Sexual and Gender Diversity Among Sexual and Gender/Sex Majorities: Insights via Sexual Configurations Theory

A retrospective study of sexual minority women's gendered sexuality: Butch and femme sex at the turn of the 21st century

This study is a retrospective examination of how sexual minority women have experienced their sexuality. The analysis examined a national archival dataset that was collected online in the US and Canada to examine the relationship between gender and sexuality in 1084 sexual minority women in 2003, with a focus on butch and femme identities. It provided an understanding of how gender and sexuality interacted at the turn of the last century when the gender identity landscape differed from that of today. While this study collected data from butch and femme women approximately 20-years ago, the results have implications for how we develop situated understandings of the relationship between gender and sexuality. Findings indicated gendered patterns in sexual preferences and attraction that can shed light on how gender and sexuality have evolved in connection. At the same time, there were no differences in sexual satisfaction, which suggests that the enactment of gendered sexuality (in which attraction is structured by a gender dynamic) was experienced as empowering rather than oppressive. We examine our findings in relation to current scholarship on gendered sexuality to consider how sexuality is constructed and reconstructed across time. The findings support a view of gendered sexuality as a source of pleasure, affirmation, and positive embodiment. We theorize gendered sexuality as functioning to enhance experiences of authenticity and resist heteronormativity. The study holds implications for research on the interaction of gender and sexuality.

A Retrospective Study of Sexual Minority Women's Gendered Sexuality: Butch and Femme Sex at the Turn of the 21st Century

This study is a retrospective examination of how sexual minority women have experienced their sexuality. The analysis examined a national archival dataset that was collected online in the US and Canada to examine the relationship between gender and sexuality in 1084 sexual minority women in 2003, with a focus on butch and femme identities. It provided an understanding of how gender and sexuality interacted at the turn of the last century when the gender identity landscape differed from that of today. While this study collected data from butch and femme women approximately 20-years ago, the results have implications for how we develop situated understandings of the relationship between gender and sexuality. Findings indicated gendered patterns in sexual preferences and attraction that can shed light on how gender and sexuality have evolved in connection. At the same time, there were no differences in sexual satisfaction, which suggests that the enactment of gendered sexuality (in which attraction is structured by a gender dynamic) was experienced as empowering rather than oppressive. We examine our findings in relation to current scholarship on gendered sexuality to consider how sexuality is constructed and reconstructed across time. The findings support a view of gendered sexuality as a source of pleasure, affirmation, and positive embodiment. We theorize gendered sexuality as functioning to enhance experiences of authenticity and resist heteronormativity. The study holds implications for research on the interaction of gender and sexuality.

Reframing the role of communication in consensual and/or ethical (non)monogamies: A proposal for a change in academic terminology

In this essay, I focus on the politics and impacts of naming, especially in the social and human sciences, and more specifically on studies that focus on subordinated or discriminated groups. Through this essay, I argue that naming conventions are some of the most important - and dangerous - tools and acts that researchers have at their disposal and, thus, should be employed with the utmost care. Considering the ongoing discussions - both inside and outside of academia - around the terms "consensual non-monogamies" and "ethical non-monogamies", this essay proposes a novel solution to help create less morally-slanted, and overreaching, hypernyms, or umbrella terms. Here, I provide a rationale for using "explicitness" as a fundamental concept on which to build new classificatory hypernymic terminology. The terminology proposed is equally applicable (and applied) to both monogamies and non-monogamies, and is tripartite: Explicit, Implicit, and Covert. In addition to the terminological proposal, I include in this essay a series of intended limitations and constraints to its usage, its interoperability with other systems, objections to (and responses to) the usage of this system, and advantages of this novel classificatory system, as well as an outline of how this proposal might be improved upon.

A Narrative Review of the Dichotomy Between the Social Views of Non-Monogamy and the Experiences of Consensual Non-Monogamous People

Monogamy is deeply rooted in most Western societies, shaping how people construe and behave in romantic relationships. These normative views facilitate the emergence of negative perceptions and evaluations when people choose not to adhere to mononormativity. Even though people in consensual non-monogamous (CNM) relationships are targets of stigmatization, research shows a dichotomy between these negative views and the relational experiences of CNM people. Indeed, people in CNM and monogamous relationships have comparable relationship functioning and quality and struggle with similar relationship problems. One of the differences is that CNM relationships afford people to explore their sexuality and fulfill their needs with multiple partners, without agreed-upon extradyadic behavior being perceived as infidelity or having deleterious consequences to relationship maintenance. These positive experiences notwithstanding, CNM people are continuously pressured by mononormativity and stigmatization, increasing the risk of internalized CNM negativity and worse personal and relational outcomes. One possible way to counteract CNM stigmatization and improve the lives of CNM people is by changing discourses surrounding non-monogamy and improving acceptance, not only in professional settings but also in the general population. Another strategy is to understand how the relationship beliefs and scripts of younger generations can help promote more inclusive and diverse societies.

Common Patterns of Cisgender Use in Public Health Articles and Their Implications for Gender Inclusivity Efforts, 2013‒2020

Objectives. To identify how "cisgender" has been used in public health articles in recent years relative to the historical origins of the term to mark normative gender and describe systems of social power. Methods. I analyzed 352 US-focused public health articles (2013-2020) using a summative content analysis approach. I traced cisgender use by year and compared it by sample population (cisgender-only, mixed, not cisgender). Results. I identified 4 interlocking and mutually reinforcing patterns of cisgender use: limited and narrow use, undertheorized use, use as the default gender, and reinforcing binary categorization. These patterns largely result from the narrowing of cisgender to a demographic label. Conclusions. Cisgender is primarily used to categorize individual research participants as not transgender rather than to reflect participants' actual identity and experiences within gendered systems of power, which undermines cisgender's potential to support gender-inclusivity efforts and deepen understandings of gender-based health disparities. Public Health Implications. Two paths for creating more robust use of cisgender are (1) supporting gender inclusivity by clarifying and standardizing how and when the demographic category is used and (2) expanding the analytic potential of cisgender by returning to its historical origins as a framework for exposing and explaining patterns of power. (Am J Public Health. 2024;114(2):202-208. https://doi.org/10.2105/AJPH.2023.307441).

Required Mental Health Evaluation Before Initiating Gender-Affirming Hormones: Trans and Nonbinary Perspectives

Purpose

Gender-affirming hormones (hormones)-the use of sex hormones to induce desired secondary sex characteristics in transgender and nonbinary (TGNB) individuals-are vital health care for many TGNB people. Some hormone providers require a letter from a mental health provider before hormone initiation. We explore the perspectives of TGNB individuals regarding the impact of the letter requirement on their experience of care.

Methods

We conducted semistructured interviews with 21 TGNB individuals who have sought or are receiving hormones. We purposively sampled respondents who were (n=12) and were not (n=8) required to provide a letter. An Advisory Board of transgender individuals guided the methodology. Interviews were transcribed verbatim and coded both inductively and deductively.

Results

We identified three themes related to the letter requirement: (1) Mental health: While participants appreciated the importance of therapy, the letter requirement did not serve this purpose; (2) Trans identity: The process of obtaining a letter created doubt in participants' own transness, along with a resistance to the pathologization and conflation of mental illness with transness; and (3) Care relationships: The letter requirement negatively impacted the patient-provider relationship. Participants felt the need to self-censor or to perform a version of transness they thought the provider expected; this process decreased their trust in care professionals.

Conclusion

A letter requirement did not improve mental health and had several negative consequences. Removal of this requirement will improve access to hormones and may paradoxically improve mental health.

Mapping gender stereotypes: a network analysis approach

Introduction

Stereotypes have traditionally been considered as "mental pictures" of a particular social group. The current research aims to draw the structure of gender stereotypes and metastereotype schemes as complex systems of stereotypical features. Therefore, we analyze gender stereotypes as networks of interconnected characteristics.

Method

Through an online survey (N = 750), participants listed the common female and male features to build the structure of the gender stereotypes. Participants also listed the common features of how members of one gender think they are viewed by people of the other gender to build the structure of gender metastereotypes.

Results

Our results suggest that female stereotypes are characterized by a single community of features consistently associated such as intelligent, strong, and hardworkers. Female metastereotype, however, combines the previous community with another characterized by weak and sensitive. On the contrary, the male stereotype projected by women is characterized by a community of features associated such as intelligent, strong, and hardworker, but male in-group stereotypes and metastereotypes projected by men are a combination of this community with another one characterized by features associated such as strong, chauvinist, and aggressive.

Discussion

A network approach to studying stereotypes provided insights into the meaning of certain traits when considered in combination with different traits. (e.g., strong-intelligent vs. strong-aggressive). Thus, focusing on central nodes can be critical to understanding and changing the structure of gender stereotypes.

Gender Identification Beyond the Binary and Its Consequences for Social Well-Being

Recent societal initiatives (e.g., gender-neutral toilets, clothing, and language) highlight the ongoing shift of gender away from binary categories: "man" and "woman." We identified and investigated two reasons for this shift: that many people may not identify with strictly binary categories and that this may have negative social consequences. Employing a multiple-identification model, we measured intergroup self-categorization with both men and women (Studies 1 and 2), as well as with a "third gender" (Study 3) and investigated how multiple identifications are related to social well-being (Studies 2 and 3). In Study 1 (N = 182, mean age = 32.74, 121 women), we found that a binary model was not the best fit for our gender identification data. In Study 2 (N = 482, mean age = 30.98, 240 AFABs), we found four clusters of gender identification, replicating previous research. Furthermore, we found that gender non-conforming participants reported being less able to be their authentic selves than binary participants. We also found that participants who identified lowly with both binary genders reported lower well-being in general (belongingness, self-esteem, life satisfaction, positive affect). In Study 3 (N = 280, mean age = 36.97, 140 AFABs), we found that asking about a third gender seemed to change how much participants reported identifying with men and women. We also found that gender non-conforming participants reported lower authenticity, belongingness, and self-esteem. We conclude that moving away from binary categories of gender may be beneficial to many non-conforming people of different nationalities, including cisgender, heterosexual people.

Will clinical standards not be part of the choir? Harmonization between the HL7 gender harmony project model and the NASEM measuring sex, gender identity, and sexual orientation report in the United States

OBJECTIVES

To propose an approach for semantic and functional data harmonization related to sex and gender constructs in electronic health records (EHRs) and other clinical systems for implementors, as outlined in the National Academies of Sciences, Engineering, and Medicine (NASEM) report Measuring Sex, Gender Identity, and Sexual Orientation and the Health Level 7 (HL7) Gender Harmony Project (GHP) product brief "Gender Harmony-Modeling Sex and Gender Representation, Release 1."

MATERIALS AND METHODS

Authors from both publications contributed to a plan for data harmonization based upon fundamental principles in informatics, including privacy, openness, access, legitimate infringement, least intrusive alternatives, and accountability.

RESULTS

We propose construct entities and value sets that best align with both publications to allow the implementation of EHR data elements on gender identity, recorded sex or gender, and sex for clinical use in the United States. We include usability- and interoperability-focused reasoning for each of these decisions, as well as suggestions for cross-tabulation for populations.

DISCUSSION AND CONCLUSION

Both publications agree on core approaches to conceptualization and measurement of sex- and gender-related constructs. However, some clarifications could improve our ability to assess gender modality, alignment (or lack thereof) between gender identity and assigned gender at birth, and address both individual-level and population-level health inequities. By bridging the GHP and NASEM recommendations, we provide a path forward for implementation of sex- and gender-related EHR elements. Suggestions for implementation of gender identity, recorded sex or gender, and sex for clinical use are provided, along with semantic and functional justifications.

Extending the social category label effect to stigmatized groups: Lesbian and gay people’s reactions to “homosexual” as a label

The social category label effect describes how labels influence people’s perceptions of social groups. Though the label “homosexual” versus “lesbian/gay” decreases some heterosexual people’s support for sexual minorities, it is unknown how lesbian and gay (LG) people respond to “homosexual” as a label used to describe them. Across three experiments in a largely U.S. context (Total N = 831), we examined how use of “homosexual” influenced people’s responses on psychological instruments, preferences for demographic questions, and evaluations of individuals who use “homosexual.” The use of different labels in psychological measures did not influence LG people’s responses (Study 1). However, LG people reacted less positively to “homosexual” compared to “lesbian/gay” in demographic questions and in interpersonal exchanges (Studies 2-3), whereas heterosexual people’s reactions were largely unaffected (Study 2). LG people’s more negative reactions to “homosexual” than “lesbian/gay” were partially explained by them perceiving the “homosexual” label user as less culturally competent (i.e., less inclusive, less engaged in LGBTQ activism). In this article, we make progress in new empirical territory (sexual orientation-based cues research), propose the notion of linguistic heterosexism, and discuss the sociopolitical implications of people’s language choices.

‘I Can Construct it in My Own Way’: A Critical Qualitative Examination of Gender Self-Categorisation Processes

Gender self-categorisation is used to communicate a gender group membership in daily life and is recognised across research as an important facet of an individual’s identity. However, understandings of the psychological processes associated with gender self-categorisation have, historically, been restricted by binary, cisgender assumptions. This study qualitatively examined the processes associated with gender self-categorisation in a sample of transgender (binary and nonbinary, n = 15) individuals alongside a negative case analysis of one cisgender woman. Reflexive thematic analysis was used to construct a map of components which interacted to inform participants’ gender self-categorisation. Participants reported that their self-categorisation was reciprocally informed by their internal sense of gendered self, their gendered attributes and by other people’s perceptions. Further, participants’ knowledge and understanding of gender in the world more broadly provided context for this reciprocal process. The process of gender self-categorisation mapped in this study has important implications for researchers regarding theory and methods, for educators and parents regarding how children might be taught about gender and for clinicians regarding how to talk with clients about gender outside of a diagnostic framework.

Exploring sexualized substance use, sexual behaviors and HIV-screening practices in people attending erotic industry shows

Previous studies showed that Erotic industry sShows (ES) were appropriate events for sexual health promotion and testing interventions. A cross-sectional survey exploring screening practices, sexual behaviors, substance use, and sexual motives for substance use was conducted in ES in December 2017 and completed by 781 respondents. Overall, . Eighteen18% percent reported substance use in the last 3 months (51% alcohol), 26%. Twenty-six percent reported a sexual purpose for substance use. Main sexual partners were spouse (68%), regular (21%), unknown (18%) and several (17%) partners. Main sexual practices were libertinism (22%), partner swapping (15%) and threesome (15%). Twenty-seven percent of respondents reported cContactless sex was reported by 27% of the respondents. 18% reported no previous HIV test. Univariate analysis showed that having or not previous HIV test was linked to male sex (76.8% vs. 54.5%, p < 10-3), alcohol consumption in the last three months (58.7% vs. 49.4%, p = .043), number of drugs in a lifetime (1.3% vs. 1.6%, p = .022), sexual partnership with spouse/long-term partner (57.3% vs. 70.5%; p = .002), at least one multiple-partner sexual practice (23.1% vs. 31.8%, p = .040) and type of sexual attraction (p = <10-3). Results contribute to establishing the usefulness of HIV-testing and awareness campaigns in ES eventsand informing potential combined risk behaviors and related interventions.

Sexual Orientation Across Porn Use, Sexual Fantasy, and In-Person Sexuality: Visualizing Branchedness and Coincidence via Sexual Configurations Theory

Sexual orientation describes sexual interests, approaches, arousals, and attractions. People experience these interests and attractions in a number of contexts, including in-person sexuality, fantasy, and porn use, among others. The extent to which sexual orientation is divergent (branched) and/or overlapping (coincident) across these, however, is unclear. In the present study, a gender/sex and sexually diverse sample (N = 30; 15 gender/sex/ual minorities and 15 majorities) manipulated digital circles representing porn use, in-person sexuality, and fantasy on a tablet during in-person interviews. Participants used circle overlap to represent the degree of shared sexual interests across contexts and circle size to indicate the strength and/or number of sexual interests within contexts. Across multiple dimensions of sexual orientation (gender/sex, partner number, and action/behavior), we found evidence that sexual interests were both branched and coincident. These findings contribute to new understandings about the multifaceted nature of sexual orientations across contexts and provide a novel way to measure, conceptualize, and understand sexual orientation in context.

The Effects of Gender Trouble: An Integrative Theoretical Framework of the Perpetuation and Disruption of the Gender/Sex Binary

In the Western world, gender has traditionally been viewed as binary and as following directly from biological sex. This view is slowly changing among both experts and the general public, a change that has been met with strong opposition. In this article, we explore the psychological processes underlying these dynamics. Drawing on previous work on gender performativity as well as gender as a performance, we develop a psychological framework of the perpetuation and disruption of the gender/sex binary on a stage that facilitates and foregrounds binary gender/sex performance. Whenever character, costume, and script are not aligned the gender/sex binary is disrupted and gender trouble ensues. We integrate various strands of the psychological literature into this framework and explain the processes underlying these reactions. We propose that gender trouble can elicit threat-personal threat, group-based and identity threat, and system threat-which in turn leads to efforts to alleviate this threat through the reinforcement of the gender/sex binary. Our framework challenges the way psychologists have traditionally treated gender/sex in theory and empirical work and proposes new avenues and implications for future research.

Reflections on the Clinician's Role with Individuals Who Self-identify as Transgender

The fact that modern patterns of the treatment of trans individuals are not based on controlled or long-term comprehensive follow-up studies has allowed many ethical tensions to persist. These have been intensifying as the numbers of adolescent girls declare themselves to be trans, have gender dysphoria, or are "boys." This essay aims to assist clinicians in their initial approach to trans patients of any age. Gender identity is only one aspect of an individual's multifaceted identity. The contributions to the passionate positions in the trans culture debate are discussed along with the controversy over the official, not falsifiable, position that all gender identities are inherently normal. The essay posits that it is relevant and ethical to investigate the forces that may have propelled an individual to create and announce a new identity. Some of these biological, social, and psychological forces are enumerated. Using the adolescent patient as an example, a model for a comprehensive evaluation process and its goals are provided. The essay is framed within a developmental perspective.

Overempowered? Diversity-Focused Research with Gender/Sex and Sexual Majorities

Diversity-focused research can provide important insights about gender/sex and sexual diversity, including in relation to oppression and privilege. To do so, it needs to critically engage with power and include minoritized and majoritized participants. But, the critical methods guiding this are typically aimed at empowering marginalized groups and may “overempower” majority participants. Here, we discuss three diversity-focused research projects about gender/sex and sexual diversity where our use of critical methods overempowered majority participants in ways that reinforced their privilege. We detail how diversity-focused research approaches thus need to be “majority-situating”: attending to and managing the privilege and power that majority participants carry to research. Yet, we also lay out how diversity-focused research still needs to be “minority-inclusive”: validating, welcoming, and empowering to people from marginalized social locations. We discuss these approaches working synergistically; minority-inclusive methods can also be majority-situating, providing majorities with opportunities for growth, learning, and seeing that they—and not just “others”—are socially situated. We conclude by laying out what a diversity-focused research program might look like that includes both majority-situating and minority-inclusive approaches, to work towards a more just and empirical scholarship that does not lead to majorities who are even more overempowered.

"A little shiny gender breakthrough": Community understandings of gender euphoria

BACKGROUND

Gender euphoria is an important experience and concept for many, especially transgender and/or nonbinary individuals, but has not received much attention from psychological and clinical research. In contrast to gender dysphoria, which originates in psychiatry, the term "gender euphoria" has been mobilized by some LGBTQ people to describe the powerfully positive emotions that can come from one's gender/sex. As such, researchers and clinicians may benefit from conceptual clarity as to what gender euphoria is and what kinds of experiences might result in gender euphoria.

AIM

We aimed to better understand how trans community members and others conceptualize the term "gender euphoria," including its relationship to gender dysphoria, as well as the contexts and behaviors that elicit gender euphoria.

METHOD

We administered an online qualitative survey to participants (N = 47) of diverse sexualities and gender/sexes (including transgender, cisgender, and/or nonbinary participants) who had heard of or used the term "gender euphoria." Participants answered open-ended questions about where they had heard the term being used, how they would define gender euphoria and gender dysphoria, the relation between these terms, and their gender euphoric experiences.

RESULTS

Analyses resulted in five themes: (1) gender euphoria describes a joyful feeling of rightness in one's gender/sex, (2) gender euphoric experiences can be external, internal, and/or social, (3) "gender euphoria" originated in and circulates in online and in-person gender/sex minority communities, (4) dysphoria describes a negative feeling of conflict between gender/sexed aspects of one's self, and (5) the relationship between euphoria and dysphoria is complex.

DISCUSSION

These results can inform qualitative and quantitative research, gender affirmative clinical practice, political fights for transgender rights, and understandings of gendered experiences for people of all identities.

"Storming then Performing": Historical Non-Monogamy and Metamour Collaboration

We present the results of an investigation into the biographies, letters, and archives of approximately 50 well-known figures in Western intellectual and artistic history in the post-Enlightenment era. In this article, in the interest of space, we have limited our remarks to the biographies and partners of Virginia Woolf, Frida Kahlo, Max Weber, Edna St. Vincent Millay, William Moulton Marston, Erwin Schrodinger, and Victor Hugo. While some of these non-monogamous relationships are well known, some of the evidence of their existence has been ignored, misrecognized, or intentionally obscured. The results of this survey demonstrate that contemporary patterns of non-monogamies are deeply rooted in historical precedence. Our hope is that by outlining some of the themes in our historical findings we can help modern researchers better interpret their own quantitative and qualitative research. Additionally, we look particularly closely at relationships between metamours. A great deal of previous psychological and sexological research has focused on competitive behavior in sex and relationships, particularly competition between rivals. However, relatively little attention has been given to collaborative (or symbiotic) behavior. Our research has located a wealth of examples of metamours supporting one another in material, social, and psychological ways throughout their lives. Furthermore, we suggest that while our existing societal and social-scientific norms primarily focus on competitive sexual behaviors, much can be learnt from historically documented practices of consensual non-monogamy. These practices-however flawed-point to potentially emancipatory ways of living, loving and building relationships, families, and communities-as some contemporary research has demonstrated. Moreover, a future world might benefit from a turn to far more collaborative relationships-and such behavior is well within the realm of possibility.

"Storming then Performing": Historical Non-Monogamy and Metamour Collaboration

We present the results of an investigation into the biographies, letters, and archives of approximately 50 well-known figures in Western intellectual and artistic history in the post-Enlightenment era. In this article, in the interest of space, we have limited our remarks to the biographies and partners of Virginia Woolf, Frida Kahlo, Max Weber, Edna St. Vincent Millay, William Moulton Marston, Erwin Schrodinger, and Victor Hugo. While some of these non-monogamous relationships are well known, some of the evidence of their existence has been ignored, misrecognized, or intentionally obscured. The results of this survey demonstrate that contemporary patterns of non-monogamies are deeply rooted in historical precedence. Our hope is that by outlining some of the themes in our historical findings we can help modern researchers better interpret their own quantitative and qualitative research. Additionally, we look particularly closely at relationships between metamours. A great deal of previous psychological and sexological research has focused on competitive behavior in sex and relationships, particularly competition between rivals. However, relatively little attention has been given to collaborative (or symbiotic) behavior. Our research has located a wealth of examples of metamours supporting one another in material, social, and psychological ways throughout their lives. Furthermore, we suggest that while our existing societal and social-scientific norms primarily focus on competitive sexual behaviors, much can be learnt from historically documented practices of consensual non-monogamy. These practices-however flawed-point to potentially emancipatory ways of living, loving and building relationships, families, and communities-as some contemporary research has demonstrated. Moreover, a future world might benefit from a turn to far more collaborative relationships-and such behavior is well within the realm of possibility.

Translating Knowledge of Sexual Configurations Theory via Instructional Videos

Gender/sex and sexual diversity are increasingly understood by the public as complex. But, scientific frameworks that address the complexity of gender/sex and sexual diversity are few and not well situated for the public. Sexual configurations theory (SCT; van Anders, 2015) is one approach that provides a visual framework for understanding and measuring gender/sex and sexual diversity. But how might knowledge users and creators actually use it? To make SCT more accessible to researchers, educators, clinicians, and the general public, we created three instructional videos (individual gender/sex, gender/sex sexuality, and partner number sexuality) that explained SCT and demonstrated how to use its diagrams. Participants (N = 242) of diverse gender/sex and sexual identities, including professionals who work in gender/sex- and sexuality-related fields, watched one of the three videos, filled out the diagrams, and evaluated the video and diagrams via scaled and open-ended questions. Results demonstrated that the SCT videos were sufficient for most participants to fill out the diagrams. Participants evaluated the video generally positively, with some variation by condition, identity group, and professional status. These results indicate that instructional videos are able to translate SCT, potentially facilitating uptake of SCT by clinicians, researchers, and educators as well as increasing awareness of gender/sex and sexual diversity more broadly within the public.