Kenyan Religious Leaders' Views on Same-Sex Sexuality and Gender Nonconformity: Religious Freedom versus Constitutional Rights.

Religion plays an important role in framing the public discourse on sexuality, especially in countries where religion fully permeates social life. We explored the perspectives of Kenyan religious leaders on sexual and gender diversity in their country's specific context. A total of 212 Catholic, Islamic, and Protestant leaders from urban centers and rural townships completed a self-administered questionnaire specifically developed for this study. The leaders' perspectives were predominantly negative. Limited acceptance was conditional on sexual minorities not engaging in same-sex practices or seeing such practices as sinful. A substantial minority (37%) endorsed the use of violence for maintaining social values, especially regarding homosexuality and gender nonconformity. The majority of religious leaders agreed on the difference between civil law and religious doctrine. Human rights principles enshrined in Kenya's Constitution were considered to be applicable to sexual and gender minorities. Decriminalization of same-sex sexuality was seen as against one's religion. Perspectives were less negative if leaders were familiar with lesbian, gay, bisexual, and transgender (LGBT) persons. Interventions that promote intergroup contact could be effective in changing religious leaders' mind-sets and advancing human rights and health for sexual and gender minorities.

Queer Pedagogies Out of Place and Time: Redrawing the Boundaries of Youth, Sexual and Gender Difference, and Education.

For this contribution to the "Cartographies" section of the special issue on "Mapping Queer Bioethics," the author focuses on the concept of spatialized time as made material in the location of historical places, in particular as it relates to a reconsideration of approaches to Australian queer/LGBT youth education. Accordingly, the author employs historical maps as illustrative examples of spatialized time, reflecting on the relationships between historical knowledge and queer youth education.

Hopeless Cases: Queer Chronicities and Gertrude Stein's "Melanctha".

For this contribution to the special issue on "Mapping Queer Bioethics," the author offers a reflection on the nature of the literary, written word as the ethically fraught site of queer bioethics. By invoking the historical tendencies and tropes of the clinical case history alongside a seminal text by Gertrude Stein, the author at once asks if we should liberate a queer bioethics from biomedical discourse via mainstream narrative; or if we should see this strategy as unavoidably housed in narrative forms of storytelling because it echoes the tropes and stakes of the clinical, pathologized case history as regards queer sensibilities.

The Body as a Site of Gender-Related Distress: Ethical Considerations for Gender Variant Youth in Clinical Settings.

The present article maps out understandings about embodied distress among gender-nonconforming youth. Feminist bioethics and queer-inflected clinical perspectives are used to inform thinking about ethical, nonpathologizing health care in the case of gender-related distress. Specific attention is directed at self-harming among gender variant and trans youth. This is contextualized in relation to the role that self-harm plays for some LGBT youth, where it may be seen as a rite of passage or as reasonable and inevitable way of coping. The particular complexities of self-harm among trans youth seeking clinical intervention are examined. Queer bioethics is proposed as potentially facilitating productive uncertainty with regard to the diverse imagined futures of gender variant and trans youth.

Mapping Queer Bioethics: Space, Place, and Locality.

This article, which introduces the special issue of the Journal of Homosexuality on "Mapping Queer Bioethics," begins by offering an overview of the analytical scope of the issue. Specifically, the first half of this essay raises critical questions central to the concept of a space-related queer bioethics, such as: How do we appreciate and understand the special needs of queer parties given the constraints of location, space, and geography? The second half of this article describes each feature article in the issue, as well as the subsequent special sections on the ethics of reading literal, health-related maps ("Cartographies") and scrutinizing the history of this journal as concerns LGBT health ("Mapping the Journal of Homosexuality").

[Being a family today - ethics for assisted reproductive techniques]. / Faire famille aujourd'hui : une éthique de l'Assistance médicale à la procréation.

Currently in France, all the children born as a result of an assisted reproduction procedure, represent 2.5% of all births. Although this proportion is not high, it is not to be neglected, particularly with regard to the sociological issues raised by assisted reproduction technologies (ART) - i.e. removing anonymity of gamete donation, post mortem insemination, ART access to single women and gay couples, surrogacy - to name four of the most prominent debates. What is new with ART is that a new therapeutic target of medicine is being developed, in other words procreation. Now it is no longer necessary for a man and a woman to resort to sex to have a child. This is a profound questioning of the representation of what appeared to be intangible, with some sort of divine aura. How, in this context, developing an ethics for ART? From a fethnographic field survey, we show here how this ethos of ART develops and how, therefore, we consider the multiple ways of being a family today.

Sexually transmitted diseases: reflections on metaphors and ethics.

Sexually transmitted diseases (STDs) are probably the most tabooed diseases we know. The taboos and the related stigmata shape patients reality and influence significantly health care policies, medical research, and actual problems in medical ethics. To better understand these complex influences of ancient but still powerful taboos, related metaphors associated with illness and disease are analyzed according to their historical development and actual impact on society. It becomes obvious that research and health care policies cannot be satisfyingly successful in helping people affected by STDs as long as they do not take the mechanisms of taboos and associated metaphors into account.

Atención ginecológica a mujeres lesbianas / Gynecological treatment of gay women

La consulta ginecológica debe constar de una entrevista inicial en donde se actualizará la historia clínica de la consultante, una exploración física, toma de muestras o prescripción de análisis-cuando son requeridos para el diagnóstico- y una conclusión en donde él o la especialista emite las recomendaciones pertinentes para corregir o preservar la salud. Cuando las mujeres son lesbianas, el modelo actual de atención ginecológica puede no siempre resultar acorde a sus necesidades específicas.

Taking up the cudgels against gay rights? Trends and trajectories in African Christian theologies on homosexuality.

Against the background of the HIV epidemic and the intense public controversy on homosexuality in African societies, this article investigates the discourses of academic African Christian theologians on homosexuality. Distinguishing some major strands in African theology, that is, inculturation, liberation, women's and reconstruction theology, the article examines how the central concepts of culture, liberation, justice, and human rights function in these discourses. On the basis of a qualitative analysis of a large number of publications, the article shows that stances of African theologians are varying from silence and rejection to acceptance. Although many African theologians have taken up the cudgels against gay rights, some "dissident voices" break the taboo and develop more inclusive concepts of African identity and African Christianity.

Preconceito contra homossexuais e representações sociais da homossexualidade em seminaristas católicos e evangélicos / Prejudice against homosexuals and social representations of homosexuality of catholic and evangelic seminarians

Este trabalho analisa as relações entre o preconceito contra os homossexuais e as representações sociais sobre a homossexualidade. Trata-se de um estudo correlacional com 374 estudantes de teologia (207 evangélicos e 167 católicos) que responderam um questionário sobre crenças e atitudes em relação aos homossexuais. Os resultados indicam duas formas de expressão do preconceito: sutil e flagrante. O preconceito sutil está relacionado com a crença numa natureza biológica e psicossocial e com a descrença numa representação ético-moral da homossexualidade. O preconceito flagrante está relacionado com a descrença na natureza biológica e psicossocial e com uma representação ético-moral. A hipótese de que as representações sociais sobre a natureza dos grupos minoritários estão na base do preconceito e da discriminação é corroborada.(AU)

This study analyzes the relationship between prejudice against homosexuals and social representations about homosexuality. Participants were 374 theology students (167 catholic and 207 evangelic) who individually answered a questionnaire about beliefs and attitudes toward homosexuals. Results allowed to identify two forms of prejudice: Subtle and blatant. The subtle prejudice is related to biological and psychosocial representations about homosexuality and to the disbelief in an ethical and moral nature of homosexuality. The blatant prejudice is related with the disbelief in a biological and psychosocial nature as well as with ethical and moral representations about homosexuality. In the discussion it is argued that social representations about the nature of minority groups can form the basis of prejudice and discrimination.(AU)

Preconceito contra homossexuais e representações sociais da homossexualidade em seminaristas católicos e evangélicos / Prejudice against homosexuals and social representations of homosexuality of catholic and evangelic seminarians

Este trabalho analisa as relações entre o preconceito contra os homossexuais e as representações sociais sobre a homossexualidade. Trata-se de um estudo correlacional com 374 estudantes de teologia (207 evangélicos e 167 católicos) que responderam um questionário sobre crenças e atitudes em relação aos homossexuais. Os resultados indicam duas formas de expressão do preconceito: sutil e flagrante. O preconceito sutil está relacionado com a crença numa natureza biológica e psicossocial e com a descrença numa representação ético-moral da homossexualidade. O preconceito flagrante está relacionado com a descrença na natureza biológica e psicossocial e com uma representação ético-moral. A hipótese de que as representações sociais sobre a natureza dos grupos minoritários estão na base do preconceito e da discriminação é corroborada.

This study analyzes the relationship between prejudice against homosexuals and social representations about homosexuality. Participants were 374 theology students (167 catholic and 207 evangelic) who individually answered a questionnaire about beliefs and attitudes toward homosexuals. Results allowed to identify two forms of prejudice: Subtle and blatant. The subtle prejudice is related to biological and psychosocial representations about homosexuality and to the disbelief in an ethical and moral nature of homosexuality. The blatant prejudice is related with the disbelief in a biological and psychosocial nature as well as with ethical and moral representations about homosexuality. In the discussion it is argued that social representations about the nature of minority groups can form the basis of prejudice and discrimination.

Social and ethical determinants of human sexuality: 1. The need to reproduce.

Aims of this study was to review the many and diverse factors conditioning human sexual behavior; starting with the first and still most important: the need to reproduce and to analyse these factors and how they have changed over time in order to better understand the interplay between the major determinants of human sexuality. For this aim the authors made a literature review of relevant scientific papers and books, including religious websites. At the dawn of humanity, sexuality was focused on reproduction; this, however, did not exclude other important meanings in sexual relationships, since non-conceptive copulations have been a constant aspect of human behavior, becoming an almost unique feature of genus homo. In this respect, the characteristics of a female continuously accessible to her male set the stage for a trend towards monogamy and created the substrate for closed families. Anthropologists have justified conceptive sexuality because sexual activity is costly in terms of energy consumption; for this reason, in the early days, restricting sexual activity made sense for the survival of the species. Traditional ethical considerations and ancient norms by the three major monotheistic religions have favored conceptive sexuality, restricting sexual activity to sanctioned unions and insisting that the major scope of sexuality is procreation. In spite of this, among humans sexuality has always had a wider meaning to the point that for millennia, humans have tried to separate its unitive and procreative meanings. Today much has changed since reproduction can be achieved without intercourse, further separating it from sexual activity. In humans sexuality always possessed multiple meanings, first and foremost reproduction and the creation of a bond between a man and one or several women.

Perspective: A grand challenge to academic medicine: speak out on gay rights.

Social responsibility, a dearly held value in the medical community, requires that medicine use its influence to end discrimination and to reduce barriers that affect access to care. Although the gay, lesbian, bisexual, and transgender (GLBT) population has been identified as suffering from health care disparities and oppression, the medical community and its affiliated organizations have done little to lobby in defense of the GLBT population. And with regard to the specific issue of gay marriage, medicine has yet to raise its voice in that debate, even if only to correct unscientific, capricious, and slanderous depictions of GLBT relationships. Closer to home, in medical schools and residencies, GLBT faculty and students are not provided with a safe and equal environment in which to work and learn. No credentialing provisions require residencies and their affiliate hospitals to include GLBT status in their nondiscrimination policies or to offer GLBT faculty and residents equal benefits. There is no assurance that those in power at peer-reviewed journals will use reviewers who are familiar with the research on sexual minorities to review manuscripts on GLBT topics, a situation that likely contributes to the community's status as an understudied population. Medicine cannot fulfill its obligation to GLBT patients, students, and faculty without a considerable and determined commitment to change. Some of the suggested remedies would require amending policy at the level of the Accreditation Council for Graduate Medical Education and the Association of American Medical Colleges.