Earlier yesterday evening, I attended an elective course about LGBT health issues/awareness that medical students should be knowledgeable about. The course is run in conjunction with the local campus LGBT student group and faculty interested in the subject.
It was an interesting lecture/dicsussion.
There were several points brought up that I hadn't previously thought very much about before.
(1) Sexual orientation is a topic that can mean different things to different people. Some people perceive their own sexual orientation with different criteria than others, so it's not a good to label someone by their behaviors. Instead, it's better to listen to whatever terminology they use to refer to themselves.
A common situation that might happen in the clinic (and you'd be surprised at how often this happens):
Clinician: "Are you sexually active?"
Patient: "Yes."
Clinician: "This is a standardized question we ask of all of our patients, but do you have sex with men, women, or both?"
Patient: "Both."
[....]
Clinician: "Since you mentioned that you have sex with men, homosexual men are at higher risk for certain sexually transmitted diseases such as syphilis and HIV. Is it alright if we run a test for STDs? Additionally, we recommend the HPV vaccine for homosexual young adults."
Patient: "Oh, but I'm not gay. I'm straight."
It is really fascinating to me how often this occurs.
It is enough of an issue that in the medical literature and medical record, the preferred term is MSM ("men who have sex with men") or WSW ("women who have sex with women") rather than self-identified sexual orientation. This is because when you ask for someone's sexual orientation, this often under-reports the type of sexual practices that a patient undertakes.
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Someone in the lecture brought up that "sexual orientation" is in many senses an identity that is heavily influenced by the kind of the social and cultural feelings the individual has towards sexual orientation.
What precisely is an identity?
An identity is an internal group classification that is analogous to one's "tribe", and the way they subconsciously classify themselves inside their head.
This is the best way I could explain it:
Imagine yourself walking down on a busy street.If you turned around and thought the shout was directed at you, then you probably identify as a poet.
Suddenly, you hear a voice shout:
"Hey! You! The poet over there. Turn around! I'm talking to you!"
You could replace [poet] with anything, and I think this example would still probably work.
The key point is that being a poet is an identity.
For instance, it is possible that I may write lots of poems, but I may not consider myself to be a poet.
Alternatively, there may be someone else who writes less poems than me, but already considers themselves to be a poet.
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I thought it was interesting to think of both sexual orientation and gender as "identities" as opposed to behaviors.
Identities are subconscious (meaning you don't randomly decide to pick and choose them), and they are also subjective (meaning, they aren't the same for everyone).
There's a very famous "GenderBread Person" that reflects this:
The modern thought is that sexual orientation is more of a spectrum, not really a binary black and white.
Furthermore, the most recent iteration of the Genderbread Person separates sexual orientation into:
So if I were to fill it out this chart personally, mine would probably look kind of like this:
- Sexual Attraction
- Romantic Attraction
Yet my dating experiences have all only been heterosexual.
- Sexual Attraction:
- Women/Females/Femininity: 30%
- Men/Males/Masculinity: 20%
- Romantic Attraction:
- Women/Females/Femininity: 10%
- Men/Males/Masculinity: 65%
So it's curious, isn't it?
Identities and LGBT
Author
lychee
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