Pub Date : 2021-06-01DOI: 10.1080/19419899.2021.1933147
Lucy Cowie, Virginia Braun
ABSTRACT The psychological wellbeing of Queer and Gender Diverse Young People (QGDYP) has received attention of late, and increasing research evidences much higher rates of psychological distress experienced by these groups, compared to their straight, cisgender counterparts. Far more limited is research exploring queer and gender diverse young people’s own perspectives on their psychological wellbeing, an absence we address with the current study. We interviewed 21 queer or gender diverse 16–18-year-olds in Aotearoa New Zealand about their understandings of mental health and wellbeing. We took a critical realist thematic approach to analysis. This paper focuses on how participants made sense of their own distress. We explore and unpack three intersecting key themes around: 1) cisheterosexism, but not personally affected; 2) dismissal of QGDYP; and 3) validation and comfort in the biomedical model. We discuss the tensions of articulating these positions and (also) challenging cisheterosexism, and the implications for recognising and reducing the distress experienced by queer and gender diverse youth. We aim to inform policy and practice to support and ultimately improve psychological wellbeing for queer and gender diverse young people.
{"title":"Between social and biomedical explanation: queer and gender diverse young people’s explanations of psychological distress","authors":"Lucy Cowie, Virginia Braun","doi":"10.1080/19419899.2021.1933147","DOIUrl":"https://doi.org/10.1080/19419899.2021.1933147","url":null,"abstract":"ABSTRACT The psychological wellbeing of Queer and Gender Diverse Young People (QGDYP) has received attention of late, and increasing research evidences much higher rates of psychological distress experienced by these groups, compared to their straight, cisgender counterparts. Far more limited is research exploring queer and gender diverse young people’s own perspectives on their psychological wellbeing, an absence we address with the current study. We interviewed 21 queer or gender diverse 16–18-year-olds in Aotearoa New Zealand about their understandings of mental health and wellbeing. We took a critical realist thematic approach to analysis. This paper focuses on how participants made sense of their own distress. We explore and unpack three intersecting key themes around: 1) cisheterosexism, but not personally affected; 2) dismissal of QGDYP; and 3) validation and comfort in the biomedical model. We discuss the tensions of articulating these positions and (also) challenging cisheterosexism, and the implications for recognising and reducing the distress experienced by queer and gender diverse youth. We aim to inform policy and practice to support and ultimately improve psychological wellbeing for queer and gender diverse young people.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"40 1","pages":"1179 - 1190"},"PeriodicalIF":2.3,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87006178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-28DOI: 10.1080/19419899.2021.1936141
T. Marcantonio, Andrew M. O’Neil, K. Jozkowski
ABSTRACT Sexual consent research often focuses on how those who identify as heterosexual communicate consent, with limited research examining how sexual minority (SM) men communicate consent. Factors that influence how people communicate consent – such as the type of sexual behaviour being consented to and the relationship status of those engaged in sexual behaviour – is understudied among SM men. The purpose of this exploratory study was to assess how SM men communicate sexual consent and examine if these factors influence how men consent to sex. SM men (N = 234) were recruited from social media and Qualtrics’ panel. Participants completed an open-ended survey assessing how consent was communicated during oral and anal sex and who their partner was during this encounter. Responses were analysed using an inductive coding approach. Six overarching consent cues emerged: Explicit Verbal, Explicit Nonverbal, No-Response, Implicit Nonverbal, Virtual Consent and Implicit Verbal. Sexual consent communication appeared to vary by sexual behaviour and relationship status. Overall, SM men and people who identify as heterosexual appear to communicate sexual consent similarly; however, some new cues emerged for SM men. Consent education initiatives should consider findings from more diverse populations when discussing sexual consent to take a more inclusive approach to sexual health education.
{"title":"Sexual consent cues among sexual minority men in the United States","authors":"T. Marcantonio, Andrew M. O’Neil, K. Jozkowski","doi":"10.1080/19419899.2021.1936141","DOIUrl":"https://doi.org/10.1080/19419899.2021.1936141","url":null,"abstract":"ABSTRACT Sexual consent research often focuses on how those who identify as heterosexual communicate consent, with limited research examining how sexual minority (SM) men communicate consent. Factors that influence how people communicate consent – such as the type of sexual behaviour being consented to and the relationship status of those engaged in sexual behaviour – is understudied among SM men. The purpose of this exploratory study was to assess how SM men communicate sexual consent and examine if these factors influence how men consent to sex. SM men (N = 234) were recruited from social media and Qualtrics’ panel. Participants completed an open-ended survey assessing how consent was communicated during oral and anal sex and who their partner was during this encounter. Responses were analysed using an inductive coding approach. Six overarching consent cues emerged: Explicit Verbal, Explicit Nonverbal, No-Response, Implicit Nonverbal, Virtual Consent and Implicit Verbal. Sexual consent communication appeared to vary by sexual behaviour and relationship status. Overall, SM men and people who identify as heterosexual appear to communicate sexual consent similarly; however, some new cues emerged for SM men. Consent education initiatives should consider findings from more diverse populations when discussing sexual consent to take a more inclusive approach to sexual health education.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"2 1","pages":"863 - 879"},"PeriodicalIF":2.3,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88513509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-28DOI: 10.1080/19419899.2021.1936140
C. Mahon, Richard Lombard-Vance, G. Kiernan, J. Pachankis, P. Gallagher
ABSTRACT Social anxiety is a prominent psychological concern within sexual minority populations. We systematically reviewed the related empirical literature in order to 1) describe the characteristics of studies assessing social anxiety among sexual minority individuals; 2) compare social anxiety levels across sexual orientation subgroups; 3) synthesise bivariate and multivariate associations related to social anxiety, and collate qualitative findings pertaining to social anxiety, among sexual minority populations; 4) identify psychological interventions that have been empirically tested to reduce social anxiety symptoms in sexual minority individuals. A search strategy was implemented across six databases, and 61 papers representing 46 unique studies were identified for inclusion. The vast majority of studies were cross-sectional, based in the USA, and more focused on sexual minority men than women. No included studies were qualitative in nature. Across studies, sexual minority individuals consistently appear at a higher risk for social anxiety symptoms than heterosexuals. Subgroup analyses within sexual minority subgroups are scarce; however, tentative evidence suggests that bisexual individuals are at greater risk for high social anxiety symptoms than gay/lesbian individuals. Minority stress processes, general social processes (e.g. social support), other internalising mental health symptoms, among other variables hold significant associations with social anxiety across the included studies. Empirical studies testing the efficacy of psychological interventions in this area are markedly lacking. Future studies should employ more diverse methodologies (i.e. experimental, longitudinal, and qualitative) to further elucidate the determinants and experience of social anxiety among sexual minority individuals and interventions to address them.
{"title":"Social Anxiety Among Sexual Minority Individuals: A Systematic Review","authors":"C. Mahon, Richard Lombard-Vance, G. Kiernan, J. Pachankis, P. Gallagher","doi":"10.1080/19419899.2021.1936140","DOIUrl":"https://doi.org/10.1080/19419899.2021.1936140","url":null,"abstract":"ABSTRACT Social anxiety is a prominent psychological concern within sexual minority populations. We systematically reviewed the related empirical literature in order to 1) describe the characteristics of studies assessing social anxiety among sexual minority individuals; 2) compare social anxiety levels across sexual orientation subgroups; 3) synthesise bivariate and multivariate associations related to social anxiety, and collate qualitative findings pertaining to social anxiety, among sexual minority populations; 4) identify psychological interventions that have been empirically tested to reduce social anxiety symptoms in sexual minority individuals. A search strategy was implemented across six databases, and 61 papers representing 46 unique studies were identified for inclusion. The vast majority of studies were cross-sectional, based in the USA, and more focused on sexual minority men than women. No included studies were qualitative in nature. Across studies, sexual minority individuals consistently appear at a higher risk for social anxiety symptoms than heterosexuals. Subgroup analyses within sexual minority subgroups are scarce; however, tentative evidence suggests that bisexual individuals are at greater risk for high social anxiety symptoms than gay/lesbian individuals. Minority stress processes, general social processes (e.g. social support), other internalising mental health symptoms, among other variables hold significant associations with social anxiety across the included studies. Empirical studies testing the efficacy of psychological interventions in this area are markedly lacking. Future studies should employ more diverse methodologies (i.e. experimental, longitudinal, and qualitative) to further elucidate the determinants and experience of social anxiety among sexual minority individuals and interventions to address them.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"31 1","pages":"818 - 862"},"PeriodicalIF":2.3,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81744837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-22DOI: 10.1080/19419899.2021.1929424
Jianmin Shao, Chuansheng Chen, J. Borelli
ABSTRACT Very little research has examined the psychological adjustment of gay men in mixed-orientation marriages (MOMs) – a marital union wherein one spouse is a sexual minority person (e.g. gay/lesbian, bisexual) while the other is heterosexual. Examining gay men’s psychological adjustment in MOMs provides insights into how sexual identity intersects with relationship dynamics to shape mental health in heteronormative societies. Based on survey responses from 54 Chinese gay men in MOMs who simultaneously engage in a same-sex relationship occurring outside of marriages, the current exploratory study examined the relative contributions of marital relationship quality, same-sex relationship quality, and sexual identity to their psychological adjustment (i.e. depression, life satisfaction, and loneliness). Multiple regression analyses revealed that positive sexual identity was a significantly negative predictor of depression and loneliness and a significantly positive predictor of life satisfaction. Whereas marital relationship quality was significantly and positively associated with life satisfaction and negatively associated with loneliness, same-sex relationship quality was not a significant predictor of psychological adjustment. Results indicate that both sexual identity and marital relationship quality play important roles in the mental health of gay men in MOMs. Discussion focuses on the sociocultural contexts in China that in part shape gay men’s situations in MOMs.
{"title":"Rethinking the dichotomy of sexual identity and relational intimacies: Chinese gay men’s mental health in mixed-orientation marriages","authors":"Jianmin Shao, Chuansheng Chen, J. Borelli","doi":"10.1080/19419899.2021.1929424","DOIUrl":"https://doi.org/10.1080/19419899.2021.1929424","url":null,"abstract":"ABSTRACT Very little research has examined the psychological adjustment of gay men in mixed-orientation marriages (MOMs) – a marital union wherein one spouse is a sexual minority person (e.g. gay/lesbian, bisexual) while the other is heterosexual. Examining gay men’s psychological adjustment in MOMs provides insights into how sexual identity intersects with relationship dynamics to shape mental health in heteronormative societies. Based on survey responses from 54 Chinese gay men in MOMs who simultaneously engage in a same-sex relationship occurring outside of marriages, the current exploratory study examined the relative contributions of marital relationship quality, same-sex relationship quality, and sexual identity to their psychological adjustment (i.e. depression, life satisfaction, and loneliness). Multiple regression analyses revealed that positive sexual identity was a significantly negative predictor of depression and loneliness and a significantly positive predictor of life satisfaction. Whereas marital relationship quality was significantly and positively associated with life satisfaction and negatively associated with loneliness, same-sex relationship quality was not a significant predictor of psychological adjustment. Results indicate that both sexual identity and marital relationship quality play important roles in the mental health of gay men in MOMs. Discussion focuses on the sociocultural contexts in China that in part shape gay men’s situations in MOMs.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"90 1","pages":"785 - 799"},"PeriodicalIF":2.3,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90663868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-21DOI: 10.1080/19419899.2021.1933146
Alexandra Martins, M. C. Canavarro, M. Pereira
ABSTRACT This study aimed to analyse the factors (sociodemographic, sex-related, HIV-related, and psychological) associated with perceived risk of HIV (PRHIV) among sexually experienced individuals from the general population in Portugal. The sample of this cross-sectional study comprised 902 participants, who completed an online questionnaire assessing sociodemographic and sex-related data, HIV prophylaxis, HIV testing and knowledge, attachment, emotion regulation, distress tolerance, and PRHIV. Multiple factors were significantly associated with higher PRHIV. These included self-defining as gay/lesbian or bisexual, not insisting on using condoms, having a higher number of sexual partners, using the Internet to find sexual partners, having had an STD, having anal and oral sex, and testing for HIV in the last year. Psychological factors such as higher levels of attachment-related anxiety and avoidance, higher use of expressive suppression emotional regulation strategy, and lower levels of distress tolerance were associated with higher PRHIV. This study, one of the few conducted in Europe, shows that diverse factors from different categories are associated with PRHIV, but sex-related factors have a prominent role. Our findings also suggest that to understand the formation of HIV risk perceptions, psychological factors regarding affect regulation should be considered, highlighting the importance of examining affect regulation in future interventions.
{"title":"Multidimensional factors associated with perceived risk of HIV among sexually experienced individuals in Portugal","authors":"Alexandra Martins, M. C. Canavarro, M. Pereira","doi":"10.1080/19419899.2021.1933146","DOIUrl":"https://doi.org/10.1080/19419899.2021.1933146","url":null,"abstract":"ABSTRACT This study aimed to analyse the factors (sociodemographic, sex-related, HIV-related, and psychological) associated with perceived risk of HIV (PRHIV) among sexually experienced individuals from the general population in Portugal. The sample of this cross-sectional study comprised 902 participants, who completed an online questionnaire assessing sociodemographic and sex-related data, HIV prophylaxis, HIV testing and knowledge, attachment, emotion regulation, distress tolerance, and PRHIV. Multiple factors were significantly associated with higher PRHIV. These included self-defining as gay/lesbian or bisexual, not insisting on using condoms, having a higher number of sexual partners, using the Internet to find sexual partners, having had an STD, having anal and oral sex, and testing for HIV in the last year. Psychological factors such as higher levels of attachment-related anxiety and avoidance, higher use of expressive suppression emotional regulation strategy, and lower levels of distress tolerance were associated with higher PRHIV. This study, one of the few conducted in Europe, shows that diverse factors from different categories are associated with PRHIV, but sex-related factors have a prominent role. Our findings also suggest that to understand the formation of HIV risk perceptions, psychological factors regarding affect regulation should be considered, highlighting the importance of examining affect regulation in future interventions.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"24 1","pages":"800 - 817"},"PeriodicalIF":2.3,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84261916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-20DOI: 10.1080/19419899.2021.1929423
M. Kruk, Jes L. Matsick
ABSTRACT Though feminist theory asserts that women’s sexuality influences their general relationship with heterosexual men, the leading psychological measure of women’s attitudes towards heterosexual men, the Ambivalence towards Men Inventory (AMI), has not yet accounted for sexual orientation as a meaningful individual difference. In this current United States-based research (N = 318), we revisited the AMI to examine women’s attitudes towards heterosexual men as a function of women’s sexual orientation (i.e. lesbian, bisexual, or heterosexual). Drawing from feminist and psychological theories of attitudes towards men, we 1) tested competing hypotheses regarding whether lesbian and bisexual women or heterosexual women would be highest in hostility, and 2) hypothesised that heterosexual women would hold more benevolent attitudes than lesbian and bisexual women. When controlling for feminist identity, lesbian women held more hostile attitudes towards heterosexual men, specifically on subscales of Resentment of Paternalism and Heterosexual Hostility. However, there were no differences in benevolence towards heterosexual men between groups. We discuss hostility as a reaction to gendered oppression and the utility of benevolence in modern times. Testing the AMI with a sexually diverse sample reveals nuanced understandings of intergroup relations and demonstrates a need to establish more inclusive measures of gendered attitudes.
{"title":"How Do Women’s Attitudes Towards Heterosexual Men Differ By Their Sexual Orientation? A Test of Competing Hypotheses","authors":"M. Kruk, Jes L. Matsick","doi":"10.1080/19419899.2021.1929423","DOIUrl":"https://doi.org/10.1080/19419899.2021.1929423","url":null,"abstract":"ABSTRACT Though feminist theory asserts that women’s sexuality influences their general relationship with heterosexual men, the leading psychological measure of women’s attitudes towards heterosexual men, the Ambivalence towards Men Inventory (AMI), has not yet accounted for sexual orientation as a meaningful individual difference. In this current United States-based research (N = 318), we revisited the AMI to examine women’s attitudes towards heterosexual men as a function of women’s sexual orientation (i.e. lesbian, bisexual, or heterosexual). Drawing from feminist and psychological theories of attitudes towards men, we 1) tested competing hypotheses regarding whether lesbian and bisexual women or heterosexual women would be highest in hostility, and 2) hypothesised that heterosexual women would hold more benevolent attitudes than lesbian and bisexual women. When controlling for feminist identity, lesbian women held more hostile attitudes towards heterosexual men, specifically on subscales of Resentment of Paternalism and Heterosexual Hostility. However, there were no differences in benevolence towards heterosexual men between groups. We discuss hostility as a reaction to gendered oppression and the utility of benevolence in modern times. Testing the AMI with a sexually diverse sample reveals nuanced understandings of intergroup relations and demonstrates a need to establish more inclusive measures of gendered attitudes.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"25 1","pages":"774 - 784"},"PeriodicalIF":2.3,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75611702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-10DOI: 10.1080/19419899.2021.1924241
B. J. Dunlop, C. Hunter, M. Shafti, S. E. Coleman, S. Hartley, P. Taylor
ABSTRACT Bisexual people demonstrate higher rates of Non-Suicidal Self-Injury (NSSI) in comparison to other groups. This study aimed to explore bisexual people’s experiences of sexuality, NSSI and the COVID19 pandemic. Fifteen bisexual people (16–25 years old) with experience of NSSI participated in online qualitative interviews. Thematic analysis was used. Preliminary findings were shared with a subset of participants for member-checking. Participants described experiences of falling between the binary worlds of heterosexuality and homosexuality and described discrimination and invalidation related to this. Lack of access to positive bisexual representation contributed to feelings of self-loathing, with NSSI used to manage emotions or self-punish. The effect of lockdown was not clear cut, depending on personal circumstances and meanings of social interaction for participants. There is a need for greater recognition of significant societal narratives around bisexuality within clinical formulations of mental health difficulties and NSSI within this population.
{"title":"‘Why is it so different now I’m bisexual?’: young bisexual people’s experiences of identity, belonging, self-injury, and COVID19","authors":"B. J. Dunlop, C. Hunter, M. Shafti, S. E. Coleman, S. Hartley, P. Taylor","doi":"10.1080/19419899.2021.1924241","DOIUrl":"https://doi.org/10.1080/19419899.2021.1924241","url":null,"abstract":"ABSTRACT Bisexual people demonstrate higher rates of Non-Suicidal Self-Injury (NSSI) in comparison to other groups. This study aimed to explore bisexual people’s experiences of sexuality, NSSI and the COVID19 pandemic. Fifteen bisexual people (16–25 years old) with experience of NSSI participated in online qualitative interviews. Thematic analysis was used. Preliminary findings were shared with a subset of participants for member-checking. Participants described experiences of falling between the binary worlds of heterosexuality and homosexuality and described discrimination and invalidation related to this. Lack of access to positive bisexual representation contributed to feelings of self-loathing, with NSSI used to manage emotions or self-punish. The effect of lockdown was not clear cut, depending on personal circumstances and meanings of social interaction for participants. There is a need for greater recognition of significant societal narratives around bisexuality within clinical formulations of mental health difficulties and NSSI within this population.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"24 1","pages":"756 - 773"},"PeriodicalIF":2.3,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74494171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-20DOI: 10.1080/19419899.2021.1918230
Reid Lantto, Tove Lundberg
ABSTRACT This transformative study aimed to explore how people who practice BDSM (bondage, discipline, dominance, submission, sadism, masochism) experience therapy; specifically, what sort of therapist responses and qualities they described as problematic and desirable in relation to addressing BDSM in therapy. Semi-structured interviews were conducted with 27 Swedish BDSM practitioners with experiences of psychotherapy. The interviews were analysed using inductive thematic analysis. Three themes were identified: ‘A professional stance’, relating to how therapists handled their professional roles when BDSM was addressed, ‘Therapists’ approaches towards BDSM’, regarding therapists’ opinions and attitudes towards BDSM, and ‘Conversations about BDSM’, regarding how therapists handled conversation about the topic. Participants reported negative experiences where therapists expressed prejudice, judgment or pathologizing attitudes, failed to contain their own emotions, questioned their clients about BDSM, used their clients to inform themselves about BDSM, avoided or focused excessively on the topic. Positive experiences were characterised by non-judgement, asking client-centred questions, and stimulating a collaborative exploration of matters relevant to the client. BDSM practitioners’ experiences of therapy were related to those documented in the literature on other minoritized identities. This study contributes to the growing literature on kink-aware therapy, which makes psychotherapy more affirmative, accessible, and rewarding to BDSM practitioners.
{"title":"(Un)desirable approaches in therapy with Swedish individuals practicing BDSM: client’s perspectives and recommendations for affirmative clinical practices","authors":"Reid Lantto, Tove Lundberg","doi":"10.1080/19419899.2021.1918230","DOIUrl":"https://doi.org/10.1080/19419899.2021.1918230","url":null,"abstract":"ABSTRACT This transformative study aimed to explore how people who practice BDSM (bondage, discipline, dominance, submission, sadism, masochism) experience therapy; specifically, what sort of therapist responses and qualities they described as problematic and desirable in relation to addressing BDSM in therapy. Semi-structured interviews were conducted with 27 Swedish BDSM practitioners with experiences of psychotherapy. The interviews were analysed using inductive thematic analysis. Three themes were identified: ‘A professional stance’, relating to how therapists handled their professional roles when BDSM was addressed, ‘Therapists’ approaches towards BDSM’, regarding therapists’ opinions and attitudes towards BDSM, and ‘Conversations about BDSM’, regarding how therapists handled conversation about the topic. Participants reported negative experiences where therapists expressed prejudice, judgment or pathologizing attitudes, failed to contain their own emotions, questioned their clients about BDSM, used their clients to inform themselves about BDSM, avoided or focused excessively on the topic. Positive experiences were characterised by non-judgement, asking client-centred questions, and stimulating a collaborative exploration of matters relevant to the client. BDSM practitioners’ experiences of therapy were related to those documented in the literature on other minoritized identities. This study contributes to the growing literature on kink-aware therapy, which makes psychotherapy more affirmative, accessible, and rewarding to BDSM practitioners.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"50 1","pages":"742 - 755"},"PeriodicalIF":2.3,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86607902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-14DOI: 10.1080/19419899.2021.1916987
Lauren Canvin, Joseph Twist, Wendy Solomons
ABSTRACT Gender diverse people experience significantly high levels of mental health difficulties, face significant barriers accessing mental healthcare, and often report negative experiences with mental health professionals. At the same time, healthcare professionals describe feeling deskilled when providing care for gender diverse adults. This paper aims to systematically review research into mental health professionals’ experiences of providing care for gender diverse individuals, and the kind of research methods employed in these investigations. PubMed, SCOPUS, psycARTICLES, and psychINFO were searched, as well citation and reference lists of relevant articles. From 268 search results, 12 articles were deemed relevant to be included in the review. The studies used quantitative, qualitative and mixed methods approaches. Each article was evaluated against established quality guidelines. All studies were likely to have been affected by social desirability bias, and had limited exploration of participants’ contexts, or social discourse. The quality of the articles varied. Clinicians reported having minimal training about gender diversity, and they tended to be less competent working with gender diverse clients compared to LGB clients. Participants described uncertainty working with gender diverse clients, and all the studies identified the need for improved training for mental health professionals working with gender diverse adults.
{"title":"How do mental health professionals describe their experiences of providing care for gender diverse adults? A systematic literature review","authors":"Lauren Canvin, Joseph Twist, Wendy Solomons","doi":"10.1080/19419899.2021.1916987","DOIUrl":"https://doi.org/10.1080/19419899.2021.1916987","url":null,"abstract":"ABSTRACT Gender diverse people experience significantly high levels of mental health difficulties, face significant barriers accessing mental healthcare, and often report negative experiences with mental health professionals. At the same time, healthcare professionals describe feeling deskilled when providing care for gender diverse adults. This paper aims to systematically review research into mental health professionals’ experiences of providing care for gender diverse individuals, and the kind of research methods employed in these investigations. PubMed, SCOPUS, psycARTICLES, and psychINFO were searched, as well citation and reference lists of relevant articles. From 268 search results, 12 articles were deemed relevant to be included in the review. The studies used quantitative, qualitative and mixed methods approaches. Each article was evaluated against established quality guidelines. All studies were likely to have been affected by social desirability bias, and had limited exploration of participants’ contexts, or social discourse. The quality of the articles varied. Clinicians reported having minimal training about gender diversity, and they tended to be less competent working with gender diverse clients compared to LGB clients. Participants described uncertainty working with gender diverse clients, and all the studies identified the need for improved training for mental health professionals working with gender diverse adults.","PeriodicalId":51686,"journal":{"name":"Psychology & Sexuality","volume":"11 1","pages":"717 - 741"},"PeriodicalIF":2.3,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79786138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-14DOI: 10.1080/19419899.2021.1915368
M. Harrison, Bradley E. Murphy
ABSTRACT Most literature on sexual fetishes focuses on maldevelopment, abnormality, and stigma. Benefits and psychosocial aspects of practising fetishes are seldom documented. We aimed to explore the sensations, perceptions, and socioemotional experiences involved in practicing fetishes. We recruited 316 participants from various websites and social media platforms geared specifically for people with fetishes. Participants completed our online anonymous questionnaire which yielded both quantitative and qualitative data. When asked what they wanted the world to know about their fetish, content analysis showed that those who engage in fetishes gave responses that fell into the categories of what fetishes are not, what fetishes are, about the practice itself, and about negative aspects. Participants had typical Satisfaction with Life scores. Participants had lower than typical Mate Value Scale scores (a gauge of one’s own perceived desirability) with some exception. Results suggest generally positive experiences and attitudes among those who practice fetishes and support the notion that fetishes are not inherently pathological.
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