HEALTH EDUCATION
Sexual orientation and gender identity
Excerpt from All About Sex: A Family Resource on
Sex and Sexuality
Internalized homophobia
Homophobia is the fear of homosexuality. Our society has developed such
negative attitudes about homosexuality that many people have come to fear
homosexuality within themselves — whether they are lesbian, gay,
bisexual, straight, or transgender. This fear is called internalized homophobia.
It can cause sexual inhibition in women and men, although it may occur
more often in men.
Internalized homophobia is so powerful that up to 30 percent of lesbian,
gay, and bisexual adolescents attempt suicide. It can also cause severe
depression.
Community groups for lesbian, gay, and bisexual people can be very helpful
in building support and self-esteem for these young women and men. Professional
counseling is also helpful.
Internalized homophobia may make it very difficult for gay men and lesbians
to develop intimate relationships with their sex partners. It can also
create such fear that they will go without sex, pretend to be straight,
or force themselves to have frustrating and disappointing sexual relationships
with people of the other gender.
Straight men who worry that some of their sexual desires and fantasies
may be homosexual may be less able to develop intimate relationships with
women. They may develop "tough guy" or "macho" attitudes
in their sexual relationships with women.
Men with internalized homophobia may also be more likely to commit gay-bashing
and other forms of sexual assault. Internalized homophobia can be treated
with professional counseling and psychotherapy.
Coming out
Coming out is the process of accepting and being open about one’s sexual
orientation and gender identity. It is also the process of challenging
social and internalized homophobia. There are many stages. The first is
coming out to one’s self. This may happen during adolescence, but it may
not happen until a person is older.
The next steps involve coming out to other people — friends, family,
neighbors, schoolmates, coworkers, and others.
The coming-out process helps build self-esteem and a capacity for intimacy,
but it can be very stressful. The people we come out to are all influenced
by homophobia in one way or another. A few of them can help make the process
easy, but many won’t.
Despite its stresses, coming out offers great relief from internalized
homophobia, although it is not a cure-all. Many people who have been "out"
for most of their lives still suffer sexual and social inhibitions associated
with internalized homophobia. Ridding ourselves of it may be a process
that continues most of our lives.
Gender identity
Many people find comfort in the feminine and masculine gender scripts
dictated by social norms. Many other people are made uncomfortable by
them. Many people accept their gender roles. Many people don’t. They may
become sexually inhibited by their conflict about gender identities.
Some feel that they have aspects of both genders. This sense of sexual
self is called androgyny.
Some feel they have nothing in common with either gender. Transgenders
or transsexuals may become more comfortable with themselves through psychotherapy,
hormonal treatments, cosmetic surgery, and support from family and friends.
Despite these supports, however, transgenders face serious emotional struggles
because of the sexual norms of our culture. Those that choose surgery
to reassign their genders undergo a process that is difficult and expensive.
Most of us do not experience such severe conflict with our culture’s gender
norms. But each of us is so unique that we may feel conflict between the
gender norms of our communities and some of our own sexual desires. For
example, women may not know that it is okay to be sexually aggressive,
and men may not know it’s okay to be passive.
Many women and men try very hard to overcome the gender inhibitions they
may feel by becoming hyperfeminine or hypermasculine.
Hyperfemininity is the exaggeration of gender-stereotyped behavior that
is believed to be feminine. Hyperfeminine women, as well as some gay men
and male-to-female transgenders, exaggerate the qualities they believe
to be feminine. They believe it is their job to boost men’s egos by being
passive, naive, innocent, soft, flirtatious, graceful, nurturing, and
accepting.
Hypermasculinity is the exaggeration of gender-stereotyped behavior that
is believed to be masculine. Hypermasculine men, as well as some lesbian
and female-to-male transgenders, exaggerate the qualities they believe
to be masculine. They believe it is their job to compete with other men
and dominate women by being aggressive, worldly, sexually experienced,
hard, physically imposing, ambitious, and demanding.
Hyperfeminine women often seek out hypermasculine men for sexual relationships.
Hypermasculine men often seek hyperfeminine women. They are likely to
have rocky relationships, however.
Hyperfeminine women are more likely to accept physical and emotional abuse
from their sex partners. Hypermasculine men are more likely to be physically
and emotionally abusive to their partners.
Although most of us are not hyperfeminine or hypermasculine and do not
have a gender disorder, many of us may have anxieties and inhibitions
about femininity and masculinity that make sex less pleasurable for us
than it might be.

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Update — Jennifer Johnson, February 2005
Original version — Jon Knowles, 1995
© 2004 Planned Parenthood Federation of America, Inc. All rights
reserved.
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