Facial gender confirmation surgery—review of the literature and recommendations for Version 8 of the WPATH Standards of Care

Facial gender confirmation surgery (FGCS), also popularly known and referred to in the scientific literature as facial feminization surgery (FFS), was previously treated as a collection of aesthetic procedures complementing other aspects of gender-confirming surgery. Recent literature on quality-of-life outcomes following FGCS has supported the substantial impact these procedures have on overall well-being and reduction of psychosocial sequelae in patients. The World Professional Association for Transgender Health Standards of Care, Version 7 (WPATH SOC 7), did not deem FGCS a medical necessity. Based on these new studies, increasing evidence points to the need to include FGCS among medically necessary gender-confirming surgeries, though more-prospective studies are needed. Updates to the WPATH SOC 8 are proposed based on available quality of life studies.     

Associations between Prenatal and Early Childhood Fish and Processed Food Intake,Conduct Problems,and Co-Occurring Difficulties

Little is known about early life diet as a risk factor for early-onset persistent conduct problems (EOP CP). To investigate this, we used data from the Avon Longitudinal Study of Parents and Children, a UK-based prospective epidemiological birth cohort. 5727 mother-child pairs (49.9 % boys) monitored since pregnancy (delivery date between 1 April, 1991 and 31 December, 1992) reported intake of fish and processed foods at 32 weeks gestation and, for the child, at 3 years; EOP (n = 666) and Low conduct problem (Low CP, n = 5061) trajectories were measured from 4 to 13 years; hyperactivity and emotional difficulties were assessed in childhood (4–10 years) and early adolescence (12–13 years), in addition to potential confounding factors (family adversity, birth complications, income). Compared to Low CP, mothers of EOP children consumed less fish (p < 0.01) and more processed food (p < 0.05) prenatally, while EOP children consumed more processed food at 3 years (p < 0.05). For EOP, but not Low CP children, consuming less than two servings/week of fish (vs. two or more servings/week, p < 0.05), and one or more servings/day of processed food (vs. less than one serving/day, p < 0.01), was associated with higher emotional difficulties in early adolescence. Conclusions: Findings suggest that prenatal and postnatal diets high in processed food, and low in fish, associate with an EOP CP trajectory and co-occurring difficulties in early adolescence. As small effect size differences were found, further studies are needed to investigate the long-term impact of early unhealthy diet.     

Lesbian and bisexual women’s interpretations of lesbian and ersatz lesbian pornography

The purpose of the current study was to examine non-heterosexual women’s interpretations of “lesbian” material contained in pornography targeting male viewers and pornography made by and for lesbian women. Four focus groups were conducted (N=17) in which participants saw two pornographic sequences; one ostensibly for heterosexual males and the other for lesbian women. Participants then engaged in a semi-structured discussion for approximately 90 minutes. Conversations were tape-recorded, transcribed, and analyzed for themes. Stated briefly, results indicated that participants differentiated between the two sequences on a variety of dimensions including performers’ bodies, the emphasis on penetration, and the presence or absence of intimacy. The implications of these findings and ideas for subsequent research are outlined.     

Evaluating validity and test-retest reliability in four drive for muscularity questionnaires

The current study assessed relationships among four commonly used drive for muscularity questionnaires, along with their 7 and 14 day test-retest reliability. Sample 1 was comprised of young British adult males (N=272; M(AGE)=20.3) who completed the questionnaires once. Sample 2, a group of young British adult males (N=54, M(AGE)=19.3), completed the questionnaires three times spaced 7 and 14 days apart. Correlations among Sample 1 ranged from .20 to .82 providing evidence for concurrent and discriminant validities. Evidence for test-retest reliability emerged with intraclass correlations ranging from .78 to .95 (p<.001) and generally nonsignificant t-tests (p>.05). Overall, the data support the psychometric properties of the drive for muscularity inventories; however, the shared variance (35-67%) hints that refinement is possible.     

Psychometric properties of the Revised Male Body Attitudes Scale among Irish men

The psychometric properties of a revised version of the Male Body Attitudes Scale (Tylka, Bergeron, & Schwartz, 2005) were investigated using two independent online samples of Irish men (ns=241 and 253, respectively). Exploratory factor analyses suggested that a 15-item, 3-factor solution representing men's attitudes toward their body fat, muscularity, and height best described the data. The internal consistency and construct validity of scores on the Revised Male Body Attitudes Scale suggest that this measure holds promise as an indicant of men's attitudes toward their physical appearance. Limitations and strengths associated with the current research are discussed and directions for future research are outlined.     

Psychometric properties of the Muscle Appearance Satisfaction Scale among Irish and British men

The psychometric soundness of the Muscle Appearance Satisfaction Scale (MASS; Mayville, Williamson, White, Netemeyer, & Drab, 2002), a measure of muscle dysmorphia symptoms, was investigated using two independent online samples of Irish and British men (ns = 307 and 306, respectively). Exploratory and confirmatory factor analyses showed that, compared to the original 5-component solution for the 19-item MASS, a 6-item unidimensional version offered better fit to the data. Findings further upheld the internal consistency reliability, construct validity (e.g., via its associations with internalization of the muscular ideal and physical appearance comparisons), and discriminant validity (e.g., via its nonsignificant relationship with social desirability) of the MASS's scores. The limitations associated with the current research are discussed and directions for future research are articulated.     

Age-related differences in postural reaction time and coordination during voluntary sway movements

The elderly are known to exhibit declines in postural control during standing and walking, however little is known about how the elderly react under time-critical and challenging postural situations. The purpose of this study was to examine age-related differences in reaction time (RT) and the pattern of temporal coordination between center of pressure (COP), trunk and head motion during voluntary postural sway movements. Healthy young (n=10; mean=24 years; SD=5 years) and elderly men (n=8; mean=75 years; SD=2 years) stood on a force plate with tri-axial accelerometers attached to the head and lower trunk. Participants were required to generate sway in the anterior-posterior (AP) or medial-lateral (ML) direction in response to an auditory cue during two different testing conditions called Static reaction and Dynamic reaction. Static reactions involved the initiation of voluntary sway in either the AP or ML direction from quiet stance. Dynamic reactions involved an orthogonal switch of voluntary sway between the AP and ML directions. Compared to the young, elderly individuals exhibited slower RT during both Static and Dynamic reaction, and smaller differences in RT and phasing between COP, trunk, and head motion. The results of this study suggest that the elderly adopted more rigid coordination strategies compared to the young when executing a rapid change in direction of whole body motion. The rigid movement strategy of the elderly was presumably generated in an effort to compensate for increased challenge to the maintenance of stability.     

An inductive exploration of the social effectiveness construct space

ABSTRACT There is no agreement regarding the nature or number of dimensions that make up the social effectiveness domain. We inductively explore the relationships between a set of social effectiveness measures with the intention of identifying an initial set of dimensions. An exploratory factor analysis of the Social Competence Inventory (SCI, Schneider, 2001 ) resulted in the identification of four factors: Social Potency, Social Appropriateness, Social Emotional Expression, and Social Reputation. A joint factor analysis between the SCI and a set of extant measures resulted in the identification of the same four factors. A fifth factor emerged when a set of scales from an emotional intelligence measure was included in the analysis, suggesting that emotional intelligence is not captured within the common factor space defined by measures of social effectiveness. This study represents a first step in the establishment of a set of common social effectiveness dimensions.     

Performance on a face perception task is associated with empathy quotient scores, but not systemizing scores or participant sex

This preliminary study investigated whether individual differences in performance on a difficult social perception task (determining the sex of shape normalized, line drawn dynamic faces) are related to sex of observer, scores on an empathy quotient and scores on a systemizing quotient. Performance in the face perception task (N = 60) was above chance, indicating that participants could judge the sex of the degraded facial stimuli from dynamic information alone. There was a trend for women to be more accurate in their judgments of target sex than men, but regression analyses indicated that EQ scores alone predicted performance on the task. This study suggests that empathy may mediate sex differences in face perception abilities, and potentially other tasks in social perception.