DOCSLIB.ORG

Young Adults' Views on Telemedicine Consultations for Sexual Health in Australia

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Young Adults' Views on Telemedicine Consultations for Sexual Health in Australia Young Adults’ Views on Telemedicine Consultations for Sexual Health in Australia Cameryn Claire Garrett Submitted in total fulfillment of the requirements of the degree of Doctor of Philosophy Centre for Women’s Health, Gender and Society School of Population Health The University of Melbourne January 2012 ABSTRACT Background Young people have high rates of sexually transmissible infections and face barriers to accessing sexual health services. It had been suggested that telemedicine could overcome these barriers. Method Two investigations were conducted: SHOUT: Young people’s (aged 16-24) pre-use views on telemedicine consultations for sexual health were investigated through a national online questionnaire in Australia. TESTme: Clients’ and key informants’ views on a year-long piloted telemedicine sexual health service, which offered telephone and webcam consultations, were examined through a questionnaire and interviews. Results SHOUT: 662 questionnaires were completed. If living close to a doctor, most young people prefer to have a sexual health consultation in person. If distance is a barrier, the majority prefer a telephone consultation. 23% were willing to have a webcam consultation with a known doctor (unknown doctor: 21%). If a genital examination was necessary, an in-person consultation was preferred. Men were more willing than women to have a webcam sexual health consultation. The main concerns about webcam consultations in the free text responses involved privacy and security, relating to the possibility of webcam consultations being recorded, saved, and potentially searchable and retrievable by others online. Reasons for and implications of these concerns for digital medical consultations are discussed, drawing on the theories of Boyd, Meyrowitz, and Nissenbaum. TESTme: Client numbers were much lower than expected: 25 rural youth aged 15-24 used the service. 18 returned the questionnaire, 4 were interviewed. All chose telephone consultations, giving as their main reasons: not owning a webcam, familiarity of the i telephone, convenience, and finding video confronting. Reasons for using the TESTme service instead of visiting a clinic were: access to a female nurse, convenience, confidentiality concerns, and cost. The eight key informants who designed and ran the service were interviewed. Their nominated reasons for low client numbers were lack of discussion with the service’s target audience, barriers to optimal promotion of the service, and young people’s inaccurate perception of risk. There was evidence that the clinicians’ “expert authority” underpinned the design of the service. Conclusion This is the first study to examine young adults’ views on telemedicine consultations for sexual health care, providing evidence to inform service development in an important area of public health. The results reveal that telephone consultations were a welcomed addition to in-person care. While only a subset of respondents was willing to have a webcam consultation, the service may benefit youth who might not otherwise access sexual health services. Rather than using the results to dismiss the use of webcam consultations, they are better understood as indicating the value of offering a variety of services to cater to heterogeneous needs. Webcam consultations may become more acceptable if privacy and security concerns are minimised. ii DECLARATION This is to certify that: (i) the thesis comprises only my original work towards the PhD except where indicated in the Preface, (ii) due acknowledgement has been made in the text to all other material used, (iii) the thesis is fewer than 100,000 words in length, exclusive of tables, maps, bibliographies and appendices. _________________________________________________ Cameryn C. Garrett iii PREFACE I woke up one morning in January 2008 feeling unwell. After an unsatisfactory diagnosis from a doctor in Melbourne, I decided to contact my family doctor in America. My doctor in the States knew me and my health history, and I trusted his medical expertise. I emailed him about my symptoms, describing my sore throat and deteriorating energy. In his email reply, he asked me to send him a digital photograph of my tonsils so he could better assess the situation. I sat at my desk in front of my laptop with its built-in webcam and experimented with how to photograph my symptoms. Finally, I angled the webcam and light so my tonsils were clearly visible and sent him the photograph, along with another picture taken by my webcam of the swollen glands in my neck. After examining the photographs, my doctor suspected I had glandular fever. His diagnosis was confirmed later that week after a blood test in Melbourne. Both my American doctor and I were impressed with how emails and digital photographs had sufficed for a consultation. While recovering, I continued to consult my doctor in America online for matters such as Ibuprofen dosage. It was comforting being able to speak to my family doctor, despite being thousands of kilometres away. While far from fancy, I had just participated in my first telemedicine consultation and I was intrigued by the possibilities. I have been interested in how the Internet can improve people’s health and wellbeing for several years. For my Master of Women’s Health dissertation, I examined the role played by an online support group in the lives of women with Androgen Insensitivity Syndrome, a type of intersex condition. The Internet has the potential to not only connect patients with doctors, but also to connect people with others who share similar medical conditions. Later in 2008, an opportunity arose to conduct research for my PhD about the use of telemedicine (specifically webcam and telephone consultations) to increase access to sexual health services. This project resonated with me both because of my personal favourable experience with telemedicine and because of my previous research on the Internet and health. A third factor influencing my interest in this project was that I was an international student. Living in Australia, on the other side of the world from my country of birth, I was acutely aware of the convenience the Internet allowed for communicating with people in different iv locations. Not only could I write an email to my family and friends in America that was sent nearly instantly to them, I could also use webcams to see their faces and feel closer to them. I wake up most mornings with an email from my mom asking me about my day and informing me of my family’s activities back at home. I use Skype to have webcam conversations with my family and friends frequently. Talking with my family and friends through webcams feels a lot more like talking to them in person than speaking with them by telephone. They can see me and I can see them. For example, when I move into a new apartment, I can take them around, room to room, on a virtual tour of my new place. They can comment on the furniture and the wall colouring. In a lot of ways it is like they are there with me. In my personal life, I had experienced how the Internet had profoundly changed the means by which people communicate with family and friends, and witnessed the ability for webcam to bring together people who are physically separated in a way never before possible. For my PhD research I was interested in investigating how similar technology could be used to alter and enhance the way we communicate with healthcare professionals. This thesis is composed of two research studies. The main study, titled SHOUT, was a national online questionnaire examining young people’s views on telemedicine consultations for sexual health. The second study investigated clients’ and key informants’ views on TESTme, a piloted telemedicine sexual health service in rural Victoria run by the Melbourne Sexual Health Centre. Chapter 1 is a literature review. In the chapter, I examine the barriers young people face to accessing sexual health services, explore the possibilities of online health, and provide an introduction to telemedicine. The whole TESTme study is described in Chapter 2. The methods of the SHOUT study are outlined in Chapter 3 and the results in Chapter 4. In Chapter 5, I examine why the acceptability of webcam consultations was low by drawing on the theories of electronic media and social behaviour, networked publics, and contextual integrity. In Chapter 6, I describe participants’ willingness to have webcam and telephone consultations by different key factors and explore whether there is a place for telemedicine in sexually transmissible infection (STI) care. Finally, in Chapter 7, I reflect on the findings from the research studies, draw together the threads woven throughout this thesis, and suggest implications for future research, policy, and practice. v ACKNOWLEDGEMENTS Thank you, Maggie Kirkman, for your invaluable guidance, wisdom, and support during my PhD. One could not ask for a better mentor. You have been an amazing supervisor and I feel so lucky to have you on my team. You have taught me so much and helped me to grow into a confident and able researcher. Thank you for your encouragement, for challenging me to produce research of the highest calibre, and for always being there to answer whatever questions I had or help solve whatever problems I came across. I also appreciate the guidance given by my other supervisors. Jane Hocking, thank you in particular for your assistance with the statistics. Christopher Fairley and Marcus Chen, thank you for welcoming me at the Melbourne Sexual Health Centre, for your help in designing and implementing the research studies, and your assistance with funding. I would like to thank Candice Fuller, James Unger, Jun Kit Sze, Mark Chung, and Afrizal Afrizal at the Melbourne Sexual Health Centre for their assistance with my research studies. Thank you as well to all the participants for their generous contributions of time. I was grateful to be awarded a Melbourne International Research Scholarship, a Melbourne International Fee Remission Scholarship, an Institute for a Broadband-Enabled Society PhD Top-Up Scholarship, a Harold Mitchell Foundation Travel Fellowship, and a Public Health Investing in Research Student’s Training Grant to undertake my doctoral research.
Load more

Recommended publications
  • Sexual Health Promotion for Young People Delivered Via Digital Media: a Scoping Review
    PUBLIC HEALTH RESEARCH VOLUME 3 ISSUE 13 NOVEMBER 2015 ISSN 2050-4381 Sexual health promotion for young people delivered via digital media: a scoping review Julia Bailey, Sue Mann, Sonali Wayal, Rachael Hunter, Caroline Free, Charles Abraham and Elizabeth Murray DOI 10.3310/phr03130 Sexual health promotion for young people delivered via digital media: a scoping review Julia Bailey,1* Sue Mann,2 Sonali Wayal,1 Rachael Hunter,3 Caroline Free,4 Charles Abraham5 and Elizabeth Murray1 1e-Health unit, Research Department of Primary Care and Population Health, University College London, London, UK 2Camberwell Sexual Health Centre, King’s College Hospital, London, UK 3PRIMENT Clinical Trials Unit, Research Department of Primary Care and Population Health, University College London, London, UK 4Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK 5Medical School, University of Exeter, Exeter, UK *Corresponding author Declared competing interests of authors: Julia Bailey, Elizabeth Murray and Caroline Free have developed interactive digital interventions and lead programmes of research to evaluate interventions. None of the authors has received fees or sponsorship from organisations which stand to make a profit from the development and implementation of digital interventions. Published November 2015 DOI: 10.3310/phr03130 This report should be referenced as follows: Bailey J, Mann S, Wayal S, Hunter R, Free C, Abraham C, et al. Sexual health promotion for young people delivered via digital media: a scoping review. Public Health Res 2015;3(13). Public Health Research ISSN 2050-4381 (Print) ISSN 2050-439X (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).
    [Show full text]
  • Human Sexuality 120:208:B6 Rutgers University Newark Conklin Hall 100 Tuesdays and Thursdays, 6 Pm – 9.30 Pm Summer 2009 Instr
    Human Sexuality 120:208:B6 Rutgers University Newark Conklin Hall 100 Tuesdays and Thursdays, 6 pm – 9.30 pm Summer 2009 Instructor: Audacia Ray, MA Email: [email protected] Course Format: Classes will consist of lectures, discussions, guest speakers, and videos. Course Objectives: To examine sexuality through the lenses of biology and culture. To encourage students to think critically about sexuality and gender and to question their own assumptions. Ground Rules: Class members are free to express their personal opinions (especially in response papers) and reactions. However, hateful speech or expression of disgust will not be tolerated. Among other things, this means: don’t say “ew” when we’re discussing something not to your liking. Course Materials: There is no text book for this course. We will utilize material in a variety of mediums and will attempt to be as green as possible (aka, read stuff on your computer and print it out only if you need to). When hard copies of handouts are needed they will be distributed in class and marked on the syllabus as handouts. All other readings and multimedia will be available online and are linked on the class blog. After each class session, information about videos along with lecture powerpoints and suggestions for further reading will be posted on the blog as well. Material will include graphic information about sexuality, bodies, and sexual functions. http://rutgershmsexsummer09.wordpress.com/ Course Requirements: 1) Papers (30% of grade) – papers are due in class OR can be emailed prior to the start of class. Papers emailed after the class in which they are due (even later that day) will be marked late.
    [Show full text]
  • An Uncensored Introduction
    Nikol Nikol Hasler Hasler AN UNCENSORED INTRODUCTION & & AN UNCENSORED INTRODUCTION by Nikol Hasler with illustrations by Michael Capozzola ZEST BOOKS San Francisco AUTHOR ACKNOWLEDGMENTS I would never have been able to compile the accurate and useful information found in this book without the support of Cory Silverberg, Heather Corrina, Judith Steinhart, Dr. Jeffrery Klausner, Morty Diamond, Tristan Toramino, and Miriam Kaufman. These people took time out of their busy sexual educa- tion lives to answer every question I had and are pioneers in the world of sexual information. Through the process they made sure my email inbox stayed interesting with subject lines like “penis queries” and “condoms in butts.” I also want to thank Zest Books publisher Hallie Warshaw for deciding that it was important to write a book like this one and editorial director Karen Macklin for being patient with me during every step of the process. Also thanks to Zest’s research editor Nikki Roddy, who spent an awful lot of time looking at lengthy documents and pie charts on everything from bodily fluids to penis sizes. Most important, I want to thank my sons for interrupting me every now and then to show me that a good hour of silly dancing in the kitchen can be an excellent cure for just about anything. —NIKOL HASLER This is a revised and expanded edition of Sex: A Book for Teens (Zest Books, 2010). This new edition includes an additional chapter on the topic of online sex and safety, along with updated informa- tion about new legislation, medical discoveries, and cultural shifts — especially on the topic of transgender issues.
    [Show full text]
  • Sex Ed to Go- an Analysis of Comprehensive Sexual Education Mobile Phone Applications Kerstin M
    University of New Mexico UNM Digital Repository Communication ETDs Electronic Theses and Dissertations Fall 11-10-2016 Sex Ed to Go- An Analysis of Comprehensive Sexual Education Mobile Phone Applications Kerstin M. Kalke University of New Mexico - Main Campus Follow this and additional works at: https://digitalrepository.unm.edu/cj_etds Part of the Health Information Technology Commons, Journalism Studies Commons, and the Public Health Education and Promotion Commons Recommended Citation Kalke, Kerstin M.. "Sex Ed to Go- An Analysis of Comprehensive Sexual Education Mobile Phone Applications." (2016). https://digitalrepository.unm.edu/cj_etds/97 This Thesis is brought to you for free and open access by the Electronic Theses and Dissertations at UNM Digital Repository. It has been accepted for inclusion in Communication ETDs by an authorized administrator of UNM Digital Repository. For more information, please contact [email protected]. i Kerstin Martina Kalke Candidate Communication and Journalism Department This thesis is approved, and it is acceptable in quality and form for publication: Approved by the Thesis Committee: Dr. McIntosh White , Chairperson Dr. Tamar Ginossar Dr. Julia Hess ii SEX ED TO GO- AN ANALYSIS OF COMPREHENSIVE SEXUAL EDUCATION MOBILE PHONE APPLICATIONS by KERSTIN MARTINA KALKE B.A. GERMAN LANGUAGE AND LITERATURE AND ENGLISH AND AMERICAN STUDIES, UNIVERSITAET WUERZBURG, JULY 2014 B.A. BASIC SKILLS IN HUMANITIES, UNIVERSITAET WUERZBURG, JULY 2014 THESIS Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Arts Communication The University of New Mexico Albuquerque, New Mexico December 2016 iii ACKNOWLEDGMENTS I heartily acknowledge my advisor and committee chair, Dr. Judith McIntosh White, for her guidance and encouraging words throughout the last year.
    [Show full text]
  • Measuring the Effects of Sexual Content in the Media
    MEASURING THE EFFECTS OF SEXUAL CONTENT IN THE MEDIA: A Report to the Kaiser Family Foundation By: Aletha C. Huston, Ph.D. Ellen Wartella, Ph.D. Edward Donnerstein, Ph.D. With the assistance of Ronda Scantlin and Jennifer Kotler A Word from the Kaiser Family Foundation Anyone who watches television, goes to the movies, or picks up a magazine today knows sex is prominent across all media. Research has shown that some media do incorporate prosocial messages about sex and sexual issues, like the risks and consequences of unprotected sex, but most do not. These messages, whether incorporating positive or negative themes, are seen by many people today, and raise legitimate questions about what effect they have on influencing the behaviors and attitudes of young viewers. Many parents say conversations with their children about sensitive topics like teen pregnancy or AIDS have been sparked by something they saw on television. And, in fact teens say that some media are important resources for them about sexual health issues. On the other hand, some young people say that sexual messages on television and in movies influence teens in a negative way, and many adults also worry about this. While there has been a great deal of research on the impact of violence in media, there has been almost no research on the impact of sexual portrayals. On the other hand, there is no shortage of opinions about the effect of sexual content on TV, ranging from “it just goes over their heads” to “it causes teen pregnancy.” It is especially important to learn, through empirical research, not only which kinds of depictions might have a negative impact on young viewers, but also how the media can provide positive models of behavior.
    [Show full text]
  • Further Reading ​
    Appendix A— Further Reading ​ The list below is not comprehensive, but includes resources I have come across during the research period for this book. I have divided the list by topic. Body Image Resources about boys and body image are few and far between, although the few I have listed here are very helpful. Books Pope, Harrison et al. The Adonis Complex: How to Identify, Treat, and Prevent Body Obsession ​ in Men and Boys. New York: Touchstone, 2000. ​ The Adonis Complex offers a detailed look at body image issues among boys and men, with a focus on ​ how body dissatisfaction has increased among males since the 1980s. There is a chapter dedicated to boys that talks about the extent of body image problems and the use of steroids and supplements. Although a little older than some of the resources I’ve listed here, this book is still an excellent resource for parents. Warhaft-Nadler, Marci. The Body Image Survival Guide for Parents: Helping Toddlers, Tweens, ​ ​ ​ and Teens Thrive. Lemont, PA: Eifrig Publishing, 2013. ​ I have known the author of The Body Image Survival Guide for a number of years. I recommend her ​ ​ book not because of a personal connection but because she offers solid, usable advice on body image issues. She also includes a chapter on boys’ concerns with body image, a topic that is becoming better known but is still not discussed enough. Ms. Warhaft-Nadler also maintains a very active presence on social media where she highlights current news and information about body image. Websites National Eating Disorders Association https://www.nationaleatingdisorders.org/males-and-eating-disorders (US) ​ This URL leads to a page about males and eating disorders.
    [Show full text]
  • Teaching Librarian the Magazine of the Ontario School Library Association ISSN 1188679X
    Fall 2011 Volume 19, Issue 1 THE Teaching Librarian The Magazine of the Ontario School Library Association ISSN 1188679X SEX @ your library Super Conference Highlights for Teacher-Librarians! Check out the pre-conference sessions! Hands-on Learning! Spotlight Speaker! Dr Alec Couros is an Associate Professor of educational - Welcome to Google Cloud Computing technology and media at the Faculty of Education, - Wikis, Weeblies, and Web 2.0 University of Regina. He has given hundreds of - Creating Graphic Novels with Students workshops and presentations, nationally and - Seventy-ve Web 2.0 tools in Seventy-ve Minutes internationally, on topics such as openness in education, - Construction Zones for Learning networked learning, social media in education, digital - Cataloguing with RDA citizenship, and critical media literacy. *In the planning stages….a special school libraries tour to see and experience Learning Commons implementation in action* The regular conference program oers almost 200 regular sessions – over 30 specially developed for the school library audience! Ontario Library Association THE Teaching Librarian Volume 19, Issue 1 Fall 2011 ISSN 1188679X TingL Fixtures TingL Features 6 The Editor’s Notebook 16 Re-imagining Hamlet Through Tweets Diana Maliszewski Danika Barker 7 TingL Lingo 18 Exploring Alternatives Amanda Braun Alanna King 8 President’s Report 20 Cross-Pollination @ your library Roger Nevin Anita Brooks Kirkland 10 Connected Library 24 Moving from a Wish List to an Wendy D’Angelo Advisory Group 12 Professional Resources
    [Show full text]
  • Examples of Sexually Charged Teen and Young Adult Literature
    Examples of Sexually Charged Teen and Young Adult Literature Parents who opt their children (experimental subjects) out of “sex education” as such have to worry not only about their children being exposed to sexualized materials in “STD prevention” or “bully prevention” lessons, but throughout the school day as sexualized books are becoming increasingly prevalent in school and public libraries and on recommended reading lists. Subverting the “opt-out” parental protective provision is a strategy undertaken by the overwhelming GLBTQ novels awaiting the child in the school library and by the inclusion of GLBTQ messages thorough the entire school curriculum: math, English, history, geography, physical education, heath and AIDS prevention, anti-bullying education, etc. Placing sexually explicit material in the context of literature is a particularly insidious assault on young brains, as researchers at Emory University have detected what may be biological traces that demonstrate what readers have long experienced, i.e., that stories can help define a person, for good or ill. 1 The researchers found actual changes in the brain that linger, at least for a few days, after reading a novel.2 Their findings, that reading a novel may cause persistent changes in resting-state connectivity of the brain, were published by the journal Brain Connectivity.3 We all “knew” this from our own lives. “Stories shape our lives and in some cases help define a person,” says neuroscientist Gregory Berns, lead author of the study and the director of Emory’s Center for Neuropolicy: We want to understand how stories get into your brain, and what they do to it .
    [Show full text]
  • Techsex USA: Youth Sexuality and Reproductive Health in the Digital Age
    TECHsex USA Youth Sexuality and Reproductive Health in the Digital Age Robin Boyar, founder and principal, thinktank research and strategy Deb Levine, executive director and founder, ISIS, Inc. Natalie Zensius, director of marketing and communications, ISIS, Inc. supported by THE FORD FOUNDATION About the Authors ISIS, Inc. is a not-for-profit organization founded in 2001 and based in Oakland, California. Using next- generation technologies and new media, ISIS, Inc. supports and empowers young people to make informed decisions about their sexual activity, thereby enabling them to become sexually healthy, mature adults. More information is available at www.isis-inc.org thinktank research and strategy is a consultancy specializing in research and strategy for gaming, entertainment, new media, and young people. More information is available at www. thinktank8.com About the Ford Foundation The Ford Foundation supports visionary leaders and organizations on the frontlines of social change worldwide. More information is available at www.fordfoundation.org Acknowledgments The authors wish to thank the following for their contributions to this report: Dr. Melissa Gilliam and Kylene Guse in the Section of Family Planning at the University of Chicago; Dovetta McKee, JD, Office of Special Programs at the University of Chicago; Benjamin Kupersmit, president of Kupersmit Research; Lauren Chow at Peanut Labs; Alex Hernandez at UCSF; the alumni parents from Peralta Elementary School, Oakland Unified School District; Dr. Bhupendra Sheoran, Deputy Director at ISIS, Inc.; Jenna Gaarde, program associate at ISIS, Inc.; Hae Yuon Kim of Tobi Designs; and Marla Wilson of Printed Page Publishing. This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License.
    [Show full text]
  • Managing the Media Monster: the Influence of Media (From Editor-At-Large Gail R
    Managing the ediTed By: Jane D. Brown, Ph.D. For more information, MEDIA MONSTER MEDIA contact The National Campaign at: 1776 Massachusetts Avenue, NW Suite 200 Washington, DC 20036 (202) 478-8500 Telephone (202) 478-8588 Fax The i N flue nc e of media o N S ex, S exual B ehavior S & a tt i T ude S maNagiNg The www.TheNaTioNalCampaigN.org e di MEDIA T www.STayTeeN.org ed B www.TeenPregNaNCy.org y: Jane D. Brown, Ph.D. www.Blog.TheNaTioNalCampaigN.org MOThe iNfluence ofN media (fromS TTeleviSioERN To TexT messageS) oN Teen Sexual Behavior and AttiTudeS. Board of directorS ChairmaN Nancy L. Johnson The Hononorable Thomas H. Kean Senior Public Policy Advisor Chairman, The Robert Wood Johnson Foundation Federal Public Policy and Healthcare Group CEO, THK Consulting Baker, Donelson, Bearman, Caldwell & Berkowitz, PC Chairman, The Carnegie Corporation of New York former Governor of New Jersey Judith E. Jones Clinical Professor Mailman School of Public Health preSideNT Columbia University Isabel V. Sawhill, Ph.D. Senior Fellow, Economic Studies Jody Greenstone Miller The Brookings Institution President and CEO The Business Talent Group Ceo & TreaSurer Sarah S. Brown Reverend Father Michael D. Place, STD Senior Vice President Social Mission & Ministerial Development memBerS Resurrection Health Care Robert Wm. Blum, M.D., Ph.D. William H. Gates Sr. Professor and Chair Bruce Rosenblum Department of Population and Family Health Sciences President Johns Hopkins University Warner Bros. Television Group Thomas S. Chappell Diane Rowland , Sc.D. Manager Executive Director UHY Advisors FLVS, Inc. Kaiser Commission on Medicaid and the Uninsured Linda Chavez Victoria P.
    [Show full text]
  • LGBTQ Teens and Discourses of Sexuality and Gender in High Schools
    City University of New York (CUNY) CUNY Academic Works All Dissertations, Theses, and Capstone Projects Dissertations, Theses, and Capstone Projects 2009 Resisting Regulation: LGBTQ Teens and Discourses of Sexuality and Gender in High Schools Darla Linville Graduate Center, City University of New York How does access to this work benefit ou?y Let us know! More information about this work at: https://academicworks.cuny.edu/gc_etds/1406 Discover additional works at: https://academicworks.cuny.edu This work is made publicly available by the City University of New York (CUNY). Contact: [email protected] RESISTING REGULATION: LGBTQ TEENS AND DISCOURSES OF SEXUALITY AND GENDER IN HIGH SCHOOLS by DARLA LINVILLE A dissertation submitted to the Graduate Faculty in Urban Education in partial fulfillment of the requirements for the degree of Doctor of Philosophy, The City University of New York 2009 This manuscript has been read and accepted for the Graduate Faculty in Urban Education in satisfaction of the dissertation requirement for the degree of Doctor of Philosophy. Jean Anyon Date Chair of Examining Committee Anthony Picciano Date Executive Officer Carmen Mercado Victoria Pitts David Lee Carlson Supervisory Committee THE CITY UNIVERSITY OF NEW YORK ii Abstract RESISTING REGULATION: LGBTQ TEENS AND DISCOURSES OF SEXUALITY AND GENDER IN HIGH SCHOOLS by Darla Linville Adviser: Professor Jean Anyon This dissertation documents a participatory action research project designed to understand discourses of sexuality and gender in New York City high schools. Lesbian, gay, and bisexual high school students participated as co-researchers in documenting discourses in popular culture, news reports, youth development reports, and through writing exercises about their own experiences.
    [Show full text]
  • Sex Education As Bullying
    SCHOOL-SANCTIONED SEX EDUCATION A DEVIANT DOMINANT CULTURE BULLIES CHILDREN USING SEXUALLY EXPLICIT IMAGES THAT TRAUMATIZE AND GROOM THEM FOR SEX ABUSE, PORNOGRAPHY ADDICTION AND SEXUAL ASSAULT OF OTHERS Judith Gelernter Reisman, Ph.D. Mary E. McAlister, Esq. Debbie DeGroff October 2015 Warning: Contains graphic sexual content TABLE OF CONTENTS I. Executive Summary .............................................................................................................. 1 II. THE GENESIS OF COMPREHENSIVE SEX EDUCATION: HOW A DEVIANT CULTURE BECAME THE DOMINANT CULTURE TEACHING HUMAN SEXUALITY TO CHILDREN. ........................................................................................................................... 6 A. Kinsey Releases “Groundbreaking And Controversial Research” That Claims Children Are Sexual From Birth And Sexuality Is Fluid. ......................................................................... 7 B. Kinsey Promotes “Scientific” Sex Education. ................................................................. 9 C. The Rise of Sex Education Authorities .......................................................................... 11 III. DEVIANT DOMINANT-CULTURE SEX-ED TEACHERS AND SEX-CLINIC SPEAKERS DISTRIBUTE OBSCENE MATTER TO MINORS DISGUISED AS “SEX EDUCATION,” “STD PREVENTION” AND/OR “BULLYING PREVENTION.” ........... 13 A. SIECUS Designs Sex Education Criteria Based on the Concept that Children are Sexual Before and From Birth And Should Be Exposed To Sexually Explicit Materials Early and Often.
    [Show full text]