Negotiating Stigma: Lessons From the Life Stories of Gay Men

Gay men, like lesbians, bisexuals, and transgender persons, must negotiate their sexual orientation due to the socially constructed negative view of homosexuality in our culture. Stigma is experienced in various ways according to the meaning that the individual applies to it. This study gleans lessons from the life stories of 15 gay men who recognized the stigma of homosexuality and devised strategies to cope with it. An important finding was that mentors, acting as “cultural brokers,” played a significant role in helping to cope with stigma. The intent of this study is to add to the literature regarding mechanisms that social workers can employ to help gay men cope with stigmatization.     

Conceptualizations of Family by Older Gay Men

SUMMARY

Gay lives challenge historically dominant understandings of family. Given that definitions of family have been heterosexually based, how do non-heterosexuals define and understand “family?” Drawing from the family life course perspective, we propose that contemporary cohorts of older gay men represent a strategic vantage point for understanding innovations in family life, and thus expand current understandings of a gay life course. We use data from an interview study of gay men over the age of 50 who talked about their family relationships. While providing diverse definitions of family, biological ties and closeness were two consistent dimensions for defining both positive and negative family relationships by these older gay men. Narratives of coming out were central to discussions of current relationships with parents and children. The findings from this study indicate that sexual orientation influences life trajectories and transitions and point to useful avenues for further research on contemporary family life.     

The Second Closet: A Qualitative Study of HIV Stigma Among Seropositive Gay Men in a Southern U.S. City

ABSTRACT

Objectives: Stigma connected with HIV/AIDS has decreased considerably since the early epidemic yet affects those living with HIV in many ways. Little research, particularly qualitative research, concerning HIV stigma from the perspective of gay men has emerged. The present qualitative study aimed to fill this evidence gap by examining how HIV stigma is perceived and experienced by gay men who have become HIV-infected and how they respond to this stigma. Methods: Thematic analysis of 19 gay men's narratives identified six main themes. Results: Encountering HIV stigmatization was common and was linked to the physical stigmata identifying respondents as HIV-positive. Overwhelmingly, they found stigmatization to be most intensely felt within gay communities. One profound theme was internalized HIV stigma, referring to respondents’ internalized negative feelings about their HIV status. A related theme was the closeted nature of HIV. Lastly, regarding how the men dealt with the HIV diagnosis and experiences of HIV stigma, a theme of adaptation became clear. Conclusions: Although exploratory, the results can serve as a beginning framework for understanding and assisting seropositive gay men who experience HIV stigma. The findings are important because it is realistic to expect that in a climate in which HIV has become increasingly invisible and closeted and in which infections are on the rise, gay and bisexual men will be increasingly affected and infected by HIV.     

Ethnographic Study of Gay and Bisexual Working-Class Men in the United States

SUMMARY

Thirty-nine working-class gay and bisexual men were interviewed using ethnographic techniques to better understand their resilience in light of homophobia, heterosexism, classism, AIDS, violence and discrimination. Several themes emerged: heterosexual assumption, sense of difference, socialized to hide, gay identity confusion, coming-out as an ongoing process, managing stigma, conflict with religion, family support, relationships, self-concept, working-class attitudes, and drug and alcohol abuse.     

Negotiating Emotional Support: Sober Gay Latinos and Their Families

This study explores how sober gay Latino men obtain support from their families. Familial ties can be a protective health factor, yet many gay Latinos experience rejection from family members because of their sexuality. There are very few studies that examine the extent and quality of emotional support from kin for this population. Understanding family dynamics within the context of recovery and sexuality can increase our understanding of how to leverage family ties to develop alcohol abuse interventions. The study was conducted via semistructured interviews with 30 sober gay Latinos using a grounded theory approach. Analyses of the qualitative data identified the following themes: family values shaped the participants’ perception of their range of choices and emotional responses; participants reported feeling loved and supported even when sexuality was not discussed with parents; and family support for sobriety is essential. Findings suggest that familial ties shape perceptions of support and importance of disclosing sexual identity. Family support often results from agreements about sexual identity disclosure, and some families can overcome cultural and religious taboos on sexuality. Future studies should investigate families that negotiate acceptance with their gay members, and whether they exhibit heterosexual biases that may influence the psychological stress of gay Latino men who wish to be sober.     

Wellness in Adult Gay Males

Abstract

Adult gay males face significant social stigma, internalize negative societal messages related to their sexual orientation, and experience difficulties related to disclosing their sexual orientation to others, particularly to parents. Although the effects of these challenges in terms of pathology have been established, the relationship among internalized homophobia, self-disclosure, self-disclosure to parents, and wellness has not been examined. The results of a study of these variables among 217 gay males are presented and discussed.     

Living with the stigma of AIDS

This article uses interview data to explore how 23 gay and bisexual men who had AIDS were affected by and managed stigma. The article describes how stigma affects the relationships of persons with AIDS to their families, friends, lovers, colleagues, and health care providers. It explores how persons with AIDS avoid or reduce stigma by concealing their illnesses, learning when and to whom they should reveal their illnesses, changing their social networks, educating others about AIDS, developing nonstigmatizing theories of illness causation, and using bravado to convince others that they are still functioning social beings.     

The Mark of Madness

Abstract

Stigma is a major barrier to recovery for individuals with mental illnesses. It interferes with community living and attainment of resources and goals and damages self-esteem and self-efficacy. Given that social workers provide much of the mental health care to individuals with mental illnesses, and that actions to reduce stigma support the social justice mission of social work, addressing stigma should be a focus of social work interventions. The goals of this paper are to explore stigma theory in general and for individuals with serious mental illnesses, discuss the implications of this stigma analysis for social work, and make recommendations for action in both practice and research.     

Out of the Darkness: Three Waves of Family Research and the Emergence of Family Therapy for Lesbian and Gay People

Like family relationships themselves, the history and treatment of lesbian and gay people and their families is complicated. For this paper, three waves of research on the families of gay and lesbian individuals are described. During the first wave, gay and lesbian sexual orientation was seen as a disease and family dynamics were blamed for its genesis. Subsequently in the second wave it was believed that, fearing rejection many gay and lesbian people either distanced or were rejected from their own families and established friendship networks that have been described as families of choice. More recently, in the third wave, the family has been identified as a resource for lesbian and gay youth whereby open relationships with parents can help protect them from mental illness, substance abuse, and HIV risk. Furthermore, an increasing number of same-sex couples are choosing to become parents, overcoming biological and social obstacles. In this article these shifting views of the role of family in the lives of lesbian and gay people will be described along with case material that illustrates the historic influences, current developments and future directions of family treatment for this population. To be maximally effective with gay and lesbian people and their families, clinical social workers and other mental health professionals must understand how family therapy has been influenced by a progression of ideas that continue to evolve. In this paper, research examining the role of the family in the lives of lesbian and gay people will be described in three waves; as a source of blame, to an impediment to gay and lesbian happiness and ultimately a resource that can enhance lesbian and gay well-being. The influences of research on family therapy with this population will be described and case examples will demonstrate how to harness the strengths of family relationships identified in the most recent wave.     

Strategies Used by Gay and Bisexual Young Men to Cope With Heterosexism

ABSTRACT

Although the pervasiveness of heterosexism in the lives of gay and bisexual youth is well established, little is known about the strategies these youth use to cope with stigma and discrimination based on their sexual minority status. In this qualitative study, the authors present findings and implications for clinical practice based on interviews with 43 gay and bisexual young men. Respondents’ coping strategies are discussed in relation to current theory and research on coping with stigma, as well as the emerging field of emotion regulation. The narratives from the current study suggest that the emotion regulation paradigm is well suited to understanding the functions of strategies for coping with heterosexism and similar types of stigma.     

Intentional Families: Fictive Kin Ties Between Cross‐Gender,Different Sexual Orientation Friends

This study explores the nature of intentional family relationships between friends of different genders and different sexual orientations. Drawing on in‐depth interviews with 46 members of 23 friendship dyads, I first make the case that the friends considered one another family and I specify the criteria they use for making such designations. I then focus on the ways in which gender and sexual orientation influenced relationships between lesbians and straight men and between gay men and straight women. The data provided evidence that the dyad members identified one another as family and served the functions of family for each other. The findings also suggest that various gender issues affect cross‐gender, different sexual orientation relationships. Exploring the meaning and functioning of these intentional family ties documents their existence and illuminates their meaning and maintenance.     

The Interplay of Syndemic Production and Serosorting in Drug-Using Gay and Bisexual Men

The relationships between mental health, substance use, and sexual behaviors among gay and bisexual men in a sample of 450 club drug-using men from New York City were examined using syndemics theory. Risk scores for each participant were based on variables measuring substance use and mental health burden. Participants with higher risk scores were significantly more likely to engage in risk behaviors. Risk taking was also explained by serosorting, suggesting that syndemics theory in and of itself, while significant in explaining risk, is not sufficient. These findings suggest we need to understand the interplay between social, emotional, and cognitive factors to understand sexual risk taking.     

The Adolescent Sexual Development of African American Gay Men with AIDS: Implications for Community-Based Practice

ABSTRACT

This qualitative study describes the adolescent sexual development of ten African American gay men living with AIDS. The informants retrospectively describe the challenges of being a gay adolescent in a mostly heterosexist and homophobic environment. They report unsupportive homophobic and heterosexist family members, community members and school officials. They also describe their burgeoning sexual orientation, sexual initiation as well as consensual and non-consensual sexual experiences with their peers. Additionally, several informants describe seeking sexual experiences with adult men. Later they suggest the adult men became their primary sources of emotional and psychological support. Implications for community practice, intervention and research with both African American gay adolescents and adult men living with AIDS are discussed.     

Realities and Hopes for Older Gay Males

Abstract

Data about gay men in the Midwest over the age of 50 are extracted from a larger study of gay men and lesbian women. Information is sought regarding the role of sexual orientation, social networks, and social programs and activities in personal assessments of both the aging process and life satisfaction. The sample was divided into two groups: men 60 years of age and older, and men between the ages of 50 and 60. Differences were found between these subgroups, especially regarding acceptance of the aging process; yet these men were more similar than different in most aspects of life. Participation in gay community activities, social and religious, was found to be important for the quality of life of these men. Those integrated into the community, formally and informally, were also more likely to believe that their sexual orientation had helped their aging process.     

The Attitudes of Australian Heterosexuals Toward Same-Sex Parents

SUMMARY

This is the first study of attitudes of Australian heterosexuals toward heterosexual, gay male, and lesbian parents and the children raised by these parents. A sample of Australian heterosexual males and females read one of six vignettes describing a family situation. Participants assessed the parents' emotional stability, responsibility, and competence; how loving, sensitive, and nurturing they were; the amount of quality time they spent with their child; and their ability to be good role models. Results indicated participants held negative attitudes toward gay male and lesbian same-sex parents. Participants believed that children raised by same-sex parents are more likely to experience confusion over their sexual orientation and gender identity, more likely to be homosexual, and more likely to experience strained peer relationships as well as stigma and teasing than children raised by heterosexual parents. Level of sexual prejudice was the key predictor of attitudes toward same-sex parents and the expected outcomes for their children. Being male, older, and having fewer children were additional predictors of attitudes towards same-sex parents, whereas being older and less religious was associated with expected negative outcomes for the children. Substantial attitudinal shifts are required before gay male and lesbian parents and their children are fully accepted into Australian communities.     

Depressive Distress and Prevalence of Common Problems Among Homosexually Active African American Women in the United States

SUMMARY

We report findings from a national survey of 603 homosexually experienced African American women who self-identified as lesbian, gay, or bisexual. Levels of psychological distress greatly exceeded population norms for African American women. The most frequent problems participants reported were romantic relationship and financial difficulties. Problems with using drugs or alcohol to self-medicate psychological distress were the most chronic stressors. Although 31% of women indicated they received emotional support from a counselor or other professional in the prior month, the least likely to receive support were those reporting chronic financial, housing, anger, or substance use problems. These findings underscore the vulnerability of African American women, who navigate the triple stigma of having a minority ethnicity, sexual orientation, and gender.     

Social and Demographic Characteristics of Gay,Lesbian, and Heterosexual Adults with and Without Children

SUMMARY

This is the first study to compare lesbian mothers (n = 150), lesbians without children (n = 236), heterosexual mothers (n = 175), heterosexual women without children (n = 38), gay fathers (n = 40), gay men without children (n = 163), heterosexual fathers (n = 157), and heterosexual men without children (n = 32) on social and demographic characteristics. Demographic differences included age, education, length of relationship, religion, and geographic location. Only 28% of gay fathers and 37% of lesbian mothers had at least one child from their current relationship. For women the most important factor in predicting contact with family of origin was sexual orientation, while for men it was parenting status. More gay and lesbian parents had disclosed their sexual orientation than those without children. Gay fathers reached most milestones in the coming-out process between 2.5 and 4 years later than gay men without children, while lesbian mothers reached all milestones in the coming-out process 3 to 5 years later than lesbians without children. Lesbian mothers who had children before coming out reached developmental milestones 4 to 8 years later than lesbian mothers who had children after coming out.     

A Review of: “Sex and Ethics: Essays on Sexuality,Virtue, and the Good Life. Edited by Raja Halwani.”

Early family backgrounds of gay fathers compared to a matched sample of gay nonfathers were investigated, with particular emphasis on parent‐son relationships. It was hypothesized that, contrary to predictions based on Freudian theory, there would be no difference in homosexual fathers' and nonfathers' perceptions of their early family life and relationships with their mothers and fathers. Questionnaires from 30 gay fathers and 30 gay nonfathers derived from a larger nationwide study of 285 homosexual men from Dignity chapters in the Northeastern, Midwestern, Southern, Southwestern, and Western United States were analyzed using analysis of variance. No difference was found between the gay fathers' and gay nonfathers' perceptions of their parents' acceptance of them. Both groups perceived their mothers to be significantly more accepting than .their fathers. Both groups also reported growing up in intact homes where heterosexual relationships were modeled for them, pleasant memories existed, and marital discord was not commonplace. These results support the growing body of research which questions the Freudian‐based concept of a causal relationship between early familial relationship patterns and sexual orientation.     

Normal Queers: Straight Parents Respond to Their Children's “Coming Out”

This article explores how normative understandings of gender, family, and sexuality provide the foundation for stigma, an avenue out of deviance, and the means by which stigma is perpetuated. Using participant‐observation and interview data from a support group for families of lesbian women and gay men, I examine the destigmatizing identity work with which straight parents responded to their children's lesbian and gay identities. The parents' reliance on conventional understandings of gender, sexuality, and parenting invoked and affirmed heteronormative conceptions of normalcy. This redrawing—and not fundamentally challenging—of the lines defining sexual normalcy left intact systemic logics supporting heterosexist sexual hierarchies.