Non-binary and binary transgender youth: Comparison of mental health,self-harm,suicidality, substance use and victimization experiences

ABSTRACT

?Background: Little research has compared the mental health and victimization experiences of non-binary youth depending on their sex assigned at birth (SAAB), or compared these two groups with binary transgender youth.

Aims: To compare mental health, self-harm and suicidality, substance use and victimization experiences between non-binary and binary transgender young adults, both male assigned at birth (MAAB) and female assigned at birth (FAAB).

Methods: Online survey data from 677 participants from the “Youth Chances” community study of 16 to 25 year olds in the United Kingdom was analyzed, comparing across binary participants (transgender females (n = 105) and transgender males (n = 210)) and non-binary participants (MAAB (n = 93) and FAAB (n = 269)).

Results: Female SAAB participants (binary and non-binary) were more likely to report a current mental health condition and history of self-harm than male SAAB participants (binary and non-binary). Similarly, female SAAB participants (binary and non-binary) were more likely to report childhood sexual abuse than male SAAB participants (binary and non-binary); the reverse pattern was found for lifetime physical assault relating to being LGBTQ. Non-binary MAAB participants were less likely than the other groups to report past suicide attempts and previous help-seeking for depression/anxiety. Binary participants reported lower life satisfaction than non-binary participants. For all four groups, mental health problems, self-harm, suicidality, alcohol use and victimization experiences were generally higher than that of youth in general population studies.

Conclusions: These findings highlight the importance of considering both non-binary versus binary gender identity and SAAB in relation to mental health problems, self-harm, suicidality and substance use in transgender youth. The roles of sexual abuse, other abuse and discrimination in contributing to increased rates of mental illness and self-harm in non-binary and binary transgender individuals, particularly those who were assigned female at birth, relative to those assigned male, require investigation.     

Sex Differences in Cognition are Stable Over a 10-Year Period in Adulthood and Old Age

ABSTRACT

Sex differences in declarative memory and visuospatial ability are robust in cross-sectional studies. The present longitudinal study examined whether sex differences in cognition were present over a 10-year period, and whether age modified the magnitude of sex differences. Tests assessing episodic and semantic memory, and visuospatial ability were administered to 625 nondemented adults (initially aged 35–80 years), participating in the population-based Betula study at two follow-up occasions. There was stability of sex differences across five age groups and over a 10-year period. Women performed at a higher level than men on episodic recall, face and verbal recognition, and semantic fluency, whereas men performed better than women on a task-assessing, visuospatial ability. Sex differences in cognitive functions are stable over a 10-year period and from 35 to 90 years of age.     

Queer ethics and fostering positive mindsets toward non-binary gender,genderqueer, and gender ambiguity

Abstract

Background: Alongside the growth in visibility of gender identities and presentations such as genderqueer, non-binary and gender neutral, there is ridicule and backlash in wider culture, as well as more subtle invisibility and misgendering. While there exists social psychology research about negative and positive attitudes to trans people, this is restricted to those whose gender identity is at odds with their sex assigned at birth, and who identify with binary gender. Social psychology has extended to the more subtle workings of transphobia, but there is little consideration of the distinctiveness of attitudes and responses to those whose genders cannot be attributed in binary ways, and thus how these may be challenged.

Methods: In keeping with the methods of social theory, this article brings together a diverse and complementary range of conceptual fields in new ways to diagnose a novel cause and solution to these negative attitudes. Using queer theory, feminist ethics, and empirical studies in post-tolerance sociology and social psychology, it argues that negative social responses to genderqueerness stem not only from overt prejudice in the form of transphobia but from binary genderism, the conviction that there are only two genders.

Results and conclusion: This article proposes fostering greater diversity-literacy and empathy for difference as a more effective approach than minority identity-based ‘prejudice reduction’ approaches. A norm-critical approach to deconstructing gender norms is proposed, thus fostering positive attitudes to genderqueerness. It is therefore demonstrated how best to foster enabling social contexts for genderqueerness, with positive implications for the physical and social health and wellbeing of gender variant people. This approach can be applied in organizations, institutions, and by service providers who interact with genderqueer individuals, in that it can inform a shift to approaching diversity positively in ways that are not restricted to pre-determined and binary identity categories.     

The Expression of Femininity in the Male

SUMMARY

This article by Virginia Prince, writing as Virginia Bruce, was first published in The Journal of Sex Research, vol. 3, no. 2, 1967, pp. 129–139. Prince distinguishes sex from gender. Sex is the biological division we share with other animals. Gender-the division of masculine and feminine-is a human invention. Socialisation entails children being pushed into one or other gender direction and the suppression of characteristics of the “opposite” gender. Transvestism is the expression in males of suppressed femininity. The “true transvestite” is a “FemmePersonator” who “personates,” that is, makes a real person out of and brings to life his feminine self. Questionnaire data is used to reject ideas that true transvestism is a sexual deviation, and true transvestites are psychiatrically disturbed.     

Development of sex stereotypes relative to sport competence and value during adolescence

ObjectivesSex stereotypes adoption is presumed to impact one's perceived competence and value and to ultimately lead to dropout of certain activities. Adolescence is deemed to represent a period during which sex stereotypes are reinforced. The purpose of this study was to examine through a longitudinal design how sex stereotypes concerning athletic competence and value differ across adolescence.DesignA three-wave longitudinal follow-up within five cohorts of adolescents (N = 718) was realized.MethodThe participants completed a questionnaire assessing indirectly sport value and sport competence sex stereotypes.ResultsMultilevel growth curve analyses indicated that (i) boys report higher levels of stereotypes, (ii) the level of stereotypes endorsement increases with age, (iii) the rate of change of stereotypes endorsement decreases, and (iv) its increase is more pronounced among girls.ConclusionsThe hypothesis of an increase of sex stereotypes attached to sport is confirmed among girls. Methodological shortcomings are underlined and research perspectives are advanced.     

A Systems Approach to Sex Therapy with Gay Male Couples

SUMMARY

Sex therapy with gay male couples is difficult for many family and relationship therapists. Family therapists lack knowledge of the nature of sex therapy, gay male culture and sexuality, the dynamics of gay male couples, and the sexual issues gay male couples are likely to bring to sex therapy. Countertransference also makes sex therapy with gay male couples difficult for some family and relationship therapists. This paper addresses those issues and then explains a systems approach to sex therapy with gay male couples.     

Entertainment Media and Sexual Health: A Content Analysis of Sexual Talk, Behavior, and Risks in a Popular Television Series

Recent landmark content analyses of sexual content on television (e.g., Kunkel, Biely, Eyal, Cope-Farrar, Donnerstein, & Fandrich, 2003) provide a baseline for interpreting depictions of sex on individual programs. The present study was designed to investigate the nature and extent of sexual content on HBO’s popular television series Sex and the City. Compared to television in general, Sex and the City is more likely to depict sexual content (including sexual talk and behavior), intercourse between established partners (rather than between partners who had just met), and sexual risks and responsibilities (including sexual patience, precaution, and risks/negative consequences). Sex and the City does not differ from television in general in terms of pairing alcohol or drugs with sexual intercourse. The results suggest that Sex and the City is more likely than television in general to depict “healthy” sex.     

Does sex moderate the relationship between anxiety and pain?

Objectives : Sex differences exist in the relationship between anxiety and pain, although findings are mixed. One reason could be because a number of anxiety measures have been used. Therefore, this study aimed to identify the core components within commonly used pain anxiety measures, and see whether these components are differentially related to sensation and pain thresholds in men and women.

Design, main outcome measures : One hundred and eighty-nine healthy adults (119 female) completed the Fear of Pain Questionnaire, Pain Catastrophising Scale, Pain Anxiety Symptoms Scale, Anxiety Sensitivity Index-3 and the Depression Anxiety Stress Scale. Thermal sensation and pain thresholds, mechanical sensation and pressure pain thresholds were also collected.

Results : A Principal Components Analysis of anxiety measures revealed three constructs: general distress, cognitive intrusion and fear of pain from injury/insult. Sex did not moderate the relationship between these anxiety constructs and sensation/pain thresholds. However, a significant main effect of sex was found to predict thermal pain thresholds.

Conclusion : Preliminary indications suggest that pain anxiety dimensions can be reduced to three core constructs, and used to examine pain sensation. However, sex did not moderate this relationship. Further research is required to establish the extent and strength of sex differences in the relationship between anxiety and pain.     

Using Relational-Cultural Theory to Conceptualize Couple Interventions in the Treatment of Sex Addiction

ABSTRACT

Sex addictions have become an increasing concern since the growth of the sex industry, sex in advertising, and the ease of Internet access to sex. This article uses the foundational principles of Relational-Cultural Theory (RCT) to conceptualize sexual addiction and its relational impact. Particular attention is paid to the principles of connection, mutuality, authenticity, power, and culture. In closing, the author offers some creative interventions for relational transformation for affected couples in order to move from a state of disconnection towards mutuality, growth, and connection.     

Reviews

Abstract

Selected review of current books on sexuality and sex therapy, John P. Wincze, Brown University/V.A. Hospital, Providence

Becoming Orgasmic: A Program of Sexual Growth for Women. Heiman, J., LoPiccolo, L., and LoPiccolo, J. New Jersey: Prentice-Hall, 1976.

Female and Male: Dimensions of Human Sexuality. Pierson, E. and D'Antonio, W. New York: J.B. Lippincott Co., 1974.

Medical Aspects of Human Sexuality. Lief, H.I. Baltimore: The Williams and Wilkins Co., 1975.

Sex After Sixty. Butler, R. and Lewis, M. New York: Harper and Row, 1976.

Sex Therapy at Home. Kass, D. and Stauss, F. New York: Simon and Schuster, 1975.

SIECUS Study Guides. Sex Information and Education Council of the United States. New York, 1976 (6th printing).

Adulthood and aging: An interdisciplinary developmental view, Douglas Kimmel, New York, John Wiley & Sons, Inc., 1974, $12.50, 484 pages

Permanent weight control: A total solution to the dieter's dilemma, Michael J. Mahoney, Kathryn Mahoney, New York, W.W. Norton and Co., Inc., 1976, $7.95, 177 pages     

Mental health and quality of life in non-binary transgender adults: a case control study

Abstract

Background: The social challenges that non-binary people experience, due in part to social intolerance and the lack of validation of non-binary gender identities, may affect the mental health and quality of life of this population. However, studies that have distinguished between non-binary and binary transgender identities are lacking.

Aim: To compare the mental health and quality of life of a community sample of non-binary transgender adults with controls (binary transgender people and cisgender people) matched on sex assigned at birth.

Method: A total of 526 participants were included. Ninety-seven were classified as non-binary and were compared with two control groups: 91 people classified as binary and 338 cisgender people. Only transgender people not on gender affirming hormone treatment or who had not undergone gender affirming surgery were included. Participants were invited to complete an online survey that included mental health and quality of life measures.

Results: Non-binary people reported significantly better mental health than binary transgender people, but worse than cisgender people. Overall, there were no significant differences in quality of life between non-binary and binary transgender participants assigned male at birth and transgender females, but non-binary assigned males at birth had better scores on the psychological and social domains of quality of life than transgender males. Quality of life was better across all domains in cisgender people than transgender groups.

Conclusion: There is an inequality with regard to mental health and quality of life between non-binary (and binary) transgender people and the cisgender population that needs to be addressed. The better mental health scores in non-binary people may reflect lower levels of body dissatisfaction among the non-binary population. Mental health problems and poor quality of life are likely to have social causes and hence legislative measures and broader government-led inclusive directives should be put in place to recognize and to validate non-binary identifying people.     

Gender identity,interactionism, and politics: A reply to Rogers and Walsh

This article is a reply to a recent article by Rogers and Walsh (Sex Roles, 1982, 8, 269–281). We disagree with some of their interpretations and criticisms of the psychomedical research on the development of sex differences. Thus, there is a discussion of the reasoning and strategies of the biological approach in this research area. However, we also support and extend some of their suggestions relevant to gender and sex.     

Sex-Typed Behavior in Preschoolers: Sex,Age, and Social Class Effects

Sex, age, and social class differences in the sex-role differentiation of preschoolers were investigated in the present study. Ss included 469 three-, four-, and five-year-old boys (N = 245) and girls (N = 224), sampled in approximately equal numbers from middle-and lower-income populations. Children were observed at three-week intervals in the naturalistic environment of their nursery school or daycare classrooms for occurrences of pcespecified aggressive, dependent, and cooperative (i.e., sex-typed) behaviors. A 2(Sex) x 3(Age) x 2(Social Class) ANOVA was performed on each behavior rate. Sex differences were found in the expected direction for aggression and dependency, but not cooperation. Age differences varied by sex, social class, and type of behavior. Social class effects were weakest, but significant for aggression and cooperation.     

Utrecht Gender Dysphoria Scale - Gender Spectrum (UGDS-GS): Construct validity among transgender,nonbinary, and LGBQ samples

Abstract

Background: Researchers combined both versions of the original Utrecht Gender Dysphoria Scale (UGDS) to create a single gender spectrum version (UGDS-GS) which measures dissatisfaction with gender identity and expression over time as well as comfort with affirmed gender identity.

Aim: This study examined the construct validity of the newly revised, UGDS-GS.

Method: Tests of measurement invariance were conducted in stages to assess measurement invariance of the UGDS-GS across three groups: cisgender, binary transgender, and nonbinary/genderqueer.

Results: Findings indicate that the UGDS-GS functions acceptably in all three gender groups (configural and metric invariance). Also, across binary transgender and nonbinary/genderqueer groups, the measure functions very similarly with all four types of invariance. Item level findings highlight the specificity of the measure to distinguish experiences of binary transgender and nonbinary/genderqueer persons differently from cisgender LGBQ individuals.

Conclusions: The UGDS-GS demonstrates a large degree of invariance across binary transgender, nonbinary/genderqueer, and cisgender LGBQ subgroups; and therefore, findings indicate this revision to be a substantial improvement. This 18-item self-report, Likert-type scale measure is a) inclusive of all gender identities and expressions (e.g., transfeminine spectrum, transmasculine spectrum, genderqueer, nonbinary, cisgender); b) appropriate for use longitudinally from adolescence to adulthood; and c) administered at any point in the social or medical transition process, if applicable, or in community-based research focused on gender dysphoria that examines cisgender and transgender persons.     

Health disparities between binary and non binary trans people: A community-driven survey

Abstract

Background: Genderqueer and nonbinary () people have remained largely invisible in health research. Previous research shows worse outcomes on health indicators for trans people when compared with cisgender controls, but the differences between binary trans and GQNB individuals are inconclusive.

Aims: To compare overall health and well-being of GQNB people with controls of trans men and trans women, taking into account the impact of the additive effect of their socio-economic position, as well as their current need for gender affirming medical interventions.

Methods: A community-driven survey was conducted in 2016 in five countries (Georgia, Poland, Serbia, Spain, and Sweden). Self-reported health and general well-being were analysed for differences between binary trans and GQNB respondents. The effects of multiple control variables (age, economic situation, educational level, belonging to an ethnic, religious, sexual or ability minority group, sex assigned at birth) as well as the current need for gender affirming medical interventions were controlled for.

Results: The sample consisted of 853 respondents aged 16 and older, with 254 trans women (29.8%), 369 trans men (43.2%), and 230 GQNB people (26%). GQNB respondents showed significantly worse self-reported health and worse general well-being in comparison to binary trans respondents. Additional negative impacts of having a lower educational level, having more economic stress, and belonging to a disability minority group were found. Being in need of gender affirming medical interventions contributed significantly to worse self-reported health, whereas being younger contributed to worse general well-being.

Discussion: In understanding health disparities between binary trans and GQNB people, it is necessary to take into account the additive effect of multiple socio-economic positions, and the current need for gender affirming medical interventions. The high proportion of GQNB respondents who report worse health outcomes highlights the need for policy makers and health-care providers in creating nonbinary-inclusive environments.     

Porneia,Homosexuality, and the Need for Homiletic Evolution

Abstract

Does preaching about human sexuality fixate upon the themes of porneia and homosexuality? And if so, do those homiletic preferences narrowly characterize the sexual body politic of the United States? Engaging the writings of Patrick Cheng, Kyle Harper, Mark Jordan, and Jeff Chu, Gerald C. Liu examines genealogical and empirical accounts of porneia and homosexuality to request broader conceptions of sexual difference from preachers who dare to speak about sex, especially with respect to race and in particular, Asian American male sexual identity.     

Theology of Desire

Abstract

A white-hair asks, as a man, when I meet a woman, what do I sense? This is answered as a single young man, a married father, a divorced man, and as an elder. From a pre-Sixties youth where sex was religiously defined in terms of marriage and women as mothers-to-be, through the Free Sex movement as a young adult, to experiences of prison sex as a religious radical, into married, divorced and finally elder sexuality, the search is to understand the play of sexuality and intimacy. "Slap the bitch!" prison sex makes clear the source functionality of the mythic Adam's Rib account in determining the currently dominant global view of sexuality and intimacy in the digital age. A vision of coupled presence is presented wherein ritual practices are referenced that enable men and women to embody the fullness of their sexuality and intimacy.     

An empirical investigation of Garnets and Pleck's Sex Role Strain Analysis

This study is an empirical investigation of Garnets and Pleck's conceptual analysis — the Sex Role Strain Analysis — which sought to explain the contradictory findings in regard to the relationship between sex role identity and self-esteem. Garnets and Pleck (Sex Role Identity, Androgyny, and Sex Role Transcendence: A Sex Role Strain Analysis, Psychology of Women, 1979, 3(3), 270–283) argued that, while much of previous research assumed that sex role identity has a direct effect on self-esteem, the relationship between the two is actually moderated by the same-sex ideal and sex role salience. This paper adapted the model by considering the effect of sex role salience at the individual and at the cultural levels. More specifically, the revised model was tested within two societies (India and Australia) that differ markedly in the level of sex role salience at the cultural level. The results revealed that sex role salience at the cultural level is an important moderating variable. In the Indian sample, for example, the relationship between sex role ientity and self-esteem is moderated by individual's perception of the sam-sex ideal. In societies (e.g., Australia) that emphasize individuality, however, the relationship between sex role identity and self-esteem is probably moderated by other variables such as individuals' perception of the image that they desire for themselves. The implications of these findings for sex role identity research are discussed.     

Effects of sex of subject,sex of stimulus cue,and androgyny level on evaluations in work situations which evoke sex role stereotypes

This study examined the differential evaluation of male and female stimulus cues and the effect of subject's androgyny level on their evaluations. Male and female college students filled out the Bem Sex Role Inventory (1974) and responded to set of five in-basket tasks taken from the Rosen, Jerdee, and Prestwich (1975) study of male managers. Sex of subject, sex of stimulus cue in the in-basket tasks, and androgyny level were varied in a series of 2 X 2 X 3 analyses of variance. On some tasks, male and/or female subjects responded in a sex role stereotyped manner. There were no effects for androgyny level. The discussion focused on circumstances under which stereotyping occurs and implications of the study.