QUEER? Gay? Undefined? Incorporating Sexuality Into Social Work Practice IUSSW Alumni Conference 2015 Richard A. Brandon-Friedman, MSW, LCSW, LCAC Doctoral Student Indiana University School of Social Work Why Consider Sexuality? The Importance of Considering Sexuality • It infuses all aspects of our lives: [sex] goes to the core of who we are as human beings; it is about power, and desire, and transgression, and guilt. Sexuality is a disruptive, subversive force, subject to regulation, control and repression in every society (McNair, 2009) • It is experienced by many as a core aspect of their identity Defining Sexuality Who is a "Non-Heterosexual" Individual? • What is definition based on? • Sexual Activity? • Romantic Desires? • Sexual Fantasies? • Emotional Connections? • Political Identities? Who is a "Non-Heterosexual" Individual? • What timeframe? • Past? • Present? • Future? Who is a "Non-Heterosexual" Individual? • What setting? • Private? • Public? • Institutional? Who is a "Non-Heterosexual" Individual? • Who gets to decide? • Individual? • Family? • Friend? • Professionals? • Society? What does it mean to be "Non-Heterosexual"? • Coming Out • To whom? • When? • How many times? • A lifelong process What does it mean to be "Non-Heterosexual"? • Impact on various life domains • Family? • Friends? • School? • Work? • Social Events? • Healthcare? • Mundane Aspects of Life? Traditional Homosexual Identity Models Traditional Developmental Models Viviane Cass (1984) • • 6 Stages Richard Troiden (1989) • • 4 Stages • 3 Aspects of Sexual Identity • Self - an individual sees himself or herself as homosexual in relation to romantic or sexual settings • Perceived - individual thinks or knows that others view him or her as a homosexual • Presented - individual presents or announces herself or himself as a homosexual in concrete settings Traditional Developmental Models Differentiated Models • • Lesbians (Eliason, 1996) • Bisexuals (Fox, 1995) • Transgender (Devor, 2004) Multidimensional Models • • Incorporate fantasy, emotional and behavioral aspects of sexuality • Consider possibility of change over time • Recognition of multiple aspects of identity Queer Theory Queer Theory • Queer • Unlike the rather polite categories of gay and lesbian, revels in the discourse of the loathsome, the outcast, the idiomaticallyproscribed position of same-sex desire (Case,1991, as cited in Tierney & Dilley, 1998) • 3 Areas of critique of traditional models • Faulty narratives suggesting “liberation” • Empiricist model of objectivity • The illusion of categories Queer Theory Main tenets • • Stresses the socially constructed nature of sexuality • Rejects and attempts to deconstruct sexual binaries and standard classifications • Emphasizes on fluidity and change Queer Theory • Additional tenets • Rejection of a medical model of sexuality • Rejection of mainstream gay, lesbian, and bisexual identities • Rejection of developmental “myths” (Zanghellini, 2007) • Views Identity Politics as “assimilationist” (Tierney & Dilley, 1998) Queer Theory • Additional tenets • Classifications are artificial and depend on feats of interpretation and exclusion (Hall, 2003) • Sexual identities are socially created (Epstein, 1994; Foucault, 1990[1976]) • Homosexuals will always be the lesser (Derrida) • “Gay Rights” simply reify the divide (Warner, 1999) • Stress opposition, not liberation (Foucault, 1990/1976) Research Findings Elevated Mental Health Needs • 1.5 to 3 times more likely to have experienced depression in the last 12 months (King et al., 2008) • 1.25 to 4.12 times more likely to have experienced anxiety in the last 12 months (King et al., 2008) • 1.71 times more likely to have suicidal ideation (King et al., 2008) • 1.96 to 2.76 times more likely to have a suicide attempt in the past 12 months (King et al., 2008) Drug and Alcohol Use • 2.89 more likely to have abused drugs (Marshall et al., 2008) • More likely to have used hard drugs (Marshall et al., 2008) • 2.73 times more likely to have abused drugs or alcohol (King et al., 2008) Bullying / Assault • Occurs across home, school, social events, public arenas, and cyberspace (Mishna, Newman, Daley & Solomon, 2009) • Institutional supports through curriculum and supportive programming were effective ways to combat bullying (Mishna, Newman, Daley & Solomon, 2009) • Higher levels of victimization (Katz-Wise & Hyde, 2012) • 2.3 times more likely to have been sexually assaulted (Cramer, McNeil, Holley, Shumway & Boccellari, 2012) Contrary Research Findings Contrary Research Findings • A Critique of Research on Sexual-Minority Youth (Savin- Williams, 2001a) • Suicide Attempts Among Sexual Minority Youths: Population and Measurement Issues (Savin-Williams, 2001b) • Suicide Attempts Among Sexual Minority Male Youth (Savin-Williams & Ream, 2003) Contrary Research Findings • The New Gay Teenager (Savin-Williams, 2005) • Cross gender comparisons may be more accurate (Savin-Wiliams, Cohen, Joyner & Rieger, 2010) • There is an over-emphasis on problems that overshadows the significant variation in experiences (Diamond, 2003) 2 Narratives of Development (Cohler & Hammack, 2007) • Narrative of Struggle and Success • Traditional narrative of the 1980s and 1990s • Narrative of Emancipations • Late 1990s through 2000s • Harkens back to questions of what constitutes an “identity” Practice Scenario The “Down Low” • Definition • Men who have sex with men secretly but identify as heterosexual • Originally discussed regarding African-American men but more recently has been researched amongst Caucasian and Hispanic men as well • The Questions: • What do the two models say about how we “should” view these individuals? • How do we as social workers engage with these individuals? The “Down Low” • Traditional View: • Individuals are not yet ready to move through the developmental stages • Freudian defense mechanisms are at play • We need to help them develop an integrated homosexual identity The “Down Low” • Queer View: • The individuals’ realities are what matter • Labeling is an attempt to impose a structure and false dichotomies • “Traditional” models are an attempt to regulate sex and enforce power differentials Small Groups Small Groups • As a group, consider the following: • Which narrative (traditional or queer) is more applicable to this scenario? • Is there a disconnect between the individual’s narrative and that of his/her primary environment? • How does that narrative affect your work with the individual? • Where will your focus be? • Possibilities might include individual development, environmental, social, individual adaptation, system change, education • Develop a plan of action to work with this individual • Choose a spokesperson for your group to present Questions? References References • Cass, V. C. (1984). Homosexual identity formation: Testing a theoretical model. Journal of Sex Research, 20, 143-167. doi: 10.1080/00224498409551214 • Cohler, B. J., & Hammock, P. L. (2007). The psychological world of the gay teenager: Social change, narrative and "normality". Journal of Youth & Adolescence, 36, 47-59. doi: 10.1007/s10964-006-9110-1 •Cramer, R. J., McNeil, D. E., Holley, S. R., Shumway, M., & Boccellari, A. (2012). Mental health in violent crime victims: Does sexual orientation matter? Law and Human Behavior, 36 (2), 87-95. doi: 10.1037/h0093954 • Devor, A. H. (2004). Witnessing and mirroring: A fourteen stage model of transexual identity formation. Journal of Gay and Lesbian Psychiatry, 8(1/2), 41-67. • Diamond, L. (2003) New paradigms for research on heterosexual and sexual-minority development. Journal of Clinical Child & Adolescent Psychology, 32(4), 490–498. • Eliason, M. J. (1996). An inclusive model of lesbian identity assumption. Journal of Gay Lesbian and Bisexual Identity, 1(1), 3-19. • Epstein, S. (1994). A queer encounter: Sociology and the study of sexuality. Sociological Theory, 12(2), 188-202. • Foucault, M. (1990[1976]). The history of sexuality, volume 1: An introduction (R. Hurley, Trans.). New York: Vintage. References • Fox, R. C. (1995). Bisexual identities. In A. R. D'Augelli & C. J. Patterson (Eds.), Lesbian, Gay, and Bisexual Identities over the Lifespan: Psychological Perspectives (pp. 48-86). New York: Oxford University Press. • Hall, D. (2003). Queer Theories. New York: Palgrave Macmillan. • Katz-Wise, S. L., & Hyde, J. S. (2012). Victimization experiences of lesbian, gay and bisexual individuals: A meta- analysis. Journal of Sex Research, 49(2-3), 142-167. doi: 10.1080/00224499.2011.637247 • King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 80(70). doi: 10.1186/1471-244X-8-70 • Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., . . . Brent, D. A. (2011). Suicidality and depression diparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49, 115-123. doi: 10.1016/j.jadohealth.2011.02.005 • McNair, B. (2009). Teaching porn. Sexualities, 12, 558-567. doi: 10.1177/13633460709340367 • Mishna, F., Newman, P. A., Daley, A., & Solomon, S. (2009). Bullying of lesbian and gay youth: A qualitative investigation. The British Journal of Social Work, 39, 1598-1614. • Savin-Williams, R. C. (2001a). A critique of the research on sexual-minority youths. Journal of Adolescence, 24, 5-13. doi: 10.1006/jado.2000.0369 References • Savin-Williams, R. C. (2001b). Suicide attempts among sexual minority youths: Population and measurement issues. Journal of Consulting and Clinical Psychology, 69, 983-991. doi: 10.1037//0022-006X.69.6.983 • Savin-Williams, R. C., Cohen, K. M., Joyner, K., & Rieger, G. (2010). Depressive symptoms among same-sex oriented young men: Importance of reference group. Archives of Sexual Behavior, 39, 1213-1215. doi: 0.1007/s10508-010-9658-4 • Savin-Williams, R. C., & Ream, G. L. (2003). Suicide attempts among sexual-minority male youth. Journal of Clinical Child and Adolescent Psychology, 32, 509-522. doi: 10.1207/S15374424JCCP3204_3 • Savin-Williams, R. C. (2005). The new gay teenager. Cambridge, MA: Harvard University Press. • Tierney, W., & Dilley, P. (1998). Constructing knowledge: Educational research and gay and lesbian studies. In W. Pinar (Ed.), Queer Theory in Education (pp. 49-71). Mahwah, NJ: Lawrence Erlbaum. •Troiden, R. R. (1988). Gay and lesbian identity: A sociological analysis. Dix Hills, NY: General Hall, Inc. • Warner, M. (1999). The Trouble with Normal: Sex, Politics and the Ethics of Queer Life. Cambridge, MA:Harvard University Press. • Zanghellini, A. (2007). Scientific positivism and the controversy over research into lesbian and gay parenting. Sexuality Research and Social Policy, 4(3), 100-114. doi: 10.1525/srsp.2007.4.3.100 Contact Information Richard A. Brandon-Friedman Indiana University School of Social Work 902 W. New York Street ES4138 Indianapolis, IN 46202 rifriedm@iupui.edu