Explore the vast range of titles available.

Sexualidad, exceso y representación desarrolla una comprensión psicoanalítica de la bisexualidad psíquica y una manera de entenderla en la teoría y la práctica clínicas.Rosine Jozef Perelberg articula una metapsicología freudiana con preocupaciones modernas acerca de la diferencia y las diferencias sexuales. Ella amplía las ideas presentadas en Psychic Bisexuality: A British-French Dialogue, un trabajo publicado anteriormente. El enfoque de la autora vuelve a poner de relieve la idea de Freud de que \"no se nace ya hecho como hombre o mujer, sino que se constituye como tal en el proceso de desarrollo\". Se examinan los escritos teóricos de Freud sobre la bisexualidad, devolviéndonos con firmeza a la sexualidad infantil y al complejo de Edipo, y al \"repudio de la feminidad\".Perelberg se basa en su formación anterior como antropóloga social para proponer y explorar la diferenciación entre sexo, género y sexualidad. Considera el trabajo académico sobre género y estudios de mujeres y teoría queer de posguerra, argumentando que el objeto del psicoanálisis no es el género sino la sexualidad, lo cual establece un vínculo entre lo sexual y lo inconsciente. Ella sugiere que el inconsciente desafía permanentemente nuestra aparente unidad como sujetos.Sexualidad, exceso y representación es un texto de gran interés para psicoanalistas y psicoterapeutas.

Abstract Older bisexual women report a less positive sense of their sexual identity, less belonging in LGBTQ communities, and worse mental health outcomes compared to lesbian counterparts. These patterns are consistent with those identified among younger bisexual cohorts and appear to be connected to how bisexual identities are perceived and experienced; however, sexual identities take on unique meaning by gender and age and across historical contexts. To explore how older bisexual women construct and make meaning out of bisexual identities, this study applied a Foucauldian discursive and critical feminist conceptual framing to examine semi-structured interviews with bisexual women ages 60 and older (N=13). Findings reveal two divergent groups of women, the Early Emergers and Mature Migrators, who differ in their constructions of bisexuality and the timing of their first experienced attractions to other women. While the Early Emergers construct bisexuality as a stable, “hardwired” biological concept, the Mature Migrators challenge this narrative by emphasizing the fluidity of sexuality through discourses of migration spurred by “light bulb” moments in which they first recognized their attractions to women. This study illustrates the contributions of discourse analysis in revealing nuanced constructions of life course histories as well as the need for acknowledgment of life context in research and practice with older bisexual individuals. Scholars and practitioners must intentionally critique and contribute to discourses of bisexuality in later life.

Few studies have examined the relationship between young gay and bisexual men (YGBM) and their fathers. Based on a phenomenological framework, this study investigated the role of fathers in YGBM’s coming-out experience, focusing on how fathers responded to disclosure of same-sex attraction, how fathers’ responses compared with sons’ expectations, and what sons perceived as having influenced their fathers’ responses. Semistructured in-depth interviews with 30 gay and bisexual men aged 18 to 24 years were conducted as part of a larger study; topics explored in the interview included experiences coming out to family and others. Nineteen participants’ narratives included discussion about their fathers and were included in the current analyses. The YGBM who were interviewed perceived a complex range of responses upon coming out to their fathers, ranging from enthusiastic acceptance to physical violence. Participants spoke of fathers who were accepting in different manners and who often held contradictory attitudes about same-sex attraction. Fathers’ responses commonly differed from sons’ expectations, which were informed by homophobic talk and gendered expectations. Sons spoke about what informed their expectations as well as what they perceived as influencing their fathers’ responses, including gender norms, beliefs regarding the cause of same-sex attraction, religious and sociopolitical views, and concerns about HIV/AIDS. Particularly striking was the pervasive influence of hegemonic masculinity throughout the YGBM’s stories. The implications of these findings for future research and intervention development are discussed, as well as study strengths and limitations.

ZusammenfassungDas Sprechen über die und mit der Homosexualität in der psychoanalytischen Behandlung impliziert die übergeordnete Frage, wie mit der psychischen Bisexualität in der Übertragung umgegangen werden kann: Wie hören wir auf das homosexuelle Übertragungsangebot als eine Spur zur psychischen Bisexualität in der Übertragungskonstellation? Mithilfe des Konzepts des inneren Rahmens des Analytikers (Green) möchte ich die Besonderheiten im Umgang mit der psychischen Bisexualität im Behandlungsverlauf herausstellen. Des Weiteren versuche ich, den Differenzbegriff in der Beschreibung der psychischen Bisexualität durch den Begriff des sexuellen Abstands als neue Denkfigur zu ersetzen. Der Begriff des Abstands (Jullien) ermöglicht es, sich von den bisherigen Diskussionen um die Hierarchisierung von Geschlecht und den klassischen Dualismen zu lösen als auch ein Denken in der binären Spannung im Geschlecht neu zu formulieren, und geht damit über das binäre Denken im Sexuellen hinaus, ohne es zu verlassen. Zum Abschluss beschäftige ich mich mit dem Auftauchen des Wortes homosexuell in einer Behandlung (in der Übertragungskonstellation heterosexueller Analysand – homosexueller Analytiker) und der Frage an mich, ob ich homosexuell sei. Die Frage taucht nach einer körperlichen Veränderung meinerseits auf, und die Fallvignette nennt sich „Die Fledermäuse und der Pornoschnauzer“.

Literature concerning pre-exposure prophylaxis (PrEP) among gay and bisexual identifying men (GBM) has explored facilitators and barriers to uptake and adherence. Far less reported are the reasons why GBM discontinue PrEP use. A national sample of 1071 GBM completed surveys about PrEP use and discontinuation. Participants who were still taking PrEP the 24-month follow up were compared to those that had stopped. Eighteen percent (n = 31) of GBM who reported ever using PrEP discontinued use. Younger (AOR = 0.96; 95% CI 0.92–1.00), and unemployed (AOR = 4.58; 95% CI 1.43–14.70) GBM were more likely to discontinue PrEP than their counterparts. Those that discontinued provided details on why via a free response question. The most common reasons for discontinuation were lower perceived HIV risk (50%) and cost/insurance (30%). Reasons for potential re-initiation included higher-risk sexual activities and changes to structural related barriers. More research is needed to inform interventions on how GBM can continue taking PrEP during changes to employment that effect insurance coverage and cost.

Compared with Black gay men, Black bisexual men experience psychosocial health disparities, including depression, polydrug use, physical assault, and intimate partner violence (IPV). Black bisexual men are also less likely to disclose their sexuality, which may result in them receiving less sexual minority community support, exacerbating psychosocial health disparities. We assessed relationships between bisexual behavior, bisexual identity, sexuality nondisclosure, gay community support, and psychosocial morbidities among Black men who have sex with men (MSM). Between 2014 and 2017, survey data were collected from Black MSM ≥ 18 years old ( n  = 4430) at Black Pride events in six U.S. cities. We differentiated between bisexual-identified men reporting past-year sex with men and women (bisexual MSMW, 8.4%); gay-identified men reporting sex with men only (gay MSMO, 73.1%); gay MSMW (8.0%); and bisexual MSMO (8.4%). Multivariable regressions contrasted these groups by psychosocial morbidities, sexuality nondisclosure, and gay community support. Structural equation models assessed total, direct, and indirect effects. Compared with gay MSMO, bisexual MSMW and gay MSMW were significantly more likely to report polydrug use, depression symptoms, IPV, physical assault, sexuality nondisclosure, and lack of gay community support. Lack of gay community support had significant indirect effects on the relationships between bisexual behavior and psychosocial morbidity ( p  < .001) and between bisexual identity and psychosocial morbidity ( p  < .001). Sexuality nondisclosure had significant indirect effects on relationships between bisexual behavior ( p  < .001), bisexual identity ( p  < .001), and lack of gay community support. Psychosocial health disparities experienced by Black bisexual men are associated with both bisexual behavior and bisexual identity. Interventions decreasing biphobia will facilitate opportunities for protective sexuality disclosure and access to sexual minority community support.

Lesbian, gay, and bisexual (LGB) adolescents report disparate rates of substance use, and often consume more cigarettes, alcohol, marijuana, cocaine, and ecstasy than their heterosexual peers. It is therefore crucial to understand the risk factors for substance use among LGB adolescents, particularly those unique to their minority status. In an effort to organize the current knowledge of minority-related risk factors for substance use among LGB youth, this study presents results from a systematic review and meta-analysis of the published research literature. Results from 12 unique studies of LGB youth indicated that the strongest risk factors for substance use were victimization, lack of supportive environments, psychological stress, internalizing/externalizing problem behavior, negative disclosure reactions, and housing status. Results are discussed in terms of their implications for targeted intervention programs that address minority stress risk factors for substance use among LGB youth.

We document the historical and cultural shifts in how gay and bisexual men have used the Internet for sexuality between the 1990s and 2013-including shifting technology as well as research methods to study gay and bisexual men online. Gay and bisexual men have rapidly taken to using the Internet for sexual purposes: for health information seeking, finding sex partners, dating, cybersex, and pornography. Men have adapted to the ever-evolving technological advances that have been made in connecting users to the Internet-from logging on via dial-up modem on a desktop computer to geo-social-sexual networking via handheld devices. In kind, researchers have adapted to the Internet to study gay and bisexual men. Studies have carefully considered the ethics, feasibility, and acceptability of using the Internet to conduct research and interventions. Much of this work has been grounded in models of disease prevention, largely as a result of the ongoing HIV/AIDS epidemic. The need to reduce HIV in this population has been a driving force to develop innovative research and Internet-based intervention methodologies. The Internet, and specifically mobile technology, is an environment gay and bisexual men are using for sexual purposes. These innovative technologies represent powerful resources for researchers to study and provide outreach.

Men who have sex with men (MSM) accounted for 61% of new HIV diagnoses in the United States in 2010. Recent analyses indicate that socio-structural factors are important correlates of HIV infection. NYCM2M was a cross-sectional study designed to identify neighborhood-level characteristics within the urban environment that influence sexual risk behaviors, substance use and depression among MSM living in New York City. The sample was recruited using a modified venue-based time-space sampling methodology and through select websites and mobile applications. This paper describes novel methodological approaches used to improve the quality of data collected for analysis of the impact of neighborhoods on MSM health. Previous research has focused predominately on residential neighborhoods and used pre-determined administrative boundaries (e.g., census tracts) that often do not reflect authentic and meaningful neighborhoods. This study included the definition and assessment of multiple neighborhoods of influence including where men live (home neighborhood), socialize (social neighborhood) and have sex (sexual neighborhood). Furthermore, making use of technological advances in mapping, we collected geo-points of reference for each type of neighborhood and identified and constructed self-identified neighborhood boundary definitions. Finally, this study collected both perceived neighborhood characteristics and objective neighborhood conditions to create a comprehensive, flexible and rich neighborhood-level set of covariates. This research revealed that men perceived their home, social and sexual neighborhoods in different ways. Few men (15%) had the same home, social and sexual neighborhoods; for 31%, none of the neighborhoods was the same. Of the three types of neighborhoods, the number of unique social neighborhoods was the lowest; the size of sexual neighborhoods was the smallest. The resultant dataset offers the opportunity to conduct analyses that will yield context-specific and nuanced understandings of the relations among neighborhood space, and the well-being and health of urban MSM.