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.     

Validation of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-Sp12) on French Old People

The study aimed to develop a French version of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being short version (FACIT-Sp12), in order to provide a self-reported measure for French people in the field of gerontology. The study involving 63 nursing home residents was conducted to evaluate the construct validity, reliability, and convergence validity of the FACIT-Sp12. A confirmatory factor analysis corroborated a three-factor model (Meaning, Peace and Faith) with modifications for two items, also valid among people with cognitive impairment. Subscales showed good internal consistency and are correlated with quality of life and depression. In conclusion, the validated French version is an suitable instrument to study the maintenance and promotion of quality of life in the elderly.     

Yoga in Penitentiary Settings: Transcendence,Spirituality, and Self-Improvement

Yoga, together with other so-called holistic spiritual practices such as reiki or meditation, is one of the most popular spiritual disciplines in our contemporary society. The success of yoga crosses the boundaries between health, sport, religion, and popular culture. However, from a sociological point of view, this is a largely under-researched field. Aiming to fill this gap, this article analyzes the impact, meaning, and implications of the practice of yoga by taking prisons as the institutional context of the study. The growth of yoga in penitentiary settings is a recent trend in many countries and raises new questions concerning its potential to foster well-being and self-transformation. The research presented here applies Schutz’s concepts of “finite province of meaning” and “stock of knowledge” to understand yoga’s role in inmates’ lives. The main argument of the article is that yoga is a body technique that affords inmates the possibility to enter into a “finite province of meaning” and transcend their everyday prison lives. However, the impact of yoga upon inmates’ lives is not limited just to its physical effects as learning yoga also involves the acquisition of a “spiritual stock of knowledge” made up of Eastern philosophy, holistic concepts, and self-help therapeutic narratives. Indeed, physical movements and spiritual accounts constitute one another in the practice of yoga, thus opening up a pathway into a different reality; movement and spiritual discourse inform one another—and it is precisely in this reflexivity that “transcendent experiences” are created and yoga is made meaningful and important in the improvement-setting of the prison. This article is based on ethnographic fieldwork developed carried out in two different penitentiary institutions.     

The influence of emotion type,social value orientation and processing focus on approach-avoidance tendencies to negative dynamic facial expressions

Facial expressions of anger and fear have been seen to elicit avoidance behavior in the perceiver due to their negative valence. However, recent research uncovered discrepancies regarding these immediate motivational implications of fear and anger, suggesting that not all negative emotions trigger avoidance to a comparable extent. To clarify those discrepancies, we considered recent theoretical and methodological advances, and investigated the role of social preferences and processing focus on approach-avoidance tendencies (AAT) to negative facial expressions. We exposed participants to dynamic facial expressions of anger, disgust, fear, or sadness, while they processed either the emotional expression or the gender of the faces. AATs were assessed by reaction times of lever movements, and by posture changes via head-tracking. We found that—relative to angry faces-, fearful and sad faces triggered more approach, with a larger difference between fear and anger in prosocial compared to individualistic participants. Interestingly, these findings are in line with a recently developed concern hypothesis, suggesting that—relative to other negative expressions—expressions of distress may facilitate approach, especially in participants with prosocial preferences.     

Auditory attentional blink: masking the second target is necessary, delayed masking is sufficient.

When two target items (T1 and T2) are presented in rapid succession among fillers, processing T2 is often impaired. This phenomenon is known as the attentional blink (AB). Within the visual modality, this second-target deficit generally occurs only if T2 is masked by a trailing item. The current study was designed to examine whether masking of T2 also plays a critical role in the auditory AB. Results showed a reliable AB effect even when the item following T2 was replaced by silence. However, the AB deficit was abolished when T2 was the last presented stimulus. Our results suggest that, as in vision, T2 masking is necessary for the AB to take place in audition, but that masking is effective even when delayed, providing evidence that the phenomenon shares some functional mechanisms across sensory modalities.     

Characteristics of men who have sex with men on the internet but identify as heterosexual, compared with heterosexually identified men who have sex with women.

We compared men who have sex with other men on the Internet with the remainder of the sample of men who reported only sex with women on the Internet, in a sample of 1,846 Swedish men recruited from a major Swedish portal. We report on the self-identified heterosexual men in the sample who reported engaging in cybersex in the past year, and for whom there was complete data on sexual identity and the gender of cybersexual partners. Of the 244 cases with full data, 76% were heterosexual in both identity and behavior, 16% were gay or bisexual in identity and reported both male and female cybersexual contacts on the Internet, and 8% indicated their sexual preference was heterosexual but also reported at least one male sexual partner on the Internet. Thus, 11% of self-identified heterosexual men had sex with other men online. Comparing the two groups, the men who had sex with men (MSM) who did not identify (MSM-NI) spent significantly more time per week online, although a similar amount of time on sexual pursuits, as the heterosexual men. The MSM-NI were significantly more likely to agree that their online sexuality had affected their sexuality in a positive way, to have bought sex from prostitutes, to agree that they do things online that they would not do offline, have cybersex more often, use a web-camera and microphone more often, flirt and visit contact sites more often, and agree more often that sexual thoughts and behaviors are causing problems, desire to have sex creates problems, and sometimes fail to meet commitments due to their sexual behavior. These data taken together suggest that MSM-NI online are not uncommon and are characterized by the extent of their cybersexual involvement that sometimes extends to other men. Such men may rationalize this cybersex with other men as not, or minimally, sexual in much the same way as Humphreys characterized MSMs in public restrooms.