FEMINIST THERAPY WITH MAINLAND PUERTO RICAN WOMEN

This article discusses the use of feminist therapy with mainland Puerto Rican women. Sociocultural factors such as the experience of cross-cultural translocation, the process of transculturation, and the colonial background of Puerto Rico with its deleterious effects are examined. Special emphasis is given to Puerto Rican sex roles, the paradoxical condition of power and powerlessness, and Puertorriqueñas' complex sense of identity. These issues are illustrated with a clinical population, and as such, may represent an extreme position within the range of reactions to these sociocultural variables. Clinical vignettes present the use of feminist therapy with this client population. Feminism—with its emphasis on empowerment, adaptation and flexibility in role relationships, promotion of competence, and commitment to social change—is particularly relevant for Puerto Rican women. However, in order for feminist therapy to be effective with this population, it must be embedded in a sociocultural context.     

Achieving Safety: Safer Sex, Communication, and Desire among Young Gay Men

Conceptualizations of safer sex practices among young gay men (YGM) are frequently structured around communication between partners and the subsequent utilization or absence of condoms in a sexual encounter. Drawing on a sample of 34 in-depth interviews with YGM, ages 18 to 24, we explore the ways in which conceptualizations and definitions of safer sex are discussed and enacted. Placing attention on their safer sex practices, we analyze the conversations that do and do not occur among YGM and their partners, including the strategies (e.g., negotiated safety, condom communication and negotiation) that are commonly perceived as most useful by YGM. We provide recommendations regarding how to craft safer sex messages for YGM by considering their competing demands.     

A Cross-Cultural Investigation of Relational and Social Aggression in Female College Students from Puerto Rico and the United States

Researchers compared scores on a self-report measure of relational and social aggression using 2 groups, European American female university students (M = 20.23 years, SD = 3.88) from the mid-Atlantic region of the United States and Hispanic females from Puerto Rico (M = 19.34 years, SD = 1.26). Results indicate that cultural differences were evident in the use of relational and social aggression. The exclusively Hispanic Puerto Rican sample reported being more socially aggressive than the European American, mid-Atlantic sample. In contrast, the European American sample identified as being more relationally aggressive in their relationships than the Hispanic Puerto Rican sample. This distinction allows us to consider potential cultural differences in interpersonal relations in college-age females.     

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.     

Human affection exchange: VI. Further tests of reproductive probability as a predictor of men's affection with their adult sons

The authors examined the communication of affection in men's relationships with their fathers. Drawing from Affection Exchange Theory, the authors advanced four predictions: (a) heterosexual men receive more affection from their own fathers than do homosexual or bisexual men, (b) fathers communicate affection to their sons more through supportive activities than through direct verbal statements or nonverbal gestures, (c) affectionate communication between fathers and sons is linearly related to closeness and interpersonal involvement between them, and (d) fathers' awareness of their sons' sexual orientation is associated with the amount of affection that the fathers communicate to them. Participants were 170 adult men who completed questionnaires regarding affectionate communication in their relationships with their fathers. Half of the men were self-identified as exclusively heterosexual, and the other half were self-identified as exclusively homosexual or bisexual. The results supported all predictions substantially.     

A Search for Spirituality

A mixture of African, European, and Native Puerto Rican (Tahino) religions form a historical foundation for the beliefs to which Puerto Ricans adhere. This article follows the search for spirituality of a mother and daughter. Although both born in Puerto Rico, mother was raised in the rural mountains of Puerto Rico and daughter was raised among the majority culture of the United States. Their search follows different paths, but the influence of their country is apparent in the rituals they perform and in the integration of their internal processes. More and more women turn to female spirituality and to rituals that honor the power with which all women are born. These rituals honor the earth as mother, the natural cycles women experience instinctively, and reliance upon their own inner voice as guidance. The building of faith and the reclamation of inner strength helps to peel away the layers, to face the truth of the past and present, and gives courage to health and transform the pain.     

Engineering Ethics in Puerto Rico: Issues and Narratives

This essay discusses engineering ethics in Puerto Rico by examining the impact of the Colegio de Ingenieros y Agrimensores de Puerto Rico (CIAPR) and by outlining the constellation of problems and issues identified in workshops and retreats held with Puerto Rican engineers. Three cases developed and discussed in these workshops will help outline movements in engineering ethics beyond the compliance perspective of the CIAPR. These include the Town Z case, Copper Mining in Puerto Rico, and a hypothetical case researched by UPRM students on laptop disposal. The last section outlines four future challenges in engineering ethics pertinent to the Puerto Rican situation.     

Puerto Rican Gangs: A Historical Overview

This article presents the problem of gangs on the island of Puerto Rico from a historical, economical, and political perspective. Some Puerto Rican historians are convinced that the gang problem in Puerto Rico is due to the political ambiguity and human rights violations of prison inmates (F. Picò, 1998).     

The relationship of assertiveness to college students' safer sex behaviors.

Educational programs designed to curtail the present sexually transmitted disease (STD) epidemic emphasize the role of assertiveness in reducing personal risk. This study investigated the relationship between assertiveness tendencies and safer sex behaviors in heterosexual college students. It was predicted that assertiveness would vary positively, and nonassertiveness negatively, with three types of precautionary behaviors: caution about engaging in sexual intimacy, inquiry about a potential partner's STD risk history, and frequency of condom use. A convenience sample of 253 undergraduates (159 females and 94 males) anonymously completed a sexual behavior/demographic questionnaire and the Intimate Relationships Questionnaire (IRQ), designed for this study and involving assertive, nonassertive, and aggressive responses to scenarios relevant to safer sex. The findings confirmed the hypothesized relationships between IRQ assertiveness tendencies and safer sex practices. Gender differences were discovered on the IRQ and in the health-protective behaviors of using caution and inquiring about a prospective partner's STD risk history. Implications for STD prevention strategies are discussed.     

Acceptability and Cultural Fit of Spiritual Self-Schema Therapy for Puerto Rican Women with Addiction Disorders: Qualitative Findings

We present findings on the (1) acceptability of Spiritual Self-Schema (3-S) therapy with Puerto Rican women and (2) fit with women's cultural, gender, literacy, clinical, and religious backgrounds. 3-S is a well-documented efficacious intervention for substance use and HIV risk behaviors. Participants were 13 urban, low-income Puerto Rican women in a residential treatment program in a large Northeastern city.

Findings from therapy session videotapes, focus groups, and clinician memos indicate high acceptability and fit of 3-S therapy for Puerto Rican women. However, lack of fit in several areas indicates the need for modification of specific aspects of 3-S for Latinas.     

Movement patterns of persons with HIV receiving treatment in public clinics in the Southern Health Region,Puerto Rico

A survey conducted among 187 HIV-infected patients from publicly supported HIV clinics in the Puerto Rican Southern Health Region (SHR) failed to substantiate health planners' concern that this group travels frequently to the US to receive medical services. Respondents were questioned about all places of residence and all sites of HIV treatment in the past 12 months. Movement was defined as being anywhere outside of the SHR for 2 weeks or longer. 7% of the sample had moved at least once in the past year; 4% had moved outside the SHR but within Puerto Rico, while 3% had been in the continental US. Compared to the heterosexual risk group, intravenous drug users and men who have sex with men were 7-8 times more likely to have moved. The attainment of at least a high school education was also significantly and independently associated with increased probability of movement. Medical care was not identified by any of these respondents as the primary reason for travel. 58% indicated they were in their current place of residence to be near family, friends, and relatives. Both the small sample size and the low socioeconomic status of respondents may have limited the ability of this study to identify the so-called "air bridge," however.     

Sexual Communication in Relationships: When Words Speak Louder Than Actions

Sexual communication for expressing sexual desires and gathering HIV risk information were examined as interpersonal constructs related to HIV risk reduction. Community women (n = 816) with at least one heterosexual HIV risk factor (79% Euro-American, 86% some college) completed surveys assessing assertive communication with a sexual partner, HIV risk, and demographic, sexual history, interpersonal negative, and cognitive/attitudinal constructs which formed a hierarchical predictor model. In relationship context comparisons, women with a known partner HIV risk responded more negatively on most measures. Multiple regressions suggested communication is part of an overall cognitive/attitudinal approach to HIV risk, although specific predictors differ by type of communication and partner risk level. Implications for interventions considering relational context, interpersonal power, and counteracting silence are discussed.     

Gender as an Obstacle in HIV/AIDS Prevention: Considerations for the Development of HIV/AIDS Prevention Efforts for Male-to-Female Transgenders

SUMMARY

Social discourses regarding gender are responsible for molding people's cognitions, perceptions, behaviors, and interactions with others. Approaching and understanding gender socialization is an important strategy that must be included in the development of HIV/AIDS prevention intervention efforts targeting male-to-female (MTF) transgender people.

This paper represents an effort to identify the influence of gender construction among a group of MTF transgenders in Puerto Rico. Using combined methodology, authors examined results from a questionnaire and in-depth interviews with a convenience sample of MTF transgenders living in the San Juan metropolitan area.

Quantitative analysis demonstrated that this sample is composed of young, unemployed, and undereducated population. Many participated in the sex industry. Participants reported need for basic health and social services and alienation from social networks. Qualitative analysis confirmed their traditional social construction of the “feminine.” Their discourse underlines their need to reinforce their identity by the construction of a female self which undermines their possibilities for negotiating safer sex, as happens to most females in Latino societies.

Social vulnerability, institutional exclusion, and gender construction issues are obstacles for the HIV prevention efforts among these communities.     

Emotional and sexual jealousy as a function of sex and sexual orientation in a Brazilian sample

The goal of the present study was to compare the relative distress of homosexual and heterosexual Brazilian men and women on scenarios in which they imagined their partners sexually or emotionally involved with another person, using a forced-choice paradigm and continuous measures. Participants were 68 heterosexual men, 72 heterosexual women, 42 homosexual men, and 35 homosexual women. On the forced-choice questions heterosexual men (39 on one question and 37 on the other) were more upset than their female counterparts (21 on one question and 15 on the other) by scenarios of sexual infidelity than those of emotional infidelity. On questions using continuous measures no significant difference was found between pleasurable sex and attachment scenarios for heterosexual women or heterosexual men. On the highly upsetting scenarios heterosexual men discriminated between flirting and both pleasurable sex and attachment scenarios, being less disturbed by the former. In contrast, heterosexual women were equally distressed by the three scenarios. Scores for the homosexual men and homosexual women fell in between those of the heterosexual men and heterosexual women and did not show a clear cut preference for the sexual infidelity or the emotional alternative on the forced-choice paradigm. However, on the continuous measures of jealousy homosexuals resembled heterosexuals of the opposite sex. There was no evidence that jealousy would be less intense among homosexuals although reproductive outcomes were not at risk.     

Counseling puerto ri cans: some cultural considerations

Puerto Ricans comprise a significant percentage of potential clients for many counselors. The migration of Puerto Ricans to the mainland over the years has created cultural differences between Puerto Ricans raised in Puerto Rico and those raised in the U.S., but both groups are at a disadvantage in the dominant American culture. Migration back to the island in recent years is creating some problems for Puerto Rico, so Puerto Ricans often find prejudice both here and there. In this article the author, who married into a Puerto Rican family, discusses some values and traits that characterize Puerto Ricans and the behaviors that emerge from these traits. He offers practical suggestions for those counselors who have Puerto Rican clients.     

Condom Influence Strategies in a Community Sample of Ethnically Diverse Men and Women1

Few studies have examined comprehensively the ways in which men and women at risk for HIV infection influence their partners to use condoms. This study examines the condom influence strategies (CISs) of an ethnically diverse community sample of 113 (55% male) heterosexually active men and women. Results indicate that individuals at risk for HIV endorse a variety of CISs (withholding sex, direct request, seduction, relationship conceptualizing, risk information, deception, and pregnancy prevention) when attempting to procure condom use with a sexual partner. These CISs were related significantly and meaningfully to a set of safer sexual variables including 3 measures of condom use. Significant gender differences in CISs were not found. Results suggest that safer sexual behavior theories should continue to focus on interpersonal aspects of condom use and underscore the importance of an interpersonal approach to safer sexual intervention.     

Relationship Factors’ Impact on Condom Use Among College Students

Research indicates that a number of college students are at risk for HIV, sexually transmitted diseases, and unplanned pregnancy as a result of their sexual behaviors. Specific behaviors placing college students at risk include having sex with multiple partners, poor communication about safer sex practices with their sexual partners and not using condoms consistently and correctly when engaging in sexual activity. The purpose of this paper is to identify potential differences in safer sex practices and factors that influence condom use among college students. A four-page, 18-item survey was developed to determine participants’ condom use and the impact of relationship status and other demographic factors on condom use. Analyses revealed that the number of lifetime vaginal sexual partners and participants’ sex influenced condom use. There were no significant differences in relationship status, duration, trust, honesty and condom use. These findings should be considered with designing interventions to increase condom use among college students.     

Identifying Precursors of Safer‐Sex Practices in Mexican Adolescents With and Without Sexual Experience: An Exploratory Model1

Theoretical variables were examined for their empirical relevance as precursors of safer‐sex behavior in 2,011 Mexican adolescents, most of whom were not sexually experienced. Using structural equation modeling, a good fit was found for a path model with (a) partner communication and intention to use condoms as outcome variables; (b) self‐esteem, self‐efficacy, and decision making as antecedent variables; and (c) perceived norms about sexual practices, attitudes toward condom use, and knowledge of HIV as mediating variables. A good fit also was found for a slightly elaborated model involving condom use as outcome variable that was fitted in a subsample with 319 adolescents who reported sexual experience. Gender differences are discussed, as well as implications for intervention programs promoting safer‐sex behaviors.     

Sexual Self‐Concept Ambiguity and the Interpersonal Theory of Suicide Risk

Mechanisms (i.e., thwarted belongingness, perceived burdensomeness, hopelessness) derived from the interpersonal theory of suicide which are hypothesized to account for the relation between sexual orientation self‐concept ambiguity and active suicide ideation were examined. Participants included 349 women, among whom 42% currently self‐ascribed a non‐exclusively heterosexual sexual identity. Among women reporting higher levels of sexual self‐concept ambiguity, greater risk for active suicide ideation is found when perceptions of burden and feelings of thwarted belonging co‐occur with feelings of hopelessness. Results support relevant theory useful for understanding suicide risk among sexual minority women who acknowledge ambiguity with regard to their sexual orientation.