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https://www.readbyqxmd.com/read/30334258/a-new-therapy-for-each-patient-evidence-based-relationships-and-responsiveness
#1
John C Norcross, Bruce E Wampold
In this study, we introduce the journal issue devoted to evidence-based responsiveness and frame it within the work of the third interdivisional APA Task Force on Evidence-Based Relationships and Responsiveness. We summarize the meta-analytic results and clinical practices on the adaptations of psychotherapy to multiple transdiagnostic characteristics of the patient, including attachment style, culture (race/ethnicity), gender identity, coping style, therapy preferences, reactance level, religion and spirituality, sexual orientation, and stages of change...
October 18, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/30325452/transgender-dependent-adolescents-in-the-u-s-military-health-care-system-demographics-treatments-sought-and-health-care-service-utilization
#2
Nela Van Donge, Natasha A Schvey, Timothy A Roberts, David A Klein
Introduction: Transgender and gender-diverse (TGD) youth are at greater risk for mental health and medical conditions than their cisgender peers; however, poor health outcomes and identity-based discrimination can be minimized in the context of optimal support. Approximately 1.7 million youth may be eligible for care covered by the Military Health System, which includes mental health and gender-affirming medications. The purpose of the current study is to identify sociodemographic characteristics, the psychosocial and behavioral risk profile, and health care utilization patterns of TGD dependent youth cared for in the U...
October 16, 2018: Military Medicine
https://www.readbyqxmd.com/read/30322770/sexual-orientation-of-46-xx-patients-with-congenital-adrenal-hyperplasia-a-descriptive-review
#3
REVIEW
R Gondim, F Teles, U Barroso
BACKGROUND: Congenital adrenal hyperplasia (CAH) consists of a group of diseases characterized by an enzyme deficiency, particularly 21-hydroxylase deficiency. The condition may present in the simple virilizing form or in the salt-wasting form, with varying degrees of genital ambiguity. The non-heterosexual orientation is used in gender studies fields and includes bisexual, homosexual, Lesbians, gays, bissexuals, transgender, intersex, and others. OBJECTIVE: The objective of this study was to evaluate the frequency of non-heterosexual orientation in patients with CAH, in an attempt to identify biological factors possibly associated with this occurrence...
September 19, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30311867/pleasure-risk-perception-and-consent-among-group-sex-party-attendees-in-a-small-canadian-urban-centre
#4
Karyn Fulcher, Leah Shumka, Eric Roth, Nathan Lachowsky
From a health perspective, group sex parties represent risk environments, as multiple sexual partners and polysubstance use associated with these parties may present risk practices for sexually transmitted infection (STI) transmission. At the same time, group sex parties exemplify sex as recreation, expressed in contemporary sociological theory as sex as leisure or play. In this paper, we report on the findings of an exploratory qualitative study conducted with group sex party attendees and hosts/organisers in a mid-sized Canadian city...
October 12, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/30307840/sexistential-crisis-an-intersectional-analysis-of-gender-expression-and-sexual-orientation-in-masculine-overcompensation
#5
Brodie J Lewis, Cassandra L Hesse, Briana C Cook, Cory L Pedersen
Masculine overcompensation-a phenomenon where men react to masculinity threats by endorsing hypermasculine ideals-has been demonstrated among straight men but has yet to be examined among gay men. The current study therefore proposed to examine whether gay men overcompensate similarly to their straight counterparts by providing participants with randomized feedback that threatened their masculinity. Overcompensation was measured in 867 online respondents by administering a series of questionnaires regarding views of pornography, rape, sex roles, and political orientation...
October 11, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/30283859/healthcare-experiences-of-underrepresented-lesbian-and-bisexual-women-a-focus-group-qualitative-study
#6
Sue LaVaccare, Allison L Diamant, Julie Friedman, Karen T Singh, Jessica A Baker, Tayler A Rodriguez, Susan R Cohen, Farina Y Dary, Janet Pregler
Purpose: To understand the complex healthcare experiences of women identifying as lesbian or bisexual. who are also women of color, veterans, and/or 65 years of age and older. Methods: Inclusion criteria were age 25 or older, Los Angeles County resident, self-identification as a lesbian or bisexual woman, and as an African American, Latina, Asian-Pacific Islander, and/or a veteran. For the age 65 years and older group, participants were eligible regardless of their veteran status or race/ethnicity. Five focus groups were conducted ( n =35) and the same questions were asked addressing their comfort interacting with healthcare providers, the provider knowing their sexual orientation, characteristics of a perfect provider, and barriers to care...
2018: Health Equity
https://www.readbyqxmd.com/read/30280296/lgbt-individuals-perceptions-of-healthcare-services-in-turkey-a-cross-sectional-qualitative-study
#7
Şükrü Keleş, Mustafa Volkan Kavas, Neyyire Yasemin Yalım
When accessing healthcare services, LGBT+ individuals are often exposed to segregating and marginalizing discourses. Knowledge about how such experiences are reflected in the moral world of LGBT+ individuals living in Turkey is limited. This study examined LGBT+ individuals' lived experiences when utilizing healthcare services. The findings are discussed in terms of moral discourses related to LGBT+ individuals' gender identity and sexual orientation. A qualitative field study was conducted using semi-structured interviews with fifty-five LGBT+ individuals from Turkish cities who were in contact with various non-governmental organizations that conduct studies on gender identity and sexual orientation...
October 2, 2018: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/30273890/developmental-trajectories-of-externalizing-behavior-from-ages-4-to-12-prenatal-cocaine-exposure-and-adolescent-correlates
#8
Meeyoung O Min, Sonia Minnes, Hyunyong Park, Ty Ridenour, June-Yung Kim, Miyoung Yoon, Lynn T Singer
BACKGROUND: Although prenatal cocaine exposure (PCE) has been linked with greater externalizing behavior, no studies have investigated heterogeneity of developmental trajectories in children with PCE to date. The present study aimed to: (1) identify developmental trajectories of externalizing problems in childhood by using a person-oriented analytic approach; (2) examine whether trajectories differ by PCE and other environmental and biological correlates; and (3) investigate how trajectories were associated with adolescent substance use and sexual behavior...
September 21, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/30270405/understanding-the-emotion-of-shame-in-transgender-individuals-some-insight-from-kafka
#9
Simona Giordano
Both clinical literature and biographical accounts suggest that many transgender individuals experience shame or have experienced shame at some point in their life for reasons related to their gender identity. In clinical psychology, at least until the 1960s, shame has not received much attention; focus was on guilt and shame was regarded mainly as a 'by-product' of guilt. From the 1960s shame has been identified as an emotion not necessarily related to guilt and with unique features, and has been studied in connection with a number of situations, such as domestic abuse, trauma, illness, and sexual orientation...
October 1, 2018: Life Sciences, Society and Policy
https://www.readbyqxmd.com/read/30264672/institutional-betrayal-who-is-most-vulnerable
#10
Caitlin M Pinciotti, Holly K Orcutt
Institutional betrayal occurs when, following sexual victimization, institutions create hostile environments which normalize sexual violence, make it difficult for survivors to report the experience, mishandle the complaint, attempt to cover up the experience, or retaliate against survivors. These responses are not uncommon and have been linked to adverseoutcomes such as dissociation, anxiety, sexual dysfunction, poorer physical health, and depression, yet little is known about which survivors are most at risk for experiencing institutional betrayal...
September 28, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/30249254/towards-a-more-integrated-and-gender-sensitive-care-delivery-for-victims-of-sexual-assault-key-findings-and-recommendations-from-the-belgian-sexual-assault-care-centre-feasibility-study
#11
Bavo Hendriks, Anke Marie-Josée Aimé Vandenberghe, Laura Peeters, Kristien Roelens, Ines Keygnaert
BACKGROUND: Sexual assault remains a major threat to public health, affecting every gender, gender identity and sexual orientation. Following the Belgian ratification of the Istanbul Convention in 2016, the feasibility of a Belgian sexual assault centre model was investigated, aiming to provide more integrated and patient-centred health and judiciary services to victims of sexual assault. By actively involving health professionals, police and judiciary system representatives, as well as victims themselves, this feasibility study eventually fed into the Belgian Sexual Assault Care Centre model...
September 24, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/30230407/physician-attitudes-toward-homosexuality-and-hiv-the-pathh-iii-survey
#12
Robert Marlin, Ankita Kadakia, Brandon Ethridge, William C Mathews
PURPOSE: The aims of this study were (1) to evaluate current physician attitudes toward homosexuality and homosexual, transgender, and HIV-positive individuals and (2) to compare current attitudes of those from prior surveys of the same population, the San Diego County medical community. METHODS: An online survey was conducted during November-December 2017 to assess general attitudes toward homosexuality and medically focused items that addressed homosexual orientation, transgender identity, and HIV...
October 2018: LGBT Health
https://www.readbyqxmd.com/read/30229516/the-relationship-among-online-sexually-explicit-material-exposure-to-desire-for-and-participation-in-rough-sex
#13
Emily A Vogels, Lucia F O'Sullivan
The broad accessibility of online sexually explicit material (SEM) exposes viewers to a wide scope of sexual behaviors. Social concern tends to be heightened over SEM that incorporates highly graphic, "rough" sex. This study assessed the associations among exposure to rough sex in SEM, desire for rough sex, and participation in rough sex while accounting for gender, sexual orientation, and perceived realism of SEM. Young adults (N = 327; ages 19-30; 50.8% men) were recruited through a crowdsourcing website...
September 18, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/30227666/associations-between-bystanders-and-perpetrators-of-online-hate-the-moderating-role-of-toxic-online-disinhibition
#14
Sebastian Wachs, Michelle F Wright
Hatred directed at members of groups due to their origin, race, gender, religion, or sexual orientation is not new, but it has taken on a new dimension in the online world. To date, very little is known about online hate among adolescents. It is also unknown how online disinhibition might influence the association between being bystanders and being perpetrators of online hate. Thus, the present study focused on examining the associations among being bystanders of online hate, being perpetrators of online hate, and the moderating role of toxic online disinhibition in the relationship between being bystanders and perpetrators of online hate...
September 17, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/30219749/investigating-inequities-in-hospital-care-among-lesbian-gay-bisexual-and-transgender-lgbt-individuals-using-social-media
#15
Yulin Hswen, Kara C Sewalk, Emily Alsentzer, Gaurav Tuli, John S Brownstein, Jared B Hawkins
RATIONALE: Persons who identify as lesbian, gay, bisexual, and transgender (LGBT) face health inequities due to unwarranted discrimination against their sexual orientation or identity. An important contributor to LGBT health disparities is the inequitable or substandard care that LGBT individuals receive from hospitals. OBJECTIVE: To investigate inequities in hospital care among LGBT patients using the popular social media platform Twitter. METHOD: This study examined a dataset of Twitter communications (tweets) collected from February 2015 to May 2017...
October 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/30217959/inclusion-of-lgbtq-persons-in-research-related-to-pregnancy-risk-a-cognitive-interview-study
#16
Natalie Ingraham, Erin Wingo, Sarah C M Roberts
INTRODUCTION: Recently, researchers have begun considering whether and how to include lesbian, gay, bisexual, transgender and queer (LGBTQ) people in research about abortion and contraception care. Including LGBTQ people in research about abortion and contraception care, as well as the risk for unintended pregnancy more broadly, requires accurate assessment of risk for unintended pregnancy, which involves different considerations for LGBTQ people. METHODS: We created a survey with existing sexual orientation and gender identity measures, new reproductive anatomy questions to guide skip patterns, gender neutral terminology in sexual and behavioural risk questions, and existing contraception and pregnancy intentions questions that were modified to be gender neutral...
September 14, 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/30215703/caregiving-status-and-health-of-heterosexual-sexual-minority-and-transgender-adults-results-from-select-u-s-regions-in-the-behavioral-risk-factor-surveillance-system-2015-and-2016
#17
Ulrike Boehmer, Melissa A Clark, Emily M Lord, Lisa Fredman
Background and Objectives: Insufficient research attention has been paid to the diversity of informal caregivers, including sexual and gender minority caregivers. This study examined health effects of caregiving separately from sexual orientation or gender identity status, while stratifying by gender among cisgender adults. We hypothesized that compared with heterosexual cisgender noncaregivers, heterosexual caregivers and lesbian/gay/bisexual (LGB), and transgender (T) noncaregivers would report poorer health outcomes (i...
September 12, 2018: Gerontologist
https://www.readbyqxmd.com/read/30193205/rehospitalization-to-a-child-and-adolescent-psychiatry-unit-role-of-trauma-and-bullying
#18
Matej Markota, Alastair J McKean, Magdalena Romanowicz, Kathryn M Schak, Paul E Croarkin, Jennifer L Vande Voort
OBJECTIVE: Psychiatric rehospitalizations results in a significant burden to patients, families, and health care systems. Understanding psychiatric rehospitalizations offers an opportunity to identify weaknesses in current systems of care. The objective of this study was to test the hypothesis that a history of trauma or ongoing bullying increases the risk of psychiatric rehospitalization. METHOD: Retrospective cohort study of 366 individual patients (71% female) admitted to a pediatric psychiatry unit between 1/1/2015 and 12/31/2015...
August 30, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/30172991/a-critical-review-of-human-milk-sharing-using-an-intersectional-feminist-framework-implications-for-practice
#19
REVIEW
Martha Jane Paynter, Lisa Goldberg
OBJECTIVE: Driven by a growing body of research demonstrating the health benefits of human milk over substitute feeding preparations, the demand for human milk donations in North America is rapidly increasing. In the context of an increasingly institutionalized and commercialized human milk market, informal peer-to-peer milk sharing networks are commonplace. Race, class, gender and sexual orientation are intersecting aspects of identity and power that influence participation in breastfeeding and the domain of milk exchange...
August 22, 2018: Midwifery
https://www.readbyqxmd.com/read/30168102/genetic-counselors-and-genetic-counseling-students-implicit-and-explicit-attitudes-toward-homosexuality
#20
Megan L Nathan, Kelly E Ormond, Christopher M Dial, Amber Gamma, Mitchell R Lunn
Members of the lesbian, gay, and bisexual (LGB) community experience significant health disparities. Widespread preferences for heterosexual over homosexual people among healthcare providers are believed to contribute to this inequity, making recognition (and ultimately reduction) of healthcare providers' sexual prejudices of import. The present study sought to characterize North American genetic counselors' and genetic counseling students' implicit and explicit attitudes toward homosexuality. During January 2017, 575 participants completed a Web-based survey and Sexuality Implicit Association Test (SIAT)...
August 30, 2018: Journal of Genetic Counseling
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