SOCIETAL IMPLICATIONS ON THE MENTAL HEALTH OF HOMOSEXUALS“Black” and people who are “White” (Lancaster& Leonardo, 1997).Due to the fact that people are stronglydefined by their sexuality in modern<strong>Western</strong>ized society, individuals are encouragedto view themselves, and thus to behave in termsof their sexual orientation (Caplan, 1997). In<strong>Western</strong> society, heterosexuality, that is sexualattraction to the opposite sex, is the norm, andindividuals whom do not conform to thisideology experience prejudice, as “nonconformityto the norms of heterosexualitythreatens the dominant ideology’s view of sexas ‘innate’ and ‘natural’” (Caplan, 1997, p. 37).Male homosexuality is thought to underminemale domination and superiority, while femalehomosexuality is thought to defy cultural normsof the traditionally submissive women.Theoretically, sex differences are consideredbiologically differentiable, and society has thustried to categorize gender and sexuality in thesame way. This can be viewed as a universaltendency among humans. To facilitateunderstanding, humans map their perceptionsinto theoretical cognitive categories (Caplan,1997). Non-conformance to normative sexualorientation categories and gender roles arediscouraged, while sex-change operations aregenerally not discouraged because it removessexual abnormalities and allows one to easily fitinto the social categories culture has assigned(Caplan, 1997).What is masculine and what is feminine?These terms are merely social constructs that aredeveloped and maintained within a specificculture. In <strong>Western</strong> society, a primary aspect ofone’s identity is gender (Bonvillain, 1998), thisis why gender roles are learned and reinforced ata young age. Socialization teaches childrenappropriate behaviour specific to their gender.Especially in modern <strong>Western</strong>ized culture, thesecategories are mutually exclusive to sex, andleave little to no room for modification orindividuality. The English language, whichincludes only two genders, she and he, furtherreinforces a gender dichotomy, as does manyother languages. Individuals therefore acquiresocial identities, insinuating that society has asubstantial impact on one’s behaviour andexpectations of that behaviour within a culture.Different cultures have differentdefinitions and beliefs about gender andsexuality (or lack thereof), so for the purpose ofthis analysis, homosexuality will be examined interms of modern <strong>Western</strong> society which hasalso been defined to participants prior toconducting the experiments that willsubsequently be discussed. That is,homosexuality is defined as the consistency ofbeing sexually attracted to individuals of thesame sex or consistently engaging in sexualintercourse with members of the same sex(Lancaster and Leonardo, 1997). For most ofthese studies, bisexual individuals, “those whomdirect sexual desires toward members of bothsexes” (Lancaster and Leonardo, 1997, p. 52),were excluded because the degree to which theywould experience homosexual societalstigmatization is unknown. Furthermore, thereare also discrepancies when taking intoconsideration the gender with which anindividual identifies, especially when examiningcultures with more than one gender.To begin the discussion of societalstigmatization and its effect on mental health,internalized homo-negativity will first beanalyzed.Homo-negativity StudyIn a study conducted by Rosser et al.(2008), results showed that internalized homonegativityplays a key role in the mental healthof homosexuals. In this study, internalizedhomo-negativity is defined as “a basic mistrustfor one’s sexual and interpersonal identity”(Stein & Cohen, 1984, p. 182). Although thestudy showed that identification of beinghomosexual does illustrate acceptance fromsociety, it does not dissolve heterosexism, thatis, “external societal discrimination favouringheterosexuals” (Neisen, 1993, p. 5). In fact,Neison argues that these individuals may bemore susceptible to mental health abnormalities,and that homo-negativity and culturalvictimization may be in concordance with theeffects of sexual and physical abuse.
SOCIETAL IMPLICATIONS ON THE MENTAL HEALTH OF HOMOSEXUALSIn this study, 442 males were recruitedfrom a homosexual health seminar. To beeligible they must have identified as “either ahomosexual engaging in homosexual activity”or “as being attracted to other men” (Rosser etal., 2008, p. 153). Exclusively heterosexual menwere excluded from the study because theywould theoretically not experience internalizedhomo-negativity on the same scale ashomosexual men. Sexual identification,internalized homo-negativity (including comfortof publicly identifying as homosexual,perceived stigmatization for being homosexual,comfort level with other homosexuals, moralhomo-negativity and religious homo-negativity),mental health, sexual health and socialintegration were all measured via questionnaireanalysis.It was found that the degree ofhomosexuality across a continuum scale was notassociated with any of the measured cognitivefactors mentioned above. However, homonegativitywas found to be negatively correlatedto mental health, sexual health and socialintegration. High degrees of homosexualitywere found to be related to depression onlywhen coupled with high levels of homonegativity.Thus because internalized homonegativity,not homosexuality, is associated withoverall sexual health, psychosexual maturation,comfort with sexual orientation, peersocialization, depression, comfort with sexualacts as well as social integration, it is suggestedthat homo-negativity plays a significant role inone’s mental health.Although this study demonstrates howingrained cultural values can have a negativeimpact on the mental health of homosexuals, italso has a number of limitations. First, thesample consists of selection and sample bias.All participants were recruited from an all-malehomosexual seminar. Severely homo-negativeindividuals may be unlikely to attend theseseminars where they are publicly identified ashomosexual. Last, not all homosexuals genderidentify as male. Lesbians and transgenderedindividuals are not represented in this study.Therefore, Rosser arguably does not have anaccurate representation of the gay communityand these results can only be generalized tomale homosexuals. Apart from these limitations,it is apparent that society can have a negativeimpact on mental health, specificallydepression, as numerous other studies havesupported this relationship (e.g., Ingartua &Karine, 2003).In a study conducted by Ingartua andKarine et al. (2003), the effects of internalizedhomophobia on depression, anxiety and suicidewere examined. 220 participants were recruitedin order to complete two self-reportquestionnaires. The first questionnaire examinedinternalized homophobia (the degree of aversionto homosexual tendencies directed towards theself), depression, anxiety, suicide, and substanceabuse, while the second analyzed the timeperiod through one’s life in which they wouldbe most vulnerable to suicide. Note thatinternalized homophobia refers to a basicmistrust for one’s sexual and interpersonalidentity, while internalized homophobia refersto an aversion. It should also be noted that thesetwo constructs are not mutually exclusive.Finding a representative sample of thehomosexual population was challenging forIngartia and colleagues for two reasons. Thefirst being that it is difficult to determine who ishomosexual and who is not. Secondly, sexualorientation is not two mutually exclusivecategories of homosexual and heterosexual, butrather a continuum. Nonetheless, participantswere chosen using multiple samplingtechniques. They were chosen from McGillUniversity’s Sexual Identity Centre, apsychiatric out-patient clinic catering to the gay,lesbian and transgender population, as well asthose questioning their sexuality. Surveys weredistributed to university queer discussiongroups, gay and lesbian film festivals, gay andlesbian bookstores, sports teams, McGillUniversity’s Health Clinic and finally,restaurants, bars and cafes in the gay village.Participants were also recruited through varioussocial networks in order to gather input fromindividuals who are homosexual but notinvolved in the gay community.
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