hlth sexuality exam 2

LGBTQ+ youth experience health disparities as a result of many forms ofsocial and institutional marginalizationsome LGBT youth are at higher risk than heterosexual youth for (4)HIV, STDs, pregnancy, related risk behaviorsdimensions of intimacyconflict resolution, affection, cohesion, sexuality, identity, compatability, autonomy, expressivenesscomprehensive and age appropriate sex education works (3)delay initiation of sex, reduce frequency of sex & # of partners, reduce unprotected sex"reduce unprotected sex"increase condom & contraceptive use among sexually active people"increase condom & contraceptive use among sexually active people"lower STIs & pregnancy rates (50%)core concepts of National Sex. Education Standards Core Content and Skills K-12 Second Education (6)consent & healthy relationships, anatomy & physiology, puberty & adolescent sexual development, identity(gender & sexual), sexual health, interpersonal violencesex education Shero; 1st Black woman to serve as US Surgeon General (1993)Dr. Jocelyn Elderssafer sex (8)solo sex, routine STI screening and routine exams, knowing your/partner's STI status, limiting or avoiding higher-risk sexual behavior, barrier methods (i.e. condoms), birth control, PrEP, HPV vaccineexpiration date; LATEXexternal condomsone time use only; can be harder to get than traditional condoms; NON-LATEXinternal condomst or f: latex condoms can be used with oil-based lubesfduring sex, make sure the penis doesn't push in the condom all the way inside of youinternal condomsinternal condoms + external condomsmore friction; more likely to breakwhat are dental dams used fororal sexsquare sheet of latex; most commonly used to cover the vulva or the anusdental damshelps keep the condom stronger and last longer; helps prevent micro-tears in our skin; helps enhance pleasurelubeless susceptible to socialization and environment/social factors in developmentsexual orientation attractionmore susceptible to socialization and environmental/social factors in development; what we do & who we do it withsexual orientation behaviormore susceptible to socialization and environmental/social factors in development; labels we attach to our sexual orientationsexual orientation identity% of people living in the US & identifying as LGBTQ+ areincreasingthe most significant increase of US people identifying as LGBTQ+ areyoung peoplehow you, in your head, think about yourself & feel; a continuous, persistent sense of who we are within a spectrum male to female identity; your psychological sense of selfgender identitythe ways you present your gender, through your actions, clothing, demeanor, and more; your outward-facing self and how that's interpreted by others based on gender normsgender expressionan umbrella term for people whose gender identity and/or expression is different from cultural expectations based on the sex they were assigned at birthtransgendermismatchdiscordanceextreme discomfort in one's bodydysmorphiaused to describe that sex and/or gender are limited exclusively to female/male and woman/manbinarya term for someone who exclusively identifies as their sex assigned at birth; not indicative of gender expression, sexual orientation, hormonal makeup, physical anatomy, or how one is perceived in daily lifecisgender/cisa person's process of developing and assuming a gender expression to match their gender identity; unique and personal to each persontransitioncan include coming out to one's family and/or friends, changing one's name and/or sex, and possibly some form of hormone therapy and/or surgery; access to insurance, transition care, and safety can display a large role in one's abilitytransitionrefers to health care. settings and professionals acknowledging and respecting one's gender identitytrans-inclusive care/gender affirming carehormone therapy, surgery, voice modification, facial hair removalgender affirming interventionsout of 1,000, only ---- said that "transgender" accurately described them; ---- wrote other terms that better described their gender1/3; 2/3family rejection, bullying, harassment in the workplacesocial marginalizationhomeless shelters rejecting LGBTQ+ youth; domestic violence shelters rejecting trans women; school policies that recognize or protect LGBTQ+ students in their anti-bullying policies; bathroom policies in schools that discriminate or limit trans students; lack of employment protections (before 2020, you could be fired in 29 states for being LGBTQ+)institutionalized discriminationlack of training for medical and mental health professionals; exclusive facilities, forms, and policiesbarriers in health careincreased rates of tobacco, alcohol, and other substance use; mental health concerns; suicide; experiences of harassment and violence; STI and HIV infections; cancerspeople that are being denied healthcarewhere is the UMD LGBT equity center locatedMariemont halljoint effort of the LGBT center and the orientation office; an award-winning 1st year experience for LGBT and allied studentsThe One Projectlongest program run by LGBT equity centerLavender Graduationadvise and support many of the student LGBTQ student organizations; help student orgs coordinate pride month activities every AprilMICAprovides help of transition support for transgender clients, screenings for STIs, education on sexual healthUniversity Health Centerhas a rainbow walk in hour each day when LGBT clients or clients from LGBT headed households can walk in and see a counselorCounselor center in shoemaker buildingwho created dimensions of intimacywaring (1988)dimensions of intimacy (8)conflict resolution, affection, cohesion, sexuality, identity, compatibility, autonomy, expressivenesssternberg's triangular theory of loveintimacy, passion, commitmentthe friendship or specialness of the relationship; the feelings of closeness, bondedness, connectedness, trust, and friendship in the relationshipintimacythe "business aspect" of the relationship; includes all of the shared investments or the "history" of the relationship such as decisions, experiences, and adjustments, short-term decisions and long-term decisionscommitmentthe excitement or energy of the relationship; the feelings of physical attraction, romance, and arousal (particularly sexual arousal) in the relationshippassion5 love languageswords of affirmation, quality time, receiving gifts, acts of service, physical touchcompliments, encouragements, affirming their situation/perspective; appreciate & listen actively; send an unexpected note, text, or card; don't not recognize or appreciate effortwords of affirmationfocusing all of your energy, uninterpreted time, quality conversation, doing an activity, having an outing, "alone time"; create special moments, take walks, and do small things with your partner; avoid distractions when spending time together & avoid long times without one-on-one timequality timevisual symbols of respect & care, treasure any gift as an expression of trust and acknowledgement, investing money not in gifts but in deepening your relationship; give thoughtful gifts and gestures; express gratitude when receiving gifts; avoid unenthusiastic gift receiving & avoid forgetting special occasionsreceiving giftssimple to humble chores, doing them out of consideration - not obligation, stepping out of stereotypes/roles (do an act of service that is out of character or surprising); make them breakfast or dinner; go out of your way to help with chores; avoid lacking follow-through on small & large tasksacts of servicein any relationship, it is important to discover how the other response not only physically but also psychologically to touch, what is appropriate for the situation, can be more powerful than wordsphysical touchhealthy relationship wheel (7)safety, respect, trust & support, honesty & accountability, shared power & responsibility, individuality & personal growth, negotiation & fairnesstalking and acting so that you each feel comfortable expressing and being yourself; refusing to intimidate or manipulate; respecting physical space; expressing yourself non-violentlysafetylistening non-judgementally; affirming thoughts & feelings; understanding & valuing opinionsrespectacknowledging & supporting that they can have their own friends, feelings, activities, opinions, and goals; offering encouragement & being understandingtrust & supportaccepting responsibility for self; admitting when you are wrong; communicating openly and truthfullyhonesty & accountabilitytaking mutual responsibility for recognizing influence on the relationship; making relationship decisions togethershared power & responsibilityrespecting their personal identity & encouraging their individual growth & freedom; supporting their security in their own worthindividuality & personal growthseeking mutually satisfying resolutions to conflict; accepting change; being willing to compromisenegotiation & fairnessrelationship spectrum (3)healthy, unhealthy, abusiveequality & respecthealthyattempts to control through pressure, put downs, dishonesty, isolating from friendsunhealthyimbalance of power & control about who you can hang out with, what you can do on social media, sex, how you spend your time, your looks, what you wear, physical violenceabusive---- of college students say it is difficult to identify dating abuse57%--- of college students say they don't know how to help someone who is experiencing it58%teens 12-15 (who most influences your decision about sex?)parentsteens 16-18parentsage 20-21friendsage 22-24friendscommunicating & coming to an agreement about what you do/don't want to do; what boundaries are; what is OK and not OK; requires that you are able & willing to read & respect your partner's signals (verbals and non-verbals); there is no such thing as blanket consentconsentconsent must be freely given without coercion; consent can be withdrawn at any point in time; alcohol & other substances impair one's ability to give & receive solid consent; if someone is passed out/passing out (they cannot consent - even if they said yes before); age of consent & power dynamicslimits to consentthe basic/bottom line of having sexconsent3 things that branch off of communicationconsent, safety, pleasuresafety branches off of communication (4)birth control, STI protection, safe words, emotional safetyconsent acronymEPICwe want someone to be enthusiastic about giving consent; makes consent more clear as wellenthusiasm (EPIC)consent is personal and circumstances of consent may be different person-by-personpersonal (EPIC)maybe you'd consent to hookup without a condom but you wouldn't if you knew that that person was hooking up with other people without a condom; used in medical model a lot (medications and such)informed (EPIC)consent has to be continuous not one-and-done; remember verbal and non-verbalcontinuous (EPIC)tools to support communication, sexual satisfaction, respect and adherence to boundaries, and consentyes, no, maybe checklistchallenges rape culture; reduces physical, emotional, and psychological harms associated with sex; enhances sexual satisfaction & pleasureconsent cultureoccurs when a person uses their power in order to maintain control over another individual (includes intimate partner violence, sexual violence, stalking, sexual harassment, and other forms of unwanted experiences)power-based violencewhat is essential in order to both prevent and respond to instances of violencelanguagewhat is violence about in power-based violence (not sex, attraction, or impulse); the person uses their power for control <-- this person is at fault and no one elsepowerone reason people blame a victim is to distance themselves from an unpleasant occurrence and thereby confirm their own invulnerability to the riskvictim blaminglabeling or accusing the victim --> others can see the victim as different from themselves; people reassure themselves by thinking "bc i am not like them, bc i don't do that, this would never happen to me"victim blamingmarginalize the victim/survivor & makes it harder to come forward & report the abuse; reinforce what the abuser has been saying all along: that it is the victim's fault this is happeningvictim-blaming attitudesan environment in which rape is prevalent in which sexual violence is normalized and excused in the media & popular culture; perpetuated through the use of misogynistic language, the objectification of women's bodies, and the glamorization of sexual violencerape culture---- women experience attempted or completed case of sexual assault in college1/5--- men experience attempted or completed case of sexual assault in college1/16---- non-binary experience attempted or completed case of sexual assault in college1/4more than ---- of college assaults occur in August, September, or October50%---- of campus sexual assaults are perpetuated by someone the victim knew80%--- of students have experienced stalking since entering college4.2%------ is the #1 drug facilitator or power-based violencealcohol---- victims contemplate leaving school1/3socially constructed & elicit some sort of bias and hierarchy of privilegesocial identitiespersonal aspects that do not historically elicit disenfranchisement or biaspersonal identitiest or f: statistically, people who identify with any identity that isn't part of the majority are more likely to experience sexual violence at a disproportionate rate compared to those individuals who identify with the heteronormative majoritytcycle of abuse (3)honeymoon, tension building, explosionn---- of college students say it's hard to identify dating abuse57%---- of college students say they don't know how to help someone experiencing dating abuse58%what increases chances of positive healingsupportive reactionsindividual leadership with shared responsibility; 3 D's of interveningstep up! bystander intervention3 D's of interveningdirect, distract, delegatet or f: CARE is a confidential resourceta confidential resource allows clients to participate in --------- consentinformedhelps students identify what their options are on and off campusCAREthreats to the campus community; childhood abuse/neglect (sexual and non-sexual); suicidal or homicidal; if subpoenaed by the courts; if the client engages in illegal activities against CARE or the universitylimits of confidentiality2 people hanging out/run into each other at an event; end up doing something sexual (in some cases intercourse - but not in the majority of cases)hook upcarries no expectation that either party has an interest in moving toward a relationship - although in some cases, such an interest is present either before or afterhook up3 ways in which hook ups are genderedinitiation, orgasm gap, sexual double standard--- initiate hook ups moremenhook ups are more likely to happen in the ---- roomman'swomen are ----- ------ to engage in behavior that prioritize ----- pleasuremore likely; malet or f: the highest rate of orgasm for a woman is achieved when she receives intercourse and oral sextwho faces the greatest orgasm disparityheterosexual womensexual double standard: who has respected someone less because they hooked up with memensexual double standard: who has felt that someone respected them less because they hooked up with themwoment or f: the shorter the relationship, the greatest orgasm turn outfan intimate experience, an exchange of power between people that can be physical, erotic, sexual, and psychological, spiritual, or most often, some combinationkinkan umbrella term for those who experiment with moving beyond social norms of sexual behavior to explore different types of eroticismkinkycovers BDSM, kinky sex, dominance and submission, role play, sex games, fantasy, fetish, and other alternative erotic expressionskinkythe focus of kink is not necessarily about sex or genital stimulation, but often about ------ and ----- pleasurepsychological; emotionalBDSM - BDbondage & disciplineterms first appeared in the 70s and became widely used in the 80s; now it is rarely used on its ownBDBDSM - DSdominance & submissionused to describe the power dynamic within a scene or a relationship; communicates your interest or preference in rolesDSBDSM - SMsadism & masochismenjoyment of giving or receiving pain or discomfortsadomasochismderives pleasure from inflicting pain, intense sensations, and discomfort on someone else; could be physical or psychological & emotionalsadistsomeone who enjoys being made uncomfortable or being "forced" to do something that they don't enjoymasochist4 principles of kinkconsent, communication & negotiation, safety/risk/responsibility, aftercare & debriefthe principle of kink that separates it from abuseconsentit is very frowned upon to play while using ---- or other ----alcohol; drugscommunicating about consent is part of the process of negotiating a kink scene; creates the space for everyone to talk about their needs, wants, limits, fantasies, and fears before they playcommunication & negotationthe time before play to share relevant and important medical information; most of this laying ground takes place before play bc it's hard to do so during playcommunication & negotationmentoring & education are essential; learn proper techniques; know what you are doing & be transparent with what you don't know; safe words; RACKsafety, risk, responsibilitiesRACKrisk-aware consensual kinkis different for everyone; often discussed beforehand; may help inform whether or not you want to play; emotional and psychological check-in; physical care for wounds, cuts, burns; talk about what worked, what you liked, what could have been better all with the intent for you both to grow in your skills and your pleasure for playing with one another or other people in the futureaftercare & debriefadrenaline, endorphins, and natural painkillers flood their nervous system <-- many people get off on this chemical rushwhy people want to experience painpain is very -------; ---- and ---- are everythingsubjective; context; consentthe use of bodily. sensations to elicit pleasure; a form of consensual power exchange where both participants are empowered; creates, relies upon and builds trust; is designed to help fulfill the desires of both partners within a safe environment; opens communication and supports an environment where both parties can talk freely about their thoughts and emotionsBDSMa way to cause physical, mental, and/or emotional damage or harm to another person; takes away another person's power; nobody knows when or how it will happen & nobody ever negotiates or agrees to it happening; causes most people to fear and be afraid of their partner; destroys any and all forms of trust; the cruel and violent treatment of another person; no communication and no supportabuse

hlth sexuality exam 2

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