identities among humans. While an understanding of the etiology of these phenomena, including heterosexuality, is intriguing, we need to be cautious in our zeal to find simplistic explanations and not to retreat to oversimplified notions.     

The Evolution of Male-Male Sexual Behavior in Humans

Abstract

This paper examines male-male sexual behavior from an evolutionary perspective. I begin with a discussion of the major difficulties associated with the scientific study of homosexuality and a clarification of some concepts in human sexuality and evolutionary psychology. Following is a presentation of several established evolutionary theories of homosexuality and a critique of their major assumptions. Based on common patterns of male-male sexual behavior in humans identified by anthropologists, I argue that the evolutionary origin of male-male sexual behavior is based on the same dominance-submission mechanisms that gave rise to male-female sexual behavior. Further, I argue that male-male sexual behavior evolved more fully in human males than in other primate males because male-male alliances played a greater role in human male reproductive success. Specifically, male-male sexual behavior is speculated to be an exaptation of the sociosexual behavior used by primates to establish, regulate, and maintain relationships. It is posited that same-sex sexual behavior in human males reinforced alliances that contributed directly to male survival and indirectly to male reproduction. This alliance theory of the evolution of male-male sexual behavior is compatible with broader current theory on human evolution. The same neurological mechanism theorized to be involved in male-female sexual attraction and behavior is purported to mediate male-male sexual attraction and behavior. Finally, I argue that exclusive same-sex attraction in human males is due to an interaction between genetic, cultural, developmental and psychological factors. doi:10.1300/J056v18n04_02     

Biological factors in human sexuality

This paper considers a number of key concepts relevant to biological determinants of human sexuality, including sexual differentiation, brain mechanisms involved in sexual response, the role of sex hormones, and the sexual effects of drugs. The paper concludes with consideration of how little is known about the interaction between biology and culture in shaping human sexuality, and the need for research in this area.     

SEXUALIZING THE SOCIALOGICAL: Queering and Querying the Intimate Substructure of Social Life

This presidential address explores the sexual substructure of everyday life.¹ I focus on the intimate connections among sexuality, race, and ethnicity. Masculinist heterosexuality is a central component of the bedrock upon which ethinic boundaries rest; and feminism, unruly female sexuality, and homosexuality are three cracks in that foundation. To illustrate the usefulness of understanding the sexualized dimensions of racial and ethnic relations, and social life in general, I provide four examples of the importance of considering sexuality in race, ethinicity, and nationalism: sex and nationalism, sex and urban residential segregation, sex and conquest , and sex and race . In all four sections, I attempt to reveal the sexual substructure of social life. Moreover, I urge sociologists to consider sexuality and the role of sexual systems in their own research.     

Changes in Higher Education

The social work profession has been too little concerned with policy, program, and practice issues related to human sexuality. Changing times and new knowledge require that the profession deal with this area more competently. Studies indicate that human sexuality is affected by biological, cultural, and psychological factors; that the female and male sex drives and physiological responses are similar; that the incidence of premarital and extramarital sexual relations are probably increasing along with more emphasis on the quality of the total interpersonal relationship; and that sexual behavior and values vary between socioeconomic groups.     

The Origins of Human Sexual Culture

Abstract

There is a series of common assumptions about prehistoric sex, associated with the prejudice that it must have been more natural because it happened closer to our evolutionary origins. The development of primate studies reveals a high degree of social variation between and within primate species, along with evidence for the practice of non-reproductive sex both recreationally and for expressing dominance relations. Yet, hypotheses about the behavior of human ancestors and early modern humans have been hampered by a lack of an integrated methodology. Although there is no single trajectory for either the elaboration or restriction of sexual behaviors after the emergence of culture, I argue here that it is possible to identify key turning points with more or less universal validity. These points include the reasons for and implications of brain size increase at the time of the emergence of genus Homo, the crystallization of impersonal gender by mid-Upper Paleolithic Ice Age societies, the early development of systems of control over both fertility and the projection and alteration of sexual identity, and the inferred emergence of homonegativity in early, reproduction-oriented farming societies. Further, archaeological data allows naturalist assumptions to be effectively refuted.     

Challenging machismo: promoting sexual and reproductive health with Nicaraguan men

This article presents the results of a participatory exploration of male attitudes towards sexual and reproductive health issues in Nicaragua. Nicaraguan culture views men in a machismo concept. The study examined the knowledge, attitudes and behavior of men in relation to the social construction of masculinity: sexuality, reproduction, and fatherhood. Employing 90 men from both rural and urban communities, attitudes towards sexuality, reproduction, abortion and fatherhood were discussed. Several insights were gathered from the research, which explains men's behavior. Thus, it was deemed imperative that in empowering women by promoting sexual and reproductive health among men would require challenging male hegemony and persuading men to participate in health promotion. However, the setting and application of a men's agenda for sexual health promotion should not result in the curtailment of services for women because funds are being reallocated to men, nor should it give men the opportunity to more subtle forms of domination and exploitation.     

Sexual Fantasies and Gender/Sex: A Multimethod Approach with Quantitative Content Analysis and Hormonal Responses

Research links explicit sexuality (e.g., physical attraction and pleasure) to high testosterone (T) and nurturance (loving contact) to low T. Engaging in sexual fantasy, which can include explicit sexual and nurturant elements, increases T in women but not in men. We examined whether individual differences in the explicit sexual and nurturant content of fantasy were linked with T or with estradiol (E₂). In addition, we explored whether fantasy content differed or overlapped by gender/sex. Participants (26 women, 23 men) provided saliva samples for hormones before and after imagining a self-defined positive sexual encounter and responding to open-ended questions about the situation they imagined. We systematically content-coded responses for explicit sexual and nurturant content. In men, lower inclusion of nurturant content predicted larger T responses to fantasy. Fantasy content was not linked with T in women or with E₂ in women or men. Women and men did not differ significantly in explicit sexual and nurturant content. Our findings suggest that individual experiences of fantasy as more or less nurturant affect T in men, provide support for the Steroid/Peptide Theory of Social Bonds, and highlight the value of integrating hormones and content analysis to investigate research questions relevant to sexuality and gender/sex.     

Sexual Behaviors in Mexico: The Role of Values and Gender Across Adolescence

Adolescent sexuality research has expanded to include noncoital behaviors, but there is limited knowledge about individual factors such as cultural values associated with these sexual behaviors outside of industrialized nations. Thus, we examined associations between Latino values (familism, sexual guilt, and importance of female virginity) and three sexual behaviors (making out, oral sex, and vaginal sex), among adolescents ages 12–19 (53% female) in Mexico. Findings indicate that sexual guilt and importance of female virginity were consistently associated with all sexual behaviors. Some associations differed by gender and school level. For instance, sexual guilt was a better predictor of high school girls’ oral and vaginal sex. This study expands our understanding of adolescent sexuality in Mexico.     

Sexual expression in later life: a review and synthesis

In the past decade, researchers have begun to study the sexual functioning of typical older persons. This review summarizes literature on the sexuality of men and women over age 50 as researched by social and health scientists. Research on the relationship of biological factors (changes accompanying aging), health (physical, mental, and medication use), psychological factors (attitudes, information about sex), relationship factors (status, satisfaction), and sexual functioning (desire, dysfunctions, treatment) to sexual behavior is reviewed. The review suggests that (a) men and women remain sexually active into their 70s and 80s, (b) aging-related physical changes do not necessarily lead to decline in sexual functioning, and (c) good physical and mental health, positive attitudes toward sex in later life, and access to a healthy partner are associated with continued sexual activity. In turn, regular sexual expression is associated with good physical and mental health. Progress in understanding later life sexuality requires development of comprehensive theoretical models, a broad focus on intimacy, attention to measures and samples, and research on couples. Progress in understanding is especially important, given the aging of populations.     

Reasons Why Adolescents and Young Adults Have Sex: Associations With Psychological Characteristics and Sexual Behavior

We critically review the concepts of sexual addiction, sexual compulsivity, and sexual impulsivity and discuss their theoretical bases. A sample of 31 self‐defined sex addicts was assessed by means of interview and questionnaires and compared with a large age‐matched control group. A tendency to experience increased sexual interest in states of depression or anxiety was strongly characteristic of the sex addict group. Dissociative experiences were described by 45% of sex addicts and may have some explanatory relevance. Obsessive‐compulsive mechanisms may be relevant in some cases, and the addiction concept may prove to be relevant with further research. Overall, results suggested that out of control sexual behavior results from a variety of mechanisms. We propose an alternative theoretical approach to investigating these mechanisms based on the dual control model and recent research on the relation between mood and sexuality.     

Abstracts and reviews

Although men are far less likely than women to be victims of heterosexual assault, such cases have been reported with increasing frequency in recent years. We compared social judgments about male and female victims of heterosexual and homosexual rape and tested hypotheses concerning social cognitions that are assumed to underlie a male rape mythology. In a 2 × 2 × 2 design, 77 male and 89 female subjects made a series of judgments about a sexual assault case in which sex of victim and sex of assailants were manipulated. Consistent with the hypotheses, the male victim of sexual assault by females was judged more likely to have initiated or encouraged the sex acts, and more enjoyment and less stress were attributed to him. This pattern of results was more pronounced among male subjects. The results are discussed in relation to stereotypic beliefs concerning male sex roles, sexual motivation, and sexual functioning that are likely to affect the social cognitions of both observers and male victims of heterosexual assault.     

Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model

We critically review the concepts of sexual addiction, sexual compulsivity, and sexual impulsivity and discuss their theoretical bases. A sample of 31 self-defined sex addicts were assessed by means of interview and questionnaires and compared with a large age-matched control group. A tendency to experience increased sexual interest in states of depression or anxiety was strongly characteristic of the sex addict group. Dissociative experiences were described by 45% of sex addicts and may have some explanatory relevance. Obsessive-compulsive mechanisms may be relevant in some cases, and the addiction concept may prove to be relevant with further research. Overall, results suggested that out of control sexual behavior results from a variety of mechanisms. We propose an alternative theoretical approach to investigating these mechanisms based on the dual control model and recent research on the relation between mood and sexuality.     

Promoting sexual health and responsible sexual behavior: an introduction

Facing a myriad of sexual health problems today, health ministries are being compelled to develop comprehensive approaches to sexual health promotion. Recently, there have been several attempts to develop these strategies at national, regional, and global levels. One of the challenges of articulating strategies has been arriving at basic definitions of sex, sexuality, sexual health, and responsible sexual behavior. However, there is remarkable consistency throughout these recent documents. These documents call for leadership of the health sector to create better climates for discussion of sexuality, access to information and education about sexuality, prevention strategies, access to care, and more research in human sexuality and evaluation of programs designed to promote sexual health and responsible sexual behavior.     

Racial,Ethnic, and National Boundaries: Sexual Intersections and Symbolic Interactions

Sex and race are strained, if not strange, bedfellows. Sexual depictions and denigrations of racial, ethnic, and national “others” and the regulation of in‐group sexual behavior are important mechanisms by which ethnic boundaries are constructed, maintained, and defended. Race, ethnicity, and the nation are sexualized, and sexuality is racialized, ethnicized, and nationalized. The sexual systems that prop up ethnic boundaries and define ethnic identities and communities tend to be inherently conservative blueprints for ethnosexual living. These systems stress endogamy, heterosexuality and reproduction under the rubric of traditional, often patriarchal family life for ethnic group members and tend to demonize and denigrate the sexuality of those outside ethnic boundaries or of those within ethnic communities who do not conform to heteronormative, heteroconventional models of sexuality. I present several examples of the intersections of race, ethnicity, nationalism, and sexuality/ies from U.S. and international settings, and I argue that the symbolic interaction between ethnicity and sexuality is central to their mutual constitution.     

Effect of Sex Education on the Sexual and Contraceptive Practices of Female Teenagers in Mexico City

After having carried out a review of the literature on the relationship between sex education and sexual and contraceptive behavior, the National Research Council (1987) recently concluded that the existing evaluation of the effects of sex education on sexual and contraceptive practices is helpful but not sufficient. One possible explanation for the different results obtained are the diverse sociodemographic characteristics of the sample or samples of teenagers under consideration. Another aspect that can account for the differences found in the literature focuses on the areas covered in the course. In Mexico no studies have been carried out which deal with the relationship between sex education and sexual and contraceptive behavior. A study was carried out with 392 female teenagers between 16 and 17 years old of lower and middle lower socioeconomic level. Results show that the mere fact of attending a sex education course did not affect the initiation or continuation of sexual activity, contraceptive behavior or even the perception of accessibility to contraception. Providing information on sexuality, relationship with the partner and where to obtain contraceptives does not have an effect on sexual activity. Receiving information on pregnancy prevention and on where to obtain contraceptives was found to be related to contraceptive use. Although less dramatic, information about the relationship with the partner and on sexuality also produced increases in contraceptive use.     

Medicalizations and demedicalizations of sexuality therapies

This article complicates recent discussions about the expanding zones and influences of medicalization and biomedicalization on sexuality and sex therapy by contextualizing them with competing nonmedicalizing trends. These latter developments include an escalating nonexpert commercial sexuality sector on the Internet, as well as a long history of anarchic and democratizing social politics, such as "the counterculture" and "free love movements." What these nonmedicalizing trends have in common is the view of sexual problems and solutions as far broader than sexual dysfunctions and sex therapies, a belief in the social determinants of individuals' sexual experiences, and a deep concern regarding the socially harmful consequences of medicalization. With the quantity of sexuality information and advice available to the public through the Internet only likely to expand, a long era of clashing claims about relations between sexuality and health and about the role of expertise in sexual life can be foreseen.     

Navigating Sex and Sexuality After Sexual Assault: A Qualitative Study of Survivors and Informal Support Providers

Qualitative interview data from 45 matched pairs of survivors disclosing sexual assaults and their primary informal support providers (e.g., friend, family member, significant other) were used to explore survivor and support provider perspectives on changes in sexuality postassault and how those close to them have been affected as a result. Changes in sexuality included loss of interest in sex, increase or change in sexual partners, engaging in sex work, and increased sexual behavior. Support providers generally regarded promiscuity as a risky sexual behavior. If the support provider was the survivor’s sexual partner, he or she discussed exercising caution when navigating sexual intimacy with the survivor. Not all sexual encounters with romantic partners were positive; some survivors discussed being triggered (i.e., with post-traumatic stress disorder [PTSD] flashbacks) or experiencing the dissolution of their relationships due to the sexual impacts of their assault. Counseling implications are discussed in the context of improving survivors’ sexual experiences in general and in romantic relationships postassault. Implications can also be applied to prevention, scholarship on sex work, and sexuality research.