What We Know and What Remains to Be Explored about LGBTQ Parent Families in Israel: A Sociocultural Perspective

Predictors for desire, intention, and likelihood for more children among LGB parents through assisted reproduction

BACKGROUND

The global increase in families headed by lesbian, gay, or bisexual (LGB) parents via assisted reproduction was accompanied by increased research on the parenthood aspirations of childfree LGB individuals. However, limited attention has been given to the aspirations of LGB parents for more children. This study explored the multifaceted factors associating with aspirations for additional children among Israeli LGB parents through assisted reproduction, investigating the contribution of sociodemographic variables, parental experiences, as well as social and cultural factors to these aspirations.

METHODS

A survey involving 234 cisgender LGB parents in Israel (aged 24-55; M = 40.23, SD = 6.59) was conducted from November 2022 to February 2024. Participants completed questionnaires assessing their desire, intention, and estimated likelihood to have more children alongside various sociodemographic, parental experience, social, and cultural variables.

RESULTS

Hierarchical regressions revealed that sociodemographic variables, namely younger parent age, fewer current children, higher importance of religious values, and better economic status, were associated with stronger aspirations for additional children. Social (discrimination, enacted stigma, social support) and cultural (pronatalism) factors did not significantly contribute beyond sociodemographic factors.

CONCLUSION

Unlike research on parenthood aspirations among childfree LGB individuals, social and cultural factors played a less significant role in shaping aspirations for more children among LGB individuals who are already parents. The findings offer essential insights for reproductive and family researchers, as well as policymakers, by shedding light on the factors associated with LGB parents' aspiration for additional children through assisted reproduction.

Transitional identities: challenges and coping mechanisms of Israeli gay fathers during assisted reproductive technologies

BACKGROUND

The rise in gay fatherhood, facilitated by advancements in surrogacy, has led to increased research on the well-being of gay fathers. However, there is limited understanding of how these fathers experience and cope with the psychological challenges of assisted reproductive technologies (ART), especially in specific cultural contexts like Israel.

OBJECTIVE

This study examines the experiences and coping strategies of Israeli gay fathers using transnational surrogacy, applying liminality as a framework to understand their navigation of the ART process.

METHOD

Semi-structured interviews with 22 Israeli gay fathers were analysed using thematic analysis, to identify patterns related to their challenges and coping mechanisms.

RESULTS

Participants described a complex emotional journey involving phases of separation, uncertainty, and transformation. Key challenges during pregnancy included feelings of limited control due to physical distance from the surrogate, concerns over control, and cultural and linguistic barriers. Coping strategies involved normalising detachment, seeking professional support, and reframing relationships with surrogates. Transitioning to fatherhood brought both anxiety and joy, improving relationships with families who had previously struggled to accept their sexual identity, and enabling greater social acceptance and a renewed sense of identity.

CONCLUSIONS

Our findings highlight the challenges of navigating status changes and transitional phases, emphasising the difficulties inherent in liminality. The study sheds light on adaptive coping strategies and underscores the importance of supportive networks for gay fathers undergoing ART. It also emphasises the role of cultural context in shaping these experiences, suggesting further research to deepen the understanding of gay fatherhood through ART.

Redefining elective co-parenting as PACT: a systematic assessment of published concepts and definitions

BACKGROUND

There is an increase in the variation of family forms, types of parenthood roles and methods for family formation. One way of family building has most recently been referred to as 'elective co-parenting'. Yet, many other terms and somewhat diverging concept definitions have been put forward. This paper aims to establish a fundamental conceptual framework.

METHODS

We will adhere to a tailored set of guidelines for conceptual ethics organised in four stages: (i) Using a minimal scoping review of published definitions potential attributes are identified, (ii) The potential attributes are organised by theme in order to identify any necessary and sufficient or shared ones, (iii) A conceptual definition of the concept is developed, (iv) The most fitting concept label is determined.

RESULTS

Current terminology lacks comprehensiveness and often contains additional (hidden) meanings, thereby jeopardising its usability for research on contemporary family formation. We suggest a new nomenclature.

CONCLUSION

We suggest PACT (Pre-conception Agreement-based Co-parenting Together-apart) instead of 'elective co-parenting' (or equivalents) as a new concept label for this particular family type, whereby at least two parties of co-parents have agreed before the conception of a child to share parenting of this child. A party can refer either to an individual or a set of romantically involved individuals. Although there may be different types of loving relationships between some (or all) co-parents within this constellation, there is at least some 'detachment' that is recognised as being created and present by an absence of romantic love between those parties.

Israeli Single Gay Fathers' Choice of Lone Parenthood via Surrogacy: A Qualitative Study

This article focuses on Israeli single gay fathers' reproductive choices. Thematic analysis of 13 in-depth semi-structured interviews with Israeli single gay fathers yielded two themes related to their reproductive choice. The first theme pertains to their decision to become single fathers. Three dimensions were prominent in the participants' decision to pursue lone parenthood: the choice to fulfill parenthood as gay men; the choice to separate parenthood from couplehood; and the view of single parenthood as empowerment. The second theme pertained to the fathers' decision to use surrogacy, which was influenced by three key factors: the desire to parent a biological child, the desire for exclusive fatherhood, and the perceived advantages of surrogacy for single fathers. The findings indicate that the fathers narrated their reproductive experiences in terms of choice and autonomy, while negotiating with dominant concepts of parenthood as a two-parent, heteronormative and biogenetic phenomenon. These men referred to the challenge they posed to some of these concepts and the social barriers they encountered as factors that facilitated their coping skills in lone parenthood, thereby enhancing their agency. These findings highlight the contextual, multidimensional and relational nature of the reproductive choices of men from minority groups like single gay fathers.

Evil-related threats and mental health concomitants among offspring of Holocaust survivors gay men

OBJECTIVES

In view of the accumulated stress associated with the combination of intergenerational trauma and minority stress, we aimed to examine whether offspring of Holocaust survivors (OHS) reported stronger evil-related threats compared to non-OHS individuals and whether OHS gay men experienced stronger threats. We also examined whether sexual orientation moderated the hypothesized indirect effect of Holocaust background on mental health through evil-related threats.

METHOD

Participants were 346 middle-aged and older Israeli men (mean age = 60.56, SD = 8.42, range 50-86). Among them, 173 identified as gay men, and 81 identified as OHS. Participants completed measures of evil-related threats, depression, and life satisfaction.

RESULTS

Analysis of covariance revealed that OHS men reported stronger evil-related threats compared to non-OHS men. Yet, an interaction between Holocaust background and sexual orientation indicated that OHS gay men reported stronger evil-related threats compared to non-OHS gay men, while no such difference existed among heterosexual counterparts. Conditional indirect effect analysis showed a significant indirect effect, in which Holocaust background related to higher depressive symptoms and lower life satisfaction through evil-related threats among gay men, but not among heterosexual men.

CONCLUSION

This study sheds light on the particular experience of evil-related threats, focusing on older OHS gay men and the mental health vulnerability associated with it. In applied contexts, this might help identify a sexual minority group that is particularly sensitive to adverse mental health and offer it supporting interventions.

Chronicity of Violence Foretold: Toward an Integrated Theory of Intimate Partner Violence

Intimate partner violence (IPV) is a worldwide social problem. The current study explores underlining mechanisms of phenomenon by tying together intergenerational transmission theory, socialization theory, and trauma theory. It learns from men how the father figure shaped by their childhood experiences has contributed to their violence, how the father's socialization to manhood has affected their intimate relations, and how they understand the effect of being exposed to the father's violence on their own intimate relationships and violence. Interviews with 25 Israeli men were analyzed thematically in the phenomenological approach. Thematic analysis revealed five themes describing men's experiences of their father's aggression and detachment; men's experience of their intimate relations; men's image of women; men's fear of being infected or conquered by their partners' emotionality; and an overarching theme describing the understanding that men and women are destined to live in an intractable conflict that only violence can end. The interviewees explained that when hardened detached men raised by violent fathers interact with an emotional woman, they experience painful feelings and are threatened by her emotionality; consequently, they will use violence against that threat to stop their pain. The findings support a multidimensional integrative perspective of IPV and call for a theoretical synthesis of these men's models of violence. Implications for future research and practice are discussed.

Estimated likelihood of parenthood among sexual minority individuals associates with interpersonal vulnerability and traumatic outlook

BACKGROUND

Lesbian women and gay men (LG) tend to report lower levels of parenthood aspiration than their heterosexual counterparts. While several variables have been suggested to explain this phenomenon, no study has investigated the potential mediating role of interpersonal vulnerability and subjective traumatic outlook in the association between sexual orientation and the estimated likelihood of parenthood.

OBJECTIVE

To investigate whether interpersonal vulnerability and subjective traumatic outlook mediate the association between sexual orientation and a lower estimated likelihood of parenthood.

METHODS

A sample of 435 childfree, cisgender Israeli participants, aged 18-49 years (M = 27.82, SD = 4.47), were recruited through convenience sampling. 192 participants self-reported as LG (64 lesbian women and 128 gay men). Participants completed online questionnaires assessing their estimated likelihood of parenthood, interpersonal vulnerability, and subjective traumatic outlook. Mediation analyses were performed using the PROCESS macro.

RESULTS

LG individuals reported a lower estimated likelihood of parenthood than their heterosexual counterparts. Interpersonal vulnerability and subjective traumatic outlook significantly mediated the association between sexual orientation and a lower estimated likelihood of parenthood.

CONCLUSIONS

Despite improvement in the socio-political climate relating to sexual minority rights and access to fertility technologies, LG individuals are still more likely to report a lower estimated likelihood of parenthood in comparison to heterosexual individuals. Moreover, this gap appears to be partially mediated by interpersonal vulnerability and subjective traumatic outlook. The results contribute to the growing body of international research exploring family formation among sexual minority individuals and are relevant for researchers, clinicians, and policymakers.

Parenting Desire Among Sexual Minority Women in China: From the Stigma Perspective

In China, women who are childless or have children outside of heterosexual marriage are generally stigmatized. Consequently, Chinese sexual minority women are challenged for their willingness to have children. This study explored how multiple (structural-interpersonal-individual) levels of sexual minority stigma are related to parenting desire among Chinese sexual minority women. Furthermore, it examined the mediation mechanism of individual stigma and the moderation effect of outness to one's family in the link between structural/interpersonal stigma and parenting desire. Participants (265 lesbian and 193 bisexual women) completed online measures of structural stigma (adherence to Confucianism), interpersonal stigma (discrimination events), individual stigma (internalized homophobia and rejection sensitivity), outness to one's family, and parenting desire. Lesbian women reported lower structural and individual stigma and parenting desire levels than bisexual women. Sexual minority women's high adherence to Confucianism, internalized homophobia, and rejection sensitivity were positively associated with their increased parenting desires. Notably, adherence to Confucianism and discrimination events were associated with parenting desire through internalized homophobia, but not rejection sensitivity; moreover, outness to one's family buffered the direct link between adherence to Confucianism and parenting desire and strengthened the direct link between discrimination events and internalized homophobia and the indirect link between discrimination events and parenting desire. This study contributes to a robust understanding of how sexual minority stigma is connected to parenting desire among sexual minority women in Chinese sociocultural contexts, providing cultural-specific evidence to support theories of stigma and minority stress.

Editorial: Health and Well-Being Related to New Family Forms: Perspectives of Adults, Couples, Children, and Professionals

The aim of this Special Issue is to advance our understanding of the factors that shape the experience, well-being, and mental health of individuals on their path to creating new family forms, including adults and children, and to inform the development of policies and practices designed to promote the thriving of these families. This Special Issue contains a collection of 13 papers that shed light on a range of micro- and macro-level factors contributing to the experience and outcomes of members of new family forms from various countries, such as the UK, Israel, Italy, China, Portugal, the Netherlands, the US, and Russia. The papers extend the current knowledge on the subject from a variety of perspectives, including medical, psychological, social, and digital communications. Their findings can aid professionals supporting members of new family forms to recognize the similarities and challenges they share with their counterparts in traditional heterosexual two-parent families, as well as their unique needs and strengths. They may also encourage policymakers to promote laws and policies designed to address the cultural, legal, and institutional constraints facing these families. Based on the overall picture that emerges from this Special Issue, we suggest valuable avenues for future research.

A relational investigation of Israeli gay fathers' experiences of surrogacy, early parenthood, and mental health in the context of the COVID-19 pandemic

Perinatal distress affects approximately 10% of fathers, but little is known about how gay fathers experience the challenges surrounding childbirth and early parenting of a child. This study explored gay fathers' experiences of having a baby via transnational surrogacy, raising that baby as a gay parent, and the context of the COVID-19 pandemic. In-depth qualitative interviews were conducted with 15 Israeli men to understand their experiences of surrogacy and early parenthood, focusing on the impact on their mental health and the relational factors involved. Secondary narrative analysis revealed that fathers constructed surrogacy as a perilous quest that required strong intentionality to undertake. The first year of parenthood was conceptualised alternately as a joyful experience and/or one that challenged fathers' identities and mental health. A relational framework was applied to better conceptualise the fathers' narratives, revealing that actual connections-and the potentials for links-considerably shaped experiences of surrogacy, perinatal distress and recovery. Implications for research and policy are discussed.

The Mediating Role of Insecure Attachment in the Gap in Parenthood Desire between Lesbian and Gay Individuals and Their Heterosexual Counterparts

Previous studies have shown that lesbian and gay (LG) individuals, in comparison to their heterosexual counterparts, tend to report lower levels of parenthood desire. While numerous variables have been suggested to explain this gap in parenthood aspirations, no study has investigated the mediating role of avoidant attachment in the association between sexual orientation and parenthood desire. For that purpose, a sample of 790 cisgender Israelis aged 18-49 years (M = 28.27, SD = 4.76) was recruited using convenience sampling. Among the participants, 345 self-reported as predominantly or exclusively lesbian or gay and 445 self-reported as exclusively heterosexual. Participants completed online questionnaires assessing their sociodemographic characteristics, parenthood desire, and avoidant and anxious attachment styles. Mediation analyses were performed using the PROCESS macro, and the results revealed that LG individuals reported lower parenthood desire, higher avoidant attachment, and higher anxious attachment compared to heterosexual individuals. Moreover, avoidant attachment had a significant mediation effect in the association between sexual orientation and parenthood desire. The findings suggest that LG individuals are more likely to report higher avoidant attachment due to possible rejection and discrimination from family members and peers, and this may be associated with lower parenthood desire. The results contribute to the growing body of research on family formation and parenthood aspirations among LG individuals, and specifically studies aimed at delineating the factors that contribute to the gap in parenthood aspirations between sexual minority individuals and their heterosexual counterparts.

Mental Health Disparities Between Lesbian Mothers and Heterosexual Parents: the Mediating Role of Positivity

Introduction

Previous evidence has shown better mental health outcomes for lesbian mothers, in comparison with heterosexual parents. The present study explored the mediating role of positivity (i.e., the tendency to view life with a positive outlook) in determining these mental health differences.

Methods

Seventy-two Israeli lesbian mothers by donor insemination (from 36 families) were compared with 72 Israeli heterosexual parents by assisted reproduction (without donated gametes; from 36 families) on positivity, life satisfaction, and depressive symptomatology. All parents were cisgender and had at least one child born through assisted reproduction, aged 3-10 years. Data were collected between December 2019 and February 2021.

Results

Mediational analyses indicated that lesbian mothers reported greater positivity, which was, in turn, associated with greater life satisfaction and less depressive symptomatology.

Conclusions

The results pinpoint the possible protective and strengthening role of positivity for lesbian mothers in the pronatalist and familistic environment of Israel. The research contributes to the literature on the mental health of parents with diverse sexual orientations living outside of the USA and Europe. Policy Implications Policymakers and mental health professional should be knowledgeable about the importance of improving positivity as a strategy for reducing depressive symptomatology and promoting life satisfaction among lesbian mothers. Moreover, policy makers and legislators are called to ease the access of sexual minority individuals to parenthood, as in this population parenthood associates with heightened mental health outcomes.

Adolescent Development and the Parent-Adolescent Relationship in Diverse Family Forms Created by Assisted Reproduction

Assisted reproduction techniques (ARTs) are employed by single individuals and couples who are not otherwise able to conceive spontaneously. While the use of ARTs is increasing, research is lacking on the attempts made by adolescent offspring conceived via ARTs to integrate their ART conception into their identity and negotiate a connection with, and autonomy from, their parents. The present article reviews studies investigating adolescent development and the parent-adolescent relationship in diverse family forms created by ARTs (mainly heterosexual and lesbian parent families), and discusses the results in light of attachment, identity development, and emotional distance regulation theories. Overall, the results indicate that the psychological adjustment of adolescents conceived via ARTs is not undermined by the manner of their conception, and that they enjoy positive relationships with their parents with no difference from those enjoyed by spontaneously conceived adolescents. However, it remains unknown whether the development of a reproductive identity in adolescence is likely to influence adolescents' interest in searching for or contacting their donors, surrogates, and/or donor siblings. The results suggest the relevance of considering the parent-adolescent relationship, disclosure, and identity formation issues when planning psychological counseling and support interventions with ART parents and their adolescent offspring, and emphasize the need to further investigate these aspects in diverse ART families, including single-, gay-, bisexual-, and trans*-parent families.

The Social Experiences of Single Gay Fathers in Israel: An Intersectional Perspective

Through an intersectional lens, this study explores the experience of being a single gay father by choice in Israeli society, which continues to view the traditional heterosexual two-parent family as the ideal. Analysis of 15 in-depth, semi-structured interviews with single gay Israeli fathers suggests that their experiences are characterized by constant tension between their self-perceived social acceptance and sense of belonging on the one hand and their encounters with discrimination and bias on the other. The findings shed light on the ways in which the fathers' complex experiences are shaped by the intersection between their identity as parents and their two marginalized identities: single male parents and gay fathers. These identities were found to be highly contextual and affected by macro-level factors. As the fathers cope with their environment, they develop a sense of belonging alongside a deep sense of otherness, suggesting that the sense of belonging and the sense of otherness are not binary opposites, but rather two social categories that are continually constructed through the intersection between different identities and their interaction with macro-level factors, making single gay parenthood a multidimensional experience.

Higher Levels of Postnatal Depressive Symptomatology, Post-Traumatic Growth, and Life Satisfaction among Gay Fathers through Surrogacy in Comparison to Heterosexual Fathers: A Study in Israel in Times of COVID-19

This study aimed to explore the psychological welfare, as indicated by postnatal depressive symptomatology, life satisfaction, and posttraumatic growth (growth after contending with stressful birth events), of Israeli gay fathers through surrogacy in comparison to heterosexual fathers. For that purpose, a sample of 167 Israeli fathers (M = 35.6, SD = 4.4) was recruited (68 identified as gay fathers through surrogacy and 99 as heterosexual fathers). Participants completed questionnaires assessing their postnatal depressive symptomatology, life satisfaction, and sense of posttraumatic growth after becoming fathers. Results indicated that gay fathers through surrogacy reported higher levels of life satisfaction and posttraumatic growth than heterosexual fathers. Yet, gay fathers also reported higher levels of postnatal depressive symptomatology than heterosexual fathers when life satisfaction or posttraumatic growth values were low or medium. The findings were interpreted in light of the hardships associated with cross-border surrogacy and the psychological outcomes associated with succeeding to become fathers after contending with them. The study contributes to the limited literature on postnatal depressive symptomatology and posttraumatic growth among gay fathers through surrogacy and provides clinicians and policymakers with relevant information on the psychological strengths and potential difficulties associated with cross-border surrogacy among gay fathers.