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PubMed2004

A transitory homosexual passion in the course of an analytic treatment.

Do homosexualities express a sexual conflict originating in bisexuality or must we look for their deep determinism in the narcissistic conflict and its vicissitudes? Two clinical sequences from the treatment of a borderline patient, which occurred during years seven and eight of treatment, a period characterised by intense drive turbulence and the unexpected occurrence of a transitory homosexual passion, will enable the reader to follow the psychical movements and evolution of the work of representation. The first sequence throws light on the links between her sudden involvement in this homosexual passion and the traumatic dangers of a breakdown of her ego's capacity for representation, linked to a reactivation in the transference of early and later traumatic traces whose reverberation in the transfero/countertransference dynamic was the source of a painful transference that was responsible for this lateral transference movement. The second sequence shows the links between the strengthening of her capacity for representation, thanks to the working through of the oedipal conflict in its two aspects, and her renunciation of this passion. The roots of this transitory homosexual passion in the deep flaws of her psychical functioning raise metapsychological questions concerning, in particular the dynamic of the 'double' ('twin') and narcissism.

Adult↗
PubMed2004

[Sexual partners and practices of young homosexuals in Rio de Janeiro].

This article focuses on the organization of the erotic lives of young men who engage in homosexual practices. The reflections presented here are based on ethnographic research including observation in places of homosociability and interviews with young men in Rio de Janeiro reporting homosexual practices. By presenting erotic scenes pertaining to a homoerotic circuit and recording the sexual trajectories of young men engaging in homosexual practices, the article seeks to identify the implications of the observed erotic scripts and sex-partner patterns for the sexual health of these individuals. The text calls special attention to reports concerning the emergence of different forms of erotic interaction in childhood, as well as cross-age and crossgenerational partnerships that extend into adulthood, with a growing trend toward seeking younger partners as the young men themselves grow older. The article suggests that such phenomena require a more in-depth understanding, since they have serious implications for planning sexual health measures for young men (and boys) who engage in homosexual practices.

Acquired Immunodeficiency Syndrome↗
PubMed1993

Increase in unprotected anogenital intercourse among homosexual men.

Results are presented from two sources, data of which indicate an increase in high-risk sexual behaviors for human immunodeficiency virus infection among homosexual men. The number of cases of gonorrhea among homosexual and bisexual visitors to municipal sexually transmitted disease clinics in Amsterdam, The Netherlands, is increasing. An increase was also observed in unprotected anogenital intercourse among homosexual participants in the Amsterdam cohort. These findings indicate that a rebound in the behavior change process among homosexual men is occurring. Furthermore, longitudinal behavioral data show that lapse and relapse into unsafe sex are prevalent in the Amsterdam cohort.

Adult↗
PubMed1990

Psychopathologic features among drug addicts and homosexuals with HIV infection.

Personal and familial psychopathological histories and information about early losses were collected and the results of the locus of control test and tests for psychological responses were determined for a series of ninety-two HIV-infected subjects (58 drug addicts; 26 homosexuals; 8 heterosexuals, partners of drug addicts). A higher percentage of drug addicts reported past histories of attempted suicide than the homosexuals. Early loss events were more frequent for homosexuals than for drug addicts. There was a higher psychopathological risk for asymptomatic HIV seropositivity in homosexuals, drug addicts who had attempted suicide, subjects that acknowledged that they have serious illness and subjects with external coping mechanisms rather than internal.

Adult↗
PubMed1988

Homosexual and heterosexual sex-role orientation on six sex-role scales.

A comparison was made of the sex roles of homosexual and heterosexual men and women on the Bem Sex Role Inventory, Personality Attributes Questionnaire, Personality Research Form Androgyny Scale, Adjective Checklist Masculinity and Femininity Scales, Extended Personality Attributes Questionnaire and Undesirable Characteristics Scale. The results indicated that homosexuals and heterosexuals differ in their response to different aspects of sex roles. The most consistent difference was the greater femininity of male homosexuals in respect to male heterosexuals. Other differences were scale-specific and the low interscale comparability indicated such scales should not be used interchangeably. Differences between results of studies comparing sex roles of the homosexuals and heterosexuals appear attributable to sample heterogeneity and distinctions between sex-role scales.

Adult↗
PubMed1989

Effect of homosexuality upon public health and social order.

Are homosexuals "not dangers to society" and is homosexuality "compatible with full health"? To answer these questions 4,340 adult respondents drawn via area probability sampling from 5 metropolitan areas of the USA self-administered an extensive sexuality/public order questionnaire of over 500 items. Bisexuals and homosexuals (about 4% of the sample) as compared to heterosexuals: (1) more frequently exposed themselves to biological hazards (e.g., sadomasochism, fisting, bestiality, ingestion of feces); (2) exposed themselves sexually to more different bodies (e.g., more frequently admitted to participating in orgies, reported considerably larger numbers of sexual partners); (3) more frequently reported participating in socially disruptive sex (e.g., deliberate infection of others, cheating in marriage, making obscene phone calls); and (4) more frequently reported engaging in socially disruptive activities (e.g., criminality, shoplifting, tax cheating). From the standpoints of individual health, public health and social order, participating in homosexual activity could be viewed as dangerous to society and incompatible with full health.

Adult↗
PubMed2002

A meta-analytic review of treatment of homosexuality.

This paper examined and synthesized studies of treatment of individuals identified as homosexual using meta-analytic technique. A large number of studies (146) evaluating treatment efficacy were identified, most published prior to 1975 and 14 of which met inclusion criteria and provided statistics that could be used in a meta-analysis. These 14 outcome studies were published between 1969 and 1982 and used primarily behavioral interventions. Analysis indicated that treatment for homosexuality was significantly more effective than alternative treatments or control groups for homosexuality (ES=.72), and significant differences were found across pre- to postanalysis (ES =.89). In other words, the average patient receiving treatment was better off than 79% of those in the alternative treatments or as compared to pretreatment scores on the several outcome measures. This meta-analysis of 14 studies provides empirical support for a group of 146 studies which have narratively suggested that treatment for homosexuality is effective. Variables related to treatment efficacy are examined.

Homosexuality↗
PubMed2003

Cross-cultural differences in female university students' attitudes toward homosexuals: a preliminary study.

62 Caucasian, 61 Hispanic, and 44 Asian female undergraduates completed the Index of Homophobia by Hudson and Ricketts, seven items from the Attitudes Toward Lesbians and Gay Men Scale by Herek, and three questions on Affectional Orientation toward homosexuals from D'Augelli and Rose. Overall, familiarity with homosexuals as measured by self-reported number of homosexual friends correlated negatively with scores on the homophobia measures, but there were no significant differences among the groups' reported number of homosexual friends. Asian students scored significantly higher on the homophobia measures than Caucasian students. Both Asian and Hispanic students endorsed the statement significantly more often than Caucasian students that the university would be better if only heterosexuals attended. No significant differences in scores were found regarding attitudes toward lesbians versus gay men.

Adult↗
PubMed2003

Domestic violence among homosexual partners.

Is domestic violence more frequent in homosexual partnerships? The 1996 National Household Survey of Drug Abuse, based upon a random sample of 12,381 adults aged 18 to 59 years, estimated that 828,900 men and 828,678 women engaged in homosexuality in the prior 12 months. Random surveys indicated that at any given time, 29% of homosexual men and 32% of homosexual women are in same-sex partnerships. The National Criminal Victimization Survey for 1993 to 1999 reported that 0.24% of married women and 0.035% of married men were victims of domestic violence annually versus 4.6% of the men and 5.8% of the women reporting same-sex partnerships. Domestic violence appears to be more frequently reported in same-sex partnerships than among the married.

Adult↗
PubMed2004

Numbers of homosexual parents living with their children.

Those contending for the 'normalcy' of homosexuality claim there are 800,000 to 7 million homosexual parents raising between 1 and 9 million children. The 1996 National Household Survey on Drug Abuse, a nationally representative sample of 12,321 ages 18 through 59 yr., reported about 416,000 parents-most of whom were married-living with children under the age of 17 yr. who reported same-sex "vaginal, oral, or anal sex" in the past 12 months. Two random-sample surveys suggested that there are fewer than half a million homosexual parents, and a total sample of 14,000 mothers in Avon suggests even fewer. Thus, it is likely that fewer than 500,000 homosexual parents live with fewer than 750,000 children under 18 yr.

Adolescent↗
PubMed2005

Are over a third of foster parent molestations homosexual?

50% of foster parent abuse in a general population survey and 34% of abuse as determined by the Illinois DCFS was homosexual. In news stories in the 50 largest newspapers and wire services 1980-2003, 175 foster parents sexually abused 351+ charges. For the 169 whose sex of victim could be determined: 149 (88%) were men; 76 (53%) victimized homosexually; and 85 (50%) were unmarried. Men assaulted 319 (91%) victims, homosexual practitioners 222 (63%), and the unmarried 164 (47%). From 1980-1994 57% of the victims were girls; after 1994 56% were boys. In 21 group homes, the molestation was homosexual in 15 (71%) and 31 of the 32+ perpetrators were male and at least 334 of 349+ victims were boys.

Child↗
PubMed1978

Parental relationships during childhood in homosexuality, transvestism and transsexualism.

The nature of the relationships of 29 male homosexuals, 34 male transvestites and 29 male transsexuals with their parents, during childhood, was assessed on the basis of the subjects' reports, and on their responses to two tests, namely the Childhood Family Relationship test and a Semantic Differential. If the subjects' reports are valid significantly more mothers of transvestite and transsexual subjects hoped for a girl prior to the subject's birth. During childhood there was a trend for homosexual, transvestite and transsexual subjects to report that their fathers lacked interest in them or were absent from home. There was little evidence to support the view that homosexual, transvestite or transsexual subjects had pathological relationships with their mother. Intrafamilial childhood environmental factors reported by homosexuals, transvestites and transsexuals appear to be non-specific.

Adult↗
PubMed1992

Handedness, dyslexia and twinning in homosexual men.

A study of handedness, dyslexia, stuttering and twinning, was included in a study of sexual habits of homosexual men. A questionnaire was mailed to homosexuals, and 394 forms suitable for data analysis were received. The results showed an increased rate of lefthand writing (17.5% compared to 8-8.4%), and a clear left shift. There were increased occurrence of both stuttering (7.1% compared to 1.6%) and reading difficulties (7.9% compared to 1-3%). The incidence of twins was lower than the population (1.3%). The results confirm earlier attempts to show a left shift in homosexuals, and support Geschwind's hypotheses about etiological factors for both lefthandedness and homosexuality.

Adult↗
PubMed1989

Alpha 1-antitrypsin phenotypes in homosexual men.

The alpha 1-antitrypsin (AAT) phenotype was determined by isoelectric focusing in 215 male homosexuals and compared with those in 208 male heterosexuals. The incidence of abnormal phenotypes was 16.3% in the homosexual group which was significantly different (p less than 0.03) than the 8.7% in the heterosexual group. There was no difference in the phenotype distribution between homosexuals who were anti-human immunodeficiency virus reactive and those who were non-reactive. It suggests that investigation into the interplay of factors associated with homosexuality could include genetic as well as psychological and social factors.

HIV Seropositivity↗
PubMed1984

Lymphocyte transformation rates of homosexual men in presence of seminal plasma.

The peripheral lymphocytes of eleven healthy homosexual men and six heterosexual males were used in microlymphocyte culture systems to compare their transformation rates in the presence of PHA-M. Two homosexual men were randomly selected from the group to investigate the influence of seminal plasma fractions on their lymphocytes. The seminal plasma fractions were obtained from heterosexual normozoospermic men. Seventy two percent of the homosexual T-cell responsiveness to PHA was inhibited compared with the lymphocytes of the heterosexual men. The lymphocytes of the homosexual male seem to be less sensitive for the inhibition components present in seminal plasma.

Adult↗
PubMed1993

Homosexually acquired gonorrhoea in Victoria, 1983-1991.

OBJECTIVE: To identify trends in the rate of gonorrhoea, particularly homosexually acquired infection. DESIGN: A retrospective descriptive study of records stored in a relational database. Records contain epidemiological, demographic and microbiological data of laboratory confirmed cases of gonorrhoea. SUBJECTS: Individuals with gonorrhoea diagnosed microbiologically in Victoria and from whom isolates were subsequently forwarded to the Microbiological Diagnostic Unit, University of Melbourne, for further bacteriological work for the years 1983-1991. RESULTS: Overall, gonorrhoea is declining in Victoria in the general population but has risen sharply in recent years in homosexually active men. An increased number of cases of rectal gonorrhoea in men has also been noted. An age cohort effect in homosexually active men is only evident for the final year of the study. These men do not tend to acquire gonorrhoea abroad and beta-lactamase producing gonococci are rarely found in this group. CONCLUSIONS: Gonorrhoea in homosexually active men has increased disproportionately to the rate of infection in heterosexual men in recent years, despite intensive education and counselling aimed at the gay community. Implications for risk of acquisition of other sexually transmitted diseases, including the human immunodeficiency virus, are evident.

Adult↗
PubMed2000

Secular trends in the survival of HIV-infected homosexual men in Amsterdam and Vancouver estimated from a death-included CD4-staged Markov model.

BACKGROUND: The purpose of this study was to investigate secular trends in waiting times in CD4-based stages of human immunodeficiency virus (HIV) disease progression in two cohorts of homosexual men, one in Vancouver and one in Amsterdam. All HIV-positive men with two or more CD4 counts in their AIDS-free period between 1 January 1985 and 1 January 1997 were included in this study. Data regarding clinical AIDS diagnoses (using the 1987 Centers for Disease Control and Prevention [CDC] AIDS case definition) and death were collected through active follow-up, review of hospital records, and municipal/national registries. The Vancouver Lymphadenopathy-AIDS Study (VLAS), was started in November 1982 and had enrollment until December 1984. Both HIV-negative and HIV-positive men were followed at intervals of 3-6 months until 1986 and annually thereafter. The Amsterdam cohort study on HIV and AIDS (ACS) started in December 1984, has ongoing enrollment and follow-up of both HIV-negative and HIV-positive homosexual men. The HIV-positive men were followed at intervals of 3 months. METHODS: The CD4-based stage of an individual at each visit was determined using smoothed data. For each cohort and in each calendar time period, a CD4-based Markov model with death as the absorbing stage was fitted to the data. The parameters in this model were estimated using the method of maximum likelihood and confidence intervals were calculated using bootstrap methods. RESULTS: A total of 509 homosexual men participating in the VLAS were included in this study, providing 5356 visits. Some 292 men developed AIDS before 1 January 1997 and 239 died before this date. In all, 232 of the 239 deaths were AIDS related. Thirty-seven per cent of all visits were related to treatment. A total of 543 homosexual men participating in the ACS were included in this study, providing 10 043 visits; 277 men developed AIDS before 1 January 1997 and 250 died before this date. The date of AIDS diagnosis was known for 225 of the 250 deaths. Twenty per cent of all visits were related to treatment. We found that in both cohort studies the stage-specific waiting times were longer in the low CD4-based stages (stages 4, 5 and 6: i.e. CD4 count <500 cells per mm(3)) after March 1990 compared to waiting times before March 1990. The increase in mean waiting time in these stages with low CD4 count was 21%, 33% and 53%, respectively in the ACS and 20%, 2% and 29% in the VLAS. Because waiting times alone are not exclusive for progression in a reversible model we also calculated the stage-specific median incubation periods till death. Men spent considerably longer in these CD4-based stages after March 1990 compared to before March 1990. CONCLUSIONS: Data from these population-based cohort studies showed that HIV disease progression in the calendar period where treatment was administered was slower for individuals in stages with low CD4 counts. We found no evidence for shortening of the incubation period that may have appeared from increasing virulence of the HIV in the population.

Adolescent↗
PubMed2000

Comparison of sexual behaviors between male homosexuals and male heterosexuals in Taiwan.

BACKGROUND: Homosexuality and sexual behavior have attracted great attention in the acquired immunodeficiency syndrome (AIDS) epidemic. This study primarily explores the risky behaviors and patterns of sexual behavior of male homosexuals in Taiwan. METHODS: Comparison study methodology was adopted. Ninety-two male homosexuals, as the study group, were recruited from gay bars and gay organizations, and 91 male heterosexuals, with similar ages and educational levels, were recruited as a control group for comparison. Semi-structured interviews were carried out and anonymous questionnaires were self-administered. RESULTS: (1) The mean age at the time of first sexual intercourse of the study group was younger than that of the control group. (2) The rate of having two or more sexual partners in the study group was significantly higher. (3) However, the rate of condom use during recent intercourse was higher in the control group than in the study group. (4) Sexual knowledge and attitudes toward sexuality in the study group were more open, but their sexual desires, as rated by the questionnaire, were more suppressed than those of the control group. (5) In terms of courtship, the study group was less constrained by the social values of marriage and tended to separate sex from love. CONCLUSION: Similar to western studies, our study found that the study group in Taiwan adopted more risky sexual behaviors. Each group had its particular sexual behavioral pattern and subculture of sexuality. However, a longitudinal follow-up study with ethnographic perspective is necessary for a more sophisticated understanding of the trends and changes of sexual behavior in homosexuals.

Adolescent↗