Who is a homosexual? A critique of the heterosexual‐homosexual dimension

Abstract

The heterosexual‐homosexual distinction as a construction inhibits appreciation of the diversity of sexual experience by encouraging use of static labels to classify people's continually evolving sexual histories. Distinguishing sexual preference may expedite comprehension of sexual acts, but is counterproductive when considering whole persons. We question the need for biological explanations of homosexuality and propose that “coming out” as homosexual is a personal choice to be celebrated, not a biological abnormality. We perceive sexuality as merely one aspect of per‐sonhood. When people instead see self‐proclaimed homosexuals as “homosexuals and only homosexuals” sexual behavior overshadows other salient individual characteristics, and sexual desire becomes inseparable from personality style.     

Does coping predict CO2-induced panic in patients with panic disorder?

Patients with panic disorder (PD) show maladaptive coping but the role of coping in the pathogenesis of panic is unclear. This study examined general coping and panic-specific coping as predictors of fear responding to CO2 inhalation. Subjective and physiological responses including panic attacks were assessed in 45 patients with PD and 45 matched nonclinical controls. Measures of coping were the primary predictors used in the analyses. Consistent with other reports, patients with PD reported increased emotion-focused coping and there was an association between emotion-focused coping and subjective reactivity. However, only panic-specific coping predicted panic attacks in response to the CO2 challenge.     

Is panic a unique emotional experience?

The establishment of Panic Disorder (PD) as a distinct diagnostic category stems largely from the conceptualization of panic as a phenomenon qualitatively different from severe levels of anxiety. The current study utilized patients with Generalized Anxiety Disorder (GAD) and Obsessive Compulsive Disorder (OCD) as comparison groups to examine the validity of this conceptualization. Seventeen PD, 29 OCD, and 12 GAD patients completed self-report inventories from which a panic factor was derived. Controlling for level of overall anxiety, the total panic factor was rated significantly higher by the PD group. A cluster of symptoms emerged which differentiated the PD group from the other two groups. The panic items and total score were correlated with total levels of state and trait anxiety but correlations were generally low, accounting for a limited amount of the total variance. Results were interpreted as providing only equivocal support for viewing panic as a separate dimension apart from high levels of general anxiety. A discussion of conceptual issues is presented.     

Are current theories of panic falsifiable?

The authors examine 6 theories of panic attacks as to whether empirical approaches are capable of falsifying them and their heuristic value. The authors conclude that the catastrophic cognitions theory is least falsifiable because of the elusive nature of thoughts but that it has greatly stimulated research and therapy. The vicious circle theory is falsifiable only if the frightening internal sensations are specified. The 3-alarms theory postulates an indeterminate classification of attacks. Hyperventilation theory has been falsified. The suffocation false alarm theory lacks biological parameters that unambiguously index dyspnea or its distinction between anticipatory and panic anxiety. Some correspondences postulated between clinical phenomena and brain areas by the neuroanatomical hypothesis may be falsifiable if panic does not depend on specific thoughts. All these theories have heuristic value, and their unfalsifiable aspects are capable of modification.     

Are over a third of foster parent molestations homosexual?

50% of foster parent abuse in a general population survey and 34% of abuse as determined by the Illinois DCFS was homosexual. In news stories in the 50 largest newspapers and wire services 1980-2003, 175 foster parents sexually abused 351+ charges. For the 169 whose sex of victim could be determined: 149 (88%) were men; 76 (53%) victimized homosexually; and 85 (50%) were unmarried. Men assaulted 319 (91%) victims, homosexual practitioners 222 (63%), and the unmarried 164 (47%). From 1980-1994 57% of the victims were girls; after 1994 56% were boys. In 21 group homes, the molestation was homosexual in 15 (71%) and 31 of the 32+ perpetrators were male and at least 334 of 349+ victims were boys.     

Fan violence: Social problem or moral panic?

The author reviews the theoretical and empirical resources available for social scientists who study fan violence. Reviews of fan violence typically discuss the phenomenon from psychological, psychosocial, and sociological approaches. In this review, the author uses social problem and moral panic approaches to organize theories of and research into fan violence. The social problem approach focuses on what causes the “problem” of fan violence. The moral panic approach focuses on how fan violence becomes translated into a social problem. Moral panics are rapid and righteous appeals from the media and other agents of control that “something must be done” to extinguish a social menace. It is argued that both the social problem and moral panic approaches signify the importance of “we-group” versus “they-group” antagonisms in the creation and maintenance of fan violence.     

The construction of the homosexual ‘other’ by British Muslim heterosexuals

Islam’s explicit condemnation of homosexuality has created a theologically based homophobia which engenders the intolerance of homosexuals by Muslims. In this article I explore Muslim attitudes towards homosexuality and homosexuals as this area has elicited very little research. Based on structured interviews with 68 Muslim male and female heterosexuals I examine the connection between participants’ attitudes towards homosexuality and their understanding of gender and gender roles. I also analyse whether participants’ views are shaped by their religious beliefs and values. Age, gender, education and level of religiosity are analysed to see whether they affect attitudes. Data suggest that participants held negative attitudes towards homosexuals and this is the result of being religiously conservative in their attitudes towards homosexuality and gender roles.

Unwanted memories of assault: what intrusion characteristics are associated with PTSD?

Intrusive memories are common in the immediate aftermath of traumatic events, but neither their presence or frequency are good predictors of the persistence of posttraumatic stress disorder (PTSD). Two studies of assault survivors, a cross-sectional study (N=81) and a 6-month prospective longitudinal study (N=73), explored whether characteristics of the intrusive memories improve the prediction. Intrusion characteristics were assessed with an Intrusion Interview and an Intrusion Provocation Task. The distress caused by the intrusions, their "here and now" quality, and their lack of a context predicted PTSD severity. The presence of intrusive memories only explained 9% of the variance of PTSD severity at 6 months after assault. Among survivors with intrusions, intrusion frequency only explained 8% of the variance of PTSD symptom severity at 6 months. Nowness, distress and lack of context explained an additional 43% of the variance. These intrusion characteristics also predicted PTSD severity at 6 months over and above what could be predicted from PTSD diagnostic status at initial assessment. Further predictors of PTSD severity were rumination about the intrusive memories, and the ease and persistence with which intrusive memories could be triggered by photographs depicting assaults. The results have implications for the early identification of trauma survivors at risk of chronic PTSD.     

Is there anybody there? A psychodynamic view of panic attack

The effectiveness of cognitive-behavioural therapy is frequently cited when adopting this model as treatment of choice for panic attacks and anxiety disorders. However, Frank (1974), in discussing treatment effectiveness and patient compliance, argues that 'the more closely the conceptual framework of therapy fits that of the patient, the more readily he can accept it' (p. 370). In the following process analysis, my client's clear requirement for an exploratory approach meant that it was a psychodynamic understanding of the complex aetiology of her panic attacks that ultimately produced improved coping skills and a subjective sense of improvement for her. Process analysis has been chosen to illustrate the theoretical base, clinical impact and experiential immediacy of psychodynamic work; attention is drawn to the importance of transference and countertransference experiences in the choice of clinical interventions which tally with the client's sense of internal reality.     

Sexual assault on college campuses: Is an ounce of prevention enough?

This article provides a construct-by-construct review of the effectiveness of sexual asault prevention programs in modifying sexual assault-related attitudes, cognitions, emotions, and behaviors. This article also discusses variables that may moderate program effectiveness, variables that may mediate program effectiveness, methodological issues, programs for special populations, and iatrogenic effects. In general, sexual assault prevention programs have been shown to be effective in producing short-term reductions in rape-supportive attitudes. There is insufficient evidence, however, to conclude that such programs are effective in reducing the incidence of sexual assault.     

Sexual assault on college campuses: Is an ounce of prevention enough?

This article provides a construct-by-construct review of the effectiveness of sexual asault prevention programs in modifying sexual assault-related attitudes, cognitions, emotions, and behaviors. This article also discusses variables that may moderate program effectiveness, variables that may mediate program effectiveness, methodological issues, programs for special populations, and iatrogenic effects. In general, sexual assault prevention programs have been shown to be effective in producing short-term reductions in rape-supportive attitudes. There is insufficient evidence, however, to conclude that such programs are effective in reducing the incidence of sexual assault.     

Worse than feared? Failure induction modulates the electrophysiological signature of error monitoring during subsequent learning

This study examined how self-relevant failure influences error monitoring—as reflected in the error-related negativity (Ne/ERN) —and behavioral adaptation during subsequent feedback-based learning. We applied two phases (pre- and posttest) of a probabilistic learning task. Between pre- and posttest, participants were assigned to one of two groups receiving either failure feedback or no feedback during a visual search task described as diagnostic of intellectual abilities. To disentangle the effects of failure and motivational disengagement due to prolonged task performance, we linked the posttest to intelligence (Experiment 1) or described it in neutral terms (Experiment 2). Failure induction was associated with an increase in Ne/ERN amplitude at posttest in both experiments, although there were no differences in overall performance. In contrast, the Ne/ERN decreased from pre- to posttest in the no-failure-feedback group, particularly in Experiment 2. Furthermore, failure feedback affected error-related behavioral adjustments, suggesting a shift toward a reactive, error-driven mode of behavior control. These findings emphasize the importance of affective-motivational state in error processing and subsequent behavioral adaptation.     

Does the Beck Anxiety Inventory measure anything beyond panic attack symptoms?

The Beck Anxiety Inventory (BAI) has become a popular measure in anxiety assessment and the BAI does not overlap in content with measures of depression. There is also some factor analytic evidence to support this distinction. However, an inspection of the BAI's content indicates that many of its items resemble, or are identical to, the symptoms of panic attacks listed in the DSM-IV. Further empirical support for this suspicion is provided from the results of a factor analysis of the BAI items and the individual DSM-IV panic symptoms contained in the Panic Attack Questionnaire, using data from a sample of 157 panic disorder patients. A three-factor model (dizziness related, catastrophic cognitions/fear, cardiorespiratory distress) emerged that replicated a three-factor model of panic symptoms identified in earlier work with another panic disorder sample. All but one of the BAI items loaded highly on the three panic symptom clusters and no separate BAI factor was obtained. The BAI appears to be confounded with, or actually measures, panic attacks rather than anxiety in general. Several implications of this finding are discussed.     

Non‐specific encoding of threat in social phobia and panic disorder

This study employs a release of proactive interference technique to explore encoding‐related processes in social phobia. Twenty‐six individuals with social phobia and 24 individuals with panic disorder participated in the memory task. Significant release of proactive interference was found when neutral and threat dimensions were encoded, but not when social and physical threat dimensions, or when positive and threat dimensions were presented. Threat was therefore differently encoded depending on the active encoding context in which semantic processing occurred. Individuals with social phobia or panic disorder did not differ in the release of proactive interference. The present experiment consequently yields little support for the specificity hypothesis in memory of anxious individuals. Instead, the findings generally demonstrate that threat encoding is similar for people with social phobia and those with panic disorder.     

Priming associations between bodily sensations and catastrophic misinterpretations: Specific for panic disorder?

Cognitive models assume that panic disorder is characterised by a tendency to misinterpret benign bodily symptoms (e.g. breathlessness) in a catastrophic fashion (e.g. suffocation). This is a central part of the cognitive model which presents a core focus for treatment. Several studies have supported this hypothesis. These studies have, however, almost always relied on self-report. In addition to susceptibility to biases (e.g. distortions of memory), a limitation of research based on verbal report is its inability to capture the spontaneous/automatic nature that is attributed to these catastrophic interpretations. The present paper reports on two experiments in which a priming procedure was used to test the hypothesis that panic disorder is characterised by spontaneous catastrophic interpretations and whether this effect is ‘specific’ to panic disorder. In line with predictions from the cognitive model, it was observed in the first experiment that the panic group demonstrated facilitated responses to trials consisting of a ‘symptom’ prime and a ‘catastrophic outcome’ target (e.g. breathlessness - suffocate). Similar effects were not observed for an anxious control group and a nonclinical control group, supporting the specificity of this effect. Interestingly, however, significant priming effects were observed for a group of mental health professionals (part of the healthy control group) who had no history of panic disorder. Subsequently, this unexpected observation was explicitly addressed in a second experiment, which confirmed the findings of Experiment 1. Together, these results suggest that associations between mental representations of benign bodily symptoms and catastrophic outcomes might develop as part of professional knowledge and experience, and should not necessarily be viewed as pathogenic. Theoretical and clinical implications are discussed.     

Does anxiety sensitivity predict symptoms of panic, depression, and social anxiety?

This study examined whether the lower-order factors of the Anxiety Sensitivity Index (ASI) exhibited specificity in predicting symptoms of panic, depression, and social anxiety prospectively. This question was addressed using a sample of undergraduates stratified to represent low, medium, and high levels of anxiety sensitivity (AS). It was hypothesized that the physical concerns, mental concerns, and social concerns subscales of the ASI would predict increases in panic, depression, and social anxiety symptoms, respectively, one year later. Results found that the physical concerns subscale predicted increases in both panic and depressive symptoms. Neither the mental concerns nor the social concerns subscales predicted significant variance in any of the Time 2 symptoms. Theoretical implications of these data for AS are discussed.     

Effects of a sexual assault peer education program on men’s belief in rape myths

An all-male sexual assault peer education program focusing on how to help a survivor led to a decrease in rape myth belief among predominantly Caucasian participants immediately after and two months following a one hour program. Program participants believed fewer rape myths than the initial testing of a control group. In addition, a clear majority of participants reported a decreased likelihood of being sexually coercive as a result of attending the program. A new method of decreasing men’s rape myth acceptance by learning how to help a survivor is supported.     

Body image in social anxiety disorder,obsessive–compulsive disorder,and panic disorder

Body dysmorphic disorder falls under the category of obsessive–compulsive and related disorders, yet research has suggested it may also be highly associated with social anxiety disorder. The current study examined body image variables among 68 outpatients with primary obsessive–compulsive disorder (OCD; n = 22), social anxiety disorder (SAD; n = 25), and panic disorder (PD; n = 21). Participants filled out self-report measures of body image disturbance, attitudes toward one's appearance, and anxiety. Body image disturbance and attitudes toward appearance did not significantly differ between the groups. However, SAD symptoms predicted body image disturbance, Appearance Evaluation and Body Areas Satisfaction, and OCD symptoms predicted Appearance Orientation. These findings suggest that SAD and OCD may be associated with different facets of body image. Implications for the treatment of anxiety disorders and for future research are discussed.     

Do homosexual teachers account for about half of news stories of molestations of pupils? A Boston Globe replication

Homosexual interaction was involved in 11 (48%) of 23 and 10 (45%) of 22, that is, about half of two nationwide databases of newspaper stories about teachers sexual involvement with pupils reported by Cameron and Cameron in 1998. Whether this relationship holds at a local level was examined by searching all indexed 'sex crimes' in the Boston Globe from 1991 through 1998 for local stories about sex between pupil and teacher. Of the 21 teachers in 20 stories, 11 (52%) interacted homosexually with pupils. Thus it appears that nationally and locally, as reported in newspapers, about half of the molestations by teachers are homosexual.