"I keep that hush-hush": Male survivors of sexual abuse and the challenges of disclosure.

Disclosure is a prominent variable in child sexual abuse research, but little research has examined male disclosure experiences. Sixteen male survivors of childhood sexual abuse were interviewed regarding experiences of disclosure. Analytic techniques included a grounded theory approach to coding and the use of conceptually clustered matrices. Participants described distinct personal (e.g., lack of cognitive awareness, intentional avoidance, emotional readiness, and shame), relational (e.g., fears about negative repercussions, isolation), and sociocultural (e.g., lack of acceptance for men to experience or acknowledge victimization) reasons for their struggles with disclosure. These results highlight that barriers to disclosure exist in multiple domains of experience and are encountered across the lifespan. Implications for future research and clinical interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists’ sexual education and training in graduate school.

The current study explored the sex education and training that clinical and counselling psychologists receive during graduate school, practicum placements and internship. There were 162 psychologists who completed an Internet survey. Although nearly all participants had received some form of education related to sexuality during their graduate training, the depth and breadth of training was limited and was not related to how long clinicians had been practising. Modelling and feedback appeared to be underutilized as training methods. Participants reported more training related to sexual problems (e.g., sexual violence, sexual disorders) than healthy sexuality (e.g., contraception, STIs/STDs). Sexuality-specific training experiences but not participant characteristics (e.g., gender, religiosity) or cognitive-affective factors predicted the amount of sex therapy experience gained during graduate school. This suggests that training programs may be largely responsible for the (limited) amount of sex education and training received by students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Characteristics of Persistent Sexual Offenders: A Meta-Analysis of Recidivism Studies.

A meta-analysis of 82 recidivism studies (1,620 findings from 29,450 sexual offenders) identified deviant sexual preferences and antisocial orientation as the major predictors of sexual recidivism for both adult and adolescent sexual offenders. Antisocial orientation was the major predictor of violent recidivism and general (any) recidivism. The review also identified some dynamic risk factors that have the potential of being useful treatment targets (e.g., sexual preoccupations, general self-regulation problems). Many of the variables commonly addressed in sex offender treatment programs (e.g., psychological distress, denial of sex crime, victim empathy, stated motivation for treatment) had little or no relationship with sexual or violent recidivism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

How can parents make a difference? Longitudinal associations with adolescent sexual behavior.

Parents have the potential to protect against adolescent sexual risk, including early sexual behavior, inconsistent condom use, and outcomes such as pregnancy and sexually transmitted infections (STIs). Identification of the specific parenting dimensions associated with sexual risk in adolescence and young adulthood is necessary to inform and focus prevention efforts. The current study examined the relation of proximal (e.g., discussions of sexual costs) and distal (e.g., parental involvement, relationship quality) parenting variables with concurrent and longitudinal adolescent sexual behavior. The National Longitudinal Study of Adolescent Health (Add Health) provided a nationally representative sample with information about the family using adolescent and parent informants. Longitudinal information about sexual risk included adolescent condom use and adolescent sexual initiation, as well as young adult unintended pregnancy, reports of STIs, and biological assay results for three STIs. Higher parent–adolescent relationship quality was associated with lower levels of adolescent unprotected intercourse and intercourse initiation. Better relationship quality was also associated with lower levels of young adult STIs, even when accounting for prior sexual activity. Unexpectedly, more parent reports of communication regarding the risks associated with sexual activity were negatively associated with condom use and greater likelihood of sexual initiation. These results demonstrate that parents play an important role, both positive and negative, in sexual behavior, which extends to young adulthood, and underscores the value of family interventions in sexual risk prevention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The sexual harassment of uppity women.

In 3 studies, the author tested 2 competing views of sexual harassment: (a) It is motivated primarily by sexual desire and, therefore, is directed at women who meet feminine ideals, and (b) it is motivated primarily by a desire to punish gender-role deviants and, therefore, is directed at women who violate feminine ideals. Study 1 included male and female college students (N = 175) and showed that women with relatively masculine personalities (e.g., assertive, dominant, and independent) experienced the most sexual harassment. Study 2 (N = 134) showed that this effect was not because women with relatively masculine personalities were more likely than others to negatively evaluate potentially harassing scenarios. Study 3 included male and female employees at 5 organizations (N = 238) and showed that women in male-dominated organizations were harassed more than women in female-dominated organizations, and that women in male-dominated organizations who had relatively masculine personalities were sexually harassed the most. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recension des écrits sur l'impact des contacts sexuels précoces sur les hommes.

A review of the literature on the impact of sexual contacts between adults and boys reveals the existence of two principal outcomes: 1) some participants develop various disorders once in adulthood, such as behavioural problems, sexual disorders, or personality problems; 2) some participants do not present with any major disorders in the long run. These different outcomes may be associated with several moderating variables related to the sexual contacts, such as the level of coercion at the time of these contacts, the bond between the child and the adult, or the context of the sexual relation. However, the conclusions relating to the relations between early sexual contacts with adults and subsequent problems of adaptation in adulthood are difficult to determine. This is because of various methodological problems associated with relevant studies (i.e., definition of these contacts, nature of the sample, method evaluation, statistical analyses). In this article, we propose certain avenues of research that may help clarify this problem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Men's media use, sexual cognitions, and sexual risk behavior: Testing a mediational model.

Efforts to link media use to adolescents' sexual initiation have produced somewhat inconsistent results, perhaps as a result of the limited framing of the question. This study sought to expand current approaches by sampling college students instead of high school students, by investigating a range of sexual behaviors and media formats, and by testing a model that featured sexual cognitions as mediators. We tested our model with a sample of 796 heterosexual, male college students who reported on their regular consumption of 4 media (prime-time TV programs, music videos, movies, and men's magazines); their attitudes toward abstinence, the male sexual role, and nonrelational sex; their perceptions of peer sexual behavior; and several aspects of their sexual behavior (e.g., number of sexual partners). Findings revealed strong support for our mediated model, with exposure to men's magazines and movies contributing most strongly to their sexual cognitions, and with men's cognitions, in turn, contributing heavily to their sexual behavior. Some direct connections from media use to sexual behavior also emerged. Together, the findings provide insight into both potential mechanisms for and new approaches to addressing this issue. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Sexual Harassment and Social Justice: Reflections on the Distance Yet to Go.

Despite progress, protections remain inadequate for victims who bring legal claims of sexual harassment. The process for damages determination frequently increases harm and undercuts the policy initiatives enshrined in Title VII. The author critiques this process, focusing on misuse of psychological examinations and failure of the federal "rape shield" law to adequately protect plaintiffs. The author suggests possible reforms, including removing caps on Title VII damages, minimum awards (i.e., liquidated damages) upon proof of liability, and strategies for educating juries on the harms of harassment that do not exacerbate them, and concludes with a call for professional guidelines for conducting forensic evaluations in sexual harassment cases, thus advancing the policy goal of combating discrimination by encouraging victims to come forward. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sex on the Internet: Furthering Our Understanding of Men With Online Sexual Problems.

A survey on the MSNBC Web site identified 384 men as having online sexual problems (OSP). Respondents' reasons for online sexual activity (OSA) and their preferred Internet medium were associated with several online and offline consequences and behaviors, including important aspects of real-time relationships and sexual experimentation. Two broad behavior patterns manifested by men with OSP were identified: Men who use the Internet (a) to further their real-time sex lives and (b) as a substitute for their real-time sex lives. Men who facilitate their offline sex lives with the Internet might do so for any number of reasons, many of which are adaptive (e.g., sex education, to purchase sexual materials). Future research should use samples from a variety of affinity Web portals to further examine the factors that differentiate individuals who show no negative effects of OSA from those who do. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The influence of general identity disturbance on reports of lifetime substance use disorders and related outcomes among sexual minority adults with a history of substance use.

Previous research has shown that sexual minority (i.e., nonheterosexual) individuals report increased problematic substance use involvement, compared with their sexual majority counterparts. We hypothesize that feelings of an unstable sense of self (i.e., identity disturbance) may potentially drive problematic substance use. The purpose of the current study is to examine identity disturbance among sexual minorities as a potential explanatory mechanism of increased sexual minority lifetime rates of substance dependence. Measures of identity disturbance and three indicators of sexual orientation from lifetime female (n = 16,629) and male (n = 13,553) alcohol/illicit drug users in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were examined. Findings generally showed that the increased prevalence of alcohol dependence, illicit drug dependence, and combined alcohol/illicit drug dependence as well as a younger age of alcohol use initiation among sexual minority women was associated with elevated levels of identity disturbance. The results were consistent with a mediational role for identity disturbance in explaining the association between sexual minority status and substance dependence and were generally replicated among male sexual minority respondents. The current research suggests that identity disturbance, a predictor of substance use, may contribute to heightened risk for substance dependence among certain subgroups of sexual minority individuals. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Social context and perceived effects of drugs on sexual behavior among individuals who use both heroin and cocaine.

Researchers have identified the association between the use of cocaine and sexual behavior as an important risk factor for HIV infection and have attempted to elucidate the nature of this association. Several lines of research have suggested that facilitation of sexual behavior during intoxication with cocaine may be because of the direct pharmacological effects of the drug (e.g., increase in sexual desire), whereas others have pointed to the importance of factors related to the context of drug use (e.g., opportunities for sexual behavior, expectations about the effects of the drug, social norms). The present study explored the perceived effects of cocaine and heroin on sexual behavior, as well as the social context of drug use as a function of drug type (cocaine vs. heroin), among 46 inner-city drug users who reported a history of regular use of both crack cocaine and heroin. Results indicated that compared to heroin, cocaine had deleterious effects on participants' perceived sexual desire and performance. Despite such deleterious effects on sexual behavior, cocaine was more frequently used with an intimate partner than heroin. Furthermore, participants did not differ in the extent to which they used the two drugs in other social contexts (e.g., with friends, family, or neighbors). These preliminary results suggest that the relationship between cocaine and sexual behavior, especially among long-term cocaine users, may be facilitated by opportunities for sex that exist in the context of cocaine use, rather than by the pharmacological effects of the drug. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The development of reproductive strategy in females: Early maternal harshness → earlier menarche → increased sexual risk taking.

To test a proposition central to J. Belsky, L. Steinberg, and P. Draper’s (1991) evolutionary theory of socialization—that pubertal maturation plays a role in linking early rearing experience with adolescent sexual risk taking (i.e., frequency of sexual behavior) and, perhaps, other risk taking (e.g., alcohol, drugs, delinquency)—the authors subjected longitudinal data on 433 White, 62 Black, and 31 Hispanic females to path analysis. Results showed (a) that greater maternal harshness at 54 months predicted earlier age of menarche; (b) that earlier age of menarche predicted greater sexual (but not other) risk taking; and (c) that maternal harshness exerted a significant indirect effect, via earlier menarche, on sexual risk taking (i.e., greater harshness → earlier menarche → greater sexual risk taking) but only a direct effect on other risk taking. Results are discussed in terms of evolutionary perspectives on human development and reproductive strategy, and future directions for research are outlined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual Risk Taking in Adolescence: The Role of Self-Regulation and Attraction to Risk.

Precursors of adolescent sexual risk taking were examined in a multiethnic sample consisting of 443 children (51% girls) of National Longitudinal Survey of Youth participants. Respondents were 12-13 years old in 1994 and 16-17 in 1998. Controlling for demographic and contextual factors, self-regulation--but not risk proneness--was significantly (modestly) associated with overall sexual risk taking 4 years later. Analyses of individual sexual behaviors indicated that self-regulation may affect choices made after becoming sexually active (e.g., number of partners) rather than the initiation of sexual activity. Measures of parent and peer influence had independent effects on sexual risk taking but did not moderate the effects of self-regulation and risk proneness. Findings add to the growing literature on implications of self-regulation for individual development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual behavior at work: Fun or folly?

Sexual behavior at work (e.g., sexual jokes and propositions) has been largely portrayed as offensive and harmful. The current research represents the first studies to test whether this is typically the case. Study 1 surveyed manufacturing and social service workers (N = 238) about their psychological well-being, work withdrawal, and exposure to sexual behavior at work. Respondents indicated how often they were exposed to different sexual behaviors and how much they enjoyed or were bothered by them. Study 2 surveyed university staff (N = 1,004) about their psychological well-being, drug use, feelings of being valued at work, and exposure to sexual behavior at work. Fifty-eight percent of employees in Study 1 were exposed to sexual behavior in the past 2 years; 40% of employees in Study 2 were exposed to sexual behavior in the past year. Some women and many men reported enjoying sexual behavior at work. Despite this, exposure to sexual behavior at work predicted negative employee work and psychological well-being, even for employees who said they enjoyed the experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Science, public policy, and legal recognition of same-sex relationships.

In their comments on my article discussing the social science data relevant to societal recognition of same-sex committed relationships (see record 2006-11202-004), Rosik and Byrd (see record 2007-14606-024) and Schiller (see record 2007-14606-025) criticized aspects of my analysis and raised questions about the role of psychology in policy debates concerning sexual orientation. In the limited space available here, I first respond to their specific criticisms and then briefly consider the broader policy question. Both comments raised questions about whether and how psychologists should address policy issues related to sexual orientation. Rosik and Byrd advocated what they called a "measured approach" that "would distinguish the social scientist from the social activist" (p. 712). In practice, however, their measured approach apparently allows for vague constructs (e.g., men's "uncivilized" sexual nature), accepts conservative social activists' assumptions (e.g., about the necessity of marital "gender complementarity"), and ignores data that contradict their predictions (e.g., Badgett, 2004). Thus, it clearly is inadequate as a source for guidance. As for Tyler's fourth criterion (see record 200714606-026), it is difficult to know if and how psychologists' efforts in this arena will be effective. Regardless of the ultimate policy outcome, however, to the extent that we successfully communicate accurate information about the current state of scientific knowledge on sexual orientation and same-sex relationships, we will have remained true to our commitment to take a leading role in removing the stigma associated with homosexuality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Number of older brothers and social orientation: New tests and the attraction/behavior distinction in two national probability samples.

The extent to which number of older brothers or "fraternal birth order" predicted the 2 main components that researchers have traditionally used to conceptualize sexual orientation--that is, psychological attraction and sexual behavior--was examined in 2 recent national probability samples. In both studies, fraternal birth order predicted same-sex attraction in men, with each additional older brother increasing the odds of homosexual attraction by an average of 38%. Results also indicated that the fraternal birth order/same-sex attraction relationship in men was independent of sexual behavior, including early same-sex behavior. No sibling characteristics predicted sexual orientation in women. Results suggest experience-based theories (e.g., early same-sex play) of the fraternal birth order effect in men are unlikely to be correct. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women's history of sexual abuse, their sexuality, and sexual self-schemas.

In this study, the authors assessed 48 female survivors of child sexual abuse (CSA) and 71 female control participants using measures of adult sexual function, psychological function (i.e., depression and anxiety), and sexual self-schemas. The primary purpose of this study was to examine whether differences existed between women with and without a history of CSA in the way that they viewed themselves as a sexual person and, if so, whether such differences mediated the link between early unwanted sexual experiences and later adult sexuality. CSA survivors were found to view themselves as less romantic and passionate than women who were not abused. In particular, CSA survivors showed an inverse relationship between romantic/passionate sexual self-schemas and negative sexual affect during sexual arousal. The relationship between CSA and negative sexual affect was independent from symptoms of depression and anxiety, suggesting that the impact of CSA on sexual self-schemas may be independent from the impact that the abuse may have in other areas of the survivor's life. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Directed forgetting of trauma cues in adults reporting repressed or recovered memories of childhood sexual abuse.

An item-cuing directed forgetting task was used to investigate whether women reporting repressed (n?=?13) or recovered (n?=?13) memories of childhood sexual abuse (CSA) exhibit an avoidant encoding style (and resultant impaired memory) for trauma cues relative to women reporting no CSA experience (n?=?15). All participants viewed intermixed trauma (e.g., molested), positive (e.g., confident), and categorized neutral (e.g., mailbox) words on a computer screen and were instructed either to remember or to forget each word. The results provided no support for the hypothesis that people reporting either repressed or recovered memories of CSA are especially adept at forgetting words related to trauma. These groups recalled words they were instructed to remember more often than words they were instructed to forget regardless of whether they were trauma related. (PsycINFO Database Record (c) 2010 APA, all rights reserved)