The importance of distinguishing between harassment-only and assault military sexual trauma during screening

Extant research demonstrates that a history of military sexual trauma (MST) is associated with PTSD and depression diagnoses as well as heightened risk for suicidal ideation and death by suicide. Past studies of MST and its sequelae typically collapse harassment-only and assault MST screening items into a single response, recorded as positive or negative for a history of MST. It is presently unclear whether assault is associated with poorer mental health outcomes relative to harassment-only MST. Female service members/Veterans (n = 656) completed an online survey assessing history (present, absent) and type (harassment-only, assault) of MST, PTSD, depression, sexual satisfaction and function symptoms, as well as suicidal ideation. Findings revealed that those who reported a history of MST, and assault more specifically, were more likely to report higher PTSD symptoms and probable PTSD diagnosis, higher depression symptoms and probable depression diagnosis, worse sexual function and probable sexual function diagnosis, lower sexual satisfaction, and presence of suicidal ideation. Those who reported harassment-only MST also reported higher PTSD severity and probable PTSD diagnosis, but the magnitude of the association of harassment-only MST and PTSD severity relative to assault MST and PTSD severity was substantially lower. Findings suggest it is critical to distinguish between history and type of MST during screening as a combined screening item loses sensitivity to identify those at heightened risk for distress and dysfunction.     

Human sexuality: how do men and women differ?

A large body of scientific research documents four important gender differences in sexuality. First, on a wide variety of measures, men show greater sexual desire than do women. Second, compared with men, women place greater emphasis on committed relationships as a context for sexuality. Third, aggression is more strongly linked to sexuality for men than for women. Fourth, women's sexuality tends to be more malleable and capable of change over time. These male-female differences are pervasive, affecting thoughts and feelings as well as behavior, and they characterize not only heterosexuals but lesbians and gay men as well. Implications of these patterns are considered.     

Why Parents Matter!: The Conceptual Basis for a Community-Based HIV Prevention Program for the Parents of African American Youth

The Parents Matter! Program (PMP) is a community-based family intervention designed to promote positive parenting and effective parent-child communication about sexuality and sexual risk reduction. Its ultimate goal is to reduce sexual risk behavior among adolescents. PMP offers parents instruction and guidance in general parenting skills related to decreased sexual risk behavior among youth (e.g., relationship building, monitoring) and sexual communication skills necessary for parents to effectively convey their values and expectations about sexual behavior—as well as critical HIV, STD, and pregnancy prevention messages—to their children. We briefly review the literature concerning parental influences on adolescent sexual risk behavior and present the conceptual model and theoretical foundation upon which PMP is based.     

The “sexually abused child”: Potential mechanisms of adverse influences of such a label

Labeling and the effects of labeling have been extensively researched in the psychological literature in a variety of different contexts. For example, labeling has been empirically shown to lead to lowered expectancies of behavior and achievement, which can then contribute to the potential for the occurrence of a self-fulfilling prophecy with adverse consequences. Another area that has been extensively researched, with a dramatic increase in the literature base in recent history, is that of child sexual abuse (CSA). Despite various shortcomings of the research literature, the consistent findings have been identification of a variety of negative correlates and symptomatologies associated with CSA. In addition to any direct, negative effects of CSA, there may also be an additional impact from the “label” itself. Although the literature pertaining to CSA and labeling runs deep independently, efforts at addressing the issue of CSA within a labeling contextual framework have been minimal. To that end, this article examines hypothesized mechanisms of how the “sexual abuse” label may potentially have an adverse influence on the children subjected to such a label. The implications of an analysis, which addresses childhood sexual abuse from such a theoretical framework, may be a broader and more holistic understanding of the complexities and sequelae associated with CSA.     

Can heterosexual counsellors or generic agencies help same‐sex couples? An exploratory study

Gay men and women were interviewed in single‐sex focus groups in order to learn more about the therapeutic help that could be offered to people in same‐sex relationships. Interviews were analysed using the constant comparative method. Among the various themes that emerged was the need to have their relationships valued and accepted and the damaging effects of living in a heterosexist and homophobic society. The need for men, in particular, to identify a set of developmental stages for gay relationships was important. Difficulties in seeking help from mainstream organisations are discussed and recommendations made for both counsellors and agencies.     

Effects of Type of Coping Response,Setting, and Social Context on Reactions to Sexual Harassment

Male and female undergraduates from a multicultural university (MU) and an historically Black University (HBU) read a scenario in which a student was sexually harassed either by a professor or a workplace supervisor. The student victim's coping response was also varied. Participants rated the victim's behavior as most effective and appropriate when she confronted the harasser directly or reported the harasser's behavior. HBU students judged the harasser as not guilty significantly more often than MU students, but believed that the harasser was less trustworthy than multicultural students did. Women responded significantly more negatively to the blatant sexual harassment scenario than men did. Implications for prevention and interventions are discussed.     

Pornography,preference for porn‐like sex,masturbation, and men's sexual and relationship satisfaction

Pornography use, preference for “porn‐like” sex, masturbation, and sexual and relationship satisfaction were assessed among two samples of men (N_{Study 1} = 326, N_{Study 2} = 335). Frequent pornography use was associated with sexual dissatisfaction, greater preference for porn‐like sex, and more frequent masturbation in both studies. Pornography use was associated with relationship dissatisfaction in Study 2 only. The data did not support the notion that pornography negatively impacts sexual or relationship satisfaction via preference for porn‐like sex. In fact, it may bolster sexual satisfaction by promoting sexual variety. The data were consistent with a model in which pornography negatively, indirectly affects sexual and relationship satisfaction via masturbation frequency. Pornography use may have multiple opposing influences on sexual satisfaction.     

Experiences of transgender prisoners and their knowledge,attitudes, and practices regarding sexual behaviors and HIV/STIs: A systematic review

Background: Despite transgender people being more visible in prison systems, research suggests they are at higher risk of experiencing sexual violence compared to other prisoners. Research also suggests that transgender prisoners experience harassment, and physical and sexual assault by fellow prisoners, and prison officers who lack transgender-specific health knowledge. There exist no systematic reviews on the experiences of transgender people in prisons. This review aims to fill this research gap. The following question developed in consultation with transgender, sexual health/HIV and corrective services stakeholders has guided the systematic review: What are transgender and gender-diverse prisoners’ experiences in various prison settings and what are their knowledge, attitudes and practices regarding sexual behaviors and HIV/STIs?

Methods: The review followed the PRISMA guidelines and searches were conducted in four databases for the period of January 2007 to August 2017. Studies were assessed against predetermined inclusion and exclusion criteria. Included studies were peer-reviewed, written in English with online full-text availability and reported data on transgender and gender-diverse prisoner experiences relevant to the research question.

Results: Eleven studies (nine qualitative, one quantitative, one mixed-methods; nine in USA, two in Australia) met the criteria for review. Four studies were of high quality, six were of good/acceptable quality, and one study was of modest quality. Transgender and gender-diverse prisoners reported a range of challenges which included sexual assault, discrimination, stigma, harassment, and mistreatment. Information on their sexual health and HIV/STIs knowledge, attitudes, practices is in short supply. Also, their lack of access to gender-affirming, sexual health/STIs and mental health services is commonplace.

Conclusions: The experiences of transgender prisoners as reported in this review are almost uniformly more difficult than other prisoners. Their “otherness” is used as a weapon against them by fellow prisoners through intimidation and violence (including sexual) and by prison officers through neglect and ignorance.     

The expression of the genes of aggressiveness in mice: The effect of androgen on aggression and sexual behavior in females

Female mice of strains selectively bred for aggressiveness or nonaggressiveness were injected with testosterone propionate (TF′) at the age of 2 days and as adults, or they were injected as adults only. Aggressive and sexual behavior was then tested with female, receptive female, and male partners before, during, and after the latter TP treatment. The females that had received both TP treatments displayed as much or as little aggression as males of the same strain, leading to the conclusion that aggressiveness genes are not linked with the male sex chromosome, even though they depend on it for their expression. The sexual behavior of the females of both strains that had received both TP treatments was altered to the male type. In the females of the aggressive strain even adult treatment alone was sufficient for this change. Aggressiveness and male sexual behavior would seem to be determined separately, although aggressiveness facilitates the display of male sexual behavior.     

The Responses of Health Systems to Marital Sexual Violence – A Perspective from Southern India

ABSTRACT

Marital sexual violence is a serious problem in India. However, marital rape and most other forms of marital sexual violence are not criminalized in the country. This qualitative study with healthcare providers (physicians and nurses), lawyers, members of a non-profit organization that offers domestic violence support services out of a hospital, a journalist and two lawyers suggest that the majority of care providers recognize that marital sexual violence is a serious concern, and agree that health systems can play a vital role in addressing both the immediate biomedical concerns of survivors, and also overall well-being. The study reveals several systemic and internal factors that hinder responsiveness of Indian health institutions. These include, the absence of a protocol or uniform internal guidelines in most hospitals, a lack of screening programs to capture the presence of violence occurring when patients visit hospitals for other reasons, a large patient load, a lack of gender sensitivity in providers’ education, an absence of domestic violence shelters, and poor interlinkages between support services such as counseling and legal services. Notwithstanding these challenges, some exemplar physicians and nurses assist survivors of sexual violence, sometimes risking their own safety. The Indian health system can be made more responsive, provided these factors are addressed, and crucially budgets are allocated for interventions.