This entry provides an overview of research on lesbians in the United States using an overarching framework of oppression and empowerment. Historical and current demographic and cultural information about lesbians will be reported, along with an analysis of personal and environmental factors critical to social work practitioners' ability to enhance the well-being of lesbian individuals, couples, and families.
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Lesbians: Overview
Lori Messinger and Jennifer Wheeler Brooks
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Lesbians: Practice Interventions
Deana F. Morrow
This entry will provide an overview of psychosocial issues and social work intervention relevant to working with lesbians. Practice issues related to the impact of heterosexism, coming out, lesbian identity development, and lesbian couple and family formation will be discussed. Assessment and intervention methods appropriate for social work practice with lesbians will be addressed.
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Marriage and Domestic Partnership
Elaine M. Maccio
This entry briefly covers the history, demographics, research, clinical practice, diversity, debates, and trends surrounding marriage and domestic partnership in the United States. Who marries and why, when, and at what rate people marry is covered, as are some of the statistics behind alternatives to marriage, such as cohabitation, domestic partnership, and civil unions. It is beyond the scope of this entry to discuss in detail relationship dissolution and divorce, although information is provided insomuch as it relates to marriage and domestic partnership.
The ability to form close relationships with others is a crucial component of life span development. In fact, an inability to do so may be considered partial criteria for some types of mental disorders (American Psychiatric Association, 2000). Psychologist Erik Erikson (1980) theorized that young adults must master intimacy over isolation if they are to move successfully through his proposed stages of psychosocial development. Apart from these theoretical obligations, much of global society sanctions the forming of close relationships that it deems appropriate. Proms, engagements, weddings, and anniversary celebrations serve to socially reinforce (usually heterosexual) couplings and the norms surrounding acceptable relationships.
Marriage is the legal, and most often consensual, partnering of two persons of either sex. Domestic partnership can refer to any unrelated persons 18 years of age or older living together for a minimum specified period of time (for example, one year) and in a financially interdependent relationship. Both unmarried heterosexual couples and same-sex couples can apply for domestic partner status in those jurisdictions, companies, and institutions that recognize it. However, such distinction still falls short of the 1,138 federal benefits and protections afforded to legally married couples (U.S. General Accounting Office, 1997, 2004). For example, access to a partner's Social Security benefits, Medicaid and Medicare benefits, and veterans' pensions, and the exemption from gift and estate tax liabilities, are just a few of the laws mentioned in the U.S. Code that are affected by marital status. Only marriage offers couples such entitlements; civil unions, a proposed substitute for same-sex marriage and available in only a handful of states, afford no federal benefits and protections.
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Men: Overview
Jordan I. Kosberg and James P. “Ike” Adams Jr.
Growing up a male comes with challenges that can influence the quality and length of one's life. Attention is directed to gender role socialization that can result in gender-related physical, social, and mental health problems that can be exacerbated by poverty, ethnicity, advanced age, and minority group background. Understanding how men can cope with their problems, as well as reasons for their failure to utilize community resources, should be of concern to social workers. A balanced approach in the portrayal of men, and the creation of effective interventions that reach and assist men, seem consistent with social work values.
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Men: Health and Mental Health Care
Darrell P. Wheeler
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Men: Practice Interventions
Robert Blundo
A consistent theme for the majority of men in the United States remains the code of manhood. Men are expected by society to be stoic in the face of danger and to play out, in all aspects of life, the idea of the rugged individual going it alone, even in the face of a quickly changing world. Whereas social-work theorists and practitioners talk about male aggression, sexuality, intimacy, depression, anxiety, addiction, ageing, and work-related concerns, most men are less likely to view these as problems. If they do enter into counseling or treatment, they are less likely to remain for any length of time. Faced with these issues, practitioners are challenged to find ways of engaging men and forming successful collaboration and meaningful outcomes.
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Political Ideologies and Social Welfare
Mimi Abramovitz
Political ideologies developed to address “social problems” shape public policy debates, social policy strategies, and social work practice. The clashes among the long-standing political traditions—conservatism, liberalism, and radicalism—reflect fundamental and often irreconcilable differences regarding social, economic, and political life. Ideology also shapes theories of racial and gender inequality. These ideological perspectives and theories diverge on several core issues that underpin social welfare provision, including human nature, the role of the market and the state, definition of social problems, and the role of the welfare state. The resulting distinctions provide social workers with a framework to more effectively assess and change social welfare policies.
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Prostitution
Adele Weiner
Social workers often come in contact with women, men, and adolescents who use prostitution as a means of survival. Individuals may earn their entire income in this manner. They may use it to supplement low earnings or welfare benefits, or they may exchange sex for drugs, shelter, or the protection of pimps. Violence, drug use, arrest, and transmission of sexually transmitted disease (STD) or HIV are constant risks of prostitution. Those who engage in prostitution, whether as prostitutes or as clients, represent the entire spectrum of American society. This entry discusses a number of psychosocial issues relevant to understanding the lives of women who engage in prostitution and implications for providing social work supports and services.
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Queer Communities (Competency and Positionality)
Michael P. Dentato
There is a critical and ongoing need for the expansion of competency among social workers related to understanding queer identities and issues related to positionality within queer communities. It is also important to continually examine the evolving terminology and context through which the term queer has been defined over the years and relevant challenges with connectedness to the lesbian, gay, bisexual, and transgender (LGBT) community. Age cohort associations and the role of intersectionality also have relevance and underscore the multidimensional discourse necessary to develop effective competency, and engage in affirming practice with queer communities. Social worker practitioners must understand the implications for best practices associated with establishing and maintaining an affirming therapeutic alliance with queer clients, as well as the continued need for research related to understanding the unique needs of queer identities and the queer community at-large.
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Queer Communities, LGBTQIA2S+ Populations, and Macro Practice
Michael P. Dentato
Related to understanding queer identities, an ongoing need exists for the expansion of competency among social workers across micro and macro practice frameworks. Practitioners must be aware of their own positionality and use of cultural humility associated with practice and advocacy for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and two-spirit+ (LGBTQIA2S+) communities, which include those identifying as demisexual, omnisexual, and pansexual, among others. Relatedly, social workers must be attentive to evolving terminology and contexts through which the term queer has been defined over the years, as well as relevant challenges with connectedness to (or separation from) the larger LGBTQIA2S+ community. Age cohort associations and the role of intersectionality also have relevance and underscore the multidimensional discourse necessary to develop effective competency and the ability to engage in affirming macro practice with queer communities. Social work practitioners must understand the implications for best practices associated with establishing and maintaining an affirming alliance with queer clients via policy practice efforts, advocacy efforts, community organizing, service provision, or therapeutic context. In addition, there remains a continued need for ongoing research associated with understanding the unique needs of queer identities and the queer community at large.
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Reproductive Health
Marjorie R. Sable and Patricia J. Kelly
Reproductive health includes family planning, prenatal care, and the broader scope of primary care. Because a woman's health status at conception is as important as prenatal care, genetic screening and 20th century medical technology, reproductive health includes “the preconceptual and interconceptual periods and the menopause, and finally, not only reproductive tract problems but the wide range of risk factors that influence a woman's health in general.” Quantitative indicators of reproductive outcomes are useful for summarizing progress in reproductive health. Important indicators are discussed and reveal significant racial disparities.
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Reproductive Health Justice
Silvia M. Chávez-Baray, Eva M. Moya, and Omar Martinez
Reproductive health endeavors in regard to prevention, treatment, and emerging disparities and inequities like lack of access to comprehensive and equitable reproductive health for immigrants and LGBTQ+ populations are discussed. Practice-based approaches for reproductive health justice and access care models, to advance reproductive justice, are included. Implications for macro social work practice and historical perspectives, practices, and social movements of reproductive health justice in the United States to promote reproductive health justice in the context of political, legal, health, and social justice efforts are salient to advance social justice.
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Sexual Assault
Judy L. Postmus
Sexual assault or rape affects millions of women and men in the United States; however, it is only in the last 30 years that it is being considered a social problem. During this period, many policies at the state and federal levels have attempted to address sexual assault and provide legal remedies for victims. However, sexual assaults are still the most underreported crime in the United States and are accompanied by bias and misinformation that plague our response. Social workers play a crucial role in offering services to survivors and advocating for more education and awareness in our communities and universities.
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Sexual Harassment
Sondra J. Fogel and Doris A. Boateng
Sexual harassment is a form of discrimination as well as a complex social issue with psychological implications for both those who are harassed and those who perpetrate the harassment. Women continue to be primary targets, although men, youths, and sexual minorities are increasingly pursued. Legally prohibited in the workplace and educational institutions, sexual harassment persists in personal interactions as well as by electronic means despite prevention efforts such as education programs and zero-tolerance policies. This entry will define sexual harassment, provide an overview of its prevalence, and describe approaches for its remedy.
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Sexual Orientation
William J. Hall
Sexual orientation is a multidimensional phenomenon involving a person’s sexual attraction, sexual behavior, and sexual orientation identity. Sexual orientation patterns may remain consistent or fluctuate over time. Although heterosexual attractions, behaviors, and identities appear to be the dominant manifestations of sexual orientation, other sexual expressions exist. The causes of sexual orientation are still not completely understood; however, evidence suggests that biological factors play a strong role. Sexual development is an important part of human development, and there are parallel and differing developmental tasks and trajectories for those who are heterosexual and those who are queer. Non-heterosexual sexualities are often stigmatized, which contributes to homophobia and heterosexism. There is a continuing history in the mental health professions of efforts to change the sexual orientation of people who are queer, despite evidence of harm and ethical mandates. Researchers and service providers should assess sexual orientation because it is one of many important characteristics in the lives of individuals.
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Sex Workers and HIV/AIDS in India
Sunny Sinha
The risk of HIV infection looms large among male, female, and transgender sex workers in India. Several individual, sociocultural, and structural-environmental factors enhance the risk of HIV infection among sex workers by restricting their ability to engage in safer sexual practices with clients and/or intimate partners. While most HIV prevention programs and research focus on visible groups of women sex workers operating from brothels (Pardasani, 2005) and traditional sex workers, for example, Devadasis (Orchard, 2007); there is a whole subgroup of the sex worker population that remains invisible within HIV prevention programs, such as the male, female, and transgender sex workers operating from non-brothel-based settings. This paper provides an overview of the different types and contexts of sex work prevalent in Indian society, discusses the factors that increase a sex worker’s risk of HIV infection, describes the varied approaches to HIV prevention adopted by the existing HIV prevention programs for sex workers, discusses the limitations of the HIV prevention programs, and concludes with implications for social work practice and education.
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Social Justice
Janet L. Finn, Jen Molloy, and Ashley Trautman
The concept of social justice is significant as a core value of social work. Conceptualizations of social justice are diverse, with important philosophical underpinnings. A range of philosophical perspectives influences social work’s conceptualization of social justice, including those of John Rawls, Amartya Sen, Martha Nussbaum, Nancy Fraser, and Iris Marion Young. The roots of social justice are traced through social work history, from the settlement house movement to the rank and file movement, the civil rights movement, and contemporary struggles in the context of globalization and neoliberalism. Challenges for social justice-oriented practice in the 21st century are addressed. Examples are provided of ways in which social workers are translating principles of social justice into concrete practices.
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Torture
S. Megan Berthold
Although state-sponsored torture violates human rights and international law, it is a widespread practice worldwide. The effects are profound and extend beyond the targeted individual. This entry will explore the debate surrounding different definitions of torture and examine who is targeted for torture and why, as well as the wide range of effects of torture on individuals, families, and communities. Factors that contribute to the resilience of torture survivors will be identified. The various roles that social workers can play with this population will be outlined and common assessment and intervention approaches utilized by social workers with torture survivors will be discussed.
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Transgender People
M. J. Gilbert
In this entry, transgender is defined in the context of ethnomethodology and social construction of gender. A history of the role of transgender people in the gay, lesbian, and bisexual rights movement is presented, including tensions concerning the role of transgender people in this movement. Issues regarding social work practice related to transgender issues on the micro, mezzo, macro, and meta levels are discussed.
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Womanism and Domestic Violence
Selena T. Rodgers
Domestic violence is a public health problem shown to inflict severe mental and physical injury on millions of individuals and has considerable social costs. Absent from the literature is an examination of womanism ideologies, which provide a greater understanding of the full praxis that black women who experience domestic violence engage. Drawing from initial conceptualizations of womanism and later contributions of Africana womanism, this article brings into focus pervasive acts of violence perpetrated against black women, their racial loyalty to protect black men, and the limitations of existing domestic violence models and interventions. This entry addresses how these three interconnected areas are treated within the conceptual framework of womanism. An overview of violence against black women reveals the historical and contemporary forms of knowledge and praxis that have sought to overcome the social problem of intimate partner abuse, including the social construction of controlling images and the Power and Control Wheel (The Duluth Model). This entry also examines the prevalence of violence perpetrated against black women and compounding factors. In addition, this author considers the Violence Against Women Act and its consequences on laws and policies that affect the race, gender, and class experiences of black women coping with domestic violence. Also analyzed is the quintessential role of demographics, the culture of domestic violence, and international debates about womanism, including how black women intellectuals are prioritizing race-empowerment perspectives and a reference point to articulate healthy black relationships are prioritized. The article also reviews social work practice with black women victims/survivors of domestic violence and their families.
