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.     

Exploring the Gay Community Question: Neighborhood and Network Influences on the Experience of Community among Urban Gay Men

The reported declining significance of gay neighborhoods has raised questions about the role of gay enclaves as a locus for community building. Using Wellman and Leighton's community “lost,” “saved,” and “liberated” frameworks, we examine the degree to which gay enclave residence and network socializing are associated with experiences of gay community among men in the New York City area. Multilevel models indicate that enclave residence is neither directly nor indirectly associated with perceived community cohesion or community attachment. Increased socializing with gay men and heterosexuals were, respectively, positively and negatively associated with our community outcomes. Increased socializing with lesbians was associated with greater community attachment, while socializing with bisexuals was associated with greater perceived community cohesion. Our findings lend support for a “gay community liberated” perspective; experiences of gay community are shaped principally by network relations rather than residential proximity to gay institutions.     

Life Course Diversity Among Older Lesbians and Gay Men: A Study in Chicago

How much can we assume about the shared life experiences of older lesbians and gays? This article is broadly concerned with rethinking the significance of this question as it pertains to cultural images and stereotypes of “older gay and lesbian” identities in a large and diverse American city. In 1996, the authors completed a 10-month needs assessment study regarding the lives and needs (social and psychological), which must be addressed for older lesbians and gays in the city of Chicago. The authors take the approach that simply being of the same or similar age is insufficient to understand the meaning of people's sexual identities. They entered into this study aware of some stereotypes about older lesbians and gays, but like previous investigators, they were surprised at the range of diversity that they uncovered. They discovered not only the common denominators in their participants' experiences and their lives, but as some commentators have already suggested, they also discovered a great deal of variation. To address the issues, the authors describe conceptual problems that emerged in a recent needs assessment of older lesbians and gay men in Chicago.     

Don't Ask,Don't Tell and Other LGB Civil Rights Issues: Effects of Terminology on Public Opinion

“Don't Ask, Don't Tell” was devised to combat the perceived costs associated with gays and lesbians openly serving in the military, including low unit cohesion, damage to the military's reputation, and the general population's lack of acceptance for homosexuals serving (Belkin, 2008). However, recent polls and policy reversal have shown growing public support for homosexuals being allowed to serve openly. Interestingly, the amount of support has varied as a function of question wording. Two polls conducted by CBS News found support for homosexuals serving in the military varied with greater support for “gays and lesbians” compared to “homosexuals.” Two studies were conducted to further examine the effect of terminology on reported support. Two samples reported opinions for homosexual civil rights issues. Sexual orientation was described using the terms gay men and lesbians, homosexuals, gay men, or lesbians. Percentage differences were found to be greater than those reported in the CBS polls, as wording choice had an effect on reported openness regarding homosexual civil rights. These differences indicate that it is important to consider precise terminology usage when measuring opinions. Levels of support, stereotypes activated, and the relationship between support for civil rights and general levels of prejudice were examined.     

Expanding “Irish Family” Repertoires: Exploring Gay Men's Experiences as Parents in the Republic of Ireland

ABSTRACT

This article explores gay men's parenting experiences and practices in order to seek insight into how gay men accept or challenge heterosexual family norms and how “family” is understood in the Irish context. It is based on small-scale qualitative research (interviews) with seven gay fathers. Despite the limited routes to parenthood for gay men in Ireland, the research findings indicate that the participants enjoy parenting and that they are motivated in their parenting practices. The gay fathers in this study are participative parents who have made significant decisions in their lives in order to prioritize their children's welfare. The diversity of family constellations and care arrangements that surround gay fathering in Ireland can expand family and care repertoires beyond the traditional biparent heterosexual norm. Gay fathers in Ireland appear to enjoy some security at the private familial level and in the responses from their families and communities, but they are keenly aware that nontraditional families are given less status in Irish society. Unlike other jurisdictions, gay parenting is not articulated by the gay fathers in this research as a rights-based argument. Instead, these Irish gay fathers are de facto activists who seek to “humanize” gay parenting.     

“And then AIDS came along”: A life course turning point and sub-cohorts of older gay men

Research on life course turning points focuses on heterosexuals. Scholars acknowledge that the early AIDS epidemic was a period of crisis for current older gay men, and that this period has shaped and will likely continue to impact their lives. However, few studies have considered the range of early AIDS-related experiences within this group. In this article, I use a life course perspective and in-depth interviews with 40 gay men (60+) in Atlanta to address the following questions: (1) How did current older gay men's experiences vary during the AIDS years? (2) What social factors shaped this variation? I identified three AIDS-related sub-cohorts, which were defined by how participants' social and spatial relationships to urban gay communities influenced their experiences of personal loss, community loss, personal support, and community support between 1981 and 1996. The results suggest that scholars and service providers interested in how early life experiences impact later life should consider the divergent early AIDS-related experiences within the group “older gay men.”     

Gay and Lesbian Couples at Home: Identity Work in Domestic Space

ABSTRACT

Social research into gay/lesbian experiences of home has tended to posit domestic environments as alienating for gay/lesbian subjects, silencing their sexual identities. Meanwhile, work on the spatiality of sexual identity more broadly has largely focused on individuals or communities, not couples or households. In this context, this article aims to recover the importance of home for gay/lesbian couples. I explore how cohabiting gay/lesbian couples generate shared identities through domestic space, examining various ways in which these couples use homes to establish and consolidate their partnerships. Empirical data is drawn from twenty-three in-depth interviews with gay/lesbian Australians who are cohabiting, or have cohabited, with a long-term partner. The sample is largely limited to white, educated, middle-class gay men and lesbians living in urban Australia, providing an ethnographic window into the domestic identity-formation of a particular community of practice. Four key themes regarding “coupled identities” at home emerged from the interviews: (i) the importance of privacy and control at home for enabling gay/lesbian partnerships; (ii) the negotiated creation and use of shared domestic spaces; (iii) the accumulation and arrangement of household objects in those domestic spaces; and (iv) the importance of maintaining separate “personal” spaces for each partner for the well-being of the relationship.     

“Family” Support for Family Violence: Exploring Community Support Systems for Lesbian and Bisexual Women Who Have Experienced Abuse

ABSTRACT

“Family” is a euphemistic term that lesbian, gay, bisexual, and transgender (LGBT) people use among ourselves to designate membership in lesbian, gay, bisexual, and transgender communities. Ironically, this “family” may be the most sought, yet least successful, support for dealing with the intimate partner violence that occurs within LGBT families. This study of 11 lesbian and bisexual women's experiences seeking support revealed several tiers of unmet needs within the LGBT community. They rarely used services in the general community, although these services are often the focus of both criticism and efforts to build support systems for LGBT victim/survivors. A model presents the different stages and potential sources of support.     

Talking about sexual identity with older men

How do social workers begin to talk about sexual identity when conducting assessments with older men? This paper focuses on work with older gay men and highlights the importance of talking about sexual identity in order to prevent it being rendered invisible. While there may be some risks associated with openly identifying as gay, such as homophobic violence, being open about one's sexuality is important for maintaining self-esteem and mental health. Despite the obstacles facing social workers in talking to older men about their sexual identity, it is essential that they do not ignore this aspect of people's lives. Therefore it is important that social workers open themselves up to the possibility that an older man might be gay or bisexual and help construct environments that enable the disclosure of this aspect of his identity.     

Money in marriage

Abstract

Mrs Allonby: I dont't think we should ever be spoken about as other people's property. All men are married women's property. That is the only true definition of what married women's property really is. But we don't belong to anyone. A woman of No Importance, Oscar Wilde 1893

The author suggests that it is vital that we address money directly in our work with couples. It is an area that has been relatively neglected, both by practitioners and researchers. Everyday talk testifies to the meaning and importance that money plays in people's lives. It also conveys attitudes about the way men and women view each other and relate to one another. The psychological implications of these social attitudes for women are addressed and an agenda is suggested for further thought and research.     

Briefly Noted

We asked Jerry Rhodes, former top executive at CRC (now Acadia) and a leader in opioid treatment program management, what he thinks of methadone as a medication to be used in primary care to treat opioid use disorder (OUD), as some people — including former Office of National Drug Control Policy Director Michael Botticelli — recommended last year (see ADAW, July 16, 2018). “I take issue with that,” said Rhodes. “Methadone is a dangerous drug in an unregulated environment,” he told ADAW. Buprenorphine is prescribed this way, but “buprenorphine is a relatively safe drug, and methadone isn't,” he said. A veteran of many battles over methadone, including the near‐elimination of opioid treatment programs, Rhodes told ADAW that “you don't give unfettered access to methadone” to patients with OUD. “Be careful what you wish for” is his advice. This has the potential to cause harm, he said. “Only people who don't understand the history of its utilization would recommend this.”     

Experiences of the Orthodox Community Among Orthodox Jewish Gay Men

Sense of community includes elements such as sense of belonging, mutual interdependence, trust, shared goals and values, and shared history. It is associated with benefits for both the members and the community and is believed to be stronger in religious minority groups. This qualitative study describes the experiences of the Jewish Orthodox community among Orthodox Jewish gay men. In-depth interviews were conducted with 22 men about their experiences of being gay in their Orthodox communities. A content analysis revealed four themes: community as a home, community as a comprehensive provider, community as a strict behavior regulator, and community as punitive toward gay men. Findings suggest that Orthodox Jewish gay men have mixed feelings about their community; being satisfied with a community that provides for all their needs, but also living in constant fear of the negative consequences they and their families may endure if their homosexuality will be revealed. Recommendations for social work practice are provided.     

Marijuana,Gender, and Health-Related Harms: Disentangling Marijuana's Contribution to Risk in a College “Party” Context

Sociological studies suggest that there is social change occurring in the acceptance of lesbians and gay men in the workplace. Compared to prior decades, there are more businesses that welcome, value, and even privilege nonheterosexual sexual identities and relationships. Few studies have analyzed workers' experiences in these types of work contexts. In this article, we explore the experiences of “out” LGB women and men who work for organizations that they consider “gay-friendly.” In-depth interviews demonstrated that, although gay and lesbian workers feel that they are accepted in “gay-friendly” organizations, they nevertheless described differential treatment because of their sexual identity. We discuss evidence of stereotyping, sexual harassment, and gender discrimination in their work experiences. Although the movement toward greater acceptance of gays and lesbians in the workplace has made significant progress, the transformation is so far incomplete. We conclude with a discussion of the implications of this research for the study of equality in organizations.     

Developmental Attachment and Gay and Lesbian Adoptions

Abstract

With increasing numbers of gay men and lesbians choosing to raise children, many are looking at the option of adoption. Adopted children present with a unique collection of psychological issues, many of which are rooted in a history of disrupted attachment. Children with attachment-related disturbances inevitably manifest with a variety of behaviors that often can be classified as oppositional or disruptive. With more attention by researchers and clinicians on the effects on children of growing up in a gay or lesbian household, it is important that other variables be considered besides the sexual orientation of the parents. Otherwise, conclusions can be drawn that don't accurately reflect the total picture for these children and families.     

Coming Out,But Into What? Problematizing Discursive Variations of Revealing the Gay Self in the Workplace

There is a substantial mainstream literature on coming out in organizations, which investigates the positive effects for gay people of being out at work, but very few contributions that challenge the discourse of coming out. Taking as its starting point Butler's famous question ‘So we are out of the closet but into what?’, this paper problematizes coming out discourses in the workplace. We report on a study in which ten men were invited to talk about their coming out in the workplace. There were three main ways through which our participants constituted themselves as gay men when they talked about coming out: by defining themselves as, and admitting to, being gay; by introducing themselves as being in a gay relationship; and by adopting legitimate subject positions such as the Other, the different one, or the normal gay. Through our analysis, discussions and conclusions, we show how participants position themselves within different discursive variations, thus revealing the multiplicity of ‘the gay self’ and highlighting how coming out repeats and supports normative systems.     

Substantive Meanings of Missing Data in Family Research: Does “Don't Know” Matter?

In this article we analyze “don't know” responses from three sources of longitudinal data: the National Longitudinal Study of Adolescent Health (n = 14,528), the National Survey of Families and Households (n = 5,488), and the National Health Interview Survey Second Longitudinal Study of Aging (n = 1,131). We asked whether these responses are meaningful in family research, and, if so, how evaluating these responses can contribute to the development of theory, the discovery of novel findings, and identification of sensible methods for analyzing these nebulous responses. We found that “don't know” responses to questions about family members predicted less educational attainment, poor marital quality, and earlier mortality. Results suggest that this response category may have substantive meanings rather than indicating neutral responses or being missing data.     

Negative Consequences

Abstract

This article reports the results of a qualitative study of self-identified HIV-Negative gay/bisexual men living in urban gay communities. The study explored the effects of living through nearly two decades of the AIDS pandemic. Most researchers have focused on those who are HIV-Positive. Those whose serostatus is HIV-Negative are rarely included, but are greatly affected by this disease. An increasing number of these men, especially younger men, are seroconverting. Forty-seven gay men returned a questionnaire asking about feelings on being HIV-Negative, dealing with grief, sexual practices, and relationship and caregiver issues. Many HIV-Negative gay men reported psychological problems such as depression and unresolved grief. Therapists and AIDS prevention educators need to attend to the special needs of this overlooked population.     

Talking or Keeping Silent About Parental Mental Health Problems—A Grounded Theory of Parents' Decision Making and Experiences with Their Children

This grounded theory study explored parents' experiences of responding to their children's need for understanding parental mental health concerns. Fifteen parents with severe and enduring mental health difficulties participated in the study. The findings suggest four main social processes that influence parents' talk with their children about parental mental health issues, namely “Protecting and being protected,” “Responding to children's search for understanding,” “Prioritizing family life,” and “Relating to others.” Implications of the findings for clinical practice and future research are considered. In particular, the need for more family‐orientated services where parents experience parental mental health problems is highlighted.     

In This Together

SUMMARY

Both epidemiologically and psychologically, the reigning self-interest paradigm of HIV prevention is growing increasingly obsolete, which will likely only increase with wider use of combination therapies. While self-interest notions form the core of most American HTV prevention theory and practice, data indicate that self-interest models increasingly fail both negative and positive gay men. There is an urgent need for broader, more emotionally-resonant prevention concepts. Diverse consistent, and significant data on behaviors including condom use, partner choice, volunteerism, and caretaking imply that values jof altruism and other-centered motivators may play central, strong roles in gay men'S HIV safety decisions. Values of “prevention! altruism” remain little understood, researched, or appreciated. Data show that sexual risk is inherently dyadic, gay men'S risk is increasingly relational, and a clear majority of gay men consistently manage sexual risk. Yet we understand little of the values of men who are largely safe, instead of those most risky, and less about how their values of nurturance and caretaking, ethics, hopes for collective survival, or relations with friends and community help support them in staying safe. A wide range of implications of prevention altruism are suggested and diverse research directions proposed to define a new domin of “Prevention caretaking.”