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Sexual and gender minority young people (SGMY) experience mental health disparities and are overlooked in mental health practice and research. Self-compassion is a protective factor that promotes youth psychological well-being. This study examines SGMY perceptions of self-compassion and their experiences participating in self-compassion practices. SGMY (n = 30) ages 16–29 participated in empirically supported self-compassion practices. Using grounded theory, researchers uncovered three themes. SGMY indicated that (1) the practice of self-compassion may help SGMY cope with internal/external homo/bi/transphobia, (2) cultivating self-compassion can enhance well-being, and (3) self-compassion can support coping with difficult thoughts and emotions. Self-compassion may be a helpful approach for SGMY. Implications for SGMY mental health are explored. [ABSTRACT FROM AUTHOR]

Monosexuality and bisexuality (attraction to one and more than one gender/sex, respectively) are historical constructs, as are monomodal (e.g., gender/sex-based) and multimodal concepts of erotic attraction. I provide a brief outline of distinctions between single-gender and multi-gender attractions as they emerged in continental Europe. Nineteenth-century conceptualizations of sexual orientation in terms of gender-exclusivity were animated by medical frames for socio-sexual disfavor and aversion. From the early 1880s bisexuality became framed as a stage of "sexual inversion," and, from 1891, associated with notions of gender-independent attraction to particular "types." German and Dutch surveys reported in 1904 were pivotal in popularizing and internationalizing bisexual interest as a sexological intrigue. [ABSTRACT FROM AUTHOR]

Introduction Lesbian, gay, and bisexual (LGB) individuals and Veterans are more likely to report current smoking than the general adult population in the United States. The Minority Stress Model may explain the high prevalence of cigarette smoking among LGB individuals, who experience unique interpersonal (e.g. discrimination) and intrapersonal (e.g. identity concealment) stressors related to their minoritized sexual orientation. Aims and Methods This study assessed whether three types of stressors (interpersonal, intrapersonal, and LGB-specific military) were associated with past-year smoking among LGB Veterans. Veterans were recruited online for a prospective cohort study. We conducted secondary data analysis of baseline surveys collected from 2019 to 2020. The study sample included cisgender, LGB Veterans (n = 463). Adjusted nested multivariable logistic regression models were used to estimate the association of each stressor with past-year cigarette smoking. Results Participants were mostly male (54.0%), non-Hispanic white (82.1%), and at least a college graduate (58.5%). LGB Veterans who were younger, had lower levels of education, income, and healthcare coverage, higher general stressors, and post-traumatic stress disorder and depression symptoms were more likely to smoke in the past year (n = 98, 21.2%). The adjusted odds of past-year smoking were higher among those who reported higher levels of harassment (aOR = 1.13, 95% confidence interval [CI]: 1.01 to 1.26), victimization (aOR = 1.13, 95% CI: 1.02 to 1.43), and family rejection (aOR = 1.13, 95% CI: 1.08 to 1.36). Conclusions Multiple interpersonal stressors were associated with past-year smoking, highlighting the need to intervene on these stressors. Future interventions should aim to address policies that reduce prejudice against LGB Veterans, while helping those who smoke identify and develop positive coping skills that support cessation. Implications Our findings contribute to the growing body of literature on tobacco use disparities among LGB individuals, particularly LGB Veterans. Results of this analysis provide some evidence for the Minority Stress Model as a conceptual model for understanding and intervening in disparities in smoking prevalence among LGB Veterans. [ABSTRACT FROM AUTHOR]

Background: Bisexual women, compared to heterosexual women, report greater amounts of alcohol use and heavy drinking. Alcohol expectancies (i.e., beliefs about alcohol outcomes) are a strong predictor of alcohol use, but few studies have examined the importance of alcohol expectancies in relation to alcohol use among bisexual women specifically or in comparison to heterosexual women. Objectives: The current study examined 262 heterosexual and 225 bisexual women using an online survey about alcohol use, sexual risk-taking, and alcohol expectancy subtypes (sexuality, tension reduction, and aggression). Results: Compared to heterosexual women, bisexual women reported greater sexuality and tension reduction expectancies after accounting for their level of drinking, but groups did not differ on aggression expectancies. Moreover, sexual identity status moderated the associations between sexuality and tension reduction expectancies and alcohol use, respectively. Specifically, our study findings suggested that sexuality and tension reduction alcohol expectancies were more strongly tied to alcohol use among bisexual women than heterosexual women. Conclusions: Taken together, in our study, bisexual women held stronger sexuality and tension reduction expectancies, as compared to heterosexual women. Interventions targeting alcohol expectancies may be considered when tailoring intervention content for this population. [ABSTRACT FROM AUTHOR]

The 2022 defamation trial between Johnny Depp and Amber Heard invites examination of how news media changed their coverage of abuse allegations since the couple’s 2016 divorce and the #MeToo movement’s 2017 globalization. Using critical discourse analysis, I found that fewer 2022 articles referenced Heard’s bisexuality compared to their 2016 divorce coverage, and 2022 articles evoked fewer biphobic stereotypes. However, outlets generally did not connect Heard’s (or Depp’s) prior arrest with current allegations of violence. Furthermore, Heard lost the trial amid social media vitriol, thereby questioning news media’s position in a newly digital “economy of believability”. [ABSTRACT FROM AUTHOR]

This document contains abstract translations from the journal "Person-Centered & Experiential Psychotherapies." The first abstract discusses the therapist's experience of metaphor in non-directive person-centered relationships. The study found that therapists experienced metaphor in relation to relinquishing certainty, risking curiosity, and connecting briefly. The second abstract explores the experiences of heterosexual therapists working with lesbian, gay, bisexual, and queer clients. The study highlights the limited dialogue in this area and calls for further exploration of the experiences of sexual minority clients in person-centered therapy. Another abstract focuses on the challenges and opportunities faced by counselors with ADHD in their practice. The research aims to improve understanding of how a counselor's ADHD diagnosis can impact their person-centered practice. The study explores the experiences of counselors with ADHD through qualitative interviews and identifies themes such as attention deficits, impulsive disclosures, emotional dysregulation, increased curiosity, and unconditional positive regard. The findings suggest that acceptance and support for counselors with ADHD within the profession can be encouraged and fostered through this understanding. Lastly, the document introduces a humanistic training activity called "Internal Dialogue Method" and explores the experiences of the participants. The method is based on the philosophy of existentialism and humanistic integration. The text explains the goals, steps, and role of the facilitator in the Internal Dialogue Method. It also analyzes the dialogue of five participants to explore their experiences during the conversation. The analysis identifies three main themes: integration of existential modes from experience, theory, and dialogue; [Extracted from the article]

With the growing importance of identity development, it is important to see the intersections that occur with one's identity as both a leader and as bisexual. Leader identity and bisexual identity development can occur in tandem, with critical moments influencing both dually occurring identity development processes. By understanding the need that the field of leadership education has to explore the development of bisexual leaders and leadership educators, the authors discuss the need to center minoritized identities in our scholarship and practice within the field. [ABSTRACT FROM AUTHOR]

Heterosexual men report less distress at infidelity from female interlopers than male interlopers. In addition to presenting no risk of cuckoldry, men could also perceive these women as additional sexual opportunities if they assume mutual interest from the female interloper. The current study considered this possibility by experimentally manipulating the sex role assumption of a female interloper (either masculine or feminine presentation) for expected sexual interest in men. Heterosexual men reacted to infidelity from hypothetical long‐term romantic partners in two experiments. The extrapair mate was another man, a feminine woman, or a masculine‐presenting woman. Although infidelity elicited an overall negative reaction, men reported less distress when the extradyadic partner was female. The feminine woman was additionally regarded as affording the most sexual opportunity. Effects were particularly amplified when this information included images of the extradyadic partner. Studies provide evidence for complementary hypotheses based on intrasexual conflict and intersexual opportunities. [ABSTRACT FROM AUTHOR]

AbstractBisexual people experience negative messaging about their identity from broader society, as well as from within the LGBTIQA + community. The period of adolescence can be particularly tumultuous for those navigating their identity amongst this messaging. Drawing on Ozalas’s (2020) and Suarez’s (2022) studies, this study utilizes a critical autoethnographic approach and aims to explore cis-normative and heteronormative perspectives that were dominant within Australian society between the years of 2004 and 2016 from my bisexual lens. Employing McInnis’s (2022) notion of belonging and Warren’s (2023) use of allyship, this study describes the journey of discovering my bisexual identity and belonging during adolescence and understanding trans allyship through sibship. It also explores how certain social and environmental events can contribute to a sense of belonging or exclusion. The study documents how bisexuality evolves from the unknown, to the hidden, to the visible in a parallel process to supporting a trans sibling’s identity. [ABSTRACT FROM AUTHOR]

AbstractUnderstanding one’s sexual orientation plays a significant role in contributing to one’s sexual identity and developing a coherent sense of self. Misconceptions and prevailing prejudices make it difficult for bisexual individuals to navigate their sexual identities in many societies. Disclosure of one’s identity is accompanied by certain risks depending on how the information is received. However, disclosing one’s identity can also be positive, especially as it assists in fostering relationships. This article derives from a descriptive study involving 14 semi-structured interviews with young adults aged 18–24 who identified as bisexual. Data were subjected to a reflexive thematic analysis. Themes of invalidation, belongingness and reclaiming through ‘inviting in’ were identified. By processing the feelings of invalidation regarding their bisexual identities which were placed upon them by their respective cultural groups, and society in general, participants were able to develop a sense of agency and reclaim their power. Findings highlight the need for further research on bisexuality, particularly in South Africa, and the need to understand how bisexual identity development occurs in interaction with other sexual and gender identities. [ABSTRACT FROM AUTHOR]

AbstractResearch about bisexual communities is scarce, demonstrating a need for continued scholarship focusing on their experiences. Much of the qualitative research about LGBTQ communities, and bisexual communities more specifically, center narratives of invisibility, marginalization, and exclusion. It is critical to examine the ideologies that undergird this type of knowledge. In this essay, I draw from Indigenous scholars to reflect on the ways I privileged damage-centered narratives in my own work about bisexual college students. To do so, I engage in an unsettling reflexivity as both an intervention to hegemonic ways of producing knowledge about bisexual communities, and an invitation to other qualitative researchers to embark on this reflexive journey to consider the ways we can turn our gaze back to power, and tell stories that aim to capture more holistic, expansive, and desire-based stories of our communities. [ABSTRACT FROM AUTHOR]

Late diagnosis of human immunodeficiency virus (HIV) is associated with early progression to acquired immunodeficiency syndrome (AIDS). We examined racial/ethnic differences in presentation with advanced HIV/AIDS at a community health center in New Jersey. Records of patients diagnosed with HIV between 1990 and 2018 were reviewed. Odds ratios (OR) of presenting with AIDS at HIV diagnosis were computed in unadjusted and adjusted models. There were 182 (48.3%) Latino, 48 (12.7%) non-Latino White (NLW), 130 (34.5%) non-Latino Black, and 17 (4.5%) non-Latino of other race/ethnicity included in the analysis. Over 75% of the Latinos were foreign-born. Latino patients had higher odds of presentation with AIDS at time of HIV diagnosis than NLW in unadjusted (OR = 4.85, 95% confidence interval (95% CI): 2.28–10.31) and adjusted models (OR = 3.71, 95%CI: 1.60–8.59). Latino patients, particularly foreign-born and bisexual, had higher odds of being diagnosed with AIDS at presentation with HIV in this cohort. [ABSTRACT FROM AUTHOR]

Bisexual people encounter pervasive stigmatization resulting in significant negative health outcomes. To avoid stigmatization, bisexual people may attempt to resist stereotyping by acting in ways counter to common bisexual stereotypes (i.e., rejecting binormativity). The current mixed-methods study investigated the effects of binormativity through an online survey (N = 68, Mage = 31.56) completed by self-identifying bisexual individuals. Our quantitative findings indicated that conformity to binormative standards predicted feelings of identity illegitimacy, but also predicted lower levels of depression, anxiety, and stress. These findings were supported by qualitative data indicating many participants reported experiencing pressure to act either less or more stereotypically bisexual, and some participants reported experiencing shame or social identity threat due to their engagement in "stereotypically bisexual" behaviors (e.g., promiscuity). Furthermore, participants were generally reluctant to engage with binormative standards by labeling any behaviors as "bad" representations of bisexuality, instead endorsing the notion that all bisexual people are valid. Our quantitative and qualitative data collectively indicate that bisexual people navigate binormativity in their everyday lives and may experience negative identity outcomes related to binormative standards (e.g., identity illegitimacy), yet generally maintain a positive sense of identity and pursue an inclusive definition and community of bisexuality. [ABSTRACT FROM AUTHOR]

The majority of sexual minority women in the United States today identify as bi+. Recent research suggests that "non-traditional" bi+ labels such as pansexual and queer are being adopted more frequently than ever before, making it increasingly important to evaluate whether these women have unique needs. In the current study, we explored differences in minority stress experiences, mental health, and relationship quality outcomes by sexual identity label among women who identify with the most common bi+ labels: bisexual, pansexual, and queer. Participants were 285 bi+ cisgender women in romantic relationships. They completed online measures of minority stress (antibisexual experiences, identity concealment, disconnection from the sexual and gender minority (SGM) community, and internalized stigma), mental health (depression and anxiety), and relationship quality (satisfaction and commitment). Overall, participants reported similar experiences of minority stress and few differences in their mental health outcomes. However, there were differences in antibisexual experiences by sexual identity label, such that pansexual women reported more frequent antibisexual experiences than bisexual and queer women. There were also differences in relationship quality by sexual identity label, such that bisexual women reported higher satisfaction than pansexual women and higher commitment than both pansexual and queer women. Findings suggest that pansexual and queer women may be facing their own unique challenges, even compared to bisexual women. Clinical prevention and intervention efforts can be tailored for these women to include strategies to cope with more frequent exposure to antibisexual experiences, as well as relationship education and skill-building to promote healthy romantic relationships. [ABSTRACT FROM AUTHOR]

In this autoethnography, María Cioè-Peña recounts her experiences of Black erasure in bilingual education in US schools, where the focus is on language and an imagined mixed-race collective, centering culture to circumvent race and treating language as connective yet racially neutral. But languages and how language users are perceived are not race-neutral constructs. Black erasure in bilingual education upholds anti-Blackness and model minority narratives in education and results in tangible exclusion and oppression for Black bi/multilinguals. Supported by theory and history, Cioè-Peña recounts key moments that contributed to her internalization of anti-Black ideology/rhetoric and respectability politics as a bilingual Black Latina, manifesting in the "taming" of her tongue and cultural identity. Through her testimonio, she sheds light on the erasure of Black students in bilingual education programs and research. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) is considered a serious public health concern among couples, regardless of the sexual orientation. However, there is a dearth of data about the determining factors of IPV among couples with mixed-romantic orientations, and not much is known about the role that intra-psychic factors play in the relationship between psychological factors and IPV. Therefore, the study set out to examine the mediating role of emotional suppression in the relationship between psychological factors and IPV among couples with mixed-romantic orientations in Nigeria. The study adopted a correlational research design. A total of 241 respondents (61.4% identified as heterosexual and 38.6% as bisexual) in mixed-romantic orientation marriages, were engaged using respondents-driven sampling. Outcomes revealed that emotional suppression (indirectly) mediated the relationship between depressive symptoms [c'-path analysis; b =.029, t(240) = 108, p = <.01; bootstrap =.0573-1715], anxiety [c'-path analysis; b =.027, t(240) = −0.044, p = <.05; bootstrap =.108-.004], stress [c'-path analysis; b = 0.019, t(240) = 0.057, p = <.001; bootstrap =.0247-.0992] and IPV among couples with mixed-romantic orientations. It was concluded that emotional suppression directly and indirectly mediated the relationship between psychological factors and IPV. Recommendations and limitations are discussed. [ABSTRACT FROM AUTHOR]

Purpose: Little is known about the reasoning behind the desire to have children in non-heterosexual individuals. This study compares the motives of different sexual–romantic orientations and their preferred ways of fulfilling this desire. Methods: This was a monocentric cross-sectional study. Subjects were recruited via social media, personal contacts and queer organisations in Switzerland. An anonymous questionnaire comprised general questions about the participant's background, a validated survey about the desire to have children and additional non-validated questions addressing the impact of sexual–romantic orientation on the desire to have children. The inclusion criteria were adults without children and a completed questionnaire. Results: Of 837 participants, 642 were included in the study. Four groups of sexual–romantic orientations consisted of more than 35 participants: bisexual–biromantic (n = 38), heterosexual–heteroromantic (n = 230), homosexual–homoromantic (n = 159) and pansexual–panromantic (n = 55). Subgroups with a positive wish for a child rated all motives in the same order and with minimal numeric difference. The most important aspect seemed to be emotional involvement. Non-heterosexual–heteroromantic showed concerns about adverse reactions regarding their wish for a child. All orientations hoped for a biological child. Conclusion: Our findings about bi-, hetero-, homo- and pansexual people and their motives for a desire to have children agree with the existing literature about hetero, homo and bisexual. The impact of the fear of adverse reaction and discrimination has been discussed before and is supported by our data. We suggest better support before and during the realization of the wish for a child as well as support for non-traditional aspiring parents. [ABSTRACT FROM AUTHOR]

Identity formation for asexual people can be complicated by limited societal awareness of asexualities. Consequently, people who eventually identify on the asexuality spectrum often adopt other sexual identities in their early lives. In this paper, we extend sexual identity development theory by analyzing the identity trajectories of asexual-spectrum people who once identified as bisexual or pansexual. Quantitative data suggests that about half of asexual-spectrum respondents once identified as bisexual or pansexual and a third closely associate with bisexual or pansexual terminology. Qualitative data supports these findings, revealing that bisexuality, pansexuality, and asexuality are not always seen as mutually exclusive categories by asexual individuals. We argue that the intelligibility of bi-/pansexuality positions them as identity pathways for many asexual-spectrum individuals who experience equal (albeit little to no) attraction toward people of any gender. [ABSTRACT FROM AUTHOR]

The article describes the specific gender and sexuality relations that emerged in a life story interview I conducted with a gay-identified man who desires both women and men. I provide a detailed description not only of the eroticization he performed in the interview, but also of my reactions: I felt vulnerable, attractive, attracted, and repulsed. My reflexive analysis frames these reactions in the context of the power dynamics between us, as well as in the context of his narrated experiences with women (including solidarity, desire, abuse and economic interests) – some of which my analysis would not have revealed without taking our interaction into account. I thus argue for the importance of processes of embodied learning, and specifically, for the theoretical significance of the bisexual gendered dynamics between researcher and respondent. Further, my account illuminates the ambiguity of bonding between queer women and men. I argue that owing to the theoretical productivity of the researcher's reflexivity, the transactional erotic aspects of our own subjectivity are telling of the very meanings (of sex, gender, sexuality and other categories) we aim to interrogate. [ABSTRACT FROM AUTHOR]

Introduction Prior studies report nicotine/tobacco use disparities for sexual and gender minority (SGM) youth but have insufficiently characterized SGM identity diversity. Aims and Methods Adolescents (mean age = 15.2) from 11 high schools in Southern California completed surveys in Fall 2021. Ever use of combustible (cigarettes, cigars, hookah) and noncombustible (e-cigarettes, e-hookah, heated tobacco, smokeless/snus, oral nicotine) nicotine/tobacco (among overall sample, n  = 3795) and susceptibility to future initiation of cigarettes, e-cigarettes, and flavored non-tobacco oral nicotine (among n  = 3331 tobacco-naïve youth) were compared across four gender (male/masculine, female/feminine, transgender male/female, non-binary) and seven sexual (heterosexual, bisexual, pansexual, queer, questioning, gay/lesbian, asexual) identities. Results Non-binary (vs. cisgender male) youth had greater prevalence of ever combustible (prevalence ratio [PR] = 2.86, 95% confidence intervals (CI): 1.76 to 4.66) and non-combustible (PR = 1.94, 95% CI: 1.31 to 2.86) nicotine/tobacco use, and susceptibility to future nicotine/tobacco initiation (PR range = 2.32–2.68). Transgender (vs. cisgender male) youth had greater susceptibility to nicotine/tobacco use (PR range = 1.73–1.95), but not greater tobacco use prevalence. There was greater prevalence of non-combustible nicotine/tobacco use (PR range = 1.78–1.97) and susceptibility to nicotine/tobacco initiation (PR range = 1.36–2.18) for all sexual minority (vs. heterosexual) identities, except for asexual. Bisexual (PR = 2.03, 95% CI: 1.30 to 3.16) and queer (PR = 2.87, 95% CI: 1.31 to 6.27) youth had higher ever combustible tobacco use than heterosexual youth. Questioning (vs. heterosexual) youth were more susceptible to future tobacco initiation (PR range = 1.36–2.05) but did not differ in ever use. Conclusions Disparities in nicotine/tobacco use and susceptibility were present with similar effect sizes across most, but not all, SGM identities. Inclusive measurement of SGM identities in research and surveillance may inform more precise tobacco control efforts to reduce disparities. Implications Among high school students from Southern California with substantial diversity in sexual and gender identities, there was greater prevalence of tobacco use and susceptibility to future tobacco initiation for most, but not all, sexual and gender minority youth, including those with emerging sexual and gender identities such as non-binary, queer and pansexual. Additionally, findings indicate that tobacco control initiatives targeting youth who are questioning their sexual identities may be particularly important for preventing tobacco use initiation. This study reinforces the importance of measuring diversity within the LGBTQ + community for tobacco use research, and highlights how inclusive measurement can inform more precise tobacco control interventions. [ABSTRACT FROM AUTHOR]

Background: Minority stress from racism and heterosexism may uniquely interact to impact the mental health of racialized sexual minorities. We examined variations in anxiety and depressive symptoms by reported by ethno-racial identity among gay, bisexual, and other men who have sex with men (gbMSM) in Vancouver, Canada. Methods: We recruited gbMSM aged ≥ 16 years from February 2012 to February 2015 using respondent-driven sampling (RDS). Participants completed computer assisted self-interviews (CASI) at enrollment and every 6 months until February 2017. We examined factors associated with moderate/severe anxiety and depression scores (> 10) on the Hospital Anxiety and Depression Scale (HADS) and differences in key explanatory variables including sociodemographic, psychosocial, and substance use factors. We used multivariable mixed effects models to assess whether moderate/severe scores were associated with ethno-racial identity across all visits. Results: After RDS-adjustment, of 774 participants, 79.9% of participants identified as gay. 68.6% identified as white, 9.2% as Asian, 9.8% as Indigenous, 7.3% as Latin American, and 5.1% as other ethno-racial identities. Participants contributed a median of 6 follow-up visits (Q1-Q3: 4–7). In the multivariable analysis, Asian participants had decreased odds of moderate/severe anxiety scores compared to white participants (aOR = 0.39; 95% CI: 0.18–0.86), and Latin American participants had decreased odds of moderate/severe depression scores compared to both white (aOR = 0.17; 95% CI: 0.08–0.36) and Asian (aOR = 0.07; 95% CI: 0.02–0.20) participants. Conclusion: Asian and Latino gbMSM reported decreased mental health symptoms compared to white participants. Asian and Latino gbMSM in Vancouver appear to manage multiple minority stressors without adversely affecting their mental health. Key messages: - What is already known on this topic: ◦ Sexual minority groups, including gay, bisexual, and other men who have sex with men (gbMSM), experience higher rates of mental health disorders than their heterosexual counterparts. ◦ Evidence is mixed on how stigma from intersecting minority identities among gbMSM, such as racism experienced by non-white ethno-racial identities, further affects mental health outcomes. - What this study adds: ◦ Among a sample of urban-residing gbMSM in Vancouver, Canada, ethno-racial minority status was not associated with increased odds of reporting moderate/severe depression or anxiety symptoms. ◦ Asian gbMSM had reduced odds of reported anxiety symptoms and Latino men had reduced odds of depression symptoms compared with white men. - How this study might affect research, practice, or policy: ◦ More research is needed with ethno-racialized gbMSM to understand mental health risks and vulnerabilities and to qualify survival and resilience narratives surrounding mental health. ◦ Healthcare providers should recognize nuance in how racism and homophobia may uniquely interact to affect the mental health of individual gbMSM. [ABSTRACT FROM AUTHOR]

Background: Sexual and gender diverse people face intersecting factors affecting their well-being and livelihood. These include homophobic reactions, stigma or discrimination at the workplace and in healthcare facilities, economic vulnerability, lack of social support, and HIV. This study aimed to examine the association between such factors and symptoms of anxiety and depression among sexual and gender diverse people. Methods: This study is based on a sample of 108,389 gay, bisexual, queer and questioning men, and transfeminine people from 161 countries collected through a cross-sectional internet survey. We developed a multinomial logistic regression for each group to study the associations of the above factors at different severity scores for anxiety and depression symptoms. Results: Almost a third (30.3%) of the participants reported experiencing moderate to severe symptoms of anxiety and depression. Higher severity scores were found for transfeminine people (39%), and queer or questioning people (34.8%). Severe symptoms of anxiety and depression were strongly correlated with economic hardship for all groups. Compared to those who are HIV-negative, those living with HIV were more likely to report severe symptoms of anxiety and depression, and the highest score was among those who do not know their HIV status. Transfeminine people were the most exposed group, with more than 80% higher risk for those living with HIV suffering from anxiety and depression. Finally, homophobic reactions were strongly associated with anxiety and depression. The relative risk of severe anxiety and depression was 3.47 times higher for transfeminine people facing transphobic reactions than those with no symptoms. Moreover, anxiety and depression correlate with stigma or discrimination in the workplace and healthcare facilities. Conclusions: The strong association between the severity of anxiety and depression, and socioeconomic inequality and HIV status highlights the need for concrete actions to meet the United Nations' pledge to end inequalities faced by communities and people affected by HIV. Moreover, the association between stigma or discrimination and anxiety and depression among sexual and gender diverse people is alarming. There is a need for bold structural public health interventions, particularly for transfeminine, queer and questioning people who represent three communities under the radar of national HIV programmes. [ABSTRACT FROM AUTHOR]

This paper presents a systematic review of factors that correlate with attitudes toward bisexuals, and a meta-analysis to estimate the effect size of these relationships. A search strategy was designed to identify studies that had a measure of attitudes toward bisexuals and assessed the relationship between these attitudes and at least one attitude-relevant correlate. The strategy was then applied to PsycINFO, PsycEXTRA, Proquest Psychology Collection, EBSCO Psychology and Behavioral Sciences Collection and SociINDEX databases, and calls for unpublished data were circulated through relevant professional bodies. Effect size data were extracted from the articles, and meta-analyses were conducted on each of the applicable correlates. The meta-analyses revealed that age, contact (quality and quantity), income, political orientation, religion, sexual orientation, education, ethnicity, gender, and population density were related to negative attitudes toward bisexual individuals (Fisher's Zs = 0.108, −0.418, −0.209, 0.221, 0.231, 0.346, & 0.831, and Hedges' g's = 0.365, 0.344, 0.278, & 0.193, respectively). In addition, a sub-group moderation analysis revealed these effect sizes for participant gender differed as a function of target gender (i.e., bisexual men vs. bisexual women). [ABSTRACT FROM AUTHOR]

Bisexual women are an at-risk population for hazardous drinking. One factor contributing to their risk is binegativity (discrimination from heterosexual and lesbian/gay communities). Research has found a positive association between binegativity and alcohol use, but few studies have explored protective factors (bisexual identity affirmation, connectedness to bisexual community) that may buffer this relationship. Consequently, we examined the impact of bisexual identity and connectedness on the association between binegativity and alcohol use and problems. Participants were 225 self-identified young bisexual women 18 to 30 years old (M = 22.77, SD = 3.45) who reported heavy drinking at least once in the past month. Participants completed an online survey about their experiences of binegativity, alcohol use and problems, bisexual identity, and connectedness to the bisexual community. Results revealed that binegativity was positively associated with connectedness, but not bisexual identity. Binegativity was positively associated with alcohol use and alcohol problems, but moderation analyses revealed that neither identity nor connectedness impacted these associations. Thus, although binegativity was linked to greater alcohol use and problems, bisexual identity and connectedness did not serve as protective factors. It may be that bisexual women who are more "out" have a stronger connection to the bisexual community. However, they may experience greater external stigma within the sexual minoritized community due to their sexual attractions and relationships with both men and women. Future research is needed to identify other protective factors for the bisexual community. [ABSTRACT FROM AUTHOR]

Bi+ people (those who are attracted to or romantically involved with individuals of more than one gender, including bisexual people) face unique forms of social stigma, such as having their identity contested by heterosexual and sexual minority peers. The present work suggests that having one's identity contested by others is associated with poorer quality disclosure experiences. We first document differences in the disclosure experiences of people with bi+ identities and those with monosexual minority identities (i.e., lesbian, gay), demonstrating differences in identity contestedness and correlated disclosure outcomes (Study 1). Then, across Studies 1 and 2, totaling 397 bi+ participants in the U.S., we demonstrate that bi+ identity contestedness is associated with greater uncertainty about recipients' attitudes toward the discloser's identity, which is associated with less positive disclosure outcomes. Importantly, we also demonstrate that more engaging responses from recipients (i.e., those who discuss the discloser's bi+ identity) are associated with less uncertainty about recipients' attitudes and more positive outcomes. Together, these findings highlight targetable factors (e.g., reducing experiences of identity contestedness, increasing discussions of bi+ identity support) to improve the bi+ population's identity disclosure experiences, with implications for forming supportive social networks and improving health. [ABSTRACT FROM AUTHOR]

Dichotomous views of gender and sexuality primarily categorize people according to opposing binaries – either those attracted to the 'opposite' sex (heterosexual people) or those attracted to the same sex (gay or lesbian people). This 'either/or' notion greatly stigmatizes people who exist outside of this binarized categorization due to their attraction, or lack thereof, to multiple gender identities as well as the non-binary nature of their own genders. Past scholars have coined the term 'monosexism' to describe the social and cultural structures that operate on the premise that all individuals experience attractions, and that all are (and should be) attracted to no more than one gender (Eisner, 2013; Meyer, 2019; Roberts et al., 2015). Hence, asexual, bisexual, pansexual, and other plurisexual people experience oppression rooted in the normativity of monosexuality, while heterosexual people, lesbians, and gay men–all who adhere to the societal norm of monosexuality– receive privileges. While the impacts of monosexism are evident in the literature (Kaysen et al., 2011; Walters et al., 2013), there are scholars (Hemmings & Blumenfeld, 1996; Weiss, 2004) who oppose using the term monosexism and its presumed monosexual categorization – denoting it as pejorative and divisive to the 2SLGBTQIA + community as it groups lesbians and gay men together with heterosexual people as the oppressing, monosexual group. With the increasing scholarly focus on representation and recognition of 2SLGBTQIA + individuals and communities, we contend that understanding the complexity of monosexism is important for a more clearly articulated analysis of gender and sexuality-based inequality and experience. This paper provides a critical review of scholarly perspectives discussing monosexism and at the same time, contributes to a fuller understanding of the nature of this system of oppression and discrimination. Overall, we suggest that comprehending monosexism as a neutral term to describe a social structure that oppresses all sexual identities (not just asexual and plurisexual people) can lead to better understanding and potentially to resisting and dismantling this form of oppression. [ABSTRACT FROM AUTHOR]

Having a multiplicity of identities not only makes it difficult to find inclusive spaces for Aboriginal bisexual+ (bi) people but may often be a barrier to building connections and relationships with people who have other queer identities. Bi + identities alone are often rendered invisible, unintelligible or erased when it comes to inclusion and solidarity among their peers. An intersectional lens is used to reflexively investigate existing literature to explore how a lack of solidarity among lateral communities may impact Aboriginal bi + people in Australia who face an array of racism and queerphobia from both LGBTQ + and Aboriginal communities. These unique and multifaceted layers of discrimination greatly impact mental health and wellbeing. These experiences stem from the heterosexist and monosexist status quo from heteropatriarchal settler colonialism that is seen in both Aboriginal and LGBTQ + communities respectively. As a result, Aboriginal queer people are constantly surveying risks, policing their own identities and identity expression, often hiding parts of their identity as a survival strategy to avoid rejection and adhere to dominant cultural norms. When specifically considering Aboriginal bi + identities, there are added unique stressors of lateral violence with other LGBTQ + groups, antibisexual prejudice, and assumed monosexuality, adding additional layers of minority stress. The author explores these experiences by extending upon borderland theory and minority stress models. Whilst there is solace in the holistic celebration of intersecting identities in emerging intersectional Aboriginal queer spaces, there is still a great need for solidarity and celebration of Aboriginal bi + people within the broader LGBTQ + community. [ABSTRACT FROM AUTHOR]

In Mexico, there is a lack in academic research about bisexual Health-Disease-Attention process. This paper analyzes the main problems about health-disease for bisexual people with a Social Medicine and a Collective Health approach. In order to do this analysis, this paper offers a systematization of research's discoveries related to the Health-Disease-Attention process in bisexual people. Problems on health-disease for bisexual people include worse mental health conditions in comparison to gay and lesbian people. As psychologists have few contextualized knowledge about bisexual health-disease situations, then they cannot adequately respond to bisexual people needs. Bisexual Health-Disease-Attention process is an historical and social product where the lack of visibility and the negative valuation functions as mechanisms to regulate people's sexuality, which can be reproduced in Health-Attention places, such as Mental Health ones. [ABSTRACT FROM AUTHOR]

Purpose: We sought to describe the prevalence of food insecurity and its relationship with mental health, health care access, and use among lesbian, gay, and bisexual (LGB) adults in the U.S. Design and Setting: We analyzed data from the National Health Interview Survey (NHIS), a cross-sectional study of noninstitutionalized adults from all 50 states and the District of Columbia. Sample: The study sample was restricted to LGB adults ≥18 years (N = 1178) from the 2021 NHIS survey. Measures: Food security was assessed using the 10-item U.S Adult Food Security Survey Module. Study outcomes were mental health (depression, anxiety, life satisfaction, and serious psychological distress), health care utilization, and medication adherence. Analysis: Descriptive statistics and linear and generalized linear regressions. Results: The study sample consisted of 69% White, 14% Hispanic/Latinx, 9% Black, and 8% people of other races. Approximately half (53%) identified as bisexual and 47% identified as gay or lesbian. Eleven percent were food insecure. Sexual orientation, income-to-poverty ratio, and health insurance were significant correlates of food insecurity. In multivariable analyses, food insecurity was significantly associated with mental illness (including depression, anxiety, and serious psychological distress), limited health care access and use (including inability to pay medical bills, delay in getting medical and mental health care, and going without needed medical and mental health care), and medication nonadherence (including skipping medication, taking less medication, delay filling prescription, and going without needed prescription). Conclusion: Food insecurity is a constant predictor of adverse mental health and low medical and mental health care use rates among LGB adults in the United States. Achieving food security in LGB people requires improving their financial and nonfinancial resources to obtain food. [ABSTRACT FROM AUTHOR]

Background: Despite the relationship between Adverse childhood experiences (ACEs) and depressive symptoms, which has been well researched in general populations, little is known about homosexual and bisexual populations, especially lesbian and bisexual women in China. This study aims to investigate the prevalence of ACEs and depressive symptoms and to analyze the relationship between them among lesbian and bisexual women in China. Methods: The eligible participants were aged 16 years or older who report their sexual orientation as homosexual or bisexual. The data was collected through anonymous questionnaires with the help of Lespark in Beijing from July 18 to December 29, 2018, and all participants had informed consent to this study. Univariate analysis and multiple linear regression analyses were performed to explore the relationship between ACEs and depressive symptoms among lesbian and bisexual women. All statistical analyses were conducted by the software of SPSS 22.0. Results: Among 301 lesbian and bisexual women, 81.4% were lesbian, 18.4% were bisexual women, and the majority were 21–30 years. As for ACEs, 51.5% reported at least one ACE, in which emotional neglect (22.6%) and emotional abuse (22.3%) were common ACEs. As for depressive symptoms of lesbian and bisexual women, the detection rate was 56.1%. The multiple linear regression analyses showed that abuse (β = 2.95, 95%CI:1.07–4.83) and neglect (β = 3.21, 95%CI:1.09–5.31) were positively associated with depressive symptoms and lesbian and bisexual women with three (β = 4.11, 95%CI: 0.99–7.22) or more (β = 6.02, 95%CI: 3.23–8.78) ACEs suffered from more depressive symptoms than others. Conclusion: Adverse childhood experiences (ACEs) and depressive symptoms were at high prevalence among lesbian and bisexual women in China. ACEs were associated with depressive symptoms, especially childhood abuse and neglect experiences that have a significant effect on lesbian and bisexual women mental health. [ABSTRACT FROM AUTHOR]

Disclosure of suicidal thoughts and behaviors represents an opportunity to intervene before suicide mortality, representing a cornerstone for suicide prevention. Sexual minority (e.g., lesbian/gay, bisexual) people experience sharply elevated suicide risk, yet there is scant research on patterns of disclosure of suicidal thoughts and behaviors before suicide that might uncover missed opportunities for suicide prevention. Thus, authors leveraged postmortem suicide data to evaluate associations among sexual orientation, sex, and disclosure of suicidal thoughts and behaviors in the month preceding death. Data on suicides from the 2013–2019 National Violent Death Reporting System (N=155,516) were classified for sexual orientation and denoted disclosure of suicidal thoughts and behaviors and to whom suicidal thoughts and behaviors were disclosed in the month preceding death. Logistic regression models stratified by sex and adjusted for sociodemographic covariates assessed the associations between sexual orientation and suicidal thoughts and behaviors disclosure. Analyses were conducted from October 2022 to February 2023. Among females, sexual minority decedents were 65% more likely to disclose suicidal thoughts and behaviors than heterosexual decedents (95% CI=37%, 99%, p <0.001). No difference in suicidal thoughts and behaviors disclosure was observed between sexual minority and heterosexual men. Of decedents who disclosed suicidal thoughts and behaviors, one in five sexual minority decedents disclosed to a friend/colleague, whereas fewer than 5% disclosed to a healthcare professional. Among sexual minority females, younger age, intimate partner problems, and physical health problems were positively associated with disclosing suicidal thoughts and behaviors. These findings suggest that reducing suicide mortality in sexual minority populations will require considering contexts beyond the healthcare system, including engaging peer networks. Gatekeeper training for suicide prevention may be an especially promising approach for reducing suicide among sexual minority women. [ABSTRACT FROM AUTHOR]

The 2022–2023 mpox outbreak has disproportionately impacted gay, bisexual, and other men who have sex with men (GBMSM). The US CDC recommended individuals to explore safer sexual practices that minimize the potential risk of exposure and also strongly encouraged for eligible individuals to prioritize vaccination. This study aimed to analyze social media data related to mpox on Reddit since the mpox outbreak and identify themes associated with the impact on social behaviors and social processes among targeted population. Publicly available data were collected from the social media Reddit. We extracted the summarized mpox-related posts since the beginning of May 2022 from popular subreddits that were popular among GBMSM. We thematically analyzed the content to identify the overall themes related to the GBMSM's responses to the outbreak. There is an overall increase in the number of daily mpox-related posts, with three upticks in late May, late July, and early August 2022, which may correspond to the dates that the first mpox case was identified in the USA, the WHO declared a global public health emergency, and the US Department of Health and Human Services declared a public health emergency. Four themes were identified: (1) changes in sexual behaviors and social activities; (2) mpox vaccine attitude, uptake, and hesitancy; (3) perceived and experienced stigma and homophobia, and mental distress; and (4) online information-seeking and mutual aid and support. GBMSM changed their sexual behaviors and social activities to mitigate their exposure to the virus during this outbreak and actively sought and shared information about mpox vaccination in their respective settings, while some were hesitant due to concerns about side effects and potential effectiveness. Perceived and experienced stigma and discrimination on gay- and same sex-identify have impacted GBMSM's mental health. Interventions to promote the mpox vaccine must address the historical medical mistrust and vaccine hesitancy among GBMSM. [ABSTRACT FROM AUTHOR]

The ambiguity of traditional sexual roles would have burst into the art of the beginning of the twentieth century, passing it down to our days through changed and confusing roles that are interpreted numerous times by creative men capable of interpreting their female counterpart through the symbols of the unconscious. This new approach to the male sexual role would constitute an important part of its nature, while at the social level it would constitute a transformative force where the feminine begins to have renewed power, putting an entrenched patriarchy in crisis. In this article, we will see how in the art of male artists the union of opposites would condense into unity presenting itself as a bisexual and totalizing being that reveals to us a new man, capable of manifesting his feminine side as a critical alternative that breaks with conventions social, linking with our evolutionary past, but also with our future. [ABSTRACT FROM AUTHOR]

U.S. HIV diagnoses disproportionately affect Non-Hispanic Black (NHB) and Hispanic gay and bisexual men. Using data from the National Health Interview Survey (2013-2018), we examined race and ethnicity and primary care access, an HIV prevention resource, among gay and bisexual men. The explanatory variable was NHB, Hispanic or Non-Hispanic White (NHW). Outcomes were primary care-specific usual place of care (potential access) and saw general doctor <12 months (realized access). We used multivariable logistic regression, adjusting for individual sociodemographic characteristics, health status, and care barriers. In sensitivity analysis, we examined general access (any place/doctor) and subgroups (1) NHB (2) has usual place of care. The sample included 1,858 adult, gay and bisexual men (unweighted). Nearly one-third self-identified as NHB or Hispanic. Compared to NHW men, NHB and Hispanic men were younger, with lower household income, and more care barriers (p < 0.05). NHB and Hispanic men had lower realized access (aOR 0.7058, p = 0.030) than NHW men. Potential access was lower for NHB only (versus NHW) and, among those with any usual place of care, NHB and Hispanic men versus NHW men. Lower primary care access for NHB or Hispanic, rather than NHW, gay and bisexual men, may reduce HIV prevention access. [ABSTRACT FROM AUTHOR]

Sexual minorities of color often speak about racism in White lesbian and gay communities while White sexual minorities often consider themselves liberals, especially for issues of racial justice. This study explored this contradiction by analyzing the role of sexual identities in predicting antiracist thoughts and actions of self-identified White people. Data from the 2010–2012 American National Election Survey provided information on the racial consciousness and social movement participation of White people (N = 2,552). In the end, sexuality differences in racial attitudes was somewhat or partially confirmed as White lesbian, gay, and bisexual individuals endorsed fewer racial stereotypes and saw more racism than did White heterosexuals. However, these liberal sentiments of White lesbians, gays, and bisexuals were connected more to thoughts more than to political actions. Implications for methodological choices for studying race and sexuality were included, along with ideas for better understanding activism across racial lines. [ABSTRACT FROM AUTHOR]

Research has revealed that homosexual and bisexual people are at higher risk of mental health problems than heterosexual people. However, most studies have focused on differences in disorders and have not examined the intersection of gender and sexual orientation. The main aim of this study is to investigate the relevance of sexual orientation in women's and men's mental symptoms, life satisfaction, and self-esteem. A cross-sectional study was conducted with 309 women and men who were homosexual or bisexual and 309 women and men who were heterosexual, aged between 17 and 54. All participants were assessed by four self-reports measuring mental symptoms, life satisfaction, self-esteem, masculine/instrumental and feminine/expressive traits, and traditional gender role attitudes. Results showed an interaction between sexual orientation and gender, with lesbian or bisexual women scoring higher in severe depression symptoms and lower in life satisfaction than heterosexual women. Homosexual and bisexual people scored higher than heterosexuals in somatic symptoms, social dysfunction, and in self-esteem. Women scored higher than men in somatic, anxiety, and insomnia symptoms and in feminine/expressive traits, whereas men scored higher than women in traditional gender role attitudes. We conclude that sexual orientation and gender are relevant to the mental health and well-being of people. [ABSTRACT FROM AUTHOR]

Adverse childhood experiences portend vulnerability to numerous physical and mental health concerns across the lifespan. Separate bodies of work suggest that both lesbian, gay, bisexual, and queer individuals and military veterans are more likely to report adverse childhood experiences than their non−lesbian, gay, bisexual, and queer and non-veteran counterparts, respectively. Although lesbian, gay, bisexual, and queer veterans experience health disparities compared with non−lesbian, gay, bisexual, and queer veterans, the prevalence of adverse childhood experiences among individuals with both lesbian, gay, bisexual, and queer and veteran identities is yet unknown. Participants were U.S. military veterans (N=14,461) from 18 states that included Sexual Orientation and Gender Identity and adverse childhood experiences modules in the 2019 and 2020 Behavioral Risk Factor Surveillance System survey. Multivariable logistic regression was used to determine the odds of adverse childhood experiences reported by lesbian, gay, bisexual, and queer veterans compared with those reported by non−lesbian, gay, bisexual, and queer veterans. Analyses were conducted in 2023. While accounting for sociodemographic factors, lesbian, gay, bisexual, and queer veterans were more likely to report living with someone who experienced mental illness (AOR=2.17, 95% CI=1.35, 3.51), emotional abuse (AOR=1.58, 95% CI=1.11, 2.25), and sexual abuse (AOR=2.21, 95% CI=1.29, 3.76) than non−lesbian, gay, bisexual, and queer veterans. With past work indicating that childhood abuse experiences are especially predictive of adverse health in adulthood, these findings suggest that a higher prevalence of adverse childhood experiences among lesbian, gay, bisexual, and queer veterans may contribute to health disparities among this population. [ABSTRACT FROM AUTHOR]

By far, however, the person who has most affected my growth and development has been Otto Kernberg, who, not only was my training analyst, but who through many courses and case conferences helped me to become a psychoanalyst. With the encouragement of friends, I showed up at Dr. Kernberg's office and asked him in person if he would consider becoming my training analyst. Ubaldo Leli, MD, was born in Italy and attended the I Liceo Classico i in Gubbio, graduating in 1973. At the time, both training analysts and supervisors on the control cases were assigned by the Progression Committee, but exceptions could be made if one was already in analysis with a training analyst from the institute one was applying to. [Extracted from the article]

Structural stigma's role in lesbian, gay, and bisexual (LGB) people's attainment of identity development milestones remains unknown. In a sample of 111,498 LGB people (ages 15 to 65+) living across 28 European countries, associations were investigated between structural stigma measured using an objective index of discriminatory country-level laws and policies affecting LGB people and the timing and pacing of LGB self-awareness, coming out, and closet duration, and subgroup differences in these associations. On average, self-awareness occurred at age 14.8 years old (SD = 5.1), coming out occurred at 18.5 years old (SD = 5.7), and the closet was 3.9 years long (SD = 4.9); thereby highlighting adolescence as a key period for sexual identity development and disclosure. Greater structural stigma was associated with higher odds of never coming out, later age of coming out, and longer closet duration. Gender identity, transgender identity, and sexual identity moderated associations between structural stigma and these developmental milestones. Reducing structural stigma can plausibly promote sexual identity development among LGB populations, especially during adolescence when identity related milestones are often attained. [ABSTRACT FROM AUTHOR]

Bisexual-identifying individuals appear to be at increased risk of experiencing intimate partner violence (IPV) compared to people of other sexualities. The purpose of this systematic scoping review was to examine risk and protective factors for the perpetration of IPV against bisexual victims and to provide a preliminary quality assessment of the included studies. A systematic search of academic and grey literature was conducted in February 2021. Inclusion criteria specified that study participants identified as bisexual, that the study examined risk or protective factors for IPV, and that findings were disaggregated by sexual identity. All potentially eligible references were independently screened by two reviewers, and conflicts settled by a third reviewer. Nine articles published between 2013 and 2021 met criteria for inclusion. Data extraction was completed for all included studies, and findings presented in a narrative synthesis. The review identified a number of risk factors, including bisexual identity, internalised homophobia, discrimination, partner gender, negative childhood experiences and non-monogamy. One study included consideration of a potentially protective factor. The majority of the included studies were cross-sectional in design. More longitudinal studies are needed to clarify temporality of the associations identified and better inform support and prevention efforts. Further implications for future research, policies and practise are discussed. [ABSTRACT FROM AUTHOR]

Recent scholarly work has focused on the erasure and mistreatment of bisexuality in histories of sexuality. Such erasure is not only observed in academic work but also in the lived experiences of people who identify as plurisexuals. The present paper brings together studies on bisexuality, hegemony, and sexual politics to explain the discursively produced demarcation between sexualities and forms of sexual expression, and it supports a focus on monosexuality as a theoretical construct that productively addresses issues of discrimination and marginalization that people identifying as plurisexuals endure. What is put forward and challenged through this paper is the functional potential of monosexuality to maintain a sociodicy whereby the nuclear family and its contingent material implications remain not only unchallenged and normative but also inevitable. [ABSTRACT FROM AUTHOR]

Despite constituting the largest segment of the LGBTQ + community, limited research exists on the experiences of bisexual university students, and that which does often includes them among aggregated samples of lesbian, gay, bisexual, transgender, and queer people. Using data from a critical poststructural narrative inquiry study guided by a queer theoretical framework, I sought to understand the unique experiences of bisexual students relative to their sexual identities and how they negotiate their bisexuality on the college campus. Sixteen participants engaged in semi-structured interviews and a drawing activity. Thematic and dialogic/performance analyses resulted in one contextual pattern: pervasive binegativity. Thematic analysis further revealed four patterns characterizing identity negotiation strategies, enacted within this broader context: (a) settling for simplicity, (b) downplaying bisexuality, (c) subtly signaling sexuality, and (d) outness as advocacy. Implications for research, theory, and practice are offered. [ABSTRACT FROM AUTHOR]

Bisexual orientation in the context of long-term relationships comes with a unique set of challenges, especially when that relationship is mixed gender. The cultural belief that bisexual orientation is unstable or temporary paired with the presentation of a partnership that grants heterosexual privilege can be a complex place to exist for bisexual individuals. This experience was examined in semi-structured interviews of 55 bisexual people in a mixed-gender relationship. Participants were an average of 29 years of age and ranged in age from 21 to 48. Reflexive thematic analysis resulted in the identification of three major themes and two subthemes. The major themes were: (1) cultural assumptions of bisexual orientation, (2) bi-negativity/biphobia, and (3) bi-invisibility. These findings highlight the complexity of existing day-to-day as a bisexual person in a mixed-gender relationship. The implications of these findings for individuals, clinicians, and communities and directions for future research are discussed. [ABSTRACT FROM AUTHOR]

This systematic review aims to provide an up-to-date evaluation of the available literature on anodyspareunia and treatment interventions. It aims to identify research gaps and to evaluate treatment methods in psychosexual healthcare services. Electronic searches including PubMed, PsycINFO, Web of Science, and registered clinical trials yielded 8 studies. Research centered on men who have sex with men (MSM) and cisgender women with a 3:1 ratio. In terms of causes of anodyspareunia, correlates among both MSM and cisgender women included generalized anxiety, performance anxiety, compromised well-being, lack of stimulation, lack of lubrication, and lack of sexual arousal. While research has focused on anodyspareunia among cisgender gay men, limited research has targeted other genders or sexualities including heterosexual men and lesbian and bisexual women. No research was found on intersex, transgender, and gender nonconforming people. Similarly, there were no articles that discussed or evaluated treatment strategies. The findings of this review demonstrate the paucity of research on both the condition of anodyspareunia and its treatment across genders and sexually diverse groups. Both quantitative and qualitative research would not only develop our understanding of anodyspareunia but also contribute to public health through the development of suitable treatment interventions. [ABSTRACT FROM AUTHOR]

In the following article the binary understanding of gender identity will be opposed to polymorph imprint and concept of divers gender identities. How this development in the society can be understood and how it is been reflected in the psychoanalytic theory so far will be traced in the selected psychoanalytic theories of Monika Gsell and Markus Zürcher (2011) resp. Monika Gsell and Ralf Binswanger (2012) und their re-reading of Sigmund Freud, Ilka Quindeau (2017) and Letitia Glocer Fiorini (2018). [ABSTRACT FROM AUTHOR]

Background: Sexual orientation refers to a person's enduring emotional, romantic, or sexual attractions to other people. Sexual orientation measures do not typically consider desires for, or sexual behavior with, transgender people. We describe measures inclusive of transgender people and characterize sexual orientation identity, behavior, and attraction in a representative sample of the U.S. transgender population. Methods: Between April 2016-December 2018, a U.S. national probability sample of transgender (n = 274) and cisgender (n = 1,162) adults were invited to complete a self-administered web or mailed paper survey. We assessed sexual identity with updated response options inclusive of recent identity terms (e.g., queer), and revised sexual behavior and attraction measures that included transgender people. Multiple response options were allowed for sexual behavior and attraction. Weighted descriptive statistics and sexual orientation differences by gender identity groups were estimated using age-adjusted comparisons. Results: Compared to the cisgender population, the transgender population was more likely to identify as a sexual minority and have heterogeneity in sexual orientation, behavior, and attraction. In the transgender population, the most frequently endorsed sexual orientation identities were "bisexual" (18.9%), "queer" (18.1%), and "straight" (17.6%). Sexually active transgender respondents reported diverse partners in the prior 5 years: 52.6% cisgender women (CW), 42.7% cisgender men (CM), 16.9% transgender women (TW), and 19.5% transgender men (TM); 27.7% did not have sex in the past 5 years. Overall, 73.6% were "somewhat"/ "very" attracted to CW, 58.3% CM, 56.8% TW, 52.4% TM, 59.9% genderqueer/nonbinary-females-at-birth, 51.9% genderqueer/nonbinary-males-at-birth. Sexual orientation identity, behavior, and attraction significantly differed by gender identity for TW, TM, and nonbinary participants (all p < 0.05). Conclusions: Inclusive measures of sexual orientation captured diverse sexual identities, partner genders, and desires. Future research is needed to cognitively test and validate these measures, especially with cisgender respondents, and to assess the relation of sexual orientation and health for transgender people. [ABSTRACT FROM AUTHOR]

Traditional measures of sexual orientation (e.g., the Kinsey Scale, the Klein Sexual Orientation Grid, single-item sexual identity questions) focus on a person's behaviour, identity, and attraction yet are described by plurisexual, asexual, and gender-diverse individuals as inadequate in capturing the complexity of how they experience and understand their sexuality. This study explores how plurisexual and asexual individuals make sense of their sexual orientation. Across several studies, participants (n = 2,306) completed demographic questionnaires related to their gender and sexual identity while also responding to the Kinsey Scale. Additionally, participants wrote open-ended responses explaining why they had selected a particular sexual identity or Kinsey score earlier in the survey. The authors used an abductive reflective thematic analysis to review these open-ended responses, focusing on whether responses aligned with a dominant model of sexual orientation (i.e., behaviour-identity-attraction). While many participants described their choice of sexual identity label and Kinsey score using at least one aspect of the behaviour-identity-attraction trichotomy, not all responses fit within this model. For example, participants emphasized their attraction to individual characteristics other than gender/sex, distinguished between romantic and sexual attraction, and discussed plurisexuality and experiences of sexual fluidity. Traditional measures of sexual orientation may not be adequate when working with sexually diverse samples. Researchers should consider how best to conceptualize sexual orientation and other related constructs, including emotional/romantic attraction, sexual fluidity, and the role of gender expression in processes of attraction and identity construction. [ABSTRACT FROM AUTHOR]

On the basis of a previous reading (Olver, 2023) of Freud's work that reveals a bisexuality thesis, the author discusses several interrelated consequences of this thesis, including the nature of desire and primal unity, a restatement of shame, the semiotic model, and the emergence of society and the economy with reference to the ego and the superego. These consequences together encapsulate and describe the dialectic of the subject. The author shows how dialectic movement is arrested by various acts of nomination, most notably the nomination of heterosexuality in the forms of sexual reproduction and financial profit that become social and economic master values in modernity. Only by keeping the dialectic open can the subject do justice to its inherent and revolutionary bisexual nature, not in the sense of transgression but rather in pursuit of the nonnomination that is the permanent becoming of a dialectic self. [ABSTRACT FROM AUTHOR]