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Psychology 2075
William Fisher

th PSYCH – November 7 Case Vignette I  Woman talking to her friend about a recent break up with same sex partner  Friend assumes heterosexuality Case Vignette II  Mother and Father are dealing with a son who is not dealing with gender in a congruent way  Mother asks for help from doctor Case Vignette III  Man cheats on wife with another man  Same sex behaviour may not have anything to do with an individual’s internal sexuality Case Vignette IV  Man wants an HIV test after sexual encounters with other men  2 time requesting HIV test in less than 6 months  Major health risk issue is avoiding health care in fear of stigmas Case Vignette V  Woman talks about being gay and having relationships with women  Hasn’t told parents because she thinks they won’t understand  Questions can be the basis of discussion of safe “coming out”  Who is the most sympathetic family member, who is a friend you can trust etc. Why was HIV considered a homosexual disease?  Did not look at the large heterosexual populations that had HIV diseases  Studied areas with large gay population  HIV infected individuals – Half men, half woman  5 % homosexual, 95 % heterosexual **risk of an STI is a function of 3 things: pathogen prevalence, risky behaviour, how infectious the pathogen is**  Most men in N.A. are exceedingly conscious What is Sexual Orientation?  We can never determine sexual orientation in terms of behaviour  What if we have no sexual behaviour?  What if both and opposite sex activity isn’t a function of sexual orientation but of other factors  What if people on the street are having sex for survival?  What If you are in a heterosexual society and you try to live a heterosexual life but after a certain amount of time you ‘come out’  There are certain patterns of behaviour that have nothing to do with an internal sense of sexual arousal to same sex or different sex  Sexual and romantic attraction would be where we begin to understand sexual orientation (what turns you on)  GLBT – Gay Lesbian Bi-sexual Transgender o People who have statistically less common sexual patterns o Transgender individual is probably not appropriate grouped together  Gender just doesn’t match their body  Problems with the use “sexual preference” o It is generally not something you decide upon, it is just the way you are or you’ve always been – you didn’t decide to do it o Sexual preference opens the door to accusation of a morally latent choice – rather than “you were born that way I cant blame you” Origins of Sexual Orientation Sexual Orientation  MSM, WSW o Descriptions – men who have sex with men, women who have sex with women o These concepts are largely for biomedical reasons o Might be useful in clinical practice to know whether you are talking to an MSN or WSW because the risk profile might be different and you might have to different things to manage the risks o People may choose to avoid these labels – people are asked to describe sexual behaviour instead o Need to know about behaviour for the reasons cited ^^  Transsexual, Transgender o People who happen to be in a body that does not match their identity – gender identity is male and they feel like a female  Gender Role o Mother whose son didn’t play with guns but played with dolls o Violates sex roles assumption – can be troubling o Childhood cross genger behaviour is sometimes a pre-curser to adult sexual orientation toward the same gender  Heterosexuality and Gender identity are not the same thing  Aka do not confuse “sissy with non-masculine” Kinsey Scale:  Asserted that the world was not divided into gays and straights  Many pople are “Kinsey 0’s” meaning in terms of your attractions and behaviours you are exclusively heterosexually orientated  Kinsey 6’s - exclusively lifelong homosexuals  Many people have a mixture across the life span of sexual behaviour and attractions  Women tend to have more flexible excursions across the Kinsey scale than men  Men can migrate across the scale – aka they migrate to Bi-sexual Storms  2 dimensional system that is superior to the Kinsey system in some ways  How much do I behave with/am attracted to the same or opposite gender  High in heteroeroticm and high in homoeroticism – heterosexual  High in homoerotic attraction and low in heteroric attraction – homosexual  Bisexual – can be high in botth heteroeroticsm and homoeroticism  Individuals can be low in both Commonness of Sexual Orientation Variations - Life long exclusive orientations  98 % of men and women designate themselves as heterosexual  2 % of men and 1 % of women designate themselves as homosexual  There is a more a mix between Kinsey 0 and Kinsey 6 – 2 or 3 % of people who are life long exclusive of MSM and about 1 % of WSW Cont’d  Sexual left-handedness Origins of Homosexual Orientation  Freud explored the possibility
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