Do Beliefs About Sexual Orientation Predict Sexual Identity Labeling Among Sexual Minorities?

Research has found that sexual orientation beliefs predict heterosexuals' attitudes toward sexual minorities, and important sexual identity outcomes in sexual minority populations. To this point, no studies have systematically examined how sexual orientation beliefs may be associated with sexual identity self-labeling among sexual minority individuals. The present study examined this question in a sample of 1840 same-gender attracted individuals recruited for a cross-sectional online survey. Beliefs in the naturalness and discreteness of sexual orientation categories were highest in gay/lesbian individuals, intermediate in bisexual people, and lower in queer and pansexual individuals. Beliefs in the importance of sexual orientation were highest in gay/lesbian and queer identified individuals and lower in bisexual people. Within-group analysis demonstrated that gay/lesbian individuals who reported more exclusive same-gender attraction reported higher naturalness, discreteness, and importance beliefs than those with less-exclusive same-gender attraction. However, naturalness, discreteness, and importance beliefs were not associated with sexual attraction patterns in bisexual individuals. Finally, among predominately same-gender attracted populations, the adoption of a queer identity (over a gay/lesbian identity) was predicted by lower naturalness and discreteness beliefs, and increased perceived importance in females. Among non-monosexual populations, adoption of a pansexual identity over a bisexual identity was predicted by lower naturalness beliefs in females, but not predicted by sexual orientation beliefs in males. Collectively, these findings suggest that sexual orientation beliefs differ between sexual identity groups and may partly explain the adoption of particular sexual identity labels among contemporary sexual minority populations.

Is Social Gender Transition Associated with Mental Health Status in Children and Adolescents with Gender Dysphoria?

Social gender transition is an increasingly accepted intervention for gender variant children and adolescents. To date, there is scant literature comparing the mental health of children and adolescents diagnosed with gender dysphoria who have socially transitioned versus those who are still living in their birth-assigned gender. We examined the mental health of children and adolescents referred to the Gender Identity Development Service (GIDS), a specialist clinic in London, UK, who had socially transitioned (i.e., were living in their affirmed gender and/or had changed their name) versus those who had not socially transitioned. Referrals to the GIDS were aged 4-17 years. We assessed mental health correlates of living in one's affirmed gender among 288 children and adolescents (208 birth-assigned female; 210 socially transitioned) and of name change in 357 children and adolescents (253 birth-assigned female; 214 name change). The presence or absence of mood and anxiety difficulties and past suicide attempts were clinician rated. Living in role and name change were more prevalent in birth-assigned females versus birth-assigned males. Overall, there were no significant effects of social transition or name change on mental health status. These findings identify the need for more research to understand how social transition influences mental health, including longitudinal studies that allow for more confident inferences to be made regarding the relationship between social transition and mental health in young people with gender dysphoria.

The vegan dilemma: Do peaceful protests worsen attitudes to veganism?

A body of research has shown that violent protests reduce support for social movements. However, few studies have examined whether the same is true for protests which are peaceful, yet disruptive (e.g., blocking traffic). Across two pre-registered experimental studies, we explored whether pro-vegan protests that are depicted as causing social disruption lead to more negative attitudes towards veganism, compared to non-disruptive protests or a control condition. Study 1 utilised a combined sample of Australian and United Kingdom residents (N = 449; Mage = 24.7 years). Study 2 employed a larger sample of undergraduate Australian students (N = 934; Mage = 19.8 years). In Study 1, disruptive protests were associated with more negative attitudes towards vegans, but only among women. In Study 2, no such effect was found. Instead, a significant main effect was found for the protest's cause (vegan vs. fast fashion), but not protest type (disruptive vs. non-disruptive). That is, reading about a vegan protest, irrespective of how disruptive it was, led to worse attitudes towards vegans, and greater defense of meat consumption (i.e., endorsement of meat eating as natural, necessary, and normal), than reading about a control protest. This effect was mediated by the perceived immorality of the protestors, and, in turn, reduced identification with them. Taking together both studies, the purported location of the protest (i.e., domestic vs. overseas) did not significantly impact attitudes toward the protestors. The current findings suggest that depictions of vegan protests elicit worse attitudes toward this movement, regardless of how peaceful that protest may be. Future research is needed to examine whether other forms of advocacy can ameliorate negative reactions to vegan activism.

The undue influence of genetic information on senior medical students' treatment decisions.

BACKGROUND: Knowledge of the genetic basis of health conditions can influence how the public perceives their own and others' health. When there are known genetic associations for such conditions, genetic essentialist biases facilitate deterministic thinking and an over-emphasis of genetic causality. This study investigates the role that genetic essentialist biases play in medical decision-making. METHODS: Senior postgraduate medical students (N = 102) read a scenario in which a patient presents with gastroenterological symptoms. Half of the students were told that the patient tested positive for HLADQ2 - a gene implicated in, but not deterministic of, coeliac disease. The other half received no genetic information. Students were assessed on their recommendations for investigation and management using a multiple-choice questionnaire. Twenty-two of these students participated in a qualitative follow-up which used focus groups and semi-structured interviews to explore the reasoning behind students' responses. RESULTS: Management recommendations differed between the two groups, with those receiving genetic information more likely to recommend a gluten free diet. Recommendations for further investigation did not differ significantly between groups. Interviews suggested that these findings arose despite the students' good understanding of the common non-deterministic nature of genes, such as HLADQ2. CONCLUSION: Differences in management recommendations suggest that the inclusion of genetic information unduly biased students towards a premature diagnosis of a serious health condition, coeliac disease. Follow-up interviews introduced the possibility that observed manipulation-based differences may have been based on anticipated expectations of examiners, rather than perceived future clinical practice. Based on the present results it is unclear whether intentional exam-taking strategies fully account for medical students' decisions, or if they contribute in addition to the activation of genetic essentialist biases. Further research in clinical settings may ascertain whether genetic essentialist biases would truly influence medical student and doctors within their clinical practice environment.

What is the optimal tool for measuring abortion stigma? A systematic review.

PURPOSE: Abortion stigma is a barrier to accessing and delivering comprehensive, sustainable healthcare. This study aimed to systematically identify measures of abortion stigma, and assess their psychometric properties and uses. MATERIALS AND METHODS: The systematic review was preregistered with PROSPERO (ID#127339) and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Eight databases were screened for articles measuring abortion stigma. Data were extracted by four researchers and checked for accuracy by two reviewers. Psychometric properties were assessed with COSMIN guidelines. RESULTS: Of 102 articles reviewed, 21 reported original measures of abortion stigma. Instruments assessed individual and community level stigma for people who have had an abortion (n = 8), healthcare professionals (n = 4), and the public (n = 9), and predominantly originated from the United States (U.S.). Measures varied in structure, use, and comprehensiveness of psychometric properties. On psychometric properties, the Individual Level Abortion Stigma scale and Abortion Provider Stigma Scale - Revised performed best for individual-level stigma and the Stigmatising Attitudes, Beliefs and Actions Scale for community-level stigma. CONCLUSION: Gaps in abortion stigma measurement include geography, conceptualisation, and structural-level stigma. Continued development and testing of tools and methods for measuring abortion stigma is needed.

A range of methods are available to measure abortion stigma, however with gaps in psychometrics, geography, and structural-level stigma. Continued development and testing of tools measuring abortion stigma is required for valid and reliable measurement, models, and intervention.

Overcoming death anxiety: a phase I trial of an online CBT program in a clinical sample.

BACKGROUND: Growing research indicates that death anxiety is implicated in many mental health conditions. This increasing evidence highlights a need for scalable, accessible and cost-effective psychological interventions to reduce death anxiety. AIMS: The present study outlines the results of a phase I trial for one such treatment: Overcome Death Anxiety (ODA). ODA is the first CBT-based online intervention for fears of death, and is an individualised program requiring no therapist guidance. METHOD: A sample of 20 individuals with various mental health diagnoses commenced the ODA program. Death anxiety was assessed at baseline and at post-intervention. Depression, anxiety and stress were also measured. RESULTS: In total, 50% (10/20) reached the end of the program and completed post-treatment questionnaires. Of these, 60% (6/10) showed a clinically reliable reduction in their overall death anxiety, and 90% (9/10) showed a reduction on at least one facet of death anxiety. There were no adverse events noted. CONCLUSIONS: ODA appears to be a safe and potentially effective treatment for death anxiety. The findings have provided initial evidence to support a randomised controlled trial using a larger sample, to further examine the efficacy of ODA.

The development and validation of the Death Anxiety Beliefs and Behaviours Scale.

OBJECTIVES: Research spanning the fields of clinical, social and health psychology suggests that death anxiety is an important construct. However, no comprehensive, psychometrically adequate measure of the construct exists. The current studies outline the development of a new measure of death anxiety, the Death Anxiety Beliefs and Behaviours Scale (DABBS), which is the first measure to specifically assess unhelpful beliefs and behaviours that may underlie fears of death. METHODS: In Study 1, items were piloted in a large community sample (N = 505). In Studies 2A and 2B, exploratory and confirmatory factor analyses were performed using a treatment-seeking (N = 200) and non-treatment-seeking sample (N = 200). These analyses resulted in the final 18-item scale. RESULTS: The DABBS demonstrated good construct validity, criterion validity, internal consistency and test-retest reliability. In Study 3, the DABBS effectively distinguished participants with clinically significant death anxiety and distress from those without, demonstrating excellent discriminant validity. CONCLUSIONS: The present data indicate that the DABBS is a valid and reliable measure of affect, beliefs and behaviours relating to death anxiety, in a community sample of adults and among those seeking mental health treatment. Given the increasing recognition of the importance of death anxiety, the DABBS offers a useful research and clinical tool.

The dubious precision and utility of heritability estimates.

Uchiyama et al. question heritability estimates in a convincing manner. We offer additional arguments to further bolster their claims, highlighting methodological issues in heritability coefficients' derivation, their misuse in various contexts, and their potential contributions to exacerbating common erroneous intuitions that have been shown to lead to deleterious social phenomena. We conclude that science should move away from using them.

Experimental Examination of Social Transmission of Health Information using an Online Platform.

The "viral" nature of information transmission has the potential to transmit both accurate and inaccurate information. The present experiment examines the social transmission of health information, focusing on disorder etiology. Participants were placed in one of three generations of social transmission chains. The first generation read information concerning one of four fictitious disorders, pairing one disorder (Physiological or Psychological) with one etiology (Genetic or Environmental). Then, to ensure minimal loss of information (which is common in open-ended recollections), participants recalled key aspects of the disorders through multiple-choice questions. Their selections were used to modify the vignettes for the second generation and the third generation read the second's recollections. All participants also evaluated diagnosed patients on social distance and disgust. Findings suggest that genetic etiology was better recalled when paired with a psychological disorder than a physiological one. Participants desired more social distance from psychological disorders' patients (regardless of etiology) and showed higher disgust for environmental etiological patients (regardless of disorder). Implications focus on the role of content biases in the transmission of health information and misinformation.

Are anxiety disorders a pathway to obsessive-compulsive disorder? Different trajectories of OCD and the role of death anxiety.

OBJECTIVES: A body of research has demonstrated high rates of comorbidity among individuals with obsessive-compulsive disorder (OCD). Further, recent empirical evidence has demonstrated the relevance of death anxiety in OCD. Given that the trajectory towards OCD remains unclear, the current study aimed to examine which disorders individuals typically experience prior to the onset of this disorder. Further, the study aimed to explore the role of death anxiety in the developmental pathways to the disorder. METHODS: The present study involved administering a measure of death anxiety and conducting structured diagnostic interviews among a treatment-seeking sample of 98 individuals with OCD. RESULTS: First, the findings revealed a number of anxiety-related disorders commonly experienced prior to the development of OCD, the most frequent of which were separation anxiety disorder, specific phobias, and generalised anxiety disorder. Second, consistent with hypotheses, individuals with higher death anxiety experienced more disorders prior to the onset of OCD. Conversely, those with lower fears of death were significantly more likely to develop OCD as their first disorder. CONCLUSIONS: These findings support the argument that death anxiety may influence the trajectory towards OCD, and the comorbidity among anxiety-related disorders. However, further research is needed to clarify whether death anxiety plays a causal role in this trajectory.

Why Do Some Gay Men Identify as "Straight-Acting" and How Is It Related to Well-Being?

Recent literature has described the phenomenon of "straight-acting" gay men: gay men who identify with traditional heteronormative masculinity. The current study examined predictors of "straight-acting" identification in gay men and how identifying as straight-acting relates to well-being. A sample of Australian gay men (N = 966) provided self-report data on two potential predictors of straight-acting identity: self-perceived masculinity and internalized homophobia. A path analysis assessed how these variables related to straight-acting identification. While masculine self-presentation positively predicted well-being and internalized homophobia negatively predicted well-being, straight-acting identification, which positively correlated with both, did not independently predict either psychological distress or physical well-being. Analyses further suggested that internalized homophobia had particularly deleterious effects among gay men who were more feminine. Implications for clinical and public health interventions among gay men are discussed.

Do Bisexuals Have a Bisexual Viewing Pattern?

Past visual attention research appears to show that bisexual men and women view erotic images differently compared to heterosexual and gay/lesbian men and women. However, none of these studies have employed analytic approaches required to determine whether these apparent bisexual viewing patterns are due to averaging together heterosexual and gay/lesbian type viewing patterns, or rather are because bisexual-identified individuals possess unique viewing patterns which are distinct from heterosexual and gay/lesbian individuals. In the current eye-tracking study, we aimed to address this question. Visual attention of 60 men (24 heterosexual, 19 gay, 17 bisexual) and 54 women (21 heterosexual, 10 lesbian, 23 bisexual) was tracked, while they viewed erotic images of nude men and women. Applying analytic approaches capable of detecting bisexual responding revealed that bisexual men, but not bisexual women, had a unique bisexual controlled attention pattern, and that neither bisexual men nor women demonstrated a unique bisexual pattern of initial attention. Our findings provide mixed evidence for a unique bisexual attentional profile in men and women.

Causal Reasoning About Human Behavior Genetics: Synthesis and Future Directions.

When explaining the causes of human behavior, genes are often given a special status. They are thought to relate to an intrinsic human 'essence', and essentialist biases have been shown to skew the way in which causation is assessed. Causal reasoning in general is subject to other pre-existing biases, including beliefs about normativity and morality. In this synthesis we show how factors which influence causal reasoning can be mapped to a framework of genetic essentialism, which reveals both the shared and unique factors underpinning biases in causal reasoning and genetic essentialism. This comparison identifies overlooked areas of research which could provide fruitful investigation, such as whether normative assessments of behaviors influence the way that genetic causes are ascribed or endorsed. We also outline the importance of distinguishing reasoning processes regarding genetic causal influences on one's self versus others, as different cognitive processes and biases are likely to be at play.

Visual Attention to Sexual Stimuli in Mostly Heterosexuals.

Individuals who report mostly heterosexual orientations (i.e., mostly sexually attracted to the opposite sex, but occasionally attracted to the same sex) outnumber all other non-heterosexual individuals combined. The present study examined whether mostly heterosexual men and women view same- and other-sex sexual stimuli differently than exclusively heterosexual men and women. A novel eye-tracking paradigm was used with 162 mostly and exclusively heterosexual men and women. Compared to exclusively heterosexual men, mostly heterosexual men demonstrated greater attention to sexually explicit features (i.e., genital regions and genital contact regions) of solo male and male-male erotic stimuli, while demonstrating equivalent attention to sexually explicit features of solo female and female-female erotic stimuli. Mediation analyses suggested that differences between mostly and exclusively heterosexual profiles in men could be explained by mostly heterosexual men's increased sexual attraction to solo male erotica, and their increased sexual attraction and reduced disgust to the male-male erotica. No comparable differences in attention were observed between mostly and exclusively heterosexual women-although mostly heterosexual women did demonstrate greater fixation on visual erotica overall-a pattern of response that was found to be mediated by reduced disgust.

The relationship between death anxiety and severity of mental illnesses.

OBJECTIVES: Death anxiety has been implicated theoretically and empirically in mental health and has been proposed to be a transdiagnostic construct. However, it has largely been investigated in relation to specific disorders, such as obsessive-compulsive disorder. Few studies have assessed the relationship between death anxiety and psychopathology using heterogeneous treatment-seeking clinical samples. METHODS: In the present study, the relationships between death anxiety and broad markers of psychopathology were explored in 200 treatment-seeking participants with various diagnosed mental disorders. RESULTS: Across the sample, death anxiety was a strong predictor of psychopathology, including the number of lifetime diagnoses, medications, hospitalizations, distress/impairment, depression, anxiety, and stress. This relationship was not accounted for by neuroticism. Large to very large correlations were also consistently found between a measure of death anxiety and the symptom severity of 12 disorders. Neither meaning in life nor attachment style moderated the associations between death fears and psychopathology. CONCLUSIONS: The findings reveal a strong relationship between death anxiety and psychopathology across numerous disorders, further supporting the transdiagnostic role of fears of death. As such, clinical implications revolve around the potential need for innovative treatments which address death fears directly, in order to produce long-term improvements in mental health. However, experimental research is needed to ascertain causal relationships. PRACTITIONER POINTS: Across a large treatment-seeking sample, death anxiety was a significant predictor of broad psychopathology, including distress and number of lifetime diagnoses. Across 12 different disorders, death anxiety significantly predicted symptom severity. Results may suggest the need for novel treatments which specifically target fears of death. Due to the correlational design, future experimental research is needed to establish causal relationships with increased confidence.

Born this way: Sexual orientation beliefs and their correlates in lesbian and bisexual women.

In this study, we examined how beliefs about the nature and origin of sexual orientation were associated with sexual identity outcomes, namely internalized sexual stigma and sexual orientation uncertainty, and in turn, psychological well-being in sexual minority women. A community sample of 393 lesbian and 205 bisexual women were recruited for a cross-sectional online survey. Using multigroup structural equation modeling, we examined whether believing sexual orientation to be inborn/immutable (i.e., natural) and/or as existing in discrete categories (i.e., discrete) was indirectly associated with psychological well-being via internalized stigma and sexual orientation uncertainty and whether some of these relationships were moderated by nonprototypical attractions (nonexclusive same-sex attractions in lesbian women and straight- or lesbian-leaning attractions in bisexual women) and age. Overall, similar patterns of direct effects were observed in lesbian and bisexual women. In both groups, naturalness beliefs were associated with lower internalized-stigma, whereas discreteness beliefs were associated with greater internalized stigma. In bisexual women, nonprototypical sexual attraction patterns moderated the relationship between discreteness beliefs and sexual orientation uncertainty. Younger age was associated with increased sexual orientation uncertainty in both lesbian and bisexual women. Specific to lesbian women, nonprototypical attraction predicted less endorsement of immutability and binary/discrete beliefs about sexual orientation, and unexpectedly, greater internalized stigma. The present study identifies potential implications of common lay theories of sexual orientation for lesbian versus bisexual women. (PsycINFO Database Record

Solved paradoxes and old hats? The research needed on differentiated selves.

The idea that differentiated selves almost always improve group outcomes is overly simplistic. We argue that it is essential to distinguish between two distinct elements of differentiated selves - identifiability and specialization - and to identify conditions under which they influence group outcomes. Adopting a group-by-situation perspective, in which group and situation variables are considered jointly, is recommended to generate novel hypotheses.

Essentialist beliefs, sexual identity uncertainty, internalized homonegativity and psychological wellbeing in gay men.

The present study examined essentialist beliefs about sexual orientation and their implications for sexual identity uncertainty, internalized homonegativity and psychological wellbeing in a sample of gay men. A combination of targeted sampling and snowball strategies were used to recruit 639 gay identifying men for a cross-sectional online survey. Participants completed a questionnaire assessing sexual orientation beliefs, sexual identity uncertainty, internalized homonegativity, and psychological wellbeing outcomes. Structural equation modeling was used to test whether essentialist beliefs were associated with psychological wellbeing indirectly via their effect on sexual identity uncertainty and internalized homonegativity. A unique pattern of direct and indirect effects was observed in which facets of essentialism predicted sexual identity uncertainty, internalized homonegativity and psychological wellbeing. Of note, viewing sexual orientation as immutable/biologically based and as existing in discrete categories, were associated with less sexual identity uncertainty. On the other hand, these beliefs had divergent relationships with internalized homonegativity, with immutability/biological beliefs associated with lower, and discreteness beliefs associated with greater internalized homonegativity. Of interest, although sexual identity uncertainty was associated with poorer psychological wellbeing via its contribution to internalized homophobia, there was no direct relationship between identity uncertainty and psychological wellbeing. Findings indicate that essentializing sexual orientation has mixed implications for sexual identity uncertainty and internalized homonegativity and wellbeing in gay men. Those undertaking educational and clinical interventions with gay men should be aware of the benefits and of caveats of essentialist theories of homosexuality for this population.

Can merely learning about obesity genes affect eating behavior?

Public discourse on genetic predispositions for obesity has flourished in recent decades. In three studies, we investigated behaviorally-relevant correlates and consequences of a perceived genetic etiology for obesity. In Study 1, beliefs about etiological explanations for obesity were assessed. Stronger endorsement of genetic etiology was predictive of a belief that obese people have no control over their weight. In Study 2, beliefs about weight and its causes were assessed following a manipulation of the perceived underlying cause. Compared with a genetic attribution, a non-genetic physiological attribution led to increased perception of control over one's weight. In Study 3, participants read a fictional media report presenting either a genetic explanation, a psychosocial explanation, or no explanation (control) for obesity. Results indicated that participants who read the genetic explanation ate significantly more on a follow-up task. Taken together, these studies demonstrate potential effects of genetic attributions for obesity.

Did Descriptive and Prescriptive Norms About Gender Equality at Home Change During the COVID-19 Pandemic? A Cross-National Investigation.

Using data from 15 countries, this article investigates whether descriptive and prescriptive gender norms concerning housework and child care (domestic work) changed after the onset of the COVID-19 pandemic. Results of a total of 8,343 participants (M = 19.95, SD = 1.68) from two comparable student samples suggest that descriptive norms about unpaid domestic work have been affected by the pandemic, with individuals seeing mothers' relative to fathers' share of housework and child care as even larger. Moderation analyses revealed that the effect of the pandemic on descriptive norms about child care decreased with countries' increasing levels of gender equality; countries with stronger gender inequality showed a larger difference between pre- and post-pandemic. This study documents a shift in descriptive norms and discusses implications for gender equality-emphasizing the importance of addressing the additional challenges that mothers face during health-related crises.