Religion and the rainbow struggle: does religion factor into attitudes toward homosexuality and same-sex civil unions in Brazil?

The provision of civil liberties to LGBT persons has become part of a global movement in societies across the world. In Brazil, a recent judicial ruling for the first time established the right for homosexual couples to enter into civil unions, despite the presence of widespread disapproval of homosexuality among the population and opposition from prominent religious groups. Picking up on this issue, the following study examines whether religion may factor into the attitudes Brazilians hold toward homosexuality and same-sex civil unions. Using data from the Brazilian Social Research Survey, we find that the most restrictive views toward homosexuality and the strongest opposition to same-sex civil unions are most prevalent among devoted followers of historical Protestant, Pentecostal, and Catholic faith traditions, whereas adherents of Afro-Brazilian and spiritist religions, as well as those with no religious commitment, are inclined to assume a more tolerant moral posture toward such issues. The findings point to religion as a potential influence in future public policy initiatives and social movements involving LGBT issues in Brazil.

Black, queer, and looking for a job: an exploratory study of career decision making among self-identified sexual minorities at an urban historically black college/university

This thematically analyzed study seeks to explore the career decision perceptions of sexual minority college students at an urban historically black college/university (HBCU). This qualitative focus group study delved into how sexual minorities feel their visible variables of race, gender expression, and degree of disclosure influence their career thought process. Theories relative to the study included Krumboltz's social learning theory of career decision-making, gender role theory, racial socialization, Cass's homosexual identity model, and impression management. Though participants initially proclaimed they did not allow their sexual minority identity to affect their career decisions, their overall responses indicated otherwise.

Sexual orientation and fear at night: gender differences among sexual minorities and heterosexuals

Using data from the 2000-2010 General Social Survey, a nationally representative sample of 5,086 adults in the United States, the authors examine sexual orientation and gender differences in reports of being afraid to walk alone at night. Results indicate that sexual minorities are significantly more likely to report fear at night than heterosexuals, and women are significantly more likely to report such fear than men. Further, our findings suggest that these sexual orientation and gender differences are due to sexual minority men being more likely than heterosexual men to report fear at night. Thus, the results of this study reveal that three groups--heterosexual women, sexual minority women, and sexual minority men--do not differ from one another in reporting fear, yet these groups are all more likely than heterosexual men to report fear at night. These findings give weight to the importance of investigating the intersection of sexual orientation and gender in individuals' reports of fear.

Homosexuality in Turkey: strategies for managing heterosexism

The goal of this study was to identify the strategies used by young homosexuals to manage their sexual minority status in Turkey. In-depth interviews were conducted with 15 self-identified homosexual university students. The data on the strategies employed by homosexuals suggested a categorization of these strategies into four interrelated areas: strategies employed in the process of self-acceptance; strategies to manage sexual stigma and prejudice; strategies specific to the coming-out process; and the strategies used while openly expressing their sexual identities.

Sexual minority status and psychotic symptoms: findings from the Netherlands Mental Health Survey and Incidence Studies (NEMESIS)

BACKGROUND

Ethnic minority position is associated with increased risk for psychotic outcomes, which may be mediated by experiences of social exclusion, defeat and discrimination. Sexual minorities are subject to similar stressors. The aim of this study is to examine whether sexual minorities are at increased risk for psychotic symptoms and to explore mediating pathways.

METHOD

A cross-sectional survey was performed assessing cumulative incidence of psychotic symptoms with the Composite International Diagnostic Interview in two separate random general population samples (NEMESIS-1 and NEMESIS-2). Participants were sexually active and aged 18-64 years (n = 5927, n = 5308). Being lesbian, gay or bisexual (LGB) was defined as having sexual relations with at least one same-sex partner during the past year. Lifetime experience of any psychotic symptom was analysed using logistic regression, adjusted for gender, educational level, urbanicity, foreign-born parents, living without a partner, cannabis use and other drug use.

RESULTS

The rate of any psychotic symptom was elevated in the LGB population as compared with the heterosexual population both in NEMESIS-1 [odds ratio (OR) 2.56, 95% confidence interval (CI) 1.71-3.84] and NEMESIS-2 (OR 2.30, 95% CI 1.42-3.71). Childhood trauma, bullying and experience of discrimination partly mediated the association.

CONCLUSIONS

The finding that LGB orientation is associated with psychotic symptoms adds to the growing body of literature linking minority status with psychosis and other mental health problems, and suggests that exposure to minority stress represents an important mechanism.

"They were only joking": efforts to decrease LGBTQ bullying and harassment in seattle public schools

BACKGROUND

Seattle Public Schools has implemented policies and programs to increase safety, family involvement, and student achievement for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth. This case study examines students' perceptions of bullying and harassment in the school environment, and teacher intervention when these problems arise in the presence of strong district policies and programs aimed at reducing LGBTQ bullying and harassment in schools.

METHODS

We surveyed students in Gay-Straight Alliance (GSA) groups at 13 secondary schools (N = 107). We also conducted focus groups with GSA students and students not involved in the GSAs in 7 of 13 schools (N = 16 groups, including 154 students).

RESULTS

GSA students who were lesbian, gay, bisexual, or questioning (LGBQ) were significantly more likely than straight students to experience several types of harassment. On the basis of student report, the 2 most common intervention strategies by teachers for verbal harassment included stopping the harassment and explaining why it is wrong; teachers intervened in physical harassment by trying to stop the harassment. Students provided input on how to strengthen teacher interventions, including the need for more consistency in responding and following up. Students also noted a need for more focus on educating those who harass, rather than just asking them to stop.

CONCLUSIONS

Seattle Public Schools has made great strides in creating safe and welcoming schools for LGBTQ students, but still have to work further toward reaching this goal. Data from students on how they experience their school environment can help identify areas for improvement.

Validation of the Coping with Discrimination Scale in sexual minorities

The Coping With Discrimination Scale (CDS) shows promise as a self-report measure of strategies for coping with racial discrimination. To assess the psychometric properties of the measure for use with sexual minorities (i.e., gay, lesbian, bisexual, or GLB persons), a nonprobability sample of 371 GLB adults completed the instrument along with several standardized, self-report measures. Confirmatory factor analyses supported the five-factor structure of the original scale with the exclusion of five items. Adequate internal consistency reliability was found. Internalization, drug and alcohol use, and detachment subscales were correlated positively with measures of psychological distress and negatively with a measure of life satisfaction, providing evidence of construct validity. The education/advocacy and resistance subscales were largely unrelated to concurrently administered validation measures, consistent with prior findings. Coping strategy use varied as a function of primary sources of social support. The CDS appears to be a psychometrically sound measure of several discrimination coping strategies for use with sexual minorities.

Factors associated with involvement in nonmetropolitan LGBTQ organizations: Proximity? Generativity? Minority stress? Social location?

Little is known about involvement in LGBTQ organizations. Factors associated with involvement in nonmetropolitan LGBTQ organizations were examined using logistic regression and survey data from 426 LGBTQ individuals residing in a nonmetropolitan region. Involvement was examined in five types of organizations (professional, social/recreational, religious, political, and community center/charity). The same model testing proximity, generativity, minority stress, and social location hypotheses was repeated for each organization type. Results demonstrate that the generativity hypothesis is most strongly supported. Indeed, emotional attachment to the LGBTQ community significantly increased the odds of involvement in every type of organization. However, the factors associated with involvement otherwise differed by organization type. Implications for organizational leaders are discussed.

Experiences of ex-ex-gay individuals in sexual reorientation therapy: reasons for seeking treatment, perceived helpfulness and harmfulness of treatment, and post-treatment identification

Therapy meant to change someone's sexual orientation, or reorientation therapy, is still in practice despite statements from the major mental health organizations of its potential for harm. This qualitative study used an inductive content analysis strategy (Patton, 2002) to examine the experiences of thirty-eight individuals (31 males and seven females) who have been through a total of 113 episodes of reorientation therapy and currently identify as gay or lesbian. Religious beliefs were frequently cited as the reason for seeking reorientation therapy. Frequently endorsed themes of helpful components of reorientation therapy included connecting with others and feeling accepted. Harmful aspects of reorientation therapy included experiences of shame and negative impacts on mental health. Common reasons for identifying as LGB after the therapy included self-acceptance and coming to believe that sexual orientation change was not possible. The findings of this study were consistent with recommendations by the American Psychological Association Task Force on Appropriate Therapeutic Responses to Sexual Orientation (2009), which concluded that helpful aspects of reorientation therapy could be achieved through affirmative treatment methods while avoiding potential harms that may be associated with reorientation therapy. Limitations of the findings, including a small, self-selected sample, are discussed.

Where Kinsey, Christ, and Tila Tequila meet: discourse and the sexual (non)-binary

Drawing on 80 interviews and 17 months of participant observation in Lexington, Kentucky, this article details how individuals drew on three areas of national and local discourse to conceptualize sexuality. Media, popular science, and religious discourses can be viewed as portraying sexuality bifocally--as both a binary of heterosexual/homosexual and as a non-binary that encompasses fluidity. However, individuals in Lexington drew on each of these areas of discourse differently. Religion was thought to produce a binary vision of sexuality, whereas popular science accounts were understood as both binary and not. The media was understood as portraying non-binary identities that were not viable, thus strengthening the sexual binary. These differing points of view led identities such as bisexual and queer to lack cultural intelligibility.

Why is the history of heterosexuality essential? Beliefs about the history of sexuality and their relationship to sexual prejudice

Heterosexual people with more positive attitudes to lesbians and gay men generally believe that homosexuality is immutable, is not a discrete social category, and that homosexuality exists in all cultures and time periods. Equivalent beliefs about heterosexuality and beliefs about components of sexuality have been less often researched. 136 people with diverse sexualities described heterosexuality as more universal across history and culture than homosexuality (Study 1). 69 heterosexual-identified participants similarly believed that love, identity, behavior, and desire were more historically invariant aspects of heterosexuality than of homosexuality (Study 2). Less prejudiced participants thought all components of homosexuality--except for identity--were more historically invariant. Teasing apart beliefs about the history of components of heterosexuality and homosexuality suggests that there is no "essential" relationship between sexual prejudice and the tension between essentialist and constructivist views about the history of sexual identity.

The role of openness to experience and sexual identity formation in LGB individuals: implications for mental health

Openness to experience has been shown to have a positive impact on mental health in the general population, but there is a dearth of information both about why this is the case and on LGB populations in this area. The present article explores the relationship between openness to experience, LGB identity development, and mental health. The results revealed a full mediation model, where the positive impact of openness to experience on mental health is fully mediated by positive LGB identity development. Limitations and implications are discussed.

Cultural change in acceptance of LGBT people: lessons from social marketing

We are in a new era in American history. Showing a remarkable shift in attitudes toward gay, lesbian, bisexual, and transgender (LGBT) people, the United States appears to be embracing a new, more inclusive view of family life. With positive action in two landmark Supreme Court cases and a rapidly growing number of state legislatures, the trends are strong toward full legal recognition of marriages of same-sex partners and parenthood by both partners in committed gay couples rearing children. And, the trend is international. Many people are both astonished and cheered by the accelerating pace of change in acceptance of LGBT people. Surveys now show that about 60% of Americans support marriage equality so that gay couples may wed. Less than a decade ago, that proportion of Americans opposed gay weddings. This article looks at what has changed, and why, as well as how social marketing, among other forces, lifted the curtain on these unmistakable trends.

Correlates of suicide ideation among LGBT Nebraskans

The aim of this investigation is to outline correlates of suicide ideation among LGBT individuals living in Nebraska. A community-based participatory research approach was utilized to develop a 30-minute, online anonymous survey. Almost half of the sample had seriously considered suicide at some point in their lives. Significant correlates of increased likelihood of suicide ideation are age, gender, transgender identity, income, depression, and discrimination. Suicide ideation is a serious concern for the health of LGBT Nebraskans. Steps should be taken to incorporate individuals who fall into these high-risk categories in suicide outreach programs.

Relationship factors and quality among mixed-orientation couples

Mixed-orientation couples are defined as a heterosexual couple in which 1 partner experiences same-sex attraction and the other does not. Despite the fact that there is a sizable number of mixed-orientation couples in the U.S. adult population, few researchers have studied this population, and thus, there is limited understanding of these relationships. The authors examined the degree to which relationship commitment, partner-focused forgivingness, and marital values were associated with relationship quality, and how these variables predicted relationship quality. The total sample (N = 265) consisted of 2 independent samples-105 sexual minorities (i.e., the spouse who experiences same-sex attraction) and 160 heterosexual spouses. The data were not dyadic. Together, commitment, partner-focused forgivingness, and marital values accounted for roughly 43% of the variance in relationship quality. Relationship commitment was found to be the largest single predictor of relationship quality, followed by partner-focused forgivingness. Research and clinical implications are discussed. This study significantly adds to the current research base by quantitatively measuring various variables in these relationships, as well as expanding our understanding of relationship quality in mixed-orientation couples and factors that may play a role.

Health consequences of racist and antigay discrimination for multiple minority adolescents

Individuals who belong to a marginalized group and who perceive discrimination based on that group membership suffer from a variety of poor health outcomes. Many people belong to more than one marginalized group, and much less is known about the influence of multiple forms of discrimination on health outcomes. Drawing on literature describing the influence of multiple stressors, three models of combined forms of discrimination are discussed: additive, prominence, and exacerbation. The current study examined the influence of multiple forms of discrimination in a sample of African American lesbian, gay, or bisexual (LGB) adolescents ages 14-19. Each of the three models of combined stressors were tested to determine which best describes how racist and antigay discrimination combine to predict depressive symptoms, suicidal ideation, and substance use. Participants were included in this analysis if they identified their ethnicity as either African American (n = 156) or African American mixed (n = 120). Mean age was 17.45 years (SD = 1.36). Results revealed both forms of mistreatment were associated with depressive symptoms and suicidal ideation among African American LGB adolescents. Racism was more strongly associated with substance use. Future intervention efforts should be targeted toward reducing discrimination and improving the social context of multiple minority adolescents, and future research with multiple minority individuals should be attuned to the multiple forms of discrimination experienced by these individuals within their environments.

Neural correlates of sexual arousal in heterosexual and homosexual women and men

Most men have a category-specific pattern of genital and subjective sexual arousal, responding much more strongly to erotic stimuli depicting their preferred sex than to erotic stimuli depicting their nonpreferred sex. In contrast, women tend to have a less specific arousal pattern. To better understand this sex difference, we used neuroimaging to explore its neural correlates. Heterosexual and homosexual women viewed erotic photographs of either men or women. Evoked neural activity was monitored via fMRI and compared with responses to the same stimuli in heterosexual and homosexual men. Overall, a network of limbic (as well as the anterior cingulate) and visual processing regions showed significantly less category-specific activity in women than men. This was primarily driven by weaker overall activations to preferred-sex stimuli in women, though there was also some evidence of stronger limbic activations to nonpreferred-sex stimuli in women. Primary results were similar for heterosexual and homosexual participants. Women did show some evidence of category-specific responses in the visual processing regions, although even in these regions they exhibited less differential activity than men. In the anterior cingulate, a region with high concentrations of sex-hormone receptors, subjective and neural category specificity measures correlated positively for women but negatively for men, suggesting a possible sex difference in the role of the anterior cingulate. Overall, results suggest that men tend to show more differentiated neural responses than do women to erotic photographs of one sex compared to the other sex, though women may not be entirely indifferent to which sex is depicted.

Older LGBT adult training panels: an opportunity to educate about issues faced by the older LGBT community

Older lesbian, gay, bisexual, and transgender (LGBT) adults face unique issues that can impede their well-being. Although many advances have helped address these issues, there is a need for education efforts that raise awareness of service providers about these issues. This study explores evaluation data of training panels provided by older LGBT adults and the views of training participants on issues faced by the older LGBT community after attending the panels. Participants were 605 students and professionals from over 34 education and communication settings. Implications for trainings on participants and older LGBT trainers are discussed.

Sexual counselling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP)

After a cardiovascular event, patients and their families often cope with numerous changes in their lives, including dealing with consequences of the disease or its treatment on their daily lives and functioning. Coping poorly with both physical and psychological challenges may lead to impaired quality of life. Sexuality is one aspect of quality of life that is important for many patients and partners that may be adversely affected by a cardiac event. The World Health Organization defines sexual health as '… a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences ….'(1(p4)) The safety and timing of return to sexual activity after a cardiac event have been well addressed in an American Heart Association scientific statement, and decreased sexual activity among cardiac patients is frequently reported.(2) Rates of erectile dysfunction (ED) among men with cardiovascular disease (CVD) are twice as high as those in the general population, with similar rates of sexual dysfunction in females with CVD.(3) ED and vaginal dryness may also be presenting signs of heart disease and may appear 1-3 years before the onset of angina pectoris. Estimates reflect that only a small percentage of those with sexual dysfunction seek medical care;(4) therefore, routine assessment of sexual problems and sexual counselling may be of benefit as part of effective management by physicians, nurses, and other healthcare providers.

Mental health promotion for gay, lesbian, bisexual, transgender and intersex New Zealanders

INTRODUCTION

A number of studies have identified that gay, lesbian, bisexual, transgender, and intersex (GLBTI) people have poorer mental health than the general population. This article describes current mental health promotion and service provision for GLBTI people in New Zealand, and the views of stakeholders on current service delivery and concerns facing the sector.

METHODS

An email survey of service providers gathered descriptive data about mental health promotion and services provided for GLBTI people. Data obtained from interviews with key informants and online submissions completed by GLBTI individuals were analysed thematically.

FINDINGS

Five organisations provide clear, specific and utilised services and programmes to some or all of the GLBTI populations. Twelve GLBTI-focused mental health promotion resources are identified. The analysis of data from key informants and GLBTI respondents identified factors affecting mental health for these populations occurring at three levels-macro-social environment, social acceptance and connection, and services and support.

CONCLUSION

While GLBTI individuals have the same basic mental health promotion and service provision needs as members of the general population, they have additional unique issues. To enhance the mental health of GLBTI New Zealanders, a number of actions are recommended, including building sector capacity, allocating sufficient funding, ensuring adequate research and information is available, and reducing stigma, enhancing young people's safety, and supporting practitioners through training and resources. An important role for government, alongside GLBTI input, for improving mental health is noted.

Armed conflict, homonegativity and forced internal displacement: implications for HIV among Colombian gay, bisexual and transgender individuals

Colombia has endured six decades of civil unrest, population displacement and violence. We examined the relationships between contextual conditions, displacement and HIV among gay, bisexual and transgender individuals in Bogotá, Colombia. A total of 19 key informants provided information about internal displacement of sexual minorities. Life-history interviews were conducted with 42 participants aged 18 to 48 years and included questions about displacement experiences, sexual behaviour, life prior to displacement and participants' economic and social situation in Bogotá. The interplay of a variety of factors - including internal conflict and violence, homonegativity and 'social cleansing', gender and sexual identity and poverty - strongly shaped the varied experiences of displacement. Migration, sexual violence, exchange sex and low rates of HIV testing were risk factors that increased vulnerability for HIV in this displaced sample. Although displacement and HIV in Colombia are major problems, both are understudied.

A longitudinal study of predictors of suicide attempts among lesbian, gay, bisexual, and transgender youth

This short-term prospective study examined general and lesbian, gay, bisexual, and transgender (LGBT)-specific risk and protective factors for suicide attempts in an ethnically diverse sample of LGBT youth (N = 237, 47.7 % male). A structured psychiatric interview assessed clinical depression and conduct disorder symptoms, as well as past and prospective suicide attempts over a 1-year follow-up period (91 % retention). Participants completed questionnaires measuring general risk factors for suicide attempts, including hopelessness, impulsiveness, and perceived social support. They also completed measures of LGBT-specific suicide risk factors, including gender nonconformity, age of first same-sex attraction, and LGBT victimization. Correlation and multivariate regression analyses were conducted to examine the relations between predictors and suicide attempt, and to identify mediators. Of nine variables examined, seven were related to lifetime history of attempted suicide: hopelessness, depression symptoms, conduct disorder symptoms, impulsivity, victimization, age of first same-sex attraction, and low family support. Depressive symptoms and hopelessness mediated the relation between multiple risk and resilience factors and suicide attempts. Suicide attempt history was the strongest predictor of prospective suicide attempts. Participants who previously attempted suicide (31.6 % of the sample) had more than 10 times greater odds of making another attempt in the 1-year follow-up period than were those who had made no previous attempt. These results highlight the need for suicide prevention programs for LGBT youth and suggest the importance of addressing depression and hopelessness as proximal determinants and family support and victimization, which have more distal effects.

[Acquiring a sexual identity]

Progressive acquisition from childhood onwards to adulthood of a procreative and psycho-emotional sexual identity is presented in all its bio-psycho-social complexity. Gender identity disorders (GDI) and the different sexual orientations (hetero-, homo- or bisexual) are included with their possible etiologies. Different medico-psycho-social programs and projects are presented targeting persons having difficulties in this developmental process of their identity.

Assessing the mental health and wellbeing of the lesbian, gay, bisexual and transgender population

Health needs assessment is a fundamental tool in public health practice. It entails the identification of needs from a range of perspectives, including epidemiological data, the views of local and professional people, and the comparative needs of the group under consideration. This paper describes the process undertaken with the lesbian, gay, bisexual and transgender (LGBT) population of an area in the north-east of England. The findings were used to inform and influence commissioners and service providers about services and interventions that will address these needs, and bring about better emotional and mental health and wellbeing as identified by LGBT people themselves. Research shows that there are great inequalities in the experience of these groups when compared with the heterosexual population. This was confirmed by the local LGBT communities. Consultation with the LGBT population showed that they experience ongoing stigma and discrimination, despite the greater apparent acceptance of diversity within the community. Recommendations were identified, which particularly focus on increasing the visibility of these groups, highlighting training issues and addressing generic or specialist services, in order to reduce discrimination.

Sexual identity and drug use harm among high-risk, active substance users

Research shows that sexual minorities are at greater risk for illicit substance use and related harm than their heterosexual counterparts. This study examines a group of active drug users to assess whether sexual identity predicts increased risk of substance use and harm from ecstasy, ketamine, alcohol, marijuana, cocaine and crack. Structured interviews were conducted with participants aged 15 years and older in Vancouver and Victoria, BC, Canada, during 2008-2012. Harm was measured with the World Health Organization's AUDIT and ASSIST tools. Regression analysis controlling for age, gender, education, housing and employment revealed lesbian, gay or bisexual individuals were significantly more likely to have used ecstasy, ketamine and alcohol in the past 30 days compared to heterosexual participants. Inadequate housing increased the likelihood of crack use among both lesbian, gay and bisexuals and heterosexuals, but with considerably higher odds for the lesbian, gay and bisexual group. Lesbian, gay and bisexual participants reported less alcohol harm but greater ecstasy and ketamine harm, the latter two categorised by the ASSIST as amphetamine and hallucinogen harms. Results suggest encouraging harm reduction among sexual minority, high-risk drug users, emphasising ecstasy and ketamine. The impact of stable housing on drug use should also be considered.

Applying a pattern-centered approach to understanding how attachment, gender beliefs, and homosociality shape college men's sociosexuality

Although early research and the popular press have characterized college men as universal beneficiaries of uncommitted sex, emerging research notes considerable variability in men's sociosexuality (i.e., uncommitted sexual beliefs, desires, and behaviors). This study examined how diversity in sociosexuality is tied to the ways in which attachment orientations, conformity to masculinity norms, and homosocial engagement (i.e., nonromantic same-sex bonds) are organized across individuals. Latent profile analysis of 495 college males (ages 17 to 25, 62% White, 83.5% heterosexual) detected five subgroups: Fully Unrestricted (10% of sample; high on sociosexuality and conformity to masculinity norms); Cognitively Unrestricted (36%; comparable to Fully Unrestricteds but low on sociosexual behavior), Fully Restricted (30%; opposite on all constructs when compared to Fully Unrestricteds); Avoidant (16%; similar to Fully Restricteds but with greater attachment avoidance); and Discrepant (8%; above average on sociosexual behavior but discordant within and across constructs). There were notable demographic, personality, and behavioral differences among the subgroups (e.g., nearly 50% of the Discrepants self-identified as sexual minorities; Fully Restricteds were the most religious; Avoidants were the most shy). Findings indicate that college men's sociosexuality is highly nuanced and suggest the need for additional work to understand how attachment, masculinity norms, and homosociality shape men's sexual relationships.

Policy and paradox: grounded theory at the moment of DADT repeal

Through a mixed-methods approach of oral history and grounded theory, we report on a study investigating the effects of the U.S. military's Don't Ask, Don't Tell policy on active-duty service members at the moment of transition to open service. A stratified, snowball sample of lesbian, gay, bisexual, and queer (LGBQ) service members (n = 17) from across all branches of the armed services were interviewed within two weeks of repeal (September 20, 2011). We find evidence that DADT was implicated in the structuring of military culture in terms of five irreconcilable contradictions: values, heroism, wartime, control, and silence. Military culture had moved in the direction of acceptance of LGBQ service members long before repeal, without the recognition of many leaders who had entered military service decades earlier.

The Comprehensive Review Working Group and Don't Ask, Don't Tell repeal at the Department of Defense

In February 2010, Secretary of Defense Robert Gates and Chairman of the Joint Chiefs of Staff Adm. Michael Mullen established the Comprehensive Review Working Group (CRWG) to conduct a comprehensive review of the issues associated with a repeal of Don't Ask, Don't Tell (DADT). Over the next 10 months, the CRWG undertook one of the most extensive studies of a personnel issue in the history of the U.S. military. This article describes the work and the findings of the CRWG (on which the author served) in the context of the activities within the Department of Defense (DoD) following President Obama's call for DADT repeal in his January 2010 State of the Union Address and leading up to the passage of the Don't Ask, Don't Tell Repeal Act in December 2010. It argues that the CRWG served a number of important functions in the DADT repeal process, particularly that it a) provided a rigorous, fact-based assessment of the impacts of repeal from which DoD senior leaders and Congress could base their views; b) developed a road map for a smooth and orderly implementation of repeal; and c) opened a conversation among military service members about what repeal would really mean to them. In doing so, the CRWG contributed to what has been a largely incident-free and successful transition to a post-DADT military.

Formalizing the ban: my experience in the Reagan Administration

The repeal of Don't Ask, Don't Tell (DADT) is a success story. As of September 20, 2011, one of the most egregious cases of modern day government-sanctioned discrimination has been overturned. But my (Lawrence Korb) involvement with military policy toward gays and lesbians began early in our country's journey toward open service--18 years before the creation of DADT and 30 years before the Obama Administration successfully opened the armed forces to gay and lesbian service members. In 1981, I joined the Pentagon shortly after the Carter administration announced a new Pentagon policy stating that "homosexuality is incompatible with military service" (U.S. Naval Institute [USNI], 2011). As Assistant Secretary of Defense for Manpower, Reserve Affairs, Installations, and Logistics, the responsibility of writing the directive to implement this ban fell to my office. In this article, I detail my recollections from this period in American military history: the codification of the gay ban in U.S. Department of Defense policy.

Perceptions of campus climate by sexual minorities

Previous research has indicated that students who identify as lesbian, gay, bisexual, or transgender (LGBT) often have negative experiences on university campuses due to their sexual orientation or gender identity. Direct and indirect experiences contribute to an overall perception of the campus climate. This study used an online survey to assess students' perceptions of campus climate, their experiences confronting bias, support of family members and friends, and whether they had considered leaving campus. Multiple regression analysis indicated that perceptions of poorer campus climate were predicted by greater unfair treatment by instructors, more impact from anti-lesbian, gay, bisexual, transgender, or queer (LGBTQ) bias on friends' and families' emotional support, and having hidden one's LGBT identity from other students. Cluster analyses revealed four groups of participants distinguished by openness about their sexual orientation and negative experiences, with one group appearing to be at risk for poor retention. Results are discussed in terms of the needs of LGBTQ students on campus.

If we ask, what they might tell: clinical assessment lessons from LGBT military personnel post-DADT

Following repeal of the Don't Ask Don't Tell Policy, nearly one million lesbian, gay, and bisexual veterans and service members may increasingly seek access to Veterans Affairs services (G. Gates, 2004; G. J. Gates, 2010). Limited data exist regarding lesbian, gay, bisexual, transgender (LGBT) military personnel posing a unique challenge to clinicians and healthcare systems serving veterans with evidence-based and culturally relevant practice. In an effort to fill this information void, participatory program evaluation is used to inform recommendations for LGBT-affirmative health care systems change in a post-DADT world.

OutServe: an underground network stands up

From the perspective of an insider, this article explains how an underground network of actively-serving lesbian, gay, bisexual, and transgender (LGBT) military members was formed, and able to engage in the fight against the Don't Ask, Don't Tell policy. By providing the means to connect with one another within the constraints of the law, OutServe enabled the voices of gay and lesbian active military personnel to be heard. This new visibility informed the political debate surrounding the policy and played a role in the final days of Don't Ask, Don't Tell.

The relationship between help-seeking attitudes and masculine norms among monozygotic male twins discordant for sexual orientation

OBJECTIVE

In general, heterosexual men are less favorable to asking for help compared to women and gay men. This can be problematic if a man avoids professional help when he is experiencing significant psychological distress. Yet, it is unclear to what degree such attitudes among men are due to innate differences or social environments. Studying twins provides one avenue for teasing apart these relationships.

METHOD

We recruited 38 pairs of monozygotic male twins (Mage = 35.87 years, SD = 9.52) raised together and who were discordant for sexual orientation. They completed measures of psychological distress (Symptom Checklist-90-Revised), positive attitudes toward psychological help-seeking behavior, and emphasis with fulfilling traditional masculine norms.

RESULTS

Contrary to predictions, the heterosexual twins expressed more symptoms of specific distress-hostility (r = .30), paranoid ideation (r = .26), and psychoticism (r = .24)-than their gay cotwins. As predicted, heterosexual men were less favorable to seeking help (r = .25) and expressed greater emphasis on masculine norms (r = .26) than their cotwins. Within each group of men, unique aspects of masculine norms were significantly related to attitudes toward psychological help-seeking behavior.

CONCLUSION

The findings lend credence to the hypothesis that social environments influence attitudes and behaviors that are stereotypically masculine and potentially detrimental to men's health.

Mental health characteristics of sexual minority veterans

This study examines the mental health characteristics of sexual minority (lesbian, gay, and bisexual, or LGB) veterans, compared these characteristics to those of an existing Veterans Affairs (VA) sample, and examined the relationship between mental health and anxiety around concealment of LGB identity while in the military. Data regarding LGB veterans' (n = 409) military experiences and current mental health were collected via an online survey; comparison data (n = 15,000) were retrieved from a VA data warehouse. LGB veterans were more likely to screen positive for posttraumatic stress disorder (PTSD), depression, and alcohol problems than the comparison sample. Anxiety around concealment of one's sexual orientation while in the service was related to current depression and PTSD symptoms.

If it quacks like a duck: reviewing health care providers' speech restrictions under the first prong of Central Hudson

The First Amendment protects the speech of health care providers. This protection can limit states' abilities to protect patients from harmful therapies involving speech, such as sexual orientation change efforts. Because providers' speech is more similar to commercial speech than traditional political discourse, it is possible to create a First Amendment review analysis that better balances states' police powers with providers' First Amendment rights. Under a "single-prong" approach, the first prong of Central Hudson can be used to identify quackery, which is analogous to false or misleading commercial speech and would therefore be outside the protection of the First Amendment. Because health care must be tailored to individual patients, restrictions on speech that survive the first prong of Central Hudson would be subject to strict scrutiny in order to leave the therapeutic decision to the provider and her patient, and maintain consistency with current jurisprudence. This Comment examines litigation from California's attempted ban on sexual orientation change therapy to illustrate the conflicts created by the current approach to First Amendment review of health care provider speech. This Comment then demonstrates the benefit of the proposed single-prong approach, including how it simultaneously protects patients from harm while protecting health care providers' speech.

The rise of repeal: policy entrepreneurship and Don't Ask, Don't Tell

We report on policy entrepreneurship by Servicemembers Legal Defense Network (SLDN) and how its legislative strategies used mini-windows of opportunity to shift Capitol Hill perspectives of Don't Ask, Don't Tell (DADT) from political plutonium to an emerging issue requiring a second look. Four phases in the legislative history of DADT are identified: radioactive, contested, emerging, and viable. In all, this article argues that SLDN's entrepreneurship focused on contesting congressional sensibilities to wait or defer on repeal, maintained that every discharge was damaging and transitioned toward a post-repeal mind set. Finally, we illustrate the importance of these transitions by comparing SLDN's 2004 estimated vote count for the introduction of the Military Readiness Enhancement Act with the final 2010 voting results on the Don't Ask, Don't Tell Repeal Act.

Comparing supports for LGBT aging in rural versus urban areas

Studies of rural populations typically underrepresent lesbian, gay, bisexual, and transgender (LGBT) older adults. This secondary analysis examined data from a nationwide sample of LGBT baby boomers (n = 1201). Geographic differences with respect to self-reported outness, acceptance of sexual identity, social and familial support, and household income were assessed with one-way analyses of variance. Guardedness about one's sexual identity and household asset levels were assessed with chi-square analyses. Rural individuals reported lower levels of outness, guardedness with people including siblings and close friends, and lower levels of household income. Providers should consider strategies for connecting older rural LGBT adults for potential care and support.

The influence of political jurisdiction, age, and sex on handholding in public by same-sex couples

Three hundred-forty lesbians and 62 gay males, largely from North America and in partnered relationships, completed online surveys that explored what handholding means to same-sex couples. The data suggest that lesbians in the United States are more likely now than ¼ century ago to hold hands in public spaces. Younger lesbians are more likely to hold hands in public than older lesbians, and Canadian lesbians hold hands more often in public than American lesbians. In response to the question, "What does handholding mean to you?," 26% of the female respondents from North America overtly referred to public handholding as either a political act or a risky behavior. The number of comments of that nature was similar, regardless of whether the lesbians resided in the United States or Canada. Data suggest that full acceptance of same-sex couples in public spaces has not yet occurred, even in jurisdictions where same-sex couples have the same legal rights as heterosexual couples. Although the sample size for males was too small to analyze the influence of age or political jurisdiction on public handholding, males, in general, were significantly less likely than females to view handholding as a means of staying "connected" with their partners.

Substance use disorder in the context of LGBT health: a social work perspective

The impacts of public and private funding of lesbian, gay, bisexual, and transgender (LGBT) health research, the state of integration of LGBT health issues into the academic and professional training programs of health care practitioners, and the larger social reality experienced by LGBT people profoundly affect substance use and substance use disorders in those populations. This analysis uses a social work perspective and considers the current state of research, professional training, and social oppression as they affect the health of LGBT people. Suggestions for action are offered that may improve the health of LGBT peoples and the practice of social work.

Sexual orientation microaggressions and the experience of sexual minorities

This qualitative study sought to confirm and expand on previous research on sexual orientation microaggressions--subtle discrimination in the form of verbal, behavioral, and environmental slights and indignities as defined by Sue (2010). The study had two primary research questions: Does the data from the sample validate Sue's (2010) typology of sexual orientation microaggressions? Beyond Sue's (2010) typology, are other themes/types of sexual orientation microaggressions present in the data? Using a focus group methodology, data was collected from a sample of self-identified non-heterosexual college students (N=12). Data analysis confirmed five previously identified themes from Sue's (2010) typology (Endorsement of Heteronormative Culture, Sinfulness, Homophobia, Heterosexist Language/Terminology, and Oversexualization) and demonstrated two new themes (Undersexualization and Microaggressions as Humor). The implications of sexual orientation microaggressions, along with limitations and future research directions, are discussed.

Gays in the U.S. military: reviewing the research and conceptualizing a way forward

This article contributes to ongoing discussions related to the challenges and opportunities associated with the participation and inclusion of openly gay service personnel within the U.S. military. The article reviews research related to sexual orientation and military service and outlines a theory of the antecedents and outcomes of open integration of gays in the military environment. We discuss implications of this theory for future research in this area.

Community-engaged research to identify house parent perspectives on support and risk within the House and Ball scene

This article describes a community-engaged study with the Los Angeles House and Ball scene in which the perspectives of the leaders of these communities are captured to better understand how the House and Ball communities may protect or increase its members' risks for HIV infection. Data were collected through in-depth interviews with House parents (N = 26). This study identified key features of both support (e.g., family and support, acceptance, and validation and recognition) and risk (e.g., members' struggles to maintain status in the Ballroom scene, sex work, substance use, danger of becoming too involved in the Ball community, and perception and stigma of the Ballroom scene within the larger gay community) within these communities. Findings are discussed in relation to framing how to leverage the supportive aspects of the House and Ball communities to design relevant HIV-prevention interventions.

Outing the costs of civil deference to the military

Placing the costs and process of repeal into the framework of U.S. civil governance and military power reveals the faltering state of civilian control over, and understanding of, contemporary military institutions. The excessive delays, repetitive studies, and lack of judicial oversight that characterized the process of repeal expose a military unmoored from the constitutional and democratic constraints of civilian control. The end of Don't Ask, Don't Tell is more than a civil rights triumph. It is also a lesson in the steep costs and troubling consequences of excessive civilian deference to the armed forces.

The politics of paranoia

For almost 20 years, gay rights advocates and defenders of military anti-gay discrimination engaged in a phony debate about whether allowing open service would undermine unit cohesion. To be sure, a preponderance of evidence showed that open service would not undermine cohesion, and the repeal of don't ask, don't tell (DADT) required advocates to prevail on that point in the court of public opinion. But concerns about cohesion were never the basis of opposition to open service. Rather, opposition was a modern incarnation of the politics of paranoia, a dangerous tradition in American history. Acknowledging that DADT had nothing to do with cohesion and that military leaders allowed the armed forces to be implicated in the politics of paranoia could facilitate disabling paranoia as the basis for other political projects such as anti-immigrant xenophobia. For a video on DADT and paranoia, search for "Donnelly Belkin DADT" on YoutTube.

From exclusion to acceptance: a case history of homosexuality in the U.S. Court of Military Appeals

Policing the legality and normalcy of service members' sexual lives was a contentious process for military courts throughout the 1950s, 1960s, and early 1970s that resulted in the inconsistent enforcement of the homosexual exclusion policy. Military personnel of all ranks and occupations harbored a variety of attitudes and beliefs about homosexuality that challenged the legitimacy and uniformity of the military's legal assault on sexual deviance. Over half of the active duty personnel originally accused of homosexual tendencies received either sentence reductions or sentence reversals as a result of this highly contested process by which official military policy was translated into practice via courts-martial. Paradoxically, the very policies that discriminated against alleged homosexual service members generated legal avenues through which gays and lesbians exercised their rights to due process, and, ultimately, their rights as American citizens embodied in the repeal of the Don't Ask, Don't Tell policy. Rather than being an ideologically homophobic monolith, the Cold War American military rocked with contestation over an exclusion policy that attempted--unsuccessfully--to eliminate all gay and lesbian service members.