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Proportion of unmarried siblings of homosexual and non homosexual gender-dysphoric patients.

Among the siblings of homosexuals, a lack of sexual and romantic interest in women may be independent of erotic feelings for men. This study investigated the sexual histories of siblings of gender-dysphoric outpatients. The patients were classified into three groups: non homosexual males, homosexual males and homosexual females. Their siblings consisted of 301 brothers and 284 sisters over the age of 25. Logistic regression showed that the brothers of the homosexual male patients were significantly less likely to have been married, either legally or common-law, than the brothers of the other gender-dysphoric groups, even with age and relative birth order taken into account. This finding suggests that the low propensity for long term heterosexual relationships seen in homosexual male gender-dysphoric patients also tends to appear in their brothers.

Adult

Effect of reading a summary of research about biological bases of homosexual orientation on attitudes toward homosexuals.

The effect of exposure to information regarding the development of homosexual orientation on attitudes toward homosexuals was investigated. Testing was conducted in five regularly scheduled undergraduate classes. 105 volunteer subjects from college classes were exposed to one of three treatment conditions. Subjects in the experimental group read a summary article of current research emphasizing a biological component of homosexual orientation. Subjects in one control group read a summary article of research focusing on the absence of hormonal differences between homosexual and heterosexual men. Subjects in another control group were not exposed to either article. All subjects completed the Index of Attitudes Toward Homosexuals. As predicted, subjects in the experimental group had significantly lower scores than subjects in the control groups. There was a significant interaction between treatment condition and sex of subject. Scores on the index were significantly lower for women, but only in the experimental group. These results show that exposure to a research summary can significantly affect immediately assessed scores on the Index of Attitudes Toward Homosexuals. Also, the pattern of effects of these experiences was different for women and men.

Adolescent

Homosexuality and the ethics of behavioral intervention: Homosexuality, the ethical challenge.

It is suggested that behavior therapists have not attended sufficiently to the factors influencing the desire of some homosexuals to change their sexual orientation. Therapists of all persuasions constantly make decisions for their voluntary clients, encompassing both the goals of therapy and the means to be used to achieve those goals. A perusal of the psychotherapy and behavior therapy literature indicates that therapists generally regard homosexuality as undesirable, if not pathological. Since professionals are unlikely to work on treatment procedures unless they see a problem, it is probable that the very existence of change-of-orientation programs strengthens societal prejudices against homosexuality and contributes to the self-hate and embarrassment that are determinants of the "voluntary" desire by some homosexuals to become heterosexual. It is therefore proposed that we stop offering therapy to help homosexuals change and concentrate instead on improving the quality of their interpersonal relationships. Alternatively, more energy could be devoted to sexual enhancement procedures in general, regardless of the adult gender mix.

Behavior Therapy

Sex-role self-concepts of homosexual men and their attitudes toward both women and male homosexuality.

A nonclinical sample of 88 homosexual males responded to a questionnaire that assessed their sex-role self-concept and their attitudes toward both women and male homosexuality. Results indicated that in terms of socially valued masculine and feminine characteristics, the majority of homosexual males viewed themselves as predominantly androgynous. These respondents also favored equality between the sexes, reflecting positive attitudes toward women. Similarly, those homosexual men who supported equality between the sexes also held more positive attitudes toward male homosexuality.

Adult

Family psychotherapy with the homosexual family: a community psychiatry approach to homosexuality.

The author points out that homosexual families are not being treated by family psychotherapy despite an indicated need. This situation is inconsistent with good community psychiatry and behooves the mental health workers to become aware of and to work through his unrecognized negative feelings which are interfering with provision of services. Among the main resistances are the lack of familiarity and comfort with the family psychotherapy technique, inability to resist a greater gratification that comes from focusing on sex rather than on a less titillating relationship issue, and judgmental and condemning attitudes toward homosexuality that come from intrapsychic and societal sources.

Attitude of Health Personnel

Educators, homosexuality, and homosexual students: are personal feelings related to professional beliefs?

This study is based on interviews with Southern lesbian and gay young adults and survey data from school counselors and prospective teachers living in the South. The essay explores adolescents' perceptions of the beliefs and abilities of school counselors and teachers with regard to issues of homosexuality and the treatment of gay and lesbian students. As a complement and a contrast, it also presents educators' personal beliefs about homosexuality, and how these attitudes are actualized in the schools. One major conclusion is that while school counselors and, to a lesser extent, classroom teachers often expressed the feeling that they should be more proactive and supportive as professionals committed to the welfare of all of their students, due to countervailing expressions of high levels of personal prejudice, ignorance, and fear, the realities of their professional intervention and support were negligible.

Adult

On the stability of stigmatization: the case of ex-homosexual males.

We undertook to empirically identify variables that influence the stigmatization of ex-homosexuals by analyzing the relationship between stigmatization and seven variables held to influence negative attitudes toward members of other ex-deviant groups: the stigmatizer's age, highest achieved educational level, amount of interaction the stigmatizer has had with an ex-homosexual, degree of effectiveness attributed to treatment in changing the homosexual to a heterosexual orientation, degree of responsibility that the stigmatizer attributes to ex-homosexuals for their prior homosexual behavior, degree of dangerousness attributed to ex-homosexuals, and degree of seriousness attributed to homosexuality. Analysis of data obtained by questionnaire from 281 respondents showed that the variable most strongly related to stigmatization of ex-homosexuals was the degree of dangerousness attributed to them. There was a profound direct relationship between these variables. Further, educational level, belief in the effectiveness of treatment, and amount of interaction of ex-homosexuals were inversely related to stigmatization, while degree of seriousness attributed to homosexuality was directly related to stigmatization. Respondents' tendency to stigmatize was not found to be related to age or to their attribution of responsibility to the ex-homosexual for his previous sexual orientation.

Adolescent

Sibship size, sibling sex ratio, birth order, and parental age in homosexual and nonhomosexual gender dysphorics.

This study investigated whether demographic variables previously reported to differentiate ordinary homosexuals from heterosexuals also differentiate gender-dysphoric homosexuals from gender-dysphoric persons with other sexual orientations. Subjects were outpatients aged 16 and older who were referred by physicians to a specialty clinic for the assessment of gender identity disorders. The subjects were divided into three groups: 204 homosexual women, 193 homosexual men, and 273 nonhomosexual men; the last category included men sexually attracted to females, to both sexes, and to neither sex. Demographic data on patients' families of origin were extracted from their clinical charts and from structured interview protocols. A multiple-range test at the .05 level showed that the homosexual men had significantly more siblings than the homosexual women, who, in turn, had significantly more siblings than the nonhomosexual men. The sibling sex ratio of the homosexual men, 131 brothers per 100 sisters, was significantly higher than the sex ratio of live births for the population as a whole (106 men per 100 women; p = .01); the sibling sex ratios of the other groups did not differ from the expected value. The homosexual men had a significantly later birth order than the nonhomosexual men (p = .004); the homosexual women, who fell in between, did not differ significantly from either male group. There were no between-groups differences in paternal or maternal age at the time of the subject's birth. The results concerning sibling sex ratio and birth order are consistent with previous findings for homosexual men.

Birth Order

Alternative behavioral approaches to the treatment of homosexuality.

Radical changes in attitudes toward homosexuality in American society are integrated into a new perspective for the therapist confronted by a client who engages in homosexual behavior. The traditional mandatory attempt to eradicate homosexual behavior has been expanded into three options, any one of which may be pursued by the therapist at the client's request: (1) modification of homosexual in favor of heterosexual behavior, (2) enhancement of homosexual behavior, and (3) ignoring of homosexual behavior if it is functionally unrelated to the presenting symptoms. Therapists' negative attitudes toward clients who engage in homosexual behavior are such as to abrogate expanded options and may results in therapeutic efforts at modification of homosexual behavior in defiance of the client's expressed wishes. Contrary to current professional belief, careful analysis and the use of appropriate techniques such as systematic desensitization, orgasmic reconditioning, and training in heterosocial skills generally obviate the necessity for aversive procedures in those instances where homosexual behavior is to be modified in favor of heterosexual behavior. Three case histories are presented illustrating the use of each of the expanded options described above.

Attitude

Ego development and sex attitudes in heterosexual and homosexual men and women.

A comparison was made of heterosexual and homosexual men and women utilizing Loevinger's concept of ego development and focusing on the relationships among ego levels and attitudes toward homosexuality and on personal sex guilt and other sociosexual variables. Previous comparative studies were critically analyzed with respect to the adequacy of definition and description of sampling procedures, and the appropriateness of research question. A pilot study reported here concerns the development of a measure of "attitudes toward homosexuality." The major study utilized 200 subjects who completed an anonymous and lengthy questionnaire. This sample was relatively young, well-educated, white, and Protestant. Self-ratings on the two Kinsey-type scales clearly differentiated the self-identified primarily heterosexual and homosexual groups. In this study there were no significant differences in ego levels between the heterosexual and the homosexual groups, suggesting that ego development and sexual orientation development are independent phenomena. Among both homosexual and heterosexual subjects there were low but significant correlations between higher levels of ego development and more positive attitudes toward homosexuality. More negative attitudes toward homosexuality were correlated with higher levels of personal sex guilt for heterosexual and homosexual men and for heterosexual women. Our measure of sex guilt proved to be related to ego level only for heterosexual males, although the measure of this construct requires additional research and refinement. Other correlates of these variables are also reported.

Adaptation, Psychological

A 10-year study of homosexually transmitted infection.

A 10-year survey is presented of male cases of homosexually acquired infection seen between 1962 and 1971 at Charing Cross Hospital (West London Branch). Tables showing the number of cases of syphilis, gonorrhea, and other conditions in homosexual and heterosexual males and in females are considered. Tables of other relevant data are also presented. The reasons underlying the changes illustrated, including the Act legalizing homosexual practices between consenting adult males, which became effective in 1968, are discussed. Certain pathological conditions apparently connected with homosexual practices, such as serum hepatitis, local rectal disease, and mucous colitis, are included and also some relevant manifestations of herpes genitalis and genitral warts. Homosexually acquired infection in prisoners is described. Some of the psychiatric effects of homosexuality on clinic patients and also their fears of treatment at clinics are considered, as well as the behavioral differences in response to infection between exclusively homosexuals, bi-sexuals, and married homosexuals.

Adolescent

Public endorsement of restrictions on three aspects of free expression by homosexuals: socio-demographic and trends analysis 1973-1988.

The willingness of the public to endorse proposals to remove gay-positive books from library shelves, to dismiss college teachers who are homosexuals, and to prohibit public speaking by homosexuals was examined. A socio-demographic analysis aggregating the entire period 1973 through 1988, and an analysis of trends over the period, were undertaken using data from the General Social Surveys. Responses to survey questions concerning homosexuals were compared with responses to similar questions concerning other unpopular groups, and to questions which called upon the respondent to make a moral judgment concerning homosexual relations. A significant decline over the period was found in the public's willingness to endorse restrictions on homosexuals, and on each of the other unpopular groups used for comparison. Level of education appeared to be a strong indicator of a more tolerant attitude. Paradoxically, negative moral attitudes toward homosexual relations did not decline. Bias in the wording of the General Social Surveys' questions concerning the moral dimension of homosexuality may have distorted these results, however. The public's moral attitude toward homosexual behavior does appear to be quite labile from year to year, suggesting that concerted efforts to educate the public on this subject can have an important and rapid effect.

Adult

Nursing care challenges: homosexual psychiatric patients.

1. Stereotypes of homosexual behavior may negatively affect the nursing care for homosexual patients. Nurses must closely examine their attitudes toward homosexuals. To be able to provide quality care to homosexual patients, nurses must feel comfortable and fully aware of their own attitudes toward sexuality and homosexuality. 2. Nurses stand in a unique position to foster acceptance of homosexuality by assuming the advocacy role and addressing the stereotypes regarding homosexuality for both individual clients and the community. 3. Nurses need to provide an atmosphere of acceptance for homosexual patients by creating an environment where sexuality can be discussed in nonthreatening ways.

Attitude of Health Personnel

Heterosexual interest in homosexual males.

Androphilic, ephebophilic, and homosexual pedophilic males were compared on heterosexual interest and arousal potential. The former was measured by the subjects' retrospective reports and the latter by penile responses to pictures of females. The penile responses of the ephebophilic and homosexual pedophilic groups to pictures of physically mature females were not different from those of androphilic males. In the present study as well as in an earlier one, the ephebophilic males responded significantly more to physically mature males than to physically mature females. Homosexual pedophilic males showed little difference in responses to physically mature males and females. In retrospective reports of heterosexual interest and experience and of development of homosexual interest and activities, there were only two differences among the groups: as opposed to androphilic males, a relatively greater number of ephebophilic and homosexual pedophilic males indicated that up to age 15 or later they had felt attracted exclusively to females and that they had been seduced in childhood or early adolescence by a male. These results will have to be replicated before being accepted as reliable. As in some earlier studies, there was a weak but significant correlation of degree of "feminine gender identity" with age at onset of homosexual interest and with heterosexual interest or experience. A higher degree of feminine gender identity went together with less heterosexual interest and experience and with an earlier onset of homosexual interest and experience.

Adolescent

"Sex-role preference" as an explanatory variable in homosexual behavior.

Sex-role preference is an important neglected variable in statistically controlled studies of homosexual behavior. This variable must accompany controls for degree of psychopathology of respondents and degree of heterosexual and homosexual behavior experienced by respondents. Cross-cultural differences exist. Mexican males have rigidly defined insertor-insertee roles, with earlier life events serving as predictors of these sex-role preferences. Greece is comparable to Mexico. In Turkey, stigmatization accompanies passive homosexuality. Role playing may be age graded, as in the Southwest Pacific. In lower socioeconomic classes of the United States, sex roles for homosexual males are more stereo-typically and unequivocably defined. Chicanos generally have strong sex-role preferences when involved in homosexual encounters; their attitude is similar to that found in Mexico. Among middle-class Anglo-American males, few or no sex-role feelings are associated with types of sex acts by most homosexually behaving males. This may be related to a focus on oral-genital rather than anal sex acts. The sharply dichotomized gender roles and the cultural formulation linking effeminacy and homosexuality appear to provide the necessary conditions for the development of sex-role preferences in many societies.

Adult

Differences in psychological sex, adjustment, and familial influences among homosexual and nonhomosexual populations.

The present study investigated differences in psychological sex, present and past adjustment, and parental influences among homosexual cross-dressers, homosexual non-cross-dressers, applicants for sex change surgery, and heterosexuals. The homosexual non-cross dresser and heterosexual groups were found to have the most masculine gender role, with the sex change group having the most feminine gender identity. The two homosexual groups were most accepting of homosexuality, with the sex change group having the least acceptance of homosexuality. Support was not found for the prediction that the sex change group would have the worst present and past adjustment followed by the homosexual cross-dressers with the poorest past adjustment. As predicted, however, fathers were perceived as more nurturant in the heterosexual group than among the remaining three groups. These findings suggest that variations in sexual-life-style can be understood as manifestations of different combinations of the components of psychological sex and that a nurturant father is important in the development of a heterosexual life-style.

Adaptation, Psychological