"I'm Not Just the Nonbiological Parent": Encountering, Strategizing, and Resisting Asymmetry and Invalidation in Genetic/ Gestational Parent Status Among LGBTQ Parents.

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) families have expanded our understanding of who counts as family, to include legal as well as chosen ties. Yet, nonbiological parents in LGBTQ families are vulnerable to invalidation and erasure in social institutions, including health care, legal, and educational settings, where genetic and gestational linkages are privileged. The current study was guided by a queer phenomenological perspective to examine how LGBTQ parents experience and respond to dominant norms related to family relatedness and membership and thus queer the family. This mixed-methods study sampled 250 LGBTQ parents (including cisgender women and trans/nonbinary participants) to examine the question: In what ways does genetic asymmetry matter for families? The qualitative and quantitative analyses yielded three primary findings that revealed experiences of erasure and discrimination, as well as proactive strategies and active resistance used to counteract these difficulties. Themes were organized by (a) encountering marginalization and invalidation: health care, schools, and beyond; (b) strategic actions and discursive practices toward parental equality; and (c) confronting and resisting the need for legal, symbolic, and parenting strategies. This study documents ways in which nonbiological LGBTQ parents, in particular, embrace and resist societal norms for biological connectedness. Implications for nursing professionals include our finding that reproductive and perinatal contexts were particular sites of invalidation, necessitating education about the range of queer, nonbiological, and trans/nonbinary parents so that all parents are included in professional health care encounters.

"Failed" Matches, Child Removals, and Disrupted Placements: Devastating and Invisible Losses During the Family-Building Journey for LGBTQ Adoptive Parents.

Reproductive loss, which includes miscarriage and nongestational loss, such as adoption loss, is rarely recognized as part of the family-building journey. Such loss tends to be even more invisible among LGBTQ individuals. The current study examines the experiences of 80 LGBTQ individuals who experienced adoption-related losses (i.e., failed adoption matches, child removals, disrupted child placements), with attention to how these losses impacted them and what enabled them to move forward. Participants who pursued private domestic adoption experienced failed matches (i.e., birth parents deciding to parent or choosing another family) both before (n = 21) and/or after (n = 24) a child was born. Participants who pursued public domestic adoption experienced child removals involving reunification with birth parents (n = 14) and other birth relatives (n = 18), as well as disrupted placements initiated by parents (n = 10) and children (n = 7). Failed matches, child removals, and disrupted placements were typically experienced as "crushing" and invisible losses. They were often followed by a period of grieving, and sometimes prompted adjustments to the type of matches or placements participants would consider (e.g., to mitigate the likelihood of future similar losses). Moving forward from adoption losses was facilitated by support from partners and those who experienced similar losses, knowledge or hope regarding the children once in their care, and finally being placed with the child(ren) whom they ultimately legally adopted.

Experiences of black women adult foster care providers for aging adults: negotiating power and care.

This study explored experiences of 23 Black women owners and operators of Adult Foster Care (AFC) homes for midlife and older adults. Semi-structured interview data focusing on multiple dimensions of the care context were analyzed using grounded theory methods. Women leveraged their resources as they invested their expertise, time, and relationships to support their residents and embraced the value of residents for their contribution to the success of AFC settings. The findings underline the critical roles of these AFC providers in maintaining safe and home-like care contexts for aging adults, in the face of systemic challenges.

Apart, but still together: Separated parents living in limbo during COVID-19.

During the COVID-19 pandemic, parents face unprecedented challenges linked to social isolation, uncertainty about the future, and financial, employment, and school-related stress. Individuals who planned to separate and divorce before the pandemic now find their lives on hold. In this exploratory study of 14 women who completed an online survey of open- and closed-ended questions regarding the divorce process and parenting challenges during COVID-19, we were guided by family stress and resilience theory and a directed qualitative content analysis approach to generate a collective story of their experiences, which included four themes: (a) pile-up of tensions, challenges, and stressors, (b) living in limbo during the pandemic, (c) finding creative strategies and solutions to navigating parenting and relational dissolution, while still living together, and (d) reaching the breaking point. We conclude with implications for professionals seeking to support individuals, couples, and families during a time of unprecedented transition and uncertainty.

Divorced and separated parents during the COVID-19 pandemic.

The COVID-19 pandemic has caused significant stress for individuals, couples, and families. Divorced and separated couples with children face unique stresses amid the pandemic. This mixed-methods study explored these challenges among 296 divorced and separated parents: namely 204 women formerly partnered with men, 34 men formerly partnered with women, and 58 women formerly partnered with women, who were surveyed during Summer/Fall of 2020. Participants described legal, financial, and coparenting challenges. Those who were not yet divorced described difficulties filing for or finalizing their divorce because of court closures and lack of responsiveness from legal professionals. Those who were already divorced also faced legal challenges, such as being unable to obtain a court date to modify custody arrangements. Financial challenges included renegotiating financial support obligations in the context of job loss. Salient coparenting conflicts, explored through closed- and open-ended questions, included communication issues, different views on virus risk mitigation behaviors, financial issues (especially for those not yet divorced), and transitioning between households and handling remote schooling (especially for those with shared physical custody). Participants elaborated on COVID-19-specific challenges, revealing that (a) lack of communication or agreement regarding shared strategies for risk mitigation reflected and exacerbated challenging dynamics between coparents, (b) remote schooling was often the site of disagreement when one parent felt that they were doing more than their fair share of coordination and oversight, and (c) different perspectives on science were expected to lead to future contention when making a joint decision about whether to vaccinate children. Findings have implications for family and legal professionals working with divorced, divorcing, and separated parents.

La pandemia de la COVID-19 ha generado mucho estrés en las personas, las parejas y las familias. Las parejas separadas y divorciadas que tienen niños enfrentan tensiones únicas en medio de la pandemia. En este estudio de métodos combinados se analizaron estas dificultades entre 296 padres divorciados y separados, por ejemplo, 204 mujeres que antes estaban en pareja con hombres, 34 hombres que antes estaban en pareja con mujeres y 58 mujeres que antes estaban en pareja con mujeres, a quienes se los encuestó durante el verano/otoño de 2020. Los participantes describieron las dificultades legales, económicas y de cocrianza. Aquellos que aún no estaban divorciados describieron dificultades para presentar la demanda de divorcio o para finalizar su divorcio debido a los cierres de los juzgados y a la falta de respuesta de los abogados. Los que ya estaban divorciados también enfrentaron dificultades legales, como no poder obtener una cita en el juzgado para modificar los acuerdos de tenencia. Entre las dificultades económicas se encontraron la renegociación de las obligaciones de ayuda económica en el contexto de la pérdida del empleo. Los conflictos de cocrianza más destacados, analizados mediante preguntas cerradas y abiertas, fueron los problemas de comunicación, los diferentes puntos de vista sobre las conductas de disminución del riesgo de contagio del virus, los problemas económicos (especialmente para aquellos que aún no estaban divorciados) y la transición entre hogares y el manejo de las clases virtuales (especialmente para aquellos con tenencia compartida). Los participantes explicaron en profundidad las dificultades específicas de la COVID-19, y revelaron que (a) la falta de comunicación o de acuerdo con respecto a las estrategias compartidas para la reducción de riesgos reflejaron y exacerbaron la dinámica compleja entre los copadres, (b) las clases virtuales fueron generalmente el punto de desacuerdo cuando uno de los padres sentía que estaba haciendo más de lo que le correspondía con respecto a la coordinación y la supervisión, y (c) se esperó que los diferentes puntos de vista sobre la ciencia condujeran a futuras disputas a la hora de tomar una decisión conjunta acerca de si vacunar o no a los niños. Los resultados tienen consecuencias para los especialistas en familia y en leyes que trabajan con padres divorciados, que se están divorciando y separados.

Adolescent Sexual Development: A Family Perspective.

Adolescent sexual development is informed by individual, relational, generational, institutional, and cultural perspectives. Families matter: they are the social institution at the intersection of adolescent development and broader social systems, charged with the responsibility for rearing children and adolescents to adulthood. This narrative review maps insights from family theory and research onto adolescent sexual development research. Our purpose is to inform sexuality researchers from diverse fields about how family perspectives can enrich understanding of adolescent sexual development. We present the critical, intersectional theoretical framework guiding this review as consisting of three meta-themes for understanding families through an examination of family structure, process, and context. Then, we apply those meta-themes to current research on adolescent sexual development by selectively organizing our review around the contexts of family structural diversity and family relational complexity, demonstrating that both the structure and the process components are embedded within the intersectional and cultural contexts that shape and are shaped by families. Our review demonstrates that diverse, intersectional family structures and transitions may affect adolescent sexual development by influencing family processes, particularly around sexual communication. We conclude with implications of using family perspectives for future inquiry related to adolescent sexual development.

Lesbian adoptive mothers' emotional responses and adaptation in the wake of relational dissolution.

Relational dissolution is often characterized by heightened feelings, especially around co-parenting and child custody. Lesbian mothers may experience their emotions in uniquely nuanced ways due to intersections among female gender, minority sexual orientation, and family structural change. Framed by a critical feminist perspective, we conducted a qualitative analysis of telephone interview and online survey responses by 17 lesbian adoptive mothers whose relationship ended. Four emotional response patterns emerged - mostly positive, mixed feelings, mostly negative, very negative - corresponding to four adaptation patterns: adapted, improving, stalled, and stuck. We provide implications for individuals, families, and societal change related to LGBTQ divorcing families.

Lesbian women disrupting gendered, heteronormative discourses of motherhood, marriage, and divorce.

Despite shifts in societal attitudes, lesbian women who separate and divorce still must cope with recriminating societal messages that blame and condemn them for not conforming to the gendered heteronormative dictate of married motherhood. Guided by feminist theory, we conducted a qualitative analysis of narratives from 17 adoptive lesbian mothers who had dissolved their relationship. The women's narratives revealed five cultural discourses that they variously embraced, resisted, or disrupted: (1) the ideology of the good mother; (2) divorce is bad for children; (3) marriage is the ideal way to live; (4) couples should stay together for the children; and (5) lesbian ex-lovers should be lifelong friends. All women embraced the cultural belief in "the good mother," which is the linchpin of gendered oppression, but they were much more disruptive regarding the remaining four discourses surrounding marriage, divorce, and lesbian relationships. Their assessments of life after separation revealed that divorce can actually be better than marriage for their children; marriage is often overrated; having children can complicate a marriage; and remaining friends with one's ex-partner is not always desirable. The feminist tenet that oppression and agency coexist was revealed as the women both engaged and resisted dominant cultural narratives in order to navigate the dilemmas of crafting a new life for themselves and their children post-divorce.

Agency and fatalism in older Appalachian women's information seeking about gynecological cancer.

Researchers consider older women in rural Appalachia to have low levels of agency and high levels of fatalism regarding decision making about cancer treatment. Using the life course perspective, we examined older women's agency with information seeking about gynecological cancer. Semistructured interviews with 20 White women living in central Appalachia revealed four trajectories: Surrendering Control, Accepting Death, Self-Care, and Advocacy, each with its own forms of agency. Some women experienced personal transformation, increased self-efficacy, and a passion for community empowerment. Fatalism was not understood apart from placing trust in medical expertise. We implore researchers to further explore rural expressions of agency.

Male-Partnered Bisexual Women's Perceptions of Disclosing Sexual Orientation to Family Across the Transition to Parenthood: Intensifying Heteronormativity or Queering Family?

Drawing from queer and communication privacy management frameworks, this study examines the narratives of 22 bisexual, male-partnered women who were interviewed during the perinatal period and one year postnatally about their disclosures of sexual identity to family of origin. Most women rarely discussed their sexual identity with family; participants who had disclosed described such disclosures as provoking discomfort. Some women stated that their parental status seemed to invalidate the need to talk about their sexual history or identity with family, due its declining salience and increased concerns about judgment. This study reveals how partnership and parenthood statuses contribute to the intensification of heteronormative pressures in relation to family. Therapists should attend to the role of heteronormative values regarding partnering, family-building, and parenting.

Older women in Appalachia: experiences with gynecological cancer.

PURPOSE OF THE STUDY: The purpose of this study was to explore how older women in rural Appalachia with gynecological cancer construct and interpret their experience with cancer. DESIGN AND METHODS: Grounded in social constructionist theory, semistructured in-depth interviews were conducted with 20 women, aged 51-82, who had been treated for gynecological cancer. Transcripts were analyzed using the constant comparative method. RESULTS: Although women narrated their experience along a common trajectory from symptoms to diagnosis to treatment, four distinct patterns of posttreatment perceptions were described: (a) positive: women believed they were cancer survivors, (b) cautious: women saw themselves as survivors but not risk free, (c) distanced: women viewed themselves as cured and equated survivor with victim, and (d) resigned: women refused more treatment. All of the women acknowledged an inner strength in how they experienced cancer, requiring a more nuanced framework for understanding how negative and positive feelings coexist with faith in a higher power and the capacity to endure a devastating threat to life and health. IMPLICATIONS: The findings expand the concept of survivor identity, suggesting that the women's perception that they had met life's challenges with fortitude and inner strength may have more resonance in later life than the concept of survivorship. Family members and medical and public health professionals need to support older women's individual response to cancer recovery and acknowledge their complicated reactions to a cancer diagnosis and prognosis.

Being who I am: effective teaching, learning, student support, and societal change through LGBQ faculty freedom.

Framed within the context of a heterosexist society in which not all sexual minority faculty feel professionally and/or personally safe stepping out of the classroom closet, this qualitative study examines the phenomenon of non-heterosexual faculty disclosing their sexual orientation to students in their classrooms. Findings demonstrate the depth and magnitude of impact the disclosure has on teaching, learning, student support, and societal change. Overarching is that faculty do not necessarily view the experience as "coming out in the classroom," but rather as "being who I am" in terms of freedom to present an authentic self, if so desired, to students.

Donor, dad, or ? Young adults with lesbian parents' experiences with known donors.

In this exploratory qualitative study of 11 young adults, ages 19-29 years, we examine how young people who were raised by lesbian parents make meaning out of and construct their relationships with known donors. In-depth interviews were conducted to examine how participants defined their family composition, how they perceived the role of their donors in their lives, and how they negotiated their relationships with their donors. Findings indicate that mothers typically chose known donors who were family friends, that the majority of participants always knew who their donors were, and that their contact with donors ranged from minimal to involved. Further, participants perceived their donors in one of three ways: as strictly donors and not members of their family; as extended family members but not as parents; and as fathers. The more limited role of donors in participants' construction of family relationships sheds light on how children raised in lesbian, gay, and bisexual families are contributing to the redefinition and reconstruction of complex kinship arrangements. Our findings hold implications for clinicians who work with lesbian-mother families, and suggest that young adulthood is an important developmental phase during which interest in and contact with the donor may shift, warranting a transfer of responsibility from mother to offspring in terms of managing the donor-child relationship.

The role of masturbation in healthy sexual development: perceptions of young adults.

Despite efforts to identify masturbation as a strategy to improve sexual health, promote relational intimacy, and reduce unwanted pregnancy, STIs, and HIV transmission, masturbation as a context for healthy sexual development has been met with silence or trepidation in the scientific and educational communities. Relegated to the realm of commercial media, rather than rational discourse in families, schools, and the general public, young people receive mixed messages about this non-reproductive sexual behavior. In order to explore how young adults have learned about masturbation and currently perceive masturbation, we conducted a grounded theory study of 72 college students (56 females; 16 males) enrolled in a human sexuality class. Findings revealed that a young adult's perceptions of and feelings toward masturbation were the result of a developmental process that included: (1) learning about the act of masturbation and how to do it, (2) learning and internalizing the social contradiction of stigma and taboo surrounding this pleasurable act, and (3) coming to terms with this tension between stigma and pleasure. Although nearly all participants learned about masturbation through the media and peers (not parents or teachers), gender was salient in coming to terms with the contradiction of stigma and pleasure. Most of the women reported either still struggling with the contradiction or accepting it as normal. Most of the men recognized the beneficial aspects for healthy sexual development that result from masturbation. Both male and female participants identified differential sexual scripts as contributing to the double standard.

Sexual activity during menstruation: a qualitative study.

This study utilized a grounded theory method to analyze qualitative narratives about sexuality and menstruation from 108 young women (ages 18-23; M = 19.8, SD = 1.07) and 12 young men (ages 18-24; M = 20.4, SD = 1.46). Five patterns were found: Sixteen women identified themselves as virgins and had not faced the issue of negotiating sex during menstruation. Among the 92 women who said they were sexually active, 37 women said they would never have intercourse during menstruation, eight women said they tried it once but never would again, and seven women said they rarely would and only under certain conditions. The largest group, 40 women, said they do have menstrual sex. Compared to the other groups, more of the women who do have sex during menstruation were in committed relationships, and none espoused a discourse of disgust. Considering the 12 men, three were virgins. Among the nine sexually experienced men, seven said they did have sex with a menstruating partner. Young adults who were comfortable with menstrual sex saw it as just another part of a committed intimate relationship.

Women's experience of rage: a critical feminist analysis.

We conducted in-depth interviews with 37 incarcerated women on their experience of rage towards their intimate partner. Participants used specific criteria to distinguish their experience of rage from anger. Rage is described as an overwhelming experience with particular physiological and cognitive changes that takes control of a woman's emotions and actions. In contrast, anger is described as a controllable emotion with a specific termination point. Motivations for acting violently in rage with an intimate partner are described and discussed. Findings suggest a primary trigger for experiencing rage is feeling threatened and feeling emotionally overwhelmed.

Resilience in Arab American couples after September 11, 2001: a systems perspective.

Guided by a family resiliency model grounded in systems theory and social constructionism, we conducted in-depth interviews to explore how 18 Arab American couples living in New York and New Jersey perceived and dealt with the terrorist attacks and aftereffects of September 11, 2001. Results are organized around five themes: Making sense of the attacks; the social environment after September 11, 2001; construction of identity: Arab and/or American; how couples cope: reactions and resources; and immigration and acculturation. Clinical recommendations include helping couples to uncover and to explore conflicts in both Arab and American identities, using genograms to deal with family-of-origin histories, recognizing specific couple dynamics linked to traditional gender roles, helping couples connect to religious and cultural communities, and assessing acculturation.