A clinical comparison of lesbian and heterosexual women in a psychiatric outpatient clinic

Previous research has reported that when compared to heterosexual women, lesbians may use alcohol and illicit substances to a greater degree and may experience greater psychiatric symptomatology. This study sought to describe any differences in clinical diagnoses, familial histories, and substance usage between lesbian and heterosexual women in a psychiatric outpatient clinic. A chart review was conducted and a sample of 455 heterosexuals and 75 lesbians was obtained. Data, where available, included demographic information, clinical diagnoses, time in treatment, sexual orientation, past and present substance use, and familial substance abuse and psychiatric history. Lesbians were found to have greater past illicit substance use but less current use. No significant differences were found for alcohol use. Similarly, no significant differences in clinical diagnoses were found. Significant differences were found among families. Family members of lesbians had greater substance use and psychiatric histories. These findings both support and dispute some previous research and suggest areas for future researchers to explore.     

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.     

Mental health issues: a comparison of lesbian, bisexual and heterosexual women

This study examines mental health issues among women of different sexual orientations. An anonymous survey was administered at 33 health care sites across the United States; the sample (N = 1304) included lesbians (n = 524), bisexual (n = 143) and heterosexual women (n = 637). Not only did sexual orientation influence the probability of experiencing emotional stress, but also whether a bisexual woman or lesbian had disclosed her sexual orientation (was "out") impacted the likelihood of having or having had mental health problems. Bisexual women and lesbians experienced more emotional stress as teenagers than did heterosexual women. Bisexual women were more than twice as likely to have had an eating disorder compared to lesbians. If a bisexual woman reported being out she was twice as likely to have had an eating disorder compared to a heterosexual woman. Lesbians who were not out and bisexual women who were out were 2-2.5 times more likely to experience suicidal ideation in the past 12 months. Lesbians and bisexual women who were not out were more likely to have had a suicide attempt compared to heterosexual women. Lesbians used psychotherapy for depression more commonly than did heterosexual or bisexual women. This is one of the few studies that compares lesbians, bisexual and heterosexual women. The implications of these findings are discussed.     

Clinical Outcomes of Enjoying Sexualization Among Lesbian Women

The Enjoyment of Sexualization Scale (ESS) was given to 150 lesbians in addition to measures of self-objectification, negative eating attitudes, and depression. The ESS was found to have acceptable levels of internal consistency reliability with a lesbian sample. Scores on the ESS were lower in this sample than in previously reported research with heterosexual women. Enjoying sexualization was found to moderate the relationship between body shame and both depressive symptomatology and negative eating attitudes. In contrast to findings from a heterosexual sample, lesbians who enjoyed sexualization had smaller relationships between these negative clinical outcomes and body shame than lesbians who did not. For lesbians, enjoying sexualization may serve a protective function against the negative effects of self-objectification. Findings are discussed in terms of body image and perceptions of ideal beauty among lesbians.     

Barriers to women's disclosure of and treatment for substance use during pregnancy: A qualitative study

IntroductionThe use of alcohol and or illicit drugs during pregnancy is a complex public health issue. There are many adverse short- and long-term health implications of substance use during pregnancy that can potentially affect the mother-foetal dyad. Although prevention and treatment options — such as counselling, pharmacotherapy, rehabilitation, support and case management and withdrawal management — are available, a range of barriers impedes women's ability to disclose their substance use, which limits access and engagement with available services.ObjectiveThis research explored barriers women encountered in disclosing substance use and accessing substance use treatment in pregnancy.MethodsParticipants were recruited from a longitudinal cohort study of people with a history of injecting drug use from metropolitan Melbourne. One-on-one in-depth interviews with 15 participants were conducted using a semi-structured interview guide. To be included in this study, participants must have reported a history of substance use during one or more of their pregnancies.ResultsThe fear of losing child custody associated with the involvement of the child protection services was one of the main barriers to disclosing substance use during pregnancy and accessing treatment and rehabilitation services. Other barriers including stigma and perceived limited treatment options impacted women in various ways.ConclusionPregnancy is an important time for women and offers opportunities for service providers to support women who are using substances. While not all barriers can be removed, careful consideration of individual cases and circumstances may help service providers to tailor interventions that are likely to be more successful.     

Facilitators and barriers to substance-free pregnancies in high-income countries: A meta-synthesis of qualitative research

BackgroundPrevious studies have associated substance use (alcohol, illicit drugs and smoking) to negative pregnancy outcomes, including higher risk of stillbirth.AimThis study aims to identify facilitators and barriers reported by women to remain substance free during pregnancy.MethodsA systematic search was conducted in six databases from inception to March 2019 and updated in November 2020. Qualitative studies involving pregnant or post-partum women, from high-income countries, examining women’s experiences of substance use during pregnancy were eligible. Meta-ethnography was used to facilitate this meta-synthesis.FindingsTwenty-two studies were included for analysis. Internal barriers included the perceived emotional and social benefits of using substances such as stress coping, and the associated feelings of shame and guilt. Finding insensitive professionals, the lack of information and discussion about risks, and lack of social support were identified as external barriers. Furthermore, the social stigma and fear of prosecution associated with substance use led some women to conceal their use. Facilitators included awareness of the health risks of substance use, having intrinsic incentives and finding support in family, friends and professionals.DiscussionPerceived benefits, knowledge, experiences in health care settings, and social factors all play important roles in women’s behaviours. These factors can co-occur and must be considered together to be able to understand the complexity of prenatal substance use.ConclusionIncreased clinical and community awareness of the modifiable risk factors associated with substance use during pregnancy presented in this study, is necessary to inform future prevention efforts.     

Substance use among gay and lesbian adolescents

Surveys at a Massachusetts high school used multiple items to identify gay, lesbian, and bisexual teenagers. Students with consistent homosexual preferences had greatly elevated rates of substance use. Those who displayed a homosexual preference but answered less consistently also had somewhat higher rates of substance use but were closer to heterosexual youths than to more consistent homosexual youths. The differences in substance use were least for alcohol use and greater for "hard" drugs.     

Sexual and Physical Abuse: A Comparison Between Lesbians and Their Heterosexual Sisters

The purpose of this study was to investigate similarities and differences in the incidence and patterns of abuse experienced by lesbians and their heterosexual sisters. In a matched sample of 324 lesbian/heterosexual sister pairs, the lesbians reported a greater incidence than their sisters of childhood physical and sexual abuse, as well as adult sexual abuse. Both groups identified male relatives as the most common perpetrator of both childhood physical and sexual abuse. Male relatives were most commonly identified as perpetrators of adult physical abuse and male strangers were most commonly identified as adult sexual abusers. Our results demonstrate that both sexual and physical abuse are common experiences for lesbian and heterosexual women; however, since the context of these experiences is different, each group will have special needs for services and treatment.     

Comparing Heterosexuals’ and Gay Men/Lesbians’ Responses to Relationship Problems and the Effects of Internalized Homophobia on Gay Men/Lesbians’ Responses to Relationship Problems in Turkey

The purpose of the present study was twofold: (1) to investigate the effects of sexual orientation (heterosexuals and gay men/lesbians) and gender difference on responses to romantic relationship problems (Exit, Voice, Loyalty, and Neglect [EVLN] responses) and of perceived partner’s EVLN responses in Turkey, and (2) to examine whether internalized homophobia was associated with EVLN responses and perceived partner’s EVLN responses for gay men and lesbians. Responses to Dissatisfaction Scale-Accommodation Instrument, Internalized Homophobia, and Demographics Information were administered to 187 participants (44 lesbians, 44 gay men, 53 heterosexual women, 46 heterosexual men).The MANCOVA results showed that men reported higher loyalty than women, whereas women presented more exit responses than men. Further, the interactions between gender and sexual orientation on the participants’ EVLN responses and on the perceived partner’s EVLN responses were significant. With respect to heterosexual women, heterosexual men displayed more loyalty responses. Lesbians had higher scores on loyalty than did heterosexual women. Lesbians also had higher scores on perceived partner’s exit response than did heterosexual women and gay men. On the contrary, heterosexual women reported more perceived partner’s voice response than lesbians. In addition, lesbians reported higher perceived partner’s neglect responses than heterosexual women. Compared to heterosexual women, heterosexual men reported higher perceived partner’s exit response. Finally, internalized homophobia was associated with destructive responses for both lesbians and gay men.     

Differences between lesbians and heterosexual women in disordered eating and related attitudes

This study examined differences between lesbians and heterosexual women on disordered eating, awareness and internalization of cultural attitudes concerning thinness, and body esteem concerning weight, physical condition, and sexual attractiveness. In this community sample, lesbians exhibited higher levels of body esteem concerning sexual attractiveness and lower levels of internalization of cultural standards. No differences were found on awareness of cultural standards, disordered eating, or body esteem concerning either weight or physical condition. Implications are discussed.     

Defining Life Partnerships: Does Sexual Orientation Matter?

ABSTRACT

This study compared the responses of gay men, lesbians, heterosexual men, and heterosexual women to a number of questions investigating the needs and tensions in life partnerships between two individuals. Overall, the groups had similar attitudes toward life partnerships. Nearly all respondents found great meaning in the idea of life partnership, the pursuits of psychological and physical intimacy and the importance of family and social support, and all three of these categories were actually considered more important than the ability to marry legally. Respondents recognized that having children may encourage commitment to life partnerships, though this was less influential for gay men. A significant percentage of respondents, regarding HIV status, either had no opinion or felt that HIV was not particularly or not at all threatening to life partnerships. Men and women, regardless of sexual orientation, appear to experience similar needs and aspirations regarding life partnerships.     

Correlates of Homophobia,Transphobia, and Internalized Homophobia in Gay or Lesbian and Heterosexual Samples

This research assessed the correlates of homophobia and transphobia in heterosexual and homosexual individuals, based on a theory of different sources of perceived symbolic threat to social status. Compared to 310 heterosexual college students, a sample of 30 gay male and 30 lesbian college students scored lower on homophobia, transphobia, and religious fundamentalism. Mean gender differences were smaller for gay men and lesbians for homophobia, aggressiveness, benevolent sexism, masculinity, and femininity. Fundamentalism, right-wing authoritarianism, and hostile and benevolent sexism were correlated only with homophobia in lesbians, whereas fundamentalism and authoritarianism were correlated only with transphobia in gay men. Correlates of internalized homophobia were different than those found for homophobia and transphobia, which was discussed in terms of gender differences in threats to status based on sexual orientation versus gender identity.     

Sexual orientation and earnings: a register data-based approach to identify homosexuals

This paper examines earnings differentials between homo- and heterosexual individuals by identifying sexual orientation with the help of information from register data. Register data enable us to avoid the misclassifications of sexual orientation often mentioned as a potential bias in survey-based studies. The results show that gay men are at an earnings disadvantage as compared to male heterosexuals while the earnings differential between lesbians and heterosexual women is very small. Our results are in line with results from previous research but are more reliable since we use a more reliable measure of sexual orientation than previous research.     

Reduction of Intimate Partner Violence in a Gay Couple Following Alcohol Treatment

ABSTRACT

Although intimate partner violence among heterosexual couples is a growing topic of investigation, there remains a critical deficiency in the amount of research on violence and relationship functioning in gay men. This article presents baseline and follow-up data on a case study examining the effects of partial hospital alcohol treatment on one gay couple. This information may be helpful in understanding the relationship between alcohol use, violence, and relationship functioning in this population. On the basis of past research involving heterosexual couples as participants, we predicted that subsequent to one patient receiving alcohol treatment: 1) alcohol consumption would be reduced; 2) there would be a reduction in the amount of psychological aggression between partners; 3) there would be a reduction in the frequency of physically violent episodes; and 4) an overall improvement in relationship satisfaction would be evident. The couple was followed-up 6 and 12 months following the patient's alcohol treatment. The results indicate a decrease in alcohol use as well as reduced physical and psychological aggression, but no increase in relationship satisfaction. This case illustration may provide insight into the context surrounding intimate partner violence and relationship functioning in gay couples, with implications for further research and treatment.     

Exploring Shame,Guilt, and Risky Substance Use Among Sexual Minority Men and Women

This study examined the interrelations among shame-proneness, guilt-proneness, internalized heterosexism (IH), and problematic substance use among 389 gay, lesbian, and bisexual men and women. Problematic alcohol and drug use were positively related to shame-proneness and negatively related to guilt-proneness. Bisexuals reported riskier substance use behaviors, lower levels of guilt-proneness, and higher levels of IH than gay men and lesbians. Furthermore, study findings indicated that shame and IH are related. Additional investigations of these associations would supplement current understandings of sexual minority stress and advance the development of substance-related intervention and prevention efforts targeting sexual minorities.     

An Exploration of Sexual Minority Stress Across the Lines of Gender and Sexual Identity

Despite growing evidence to suggest that gays, lesbians, and bisexuals experience a range of stressors and consequences related to their sexual minority status, no known studies to date have employed focus group discussion to explore and document their perceptions of sexual minority stress. In this exploratory study, we present focus group data on a range of sexual minority stressors as described by 43 gay men, lesbians, and bisexual men and women. We explore gender and sexual identity differences in the respondents' perceptions of heteronormativity, disclosure issues in different social settings, sources of support, and strategies for coping with stress. Respondents reported that women's same-sex relationships were eroticized and distorted to accommodate heterosexual male desire, while men were negatively depicted as sexually promiscuous and deviant. These differing stereotypes held important consequences for disclosure decisions and affected men's and women's social interactions with heterosexual men. Bisexual respondents reported unique strategies to cope with exclusion and isolation associated with misunderstandings about their sexual identities. Directions for future research on sexual minority stress are discussed.     

“Fruits,” “Fags,” and “Dykes”: The Portrayal of Gay/Lesbian Identity in “Nance” Jokes of the ’50s and ’60s

ABSTRACT

What is humorous and how it is interpreted very much depends on the norms and values of a culture at a particular point in time, the characteristics of who is telling jokes, and the makeup of the audience. This article presents archival material and an analysis of an outsider's jokes about gays and lesbians. These were told to primarily heterosexual audiences by a heterosexual comic. They reveal the assumptions Americans held about gays and lesbians throughout the 1950s, 1960s, and a few years into the mid-1970s, when most of these jokes were compiled. Although generalizations about gay/lesbian humor in that period cannot be made from one person's private collection of nearly 1,000 jokes, they do reveal several clear patterns: Much of the humor about male homosexuality is used to debase men and their masculinity, by making them passive, feminine, or weak, except for their hypersexuality. The women are also depicted in the jokes as sexually eager, especially to give oral sex to possibly straight women or acting in the male insertor role. Rarely were the gay/lesbian jokes focused on political issues of discrimination, oppression, or romantic relationships.