Heterosexual, lesbian, and gay male relationships: a comparison of couples in 1975 and 2000

This study examined the differences among lesbians, gay men, and heterosexuals at two points in time (1975 and 2000) using responses of 6,864 participants from two archival data sets. Groups were compared on variables representing equality of behaviors between partners in seven realms: traditionally "feminine" housework, traditionally "masculine" housework, finances, support, communication, requesting/refusing sex, and decision-making. In addition, the current study compared monogamy agreements and monogamy behaviors reported by the two cohorts of couple types. Overall, the results indicate that on the equality variables, there have been many statistically significant behavioral shifts among the different sexual orientations across 25 years. In addition, all couple types reported substantially greater rates of monogamy in the year 2000 than in 1975. The present study has important clinical implications for therapists working with couples because it provides new baseline evidence regarding how couples now interact with one another (especially about monogamy) and how this has shifted over time. In addition, it elucidates the differences that still exist between different couple types, which could serve to inform couple therapists as they strive to become more culturally competent working with same-sex couples.     

Grasping the nettle: gay men's experiences in therapy

Qualitative research was carried out into gay men's experiences of being in therapy. One of the findings was that, while the overall experience of being in therapy was usually perceived to be helpful, the experience of discussion of areas relating to the clients’ experience of their sexuality was not. A common reaction was that this aspect of their experience had been silenced or not adequately explored. This finding gives rise to a consideration of what 'gay-affirmative' counselling means – and in particular to the ideas of whether affirmative counselling can be implicit or must involve a more active stance on the part of the therapist. These differing approaches and the implications which arise are discussed.     

Gay male sexual assault survivors: the relations among internalized homophobia, experiential avoidance, and psychological symptom severity

This study explored the relations among internalized homophobia (IH), experiential avoidance, and psychological symptom severity in a community sample of 74 gay male sexual assault survivors. Results indicated that IH is associated with both depressive and posttraumatic stress disorder (PTSD) symptom severity. IH accounted for more variance than assault severity in predicting both PTSD and depression symptom severity. IH and experiential avoidance similarly predicted PTSD symptom severity. In comparison with IH, however, experiential avoidance is a stronger predictor of depression symptom severity. Results also showed that experiential avoidance partially mediated the relation between IH and both depressive and PTSD symptom severity. The implications of these findings are discussed and suggestions for future research are provided.     

Disarming jealousy in couples relationships: a multidimensional approach

Jealousy is a powerful emotional force in couples' relationships. In just seconds it can turn love into rage and tenderness into acts of control, intimidation, and even suicide or murder. Yet it has been surprisingly neglected in the couples therapy field. In this paper we define jealousy broadly as a hub of contradictory feelings, thoughts, beliefs, actions, and reactions, and consider how it can range from a normative predicament to extreme obsessive manifestations. We ground jealousy in couples' basic relational tasks and utilize the construct of the vulnerability cycle to describe processes of derailment. We offer guidelines on how to contain the couple's escalation, disarm their ineffective strategies and power struggles, identify underlying vulnerabilities and yearnings, and distinguish meanings that belong to the present from those that belong to the past, or to other contexts. The goal is to facilitate relational and personal changes that can yield a better fit between the partners' expectations.     

The multi-level approach: a road map for couples therapy

This paper presents a multi-level framework and road map to guide the therapeutic process. Starting with the couple's reactive pattern, the multi-level approach first orients the therapist on how to create a "holding environment." It then suggests how the therapist, in collaboration with the couple, can proceed to explore interactional, sociocultural/ organizational, intrapsychic, and intergenerational processes that might be fueling the couple's dynamics. Central to this approach is the construct of the vulnerability cycle, a nexus of integration that helps the therapist stay anchored while moving through the many layers of therapeutic work. The overall goal is to help the partners move from reactivity to responsibility for their own feelings and behavior; from impasse to a greater ability to reflect, express feelings, listen, negotiate, and make choices about how to be in the relationship. This paper describes a range of concepts and interventions from basic to complex; it is intended as an organizational tool for practice and clinical training.     

Sex as an obligation and interpersonal communication among Norwegian heterosexual couples

This study examines the prevalence of having sex as a means of satisfying one's partner among a random sample of 398 heterosexual couples with non-problematic, mild or manifest reduced sexual desire. Data collection was carried out by questionnaires. Two of three women and one of five men with manifest distressing reduced sexual desire had had obligatory sex. Among women with symptoms of mild reduced sexual desire, there was an association between obligatory sex and lack of acknowledgement of one's sexual needs, as well as a lack of communication with one's partner regarding how to be sexually pleased. In men with manifest reduced sexual desire there was an association between obligatory sex and discussion of one's sexual needs, and sexual fantasies with the partner. Thus, men with desire problems seem to communicate with their partner about their sexuality, whereas women seem not to talk with their partner about their sexual needs.     

A neutral odor may become a sexual incentive through classical conditioning in male rats

A neutral olfactory stimulus was employed as CS in a series of experiments with a sexually receptive female as UCS and the execution of an intromission as the UCR. Each experimental session lasted until the male ejaculated. The time the experimental subject spent in a zone adjacent to the source of the olfactory stimulus during the 10 s of CS presentation and the latency to enter that area were employed as measures of conditioning. In Experiment 1, the CS was always presented at the same location in the conditioning arena, bordering the site where the female became accessible. Conditioning resulted in a gradual increase in the time spent in the CS zone as well as in a reduction of the latency to enter it. In Experiment 2, the site of presentation of the CS was varied randomly from one side of the conditioning arena to another in order to assure that the subjects indeed associated the CS and not a particular location with access to a female. Again, the time spent in the CS zone increased and the latency to enter it was reduced by conditioning. Furthermore, after conditioning the CS was approached more than a neutral odor in a different context. In a third experiment one group of animals was randomly exposed to the CS to control for non-associative effects on performance. Another group was conditioned as in Experiment 2. The random presentation of the CS failed to enhance approach, while the paired UCS-CS had effects identical to those found in Experiment 2. In the last experiment, an olfactory CS⁻ was included. The CS⁺ and CS⁻ were presented in random order at random locations. Both the time spent in the CS⁺ and CS⁻ zones was increased, while the latency to enter the zone was significantly reduced only for the CS⁺. These data suggest that the subjects had partially learned to discriminate between the CS⁺ and the CS⁻, at most. The procedure employed in Experiments 2 and 3 seems to be the most promising for studies of sexual conditioning in male rats.     

Vulvar pain: a phenomenological study of couples in search of effective diagnosis and treatment

Vulvar vestibulitis syndrome (VVS), a vulvar pain disorder, continues to puzzle medical and mental health professionals due to its unknown etiology and lack of effective treatment. This study used transcendental phenomenology methodology to explore the experiences of couples in which the woman has a diagnosis of VVS. Sixteen in-depth semi-structured interviews were conducted with 13 heterosexual couples and 3 women. Four essences emerged: (1) In search of ... the medical journey required extensive searching for knowledgeable and respectful practitioners to provide treatment. (2) The process of developing a personal understanding of this disorder led many couples to question their role in causing and maintaining VVS. (3) Developing strategies for coping with painful intercourse led to three strategies: becoming non-sexual, using alternatives to vaginal sex, and altering or enduring painful intercourse. (4) Feelings of isolation were experienced as adapting to this chronic pain syndrome was often a lonely process. Clinical suggestions included: treating the couple, not just the woman with VVS; encouraging couples to broaden definitions about the importance and primacy of vaginal intercourse and suggest alternative sexual activities less likely to cause vulvar pain; developing shared meaning as a couple, and assisting couples in locating physicians and resources. Suggestions are relevant for couples with VVS and those with chronic health problems affecting sexual relationships.     

Money: a therapeutic tool for couples therapy

This article addresses the therapeutic importance of discussing money at every stage of a couple's relationship, both as a concrete reality and as a metaphor for security, adequacy, competence, commitment, acceptance, and acknowledgment in a relationship. I will present a developmental schema looking at financial issues that couples confront at various stages in the adult life cycle and how these affect and reflect relationship problems. The article also presents a money questionnaire as a useful tool for exploring family-of-origin financial history, affect, and behavior.     

Heterosexual adolescents’ and young adults’ beliefs and attitudes about homosexuality and gay and lesbian peers

Reports on the school climate for gay and lesbian students in the United States suggest that negative attitudes toward gay and lesbian individuals are quite common in adolescence. Very little research, however, has investigated adolescents’ sexual prejudice from a developmental perspective. In this study, 10th- (N = 119) and 12th- (N = 145) grade adolescents and college-aged young adults (N = 86) completed a questionnaire assessing their beliefs and attitudes about homosexuality, their comfort with gay and lesbian students, and their judgments and reasoning regarding the treatment of gay or lesbian peers in school. Results indicate that middle adolescents (14–16) are more likely than older adolescents (16–18) and young adults (19–26) to exhibit sexual prejudice related to social interaction with gay and lesbian peers. Interestingly, however, age-related differences in beliefs about whether homosexuality was right or wrong were not found. These findings provide evidence for age-related differences in some aspects of sexual prejudice but not others and underscore the importance of using multiple measures in assessing the development of this type of prejudice.     

Cultural intersections: a qualitative inquiry into the experience of Asian Indian-White interracial couples

The purpose of this study was to examine the "lived experience" of Asian Indian (AI)-White couples in interracial marriages. Ten highly educated AI-White professional couples were individually interviewed about their subjective experience of being in an interracial marriage, the challenges and strengths of this marriage, and the potential role of culture in their marriages. Data were analyzed using the Consensual Qualitative Research methodology. Results indicated that the couples' marital experiences were influenced by a complex intersection of ecosystemic factors with significant psychological impacts. These findings highlight shortcomings in drawing simplistic conclusions regarding the success or failure of an interracial marriage and have important implications for theory, research, and clinical practice.     

The effect of self-affirmation on sexual prejudice

In three experiments, we explored the impact of a self-affirmation treatment on sexual prejudice (i.e., negative attitudes toward gays and lesbians). Studies 1 and 2 found that participants who were affirmed by valuing relationships with family and friends were significantly more prejudiced than participants who were affirmed by valuing other self-relevant characteristics. Relative to a non-affirmed control, the family/friends affirmation did not actually increase prejudice; however, other affirmations decreased bias. Study 3 replicated the finding that prejudice was higher among participants who affirmed to family/friends compared to those who affirmed to other values, and showed a mediator of the effect: the endorsement of traditional family values. That is, affirming to family/friends was associated with support for family values, which was positively associated with prejudice. These findings add to a growing body of evidence demonstrating the potential for self-affirmation to reduce bias, but establish that the type of value affirmed is an important consideration. Specifically, familial-based affirmations may undermine reduction of sexual prejudice because they remind individuals of values that many people see as being in conflict with expressing tolerant attitudes toward gays and lesbians.     

An exploration of lived religion in same-sex couples from Judeo-Christian traditions

Religious involvement has been found to be associated with higher levels of commitment and relationship satisfaction among heterosexually married individuals (Mahoney et al., 1999). Little is known, however, about the religiosity of gay, lesbian, bisexual (GLB) individuals, and virtually nothing is known about religious involvement in same-sex couples. The purpose of this qualitative interview study was to examine couples' experiences of incorporating religious involvement into their committed relationships. In a sample of 14 same-sex couples, we found that couples used their spiritual/religious values to understand and undergird their relationships. In this process, they negotiated intra-couple differences in religious practices, involved themselves in activities that have religious or spiritual meaning to them, created religious social support for their relationships, and experienced some non-supportive or rejecting interpersonal interactions with religious family members, congregants, and strangers. These findings are instructive to therapists who work with same-sex couples and the family members of GLB individuals. We conclude with specific suggestions for practitioners.     

Racialized Sexual Discrimination (RSD) in the Age of Online Sexual Networking: Are Young Black Gay/Bisexual Men (YBGBM) at Elevated Risk for Adverse Psychological Health?

Young Black gay/bisexual men (YBGBM) are a highly marginalized population across multiple health outcomes. Most research on YBGBM health has focused on HIV/sexual health, but there is a demonstrable need for research examining racism and psychosocial functioning among this population. Racialized Sexual Discrimination (RSD), also known as sexual racism, is an important but under-investigated phenomenon that may have implications for the psychological health and well-being of YBGBM. This paper provides an overview of empirical research on RSD as experienced by gay/bisexual men of color in online partner-seeking venues. First, the researchers discuss how racialized experiences are a documented online phenomenon, with a variety of manifestations, and identify the potential effects that this phenomenon may have on the psychosocial health of YBGBM, and gay/bisexual men of color as a whole. Second, the researchers synthesize the RSD literature with a broader literature examining psychological well-being across race and sexual orientation. Third, the researchers present a theoretically grounded conceptual model detailing the pathways between RSD and psychological well-being using a stress and coping framework. The paper concludes with recommendations for future research on this topic, including scale development and hypothesis testing.     

Long-term effects of a dyadic planning intervention with couples motivated to increase physical activity

ObjectiveIn dyadic planning a target person and a planning partner create plans for when, where, and how the target person will change a health-relevant behavior. Across 52 weeks, direct and indirect effects of a dyadic-planning intervention on moderate-to-vigorous physical activity (MVPA) and physical fitness in target persons and their partners were investigated in a randomized controlled trial. Relationship quality was explored as a moderator.MethodsN = 338 couples (target persons randomized) were randomly assigned to a dyadic-planning- (DPC), an individual-planning- (IPC), or a no-planning dyadic-control condition (CC). MVPA was objectively assessed four times across 52 weeks using accelerometry. Physical fitness and proposed mediators (individual action control, received behavior-specific support and control) were repeatedly assessed. Relationship quality was measured at baseline. Latent growth curve-, multi-level-, and manifest mediation models were fit.ResultsAcross 52 weeks, MVPA of IPC and CC target persons increased. MVPA of DPC target persons remained stable, but those who reported high relationship quality increased their MVPA over time. DPC partners showed steeper increases in physical fitness when compared to IPC partners, but not CC partners. DPC partners’ increases in physical fitness were mediated by received support from target persons.ConclusionsThe dyadic planning intervention showed non-beneficial effects for target persons’ MVPA, but beneficial effects on their partners’ fitness. These findings resemble evidence from the social support literature indicating more benefits for support providers than for recipients.Trial registrationClinicalTrials.gov identifier: NCT01963494.     

The theoretical and empirical links between bullying behavior and male sexual violence perpetration

Bullying experiences and male sexual violence (SV) perpetration are major public health problems, and while extant literature suggests that they may share some developmental correlates, there is no established empirical link between being a perpetrator or victim of bullying and SV perpetration in the literature. Nonetheless, some SV prevention programs in the U.S. include bullying prevention components for elementary and middle-school aged children. Research is needed to test the hypothesized links between bullying experiences and SV perpetration to determine whether bullying prevention programs are likely to prevent SV perpetration. The purpose of this paper is to present results from a review of research on each of these topics and to discuss the potential shared and unique risk and protective factors within a social-ecological framework. The paper concludes with suggested directions for future research.     

Couples Therapy with Childhood Sexual Abuse Survivors (CSA) and their Partners: Establishing a Context for Witnessing

This article proposes a clinical practice for therapy with couples in which one partner suffered sexual abuse in childhood. Such couples often encounter unique difficulties with physical contact, intimacy, sexuality, communication, and trust, and their relationship dynamic may be marked by reenactments of past traumatic relational patterns. This clinical practice is founded on the assumption that establishing the witnessing lacking during the traumatic event in childhood can break the traumatic reenactments in adulthood, and spur recovery. The suggested practice may facilitate twofold witnessing: the couple's therapist witnesses the reenactments of the trauma in the couple's relationship; and the survivor's partner witnesses the trauma's effect on the survivor's personal life and relationship. Twofold witnessing can help break the cycle of traumatic reenactment and help the survivor integrate the events of her life into a more coherent, continuous narrative. The partner's presence also facilitates acknowledgement of what happened to the survivor, and helps the survivor elaborate on her stories of resistance, survival, and strength. Finally, each of the partners is able to appear more wholly and fully, and together to tell the preferred stories of their life as a couple, replete with the multiple relational patterns they wish to live, which may contradict the characteristics of the original trauma.     

Coming Out, Visibility, and Creating Change: Empowering Lesbian, Gay, and Bisexual People in a Rural University Community

Personal and professional challenges faced in encouraging the development of a gay community in a rural university setting are described. Community psychologists who are lesbian, gay, or bisexual (LGB) must assess their willingness to be open and the roles they can play in developing helping resources. These issues concern how to encourage the empowerment of others while maintaining a collaborative role in a situation of major personal investment. Two specific challenges–developing informal helping resources for local LGB people and fostering institutional and policy changes to make the university a safer place for LGB faculty, staff, and students–are described. Community psychologists must consider personal risk when they become involved in empowerment efforts with this population.A white male community psychologist and a licensed clinical psychologist, I have been on the faculty of the Department of Human Development and Family Studies at Pennsylvania State University since 1972. I served as Faculty Adviser to the Lesbian, Gay, and Bisexual Student Alliance at the University for ten years, and worked extensively with lesbian, gay, and bisexual people in the local town, State College, PA, to develop community resources since the mid 1980’s. I had been granted tenure before the events described in this paper occurred.     

The relation between women's body esteem and friendships with gay men

Women who associate with gay men are often portrayed as physically unattractive and lacking in both self-confidence and attention from straight men. However, many women report enhanced self-esteem and feelings of attractiveness as a result of attention from their gay friends. It is well established that body esteem can be negatively impacted by certain peer processes, yet there is a dearth of quantitative research on positive peer influences on women's body esteem. We tested two hypotheses: (a) women with gay male friends have poor body esteem and are rejected by heterosexual men, and (b) more contact with gay men is positively related to body esteem. Participants were 154 heterosexual women, who completed measures of their friendships with gay men, straight men and women, body esteem, relationship involvement and break-ups. Results supported the hypothesis that women's body esteem, specifically feelings of sexual attractiveness, is positively associated with friendships with gay men.